YXT-33033-35650

3 vaccinations 9 coded responses 35 check-ins 9 free-text entries 2 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 350 / AL
Registered: 2021-01-21

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-01-21
Registered in v-safe
2021-01-21
Dose 1 — Moderna
2021-01-21
Survey response — day 0, dose 1
MedDRA: Feeling abnormal, Headache — Feeling: Good · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Foggy head and mild headache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-22
Survey response — days 1–6 daily, dose 1
MedDRA: Feeling abnormal, Injection site warmth — Feeling: Fair · Site: Pain · Nausea

Free text: Brain fog/warmth at injection site

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-28
Health check-in — day 7, dose 1
Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-04
Survey response — day 14, dose 1
MedDRA: Fungal infection, Inflammation, Medical counselling, Perineal pain, Perineal rash, Pruritus — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Inflammatory reaction (ie rash/itch/pain) in perineal area. Treated as yeast infection with three doses of Diflucan. Onset occurred two days after injection. · Healthcare visit (other): Phone in prescription

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-04
Report sent to call center — day 14, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-11
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-18
Dose 2 — Moderna
2021-02-18
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-02-19
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia, Musculoskeletal chest pain — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Shoulder and rib pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-20
Survey response — days 1–6 daily, dose 2
MedDRA: Decreased appetite — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Free text: Loss of appetite

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-21
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Joint pains, Muscle or body aches

Adult check-in
2021-02-22
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-23
Survey response — days 1–6 daily, dose 2
MedDRA: Depression — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Depression

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-26
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-04
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-11
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-18
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-03-25
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-01
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-22
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-06-28
Call 1 — Left Voicemail
2021-08-21
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-20
Dose 3 — Moderna
2021-10-21
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-10-22
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-10-23
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Joint pains, Fatigue or tiredness

Adult check-in
2021-10-24
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Joint pains, Muscle or body aches

Adult check-in
2021-10-25
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-10-28
Health check-in — day 7, dose 3
Feeling: Good · Joint pains, Muscle or body aches

Adult check-in
2021-11-03
Survey response — day 14, dose 3
MedDRA: Abdominal discomfort, Fatigue, Vomiting — Feeling: Fair · Be unable to do your normal daily activities

Free text: Fatigue vomiting upset stomach

MedDRA releases: 2024-11 · check-in free text available
2021-11-12
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-17
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-01
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2022-01-19
Survey response — 3 months, dose 3
MedDRA: COVID-19 — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Covid positive

MedDRA releases: 2024-11 · check-in free text available
2022-04-25
Survey response — 6 months, dose 3
MedDRA: Nerve compression, Post-acute COVID-19 syndrome, Tinnitus — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Pinched nerve in neck behind left ear that is still ringing from long covid.

MedDRA releases: 2024-11 · check-in free text available
2022-04-25
Report sent to call center — 6 months, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-04-26
Call 1 — Left Voicemail
2022-04-27
Call 2 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-21	Moderna
2	2021-02-18	Moderna
3	2021-10-20	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2021-02-04	Unsuccessful
2022-04-25	Unsuccessful

Free text

Release 2 — day 0, dose 1

2021-01-21

Systemic reaction (other): Foggy head and mild headache

Release 2 — days 1–6 daily, dose 1

2021-01-22

Systemic reaction (other): Brain fog/warmth at injection site

Release 3 — day 14, dose 1

2021-02-04

Symptoms: Inflammatory reaction (ie rash/itch/pain) in perineal area. Treated as yeast infection with three doses of Diflucan. Onset occurred two days after injection.

Healthcare visit (other): Phone in prescription

Release 4 — days 1–6 daily, dose 2

2021-02-19

Systemic reaction (other): Shoulder and rib pain

2021-02-20

Systemic reaction (other): Loss of appetite

2021-02-23

Systemic reaction (other): Depression

Release 10 — day 14, dose 3

2021-11-03

Symptoms: Fatigue vomiting upset stomach

Release 10 — 3 months, dose 3

2022-01-19

Symptoms: Covid positive

Release 11 — 6 months, dose 3

2022-04-25

Symptoms: Pinched nerve in neck behind left ear that is still ringing from long covid.

Each entry is dated by the survey it was written in (the CDC re-sent the releases with survey dates in 2025); click a date to see that survey response. The CDC cut some text off at about 250 characters: symptoms in every release, and the other two fields in releases 9-12. Those entries are marked "cut off by CDC".

MedDRA terms by release

Field	Preferred term	2021-09	2023-04	2024-11
HCVO	Medical counselling	✓	✓	✓
SD	Abdominal discomfort	·	·	✓
SD	COVID-19	·	·	✓
SD	Fatigue	·	·	✓
SD	Fungal infection	✓	✓	✓
SD	Inflammation	✓	✓	✓
SD	Nerve compression	·	·	✓
SD	Perineal pain	✓	✓	✓
SD	Perineal rash	✓	✓	✓
SD	Post-acute COVID-19 syndrome	·	·	✓
SD	Pruritus	✓	✓	✓
SD	Tinnitus	·	·	✓
SD	Vomiting	·	·	✓
SRO	Arthralgia	✓	✓	✓
SRO	Decreased appetite	✓	✓	✓
SRO	Depression	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Injection site warmth	✓	✓	✓
SRO	Musculoskeletal chest pain	✓	✓	✓

✓ active code · ○ coded but marked inactive · blank = not in that release