2WL-46979-82037

3 vaccinations 7 coded responses 37 check-ins 7 free-text entries 1 call case

Sex: Female
Age at first dose: 26-30
ZIP prefix: 762 / TX
Registered: 2021-03-13

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

Registered dependents

D93-22988-94130 Child or adolescent in my care · Female · 2022-06-30

Timeline

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

2021-03-13
Registered in v-safe
2021-03-13
Dose 1 — Moderna
2021-03-13
Survey response — day 0, dose 1
MedDRA: Dizziness — Feeling: Good

Free text: Brief bouts of lightheadedness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Diarrhea

Adult check-in
2021-03-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Redness, Swelling · Diarrhea

Adult check-in
2021-03-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Redness, Swelling · Diarrhea

Adult check-in
2021-03-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-20
Health check-in — day 7, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-27
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-03
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-10
Dose 2 — Moderna
2021-04-10
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-11
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-12
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Swelling, Itching · Fever · Headache

Adult check-in
2021-04-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Swelling, Itching · None

Adult check-in
2021-04-14
Survey response — days 1–6 daily, dose 2
MedDRA: Oropharyngeal pain — Feeling: Good · Site: Pain, Itching · Headache

Free text: Sore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
Survey response — days 1–6 daily, dose 2
MedDRA: Respiratory tract congestion — Feeling: Fair · Headache

Free text: Congestion

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-17
Health check-in — day 7, dose 2
Feeling: Good · Site: Itching · None

Adult check-in
2021-04-24
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-01
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-10
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-15
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
2021-07-10
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-09
Survey response — 6 months, dose 2
MedDRA: Laryngitis, Nasopharyngitis — Feeling: Poor · 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: Several common colds, and laryngitis.

MedDRA releases: 2024-11 · check-in free text available
2021-10-09
Report sent to call center — 6 months, dose 2
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)
2021-12-07
Call 1 — Left Voicemail
2021-12-08
Callback requested for
2021-12-08
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-04-10
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-08-23
Dose 3 — Moderna
Co-administered: Flu
2022-08-24
Survey response — days 1–6 daily, dose 3
MedDRA: Dizziness, Vertigo — Feeling: Poor · Site: Pain, Redness, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: dizziness/vertigo

MedDRA releases: 2024-11 · check-in free text available
2022-08-25
Survey response — days 1–6 daily, dose 3
MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Fair · Site: Pain, Redness, Swelling · Muscle or body aches, Nausea

Free text: axillary lymph node swelling/pain on the side of the injection

MedDRA releases: 2024-11 · check-in free text available
2022-08-26
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Redness, Swelling · None

Adult check-in
2022-08-27
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Redness, Swelling, Itching · Joint pains

Adult check-in
2022-08-28
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Joint pains

Adult check-in
2022-08-29
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Joint pains

Adult check-in
2022-08-30
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2022-09-06
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-09-20
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-09-27
Survey response — day 35, dose 3
MedDRA: Pregnancy — Feeling: Good

Free text: Pregnancy

MedDRA releases: 2024-11 · check-in free text available
2022-10-04
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-11-22
Health check-in — 3 months, dose 3
Feeling: Fair

Adult check-in
2023-02-21
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-13	Moderna
2	2021-04-10	Moderna
3	2022-08-23	Moderna	Flu

Call center

Reported	Outcome	VAERS-related outcome
2021-10-09	Successful 2021-12-08	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Free text

Release 5 — day 0, dose 1

2021-03-13

Systemic reaction (other): Brief bouts of lightheadedness

Release 7 — days 1–6 daily, dose 2

2021-04-14

Systemic reaction (other): Sore throat

2021-04-16

Systemic reaction (other): Congestion

Release 10 — 6 months, dose 2

2021-10-09

Symptoms: Several common colds, and laryngitis.

Release 12 — days 1–6 daily, dose 3

2022-08-24

Systemic reaction (other): dizziness/vertigo

2022-08-25

Systemic reaction (other): axillary lymph node swelling/pain on the side of the injection

Release 12 — day 35, dose 3

2022-09-27

Symptoms: Pregnancy

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	Laryngitis	·	·	✓
SD	Nasopharyngitis	·	·	✓
SD	Pregnancy	·	·	✓
SRO	Dizziness	✓	✓	✓
SRO	Lymph node pain	·	·	✓
SRO	Lymphadenopathy	·	·	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Respiratory tract congestion	✓	✓	✓
SRO	Vertigo	·	·	✓

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