33X-21289-80657

4 vaccinations 6 coded responses 35 check-ins 6 free-text entries 2 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 041 / ME
Registered: 2021-01-30

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

2021-01-02
Dose 1 — Moderna
2021-01-30
Registered in v-safe
2021-01-30
Dose 2 — Moderna
2021-01-30
Health check-in — day 0, dose 2
Feeling: Poor · Site: Pain, Redness · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-01-31
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-02-01
Survey response — days 1–6 daily, dose 2
MedDRA: Unevaluable event — Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Though my symptoms improved during the day

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

Adult check-in
2021-02-04
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-06
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-02-13
Survey response — day 14, dose 2
MedDRA: Fatigue, Headache, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Just fatigue and slight headache · Healthcare visit (other): COVID test due to recent exposure

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-13
Report sent to call center — day 14, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-20
Survey response — day 21, dose 2
MedDRA: Exposure to SARS-CoV-2, Fatigue, Headache, Myalgia, Respiratory tract congestion, SARS-CoV-2 test negative — Feeling: Good

Free text: Fatigue, headache, slight congestion (only one day) some muscle aches (one day) but better now. I have had 2 negative PCR tests. I had possibly been exposed to COVID from family member who has recovered and past isolation period.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-27
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-03-06
Survey response — day 35, dose 2
MedDRA: Fatigue, Headache, Pain, Respiratory tract congestion — Feeling: Good

Free text: Body achesFatigue HeadacheSlight congestionAll occurred on one day and resolved the day after

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-01
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-07-30
Call successful
Does not wish to fill out VAERS report
2021-07-31
Survey response — 6 months, dose 2
MedDRA: Oropharyngeal pain, Pain, Pyrexia, SARS-CoV-2 test negative — Feeling: Good · 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: Symptoms: Fever, slight aches and slight sore throat · Healthcare visit (other): I was tested for (PCR) COVID and result was Not detected, and symptoms resolved in a few days

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-31
Report sent to call center — 6 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-13
Call successful
Does not wish to fill out VAERS report
2021-10-28
Dose 3 — Moderna
2021-10-29
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-10-30
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-11-01
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-04
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-11-13
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-27
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-04
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-09
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-27
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-05-03
Survey response — 6 months, dose 3
MedDRA: Body temperature increased, Headache, Pain — Feeling: Good

Free text: Just some aches/headaches and an elevated temp (not considered a fever). Not concerned

MedDRA releases: 2024-11 · check-in free text available
2022-09-16
Dose 4 — Pfizer-BioNTech
Co-administered: Flu
2022-09-16
Health check-in — day 0, dose 4
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness

Adult check-in
2022-09-17
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-09-18
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · None

Adult check-in
2022-09-20
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-09-21
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-09-23
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-09-30
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-10-07
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-10-16
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-10-23
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-10-30
Health check-in — day 42, dose 4
Feeling: Fair

Adult check-in
2022-12-18
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2023-03-17
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-02	Moderna
2	2021-01-30	Moderna
3	2021-10-28	Moderna	No
4	2022-09-16	Pfizer-BioNTech	Flu

Call center

2 call center cases

2 successful

See the call center timeline

Free text

Release 3 — days 1–6 daily, dose 2

2021-02-01

Systemic reaction (other): Though my symptoms improved during the day

Release 4 — day 14, dose 2

2021-02-13

Symptoms: Just fatigue and slight headache

Healthcare visit (other): COVID test due to recent exposure

Release 4 — day 21, dose 2

2021-02-20

Symptoms: Fatigue, headache, slight congestion (only one day) some muscle aches (one day) but better now. I have had 2 negative PCR tests. I had possibly been exposed to COVID from family member who has recovered and past isolation period.

Release 5 — day 35, dose 2

2021-03-06

Symptoms: Body achesFatigue HeadacheSlight congestionAll occurred on one day and resolved the day after

Release 9 — 6 months, dose 2

2021-07-31

Symptoms: Fever, slight aches and slight sore throat

Healthcare visit (other): I was tested for (PCR) COVID and result was Not detected, and symptoms resolved in a few days

Release 11 — 6 months, dose 3

2022-05-03

Symptoms: Just some aches/headaches and an elevated temp (not considered a fever). Not concerned

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	Office visit	✓	✓	✓
HCVO	SARS-CoV-2 test negative	✓	·	✓
SD	Body temperature increased	·	·	✓
SD	Exposure to SARS-CoV-2	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Myalgia	✓	✓	✓
SD	Oropharyngeal pain	✓	·	✓
SD	Pain	✓	✓	✓
SD	Pyrexia	✓	·	✓
SD	Respiratory tract congestion	✓	✓	✓
SD	SARS-CoV-2 test negative	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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