2Y5-30050-91566

3 vaccinations 7 coded responses 28 check-ins 7 free-text entries 3 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 021 / MA
Registered: 2021-01-15

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

2021-01-14
Dose 1 — Moderna
2021-01-15
Registered in v-safe
2021-01-15
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-01-19
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-01-21
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-28
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-04
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-11
Dose 2 — Moderna
2021-02-11
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2021-02-12
Survey response — days 1–6 daily, dose 2
MedDRA: Decreased appetite, Insomnia, Palpitations — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Nausea · Be unable to do your normal daily activities

Free text: Palpitations, insomnia, low appetite

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-02-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-17
Survey response — days 1–6 daily, dose 2
MedDRA: Nasopharyngitis, Respiratory tract congestion, Rhinorrhoea — Feeling: Good · Fatigue or tiredness

Free text: I have a cold with a runny nose and congestion x2 days

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-18
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-02-25
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-04
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-12
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-21
Survey response — day 35, dose 2
MedDRA: Pruritus, Rash, Throat irritation — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Throat irritation and 2 days of rash and itching

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-21
Report sent to call center — day 35, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-25
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-13
Survey response — 3 months, dose 2
MedDRA: Thrombosis — Feeling: Good

Free text: Very small superficial blood clot in one finger. I've never had that before. Not sure if it's related.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-12
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-04
Dose 3 — Moderna
2021-12-05
Survey response — day 28, dose 3
MedDRA: Fatigue, Headache, Pain in extremity — Feeling: Good

Free text: Headache 12-36 hours after booster, sore arm X2 days, some mild fatigue first 24 his

MedDRA releases: 2024-11 · check-in free text available
2021-12-09
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-16
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2021-12-30
Call 1 — Left Voicemail
2022-02-03
Survey response — 3 months, dose 3
MedDRA: Pregnancy — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: Pregnant

MedDRA releases: 2024-11 · check-in free text available
2022-02-03
Report sent to call center — 3 months, dose 3
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-02-04
Call 1 — Could Not Reach Participant
2022-02-09
Call 2 — Could Not Reach Participant
2022-05-05
Survey response — 6 months, dose 3
MedDRA: Pregnancy — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Pregnant

MedDRA releases: 2024-11 · check-in free text available
2022-05-05
Report sent to call center — 6 months, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-05-06
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-11-04
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-14	Moderna
2	2021-02-11	Moderna
3	2021-11-04	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2021-03-21	Successful	Not applicable - Accidental Reporting
2022-02-03	Successful	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-05-05	Successful 2022-05-06	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Free text

Release 4 — days 1–6 daily, dose 2

2021-02-12

Systemic reaction (other): Palpitations, insomnia, low appetite

2021-02-17

Systemic reaction (other): I have a cold with a runny nose and congestion x2 days

Release 6 — day 35, dose 2

2021-03-21

Symptoms: Throat irritation and 2 days of rash and itching

Release 8 — 3 months, dose 2

2021-05-13

Symptoms: Very small superficial blood clot in one finger. I've never had that before. Not sure if it's related.

Release 10 — day 28, dose 3

2021-12-05

Symptoms: Headache 12-36 hours after booster, sore arm X2 days, some mild fatigue first 24 his

Release 11 — 3 months, dose 3

2022-02-03

Symptoms: Pregnant

Release 11 — 6 months, dose 3

2022-05-05

Symptoms: Pregnant

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	Fatigue	·	·	✓
SD	Headache	·	·	✓
SD	Pain in extremity	·	·	✓
SD	Pregnancy	·	·	✓
SD	Pruritus	✓	✓	✓
SD	Rash	✓	✓	✓
SD	Throat irritation	✓	✓	✓
SD	Thrombosis	✓	✓	✓
SRO	Decreased appetite	✓	✓	✓
SRO	Insomnia	✓	✓	✓
SRO	Nasopharyngitis	✓	✓	✓
SRO	Palpitations	✓	✓	✓
SRO	Respiratory tract congestion	✓	✓	✓
SRO	Rhinorrhoea	✓	✓	✓

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