YYH-17683-33674

2 vaccinations 9 coded responses 24 check-ins 9 free-text entries 2 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 926 / CA
Registered: 2021-01-22

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

Timeline

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

2021-01-20
Dose 1 — Moderna
2021-01-22
Registered in v-safe
2021-01-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
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
2021-01-27
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-03
Survey response — day 14, dose 1
MedDRA: Arthralgia, Fatigue, Musculoskeletal stiffness, Myalgia, Self-medication — Feeling: Good

Free text: Stiffness, joint pain, achy muscles and easy fatigue. Joint pain is in base of both thumb, knees, both ankles in area of Achilles tendons and left shoulder. Past 5-6 days. Take Advil zoo mg for 3 nights for relief.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-10
Survey response — day 21, dose 1
MedDRA: Arthralgia, Musculoskeletal stiffness, Myalgia — Feeling: Good

Free text: Still have lingering muscle ache and stiffness but much less. Pain in R back of ankle persist but to a lesser degree. Pain in L shoulder, wrists and knees better.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-17
Dose 2 — Moderna
2021-02-17
Survey response — day 0, dose 2
MedDRA: Medical counselling, Urinary tract infection — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Developed UTI and taking Septra DS for 2 days now · Healthcare visit (other): Texted problem to MD and prescribed medicine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-17
Report sent to call center — day 0, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-18
Survey response — days 1–6 daily, dose 2
MedDRA: Peripheral coldness — Feeling: Good · Site: Pain · Fatigue or tiredness

Free text: Both hands felt cold in AM. Not really chilly.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-19
Survey response — days 1–6 daily, dose 2
MedDRA: Chills, Peripheral coldness — Feeling: Good · Site: Pain, Redness, Swelling · Fatigue or tiredness

Free text: Hands feel cold. Very mild body chill.

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: Middle insomnia — Feeling: Good · Site: Pain · Fatigue or tiredness

Free text: Waking up every 1-2 hrs at night at 1 1/2-2 hr. Intervals.

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 · Fatigue or tiredness

Adult check-in
2021-02-22
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-23
Survey response — days 1–6 daily, dose 2
MedDRA: Sleep disorder — Feeling: Good · Chills

Free text: Sleep pattern altered. Wakened every 2 hrs or so.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-24
Health check-in — day 7, dose 2
Feeling: Good · None

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

Adult check-in
2021-03-10
Health check-in — day 21, dose 2
Feeling: Good

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

Adult check-in
2021-03-24
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-01
Survey response — day 42, dose 2
MedDRA: Tendonitis — Feeling: Good

Free text: Achilles tendonitis

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-20
Survey response — 3 months, dose 2
MedDRA: Tendonitis — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Recurrence of pain in right ankle( insertion Achilles tendonitis that started 8 days after my first vaccine shot. Dissapeated then recurred.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-20
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-15
Call successful
Participant prefers to complete VAERS report online
2021-08-20
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-02-21
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-20	Moderna
2	2021-02-17	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-02-17	Successful	Participant prefers to complete VAERS report online
2021-05-20	Successful 2021-06-15	Participant prefers to complete VAERS report online

Free text

Release 3 — day 14, dose 1

2021-02-03

Symptoms: Stiffness, joint pain, achy muscles and easy fatigue. Joint pain is in base of both thumb, knees, both ankles in area of Achilles tendons and left shoulder. Past 5-6 days. Take Advil zoo mg for 3 nights for relief.

Release 4 — day 21, dose 1

2021-02-10

Symptoms: Still have lingering muscle ache and stiffness but much less. Pain in R back of ankle persist but to a lesser degree. Pain in L shoulder, wrists and knees better.

Release 4 — day 0, dose 2

2021-02-17

Systemic reaction (other): Developed UTI and taking Septra DS for 2 days now

Healthcare visit (other): Texted problem to MD and prescribed medicine.

Release 4 — days 1–6 daily, dose 2

2021-02-18

Systemic reaction (other): Both hands felt cold in AM. Not really chilly.

2021-02-19

Systemic reaction (other): Hands feel cold. Very mild body chill.

2021-02-20

Systemic reaction (other): Waking up every 1-2 hrs at night at 1 1/2-2 hr. Intervals.

2021-02-23

Systemic reaction (other): Sleep pattern altered. Wakened every 2 hrs or so.

Release 6 — day 42, dose 2

2021-04-01

Symptoms: Achilles tendonitis

Release 8 — 3 months, dose 2

2021-05-20

Symptoms: Recurrence of pain in right ankle( insertion Achilles tendonitis that started 8 days after my first vaccine shot. Dissapeated then recurred.

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	Arthralgia	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Musculoskeletal stiffness	✓	✓	✓
SD	Myalgia	✓	✓	✓
SD	Self-medication	✓	✓	✓
SD	Tendonitis	✓	✓	✓
SRO	Chills	✓	✓	✓
SRO	Middle insomnia	✓	✓	✓
SRO	Peripheral coldness	✓	✓	✓
SRO	Sleep disorder	✓	✓	✓
SRO	Urinary tract infection	✓	✓	✓

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