YYX-30800-32361

2 vaccinations 10 coded responses 15 check-ins 10 free-text entries 4 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 190 / PA
Registered: 2021-02-02

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

2021-01-30
Dose 1 — Moderna
2021-02-02
Registered in v-safe
2021-02-02
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site pain, Pain in extremity — Feeling: Good · Site: Pain · Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: I had severe pain in my fingers on Jan 31 when I woke; Shoulder pain on injection side

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-03
Survey response — days 1–6 daily, dose 1
MedDRA: Arthralgia — Feeling: Good · Be unable to do your normal daily activities

Free text: Had terrible joint pains days 1 and 2 post injection

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-04
Survey response — days 1–6 daily, dose 1
MedDRA: No adverse event — Feeling: Good · Fatigue or tiredness

Free text: No

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-06
Health check-in — day 7, dose 1
Feeling: Fair · Site: Itching · Joint pains

Adult check-in
2021-02-14
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-02-22
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-27
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-03-06
Dose 2 — Moderna
2021-03-13
Survey response — day 7, dose 2
MedDRA: Arthralgia — Feeling: Fair · Site: Itching · Fatigue or tiredness

Free text: Had severe joint pain the day after and moderate the night of.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-20
Survey response — day 14, dose 2
MedDRA: Arthralgia, Injection site pruritus — Feeling: Good

Free text: Joint pains5 days ago and itching injection site 3 and 4 days ago.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-29
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-03
Survey response — day 28, dose 2
MedDRA: Lymphoedema — Feeling: Good

Free text: Lymphedema legs

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-10
Survey response — day 35, dose 2
MedDRA: Medical counselling, Wheezing — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Wheezing. Have texted my doctor. · Healthcare visit (other): Have texted my doctor. Dont know what he will do yet

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-10
Report sent to call center — day 35, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-17
Survey response — day 42, dose 2
MedDRA: Office visit, Wheezing — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Exploratory wheezes · Healthcare visit (other): Office visit

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-17
Report sent to call center — day 42, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-05
Survey response — 3 months, dose 2
MedDRA: Arthralgia — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Joint pains

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-05
Report sent to call center — 3 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-11-26
Call 1 — Left Voicemail
2022-03-06
Survey response — 12 months, dose 2
MedDRA: Medical counselling, Rhinorrhoea, Vertigo — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Nose often running for no apparent reason. Vertigo - first time in my life. · Healthcare visit (other): Phone consultation x2

MedDRA releases: 2024-11 · check-in free text available
2022-03-06
Report sent to call center — 12 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2022-03-08
Call successful
Participant prefers to complete VAERS report online

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-30	Moderna
2	2021-03-06	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-04-10	Unsuccessful
2021-04-17	Unsuccessful
2021-06-05	Unsuccessful
2022-03-06	Successful 2022-03-08	Participant prefers to complete VAERS report online

Free text

Release 3 — days 1–6 daily, dose 1

2021-02-02

Systemic reaction (other): I had severe pain in my fingers on Jan 31 when I woke; Shoulder pain on injection side

2021-02-03

Systemic reaction (other): Had terrible joint pains days 1 and 2 post injection

2021-02-04

Systemic reaction (other): No

Release 5 — day 7, dose 2

2021-03-13

Systemic reaction (other): Had severe joint pain the day after and moderate the night of.

Release 6 — day 14, dose 2

2021-03-20

Symptoms: Joint pains5 days ago and itching injection site 3 and 4 days ago.

Release 6 — day 28, dose 2

2021-04-03

Symptoms: Lymphedema legs

Release 7 — day 35, dose 2

2021-04-10

Symptoms: Wheezing. Have texted my doctor.

Healthcare visit (other): Have texted my doctor. Dont know what he will do yet

Release 7 — day 42, dose 2

2021-04-17

Symptoms: Exploratory wheezes

Healthcare visit (other): Office visit

Release 8 — 3 months, dose 2

2021-06-05

Symptoms: Joint pains

Release 11 — 12 months, dose 2

2022-03-06

Symptoms: Nose often running for no apparent reason. Vertigo - first time in my life.

Healthcare visit (other): Phone consultation x2

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	✓	✓	✓
HCVO	Office visit	✓	✓	✓
SD	Arthralgia	✓	✓	✓
SD	Injection site pruritus	✓	✓	✓
SD	Lymphoedema	✓	✓	✓
SD	Medical counselling	✓	✓	✓
SD	Rhinorrhoea	·	·	✓
SD	Vertigo	·	·	✓
SD	Wheezing	✓	✓	✓
SRO	Arthralgia	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	No adverse event	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓

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