YYC-16638-22618

4 vaccinations 6 coded responses 26 check-ins 6 free-text entries 1 call case

Sex: Female
Age at first dose: 56-60
ZIP prefix: 537 / WI
Registered: 2021-03-11

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

2021-03-11
Registered in v-safe
2021-03-11
Dose 1 — Moderna
2021-03-11
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-03-13
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · None

Adult check-in
2021-03-14
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site

Adult check-in
2021-03-15
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · None

Adult check-in
2021-03-18
Health check-in — day 7, dose 1
Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to work

Adult check-in
2021-03-25
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-01
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-08
Dose 2 — Moderna
2021-04-10
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-11
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Chills, Joint pains, Muscle or body aches

Adult check-in
2021-04-12
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-13
Survey response — days 1–6 daily, dose 2
MedDRA: Pruritus — Feeling: Fair · Chills, Joint pains, Muscle or body aches

Free text: Itching all over yesterday and day before, feel the itching coming on now too. All over the whole body.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-14
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Chills, Fatigue or tiredness

Adult check-in
2021-04-18
Health check-in — day 7, dose 2
Feeling: Good · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-22
Survey response — day 14, dose 2
MedDRA: Dyspnoea, Pruritus — Feeling: Good

Free text: I have neglected to document that I have felt short of breath while exercising (not like me) since the vaccinations. I am now two weeks out of my last vaccination (Moderna), and had shortness of breath this AM while working out. Also, itchy.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-29
Survey response — day 21, dose 2
MedDRA: Dyspnoea — Feeling: Fair

Free text: I have been having difficulty catching my breath when working out.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-06
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-13
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-22
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-08
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-10-07
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-10
Dose 3 — Moderna
2022-04-08
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-04-17
Dose 4 — Moderna
2022-05-08
Survey response — day 21, dose 4
MedDRA: Headache, Hyperacusis, Migraine, Photophobia — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Terrible headaches that also have elements of migraine headaches (extreme sensitivity to light and sound) -- even though I have never had migraines before.

MedDRA releases: 2024-11 · check-in free text available
2022-05-08
Report sent to call center — day 21, dose 4
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-05-10
Call 1 — Left Voicemail
2022-05-22
Survey response — day 35, dose 4
MedDRA: Ear pain, Nasopharyngitis, Oropharyngeal pain, Rhinorrhoea, SARS-CoV-2 test negative — Feeling: Fair

Free text: Just a cold with sore throat and ears, runny nose. Tested negative for Covid

MedDRA releases: 2024-11 · check-in free text available
2022-05-29
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-07-18
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-10-16
Survey response — 6 months, dose 4
MedDRA: Cough, Fatigue, Headache, Oropharyngeal pain, Pain, SARS-CoV-2 test, SARS-CoV-2 test negative, SARS-CoV-2 test positive — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Sore throat, cough, body aches, head ache, over-fatigued. I took a home covid test, one was positive one was negative. I took a PCR from Walgreens yesterday and am waiting for the results. So not officially diagnosed but maybe have it.

MedDRA releases: 2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-11	Moderna
2	2021-04-08	Moderna
3	2021-11-10	Moderna	No
4	2022-04-17	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2022-05-08	Unsuccessful

Free text

Release 7 — days 1–6 daily, dose 2

2021-04-13

Systemic reaction (other): Itching all over yesterday and day before, feel the itching coming on now too. All over the whole body.

Release 7 — day 14, dose 2

2021-04-22

Symptoms: I have neglected to document that I have felt short of breath while exercising (not like me) since the vaccinations. I am now two weeks out of my last vaccination (Moderna), and had shortness of breath this AM while working out. Also, itchy.

Release 8 — day 21, dose 2

2021-04-29

Symptoms: I have been having difficulty catching my breath when working out.

Release 11 — day 21, dose 4

2022-05-08

Symptoms: Terrible headaches that also have elements of migraine headaches (extreme sensitivity to light and sound) -- even though I have never had migraines before.

Release 11 — day 35, dose 4

2022-05-22

Symptoms: Just a cold with sore throat and ears, runny nose. Tested negative for Covid

Release 12 — 6 months, dose 4

2022-10-16

Symptoms: Sore throat, cough, body aches, head ache, over-fatigued. I took a home covid test, one was positive one was negative. I took a PCR from Walgreens yesterday and am waiting for the results. So not officially diagnosed but maybe have it.

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
SD	Cough	·	·	✓
SD	Dyspnoea	✓	✓	✓
SD	Ear pain	·	·	✓
SD	Fatigue	·	·	✓
SD	Headache	·	·	✓
SD	Hyperacusis	·	·	✓
SD	Migraine	·	·	✓
SD	Nasopharyngitis	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pain	·	·	✓
SD	Photophobia	·	·	✓
SD	Pruritus	✓	✓	✓
SD	Rhinorrhoea	·	·	✓
SD	SARS-CoV-2 test	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	SARS-CoV-2 test positive	·	·	✓
SRO	Pruritus	✓	✓	✓

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