2YU-87313-44333

4 vaccinations 6 coded responses 24 check-ins 5 free-text entries 3 call cases

Sex: Female
Age at first dose: 31-35
ZIP prefix: 761 / TX
Registered: 2021-02-02

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

Registered dependents

JJB-57381-37800 Child or adolescent in my care · Male · 2022-10-03

Timeline

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

2021-01-02
Dose 1 — Moderna
2021-02-02
Registered in v-safe
2021-02-02
Dose 2 — Moderna
2021-02-02
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain, Swelling · Headache, Muscle or body aches

Adult check-in
2021-02-03
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-02-04
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Muscle or body aches, Nausea

Adult check-in
2021-02-05
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Nausea, Diarrhea

Adult check-in
2021-02-08
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-09
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-02-16
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-23
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-02
Survey response — day 28, dose 2
MedDRA: Depression, Disturbance in attention, Fatigue, Insomnia, Pain, Pre-existing disease — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: Depression since 2015 worsening recent symptoms: difficulty concentrating, sleep issues, body aches, fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-10
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-16
Survey response — day 42, dose 2
MedDRA: Diarrhoea — Feeling: Good · Be unable to work

Free text: Diahhrea

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-04
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-03
Survey response — 6 months, dose 2
MedDRA: Chills, Pain, Pyrexia, Rash — 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: Fever, aches, chills, rash

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-03
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

1 call case(s)
2021-08-23
Call X — Could Not Reach Participant
2021-11-08
Dose 3 — Moderna
Co-administered: Flu
2022-02-04
Survey response — 12 months, dose 2
MedDRA: Depression, Dysmenorrhoea, Fatigue — Feeling: Fair · Be unable to do your normal daily activities

Free text: Fatigue, depression, dysmenorrhea

MedDRA releases: 2024-11 · check-in free text available
2022-02-07
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-05-09
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-09-30
Dose 4 — Pfizer-BioNTech
Co-administered: Flu
2022-10-03
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Headache, Nausea, Diarrhea, Abdominal pain

Adult check-in
2022-10-05
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Muscle or body aches, Fatigue or tiredness, Abdominal pain

Adult check-in
2022-10-07
Health check-in — day 7, dose 4
Feeling: Good · Headache

Adult check-in
2022-10-14
Health check-in — day 14, dose 4
Feeling: Fair

Adult check-in
2022-10-23
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-10-30
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-12-30
Survey response — 3 months, dose 4
MedDRA: Lymphadenopathy, Oropharyngeal pain, Productive cough, Pyrexia, Streptococcal 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 · Telehealth, virtual health, or email health consultation

Free text: Fever, cough (productive), sore throat, swollen glands, dx with strep, exposed to flu but had flu shot

MedDRA releases: 2024-11 · check-in free text available
2022-12-30
Report sent to call center — 3 months, dose 4
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)
2023-01-03
Call 1 — Left Voicemail
2023-01-03
Call 1 — Left Voicemail
2023-01-11
Call 2 — Left Voicemail
2023-01-11
Call 2 — Left Voicemail
2023-03-31
Survey response — 6 months, dose 4
MedDRA: Premature separation of placenta — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, Hospitalization

MedDRA releases: 2024-11
2023-03-31
Report sent to call center — 6 months, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Emergency room or emergency department visit · Hospitalization · 1 call case(s)
2023-04-03
Call 3 — Left Voicemail
2023-04-03
Call 3 — Left Voicemail
2023-04-03
Call 1 — Left Voicemail
2023-04-04
Call successful
Does not wish to fill out VAERS report
2023-04-04
Call successful
Completed over the phone
2023-04-04
Call successful
Completed over the phone

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-02	Moderna
2	2021-02-02	Moderna
3	2021-11-08	Moderna	Flu
4	2022-09-30	Pfizer-BioNTech	Flu

Call center

Reported	Outcome	VAERS-related outcome
2021-08-03	Successful 2023-04-04	Does not wish to fill out VAERS report
2022-12-30	Successful 2023-04-04	Completed over the phone
2023-03-31	Successful 2023-04-04	Completed over the phone

Free text

Release 4 — day 28, dose 2

2021-03-02

Symptoms: Depression since 2015 worsening recent symptoms: difficulty concentrating, sleep issues, body aches, fatigue

Release 5 — day 42, dose 2

2021-03-16

Symptoms: Diahhrea

Release 9 — 6 months, dose 2

2021-08-03

Symptoms: Fever, aches, chills, rash

Release 11 — 12 months, dose 2

2022-02-04

Symptoms: Fatigue, depression, dysmenorrhea

Release 12 — 3 months, dose 4

2022-12-30

Symptoms: Fever, cough (productive), sore throat, swollen glands, dx with strep, exposed to flu but had flu shot

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	Chills	✓	·	✓
SD	Depression	✓	✓	✓
SD	Diarrhoea	✓	✓	✓
SD	Disturbance in attention	✓	✓	✓
SD	Dysmenorrhoea	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Insomnia	✓	✓	✓
SD	Lymphadenopathy	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pain	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Premature separation of placenta	·	·	✓
SD	Productive cough	·	·	✓
SD	Pyrexia	✓	·	✓
SD	Rash	✓	·	✓
SD	Streptococcal infection	·	·	✓

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