282-21194-29165

4 vaccinations 9 coded responses 35 check-ins 9 free-text entries 4 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 990 / WA
Registered: 2021-01-18

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

Registered dependents

THQ-50480-89358 Child or adolescent in my care · Female · 2022-06-24

SEX-31248-73602 Adult relative or friend · Male · 2022-06-24

Timeline

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

2021-01-18
Registered in v-safe
2021-01-18
Dose 1 — Moderna
2021-01-18
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-01-21
Survey response — days 1–6 daily, dose 1
MedDRA: Pain in extremity — Feeling: Good · Site: Pain · Muscle or body aches · Be unable to do your normal daily activities

Free text: Arm pain in the arm of the injection was intense. It started about 6 hours after vaccination and lasted until 3rd day after the vaccination (diminished pain today).

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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 · Site: Pain · None

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

Adult check-in
2021-01-25
Health check-in — day 7, dose 1
Feeling: Good · Site: Pain · Diarrhea

Adult check-in
2021-02-01
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-08
Survey response — day 21, dose 1
MedDRA: Diarrhoea — Feeling: Good

Free text: Loose stools (diarreha) that is not attributable to an identifiable source.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-15
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-02-22
Health check-in — day 35, dose 1
Feeling: Good

Adult check-in
2021-03-02
Health check-in — day 42, dose 1
Feeling: Good

Adult check-in
2021-03-04
Dose 2 — Moderna
2021-03-04
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-05
Survey response — days 1–6 daily, dose 2
MedDRA: Asthenia — Feeling: Poor · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, 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: Profound weakness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-05
Report sent to call center — days 1–6 daily, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-06
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-03-07
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache, Diarrhea

Adult check-in
2021-03-08
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Joint pains, Muscle or body aches

Adult check-in
2021-03-09
Survey response — days 1–6 daily, dose 2
MedDRA: Condition aggravated, Pre-existing disease, Unevaluable event — Feeling: Good · Joint pains · Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Flare up of herpes zoster. · Healthcare visit (other): Requested prescription for anti- viral (acyclovir)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-09
Report sent to call center — days 1–6 daily, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-10
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-03-11
Health check-in — day 7, dose 2
Feeling: Good · Joint pains, Fatigue or tiredness

Adult check-in
2021-03-18
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-25
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-01
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-08
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-16
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-04
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-02
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-12-09
Call 1 — Left Voicemail
2022-01-07
Dose 3 — Pfizer-BioNTech
2022-01-18
Health check-in — day 7, dose 3
Feeling: Good · Site: Pain · Joint pains, Fatigue or tiredness

Adult check-in
2022-01-21
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-01-28
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-02-06
Survey response — day 28, dose 3
MedDRA: Arthralgia, Fatigue, Feeling of body temperature change, Nausea, Pain — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Starting 24 hrs ago: Aching, hot & chilled, super painful joints. Initially when these symptoms started I also had some transient nausea. Global aching is exhausting. I am going to do a home test for COVID-19. I don't know if I have a fever yet.

MedDRA releases: 2024-11 · check-in free text available
2022-02-11
Survey response — day 35, dose 3
MedDRA: Arthralgia, Fatigue, Nausea, Pyrexia — Feeling: Good · Be unable to work or attend school

Free text: Fever, joint pain, severe fatigue, episodic nausea

MedDRA releases: 2024-11 · check-in free text available
2022-02-20
Survey response — day 42, dose 3
MedDRA: Arthralgia, Fatigue, Headache — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Joint paint, headache, unexplained exhaustion

MedDRA releases: 2024-11 · check-in free text available
2022-04-08
Survey response — 3 months, dose 3
MedDRA: SARS-CoV-2 test negative, Self-medication, Viral infection — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Viral illness, (NOS). COVID-19 home tests x 2 neg. · Healthcare visit (other): I am a physician. I took care of myself responsive to my symptoms.

MedDRA releases: 2024-11 · check-in free text available
2022-04-08
Report sent to call center — 3 months, dose 3
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

1 call case(s)
2022-04-13
Call successful
Does not wish to fill out VAERS report
2022-07-08
Survey response — 6 months, dose 3
MedDRA: COVID-19, Cough, Fatigue, Oropharyngeal pain, Rhinorrhoea, Sneezing — Feeling: Good · Be unable to work or attend school, 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: COVID-19: sneezing, coughing, sore throat, runny nose, profound fatigue

MedDRA releases: 2024-11 · check-in free text available
2022-07-08
Report sent to call center — 6 months, dose 3
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-07-11
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-09-21
Dose 4 — Pfizer-BioNTech
2023-03-22
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-18	Moderna
2	2021-03-04	Moderna
3	2022-01-07	Pfizer-BioNTech	No
4	2022-09-21	Pfizer-BioNTech	No

Call center

4 call center cases

4 successful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-21

Systemic reaction (other): Arm pain in the arm of the injection was intense. It started about 6 hours after vaccination and lasted until 3rd day after the vaccination (diminished pain today).

Release 3 — day 21, dose 1

2021-02-08

Symptoms: Loose stools (diarreha) that is not attributable to an identifiable source.

Release 5 — days 1–6 daily, dose 2

2021-03-05

Systemic reaction (other): Profound weakness

2021-03-09

Systemic reaction (other): Flare up of herpes zoster.

Healthcare visit (other): Requested prescription for anti- viral (acyclovir)

Release 11 — day 28, dose 3

2022-02-06

Symptoms: Starting 24 hrs ago: Aching, hot & chilled, super painful joints. Initially when these symptoms started I also had some transient nausea. Global aching is exhausting. I am going to do a home test for COVID-19. I don't know if I have a fever yet.

Release 11 — day 35, dose 3

2022-02-11

Symptoms: Fever, joint pain, severe fatigue, episodic nausea

Release 11 — day 42, dose 3

2022-02-20

Symptoms: Joint paint, headache, unexplained exhaustion

Release 11 — 3 months, dose 3

2022-04-08

Symptoms: Viral illness, (NOS). COVID-19 home tests x 2 neg.

Healthcare visit (other): I am a physician. I took care of myself responsive to my symptoms.

Release 12 — 6 months, dose 3

2022-07-08

Symptoms: COVID-19: sneezing, coughing, sore throat, runny nose, profound fatigue

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	Self-medication	·	·	✓
HCVO	Unevaluable event	✓	✓	✓
SD	Arthralgia	·	·	✓
SD	Cough	·	·	✓
SD	COVID-19	·	·	✓
SD	Diarrhoea	✓	✓	✓
SD	Fatigue	·	·	✓
SD	Feeling of body temperature change	·	·	✓
SD	Headache	·	·	✓
SD	Nausea	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pain	·	·	✓
SD	Pyrexia	·	·	✓
SD	Rhinorrhoea	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	Sneezing	·	·	✓
SD	Viral infection	·	·	✓
SRO	Asthenia	✓	✓	✓
SRO	Condition aggravated	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓

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