34G-31089-94143

3 vaccinations 15 coded responses 29 check-ins 14 free-text entries 3 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 805 / CO
Registered: 2021-04-17

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

2021-04-15
Dose 1 — Moderna
2021-04-17
Registered in v-safe
2021-04-17
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches

Adult check-in
2021-04-20
Survey response — days 1–6 daily, dose 1
MedDRA: Oropharyngeal pain — Feeling: Poor · Headache, Muscle or body aches · Be unable to do your normal daily activities

Free text: Sore Throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
Survey response — days 1–6 daily, dose 1
MedDRA: Respiratory tract congestion — Feeling: Poor · Be unable to do your normal daily activities

Free text: Congestion

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Survey response — day 7, dose 1
MedDRA: Hypoaesthesia, Paraesthesia — Feeling: Poor · Abdominal pain · Be unable to do your normal daily activities

Free text: Facial numbness/tingling

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-29
Survey response — day 14, dose 1
MedDRA: Nasopharyngitis, Peripheral swelling, Pruritus — Feeling: Fair

Free text: My arm became itchy and swollen after being fine. I also had cold symptoms but my eldest child was sick (neg for Covid)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-06
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-05-13
Survey response — day 28, dose 1
MedDRA: Epistaxis, Headache, Hypoaesthesia, Lacrimation increased, Paraesthesia — Feeling: Poor · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Numbness/tingling in the left side of my face, excessive tearing in my left eye. I also had a bloody nose in my left nostril out of the blue. Some headaches

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-13
Report sent to call center — day 28, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-20
Health check-in — day 35, dose 1
Feeling: Fair

Adult check-in
2021-05-29
Health check-in — day 42, dose 1
Feeling: Good

Adult check-in
2021-07-17
Survey response — 3 months, dose 1
MedDRA: Cough, Headache, Hypoaesthesia, Musculoskeletal stiffness, Respiratory tract congestion — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Congestion, stiff neck, left side facial numbness, headache, cough

MedDRA releases: 2024-11 · check-in free text available
2021-08-17
Dose 2 — Moderna
2021-08-18
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to work or attend school

Adult check-in
2021-08-19
Survey response — days 1–6 daily, dose 2
MedDRA: Hyperhidrosis — Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Nausea, Diarrhea · Be unable to do your normal daily activities

Free text: Sweating

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-20
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Swelling · Headache, Nausea, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-08-24
Survey response — day 7, dose 2
MedDRA: Oropharyngeal pain, Vaginal haemorrhage — Feeling: Poor · Headache, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Vaginal spotting not during ovulation or period, sore throat

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-09-07
Survey response — day 21, dose 2
MedDRA: Arthralgia, Headache, Nasopharyngitis, Oropharyngeal pain, Respiratory tract congestion, SARS-CoV-2 test negative — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Cold symptoms, tested negative for COVID. (Sore throat, congestion, headache.) Have also had odd continued joint pain in my right wrist and left knee, that have now mostly passed.

MedDRA releases: 2024-11 · check-in free text available
2021-09-07
Report sent to call center — day 21, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-09-09
Call 2 — Could Not Reach Participant
2021-09-14
Call 3 — Could Not Reach Participant
2021-09-16
Survey response — day 28, dose 2
MedDRA: Dizziness, Vision blurred — Feeling: Poor · Be unable to do your normal daily activities

Free text: Dizziness and blurred vision upon standing.

MedDRA releases: 2024-11 · check-in free text available
2021-09-24
Survey response — day 35, dose 2
MedDRA: Brain fog, Oropharyngeal pain — Feeling: Poor · Be unable to do your normal daily activities

Free text: Sore throat, brain fog

MedDRA releases: 2024-11 · check-in free text available
2021-09-28
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-11-16
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2022-01-17
Dose 3 — Moderna
2022-01-17
Health check-in — day 0, dose 3
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2022-01-18
Survey response — days 1–6 daily, dose 3
MedDRA: Back pain — Feeling: Poor · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Low back pain

MedDRA releases: 2024-11 · check-in free text available
2022-01-20
Survey response — days 1–6 daily, dose 3
MedDRA: Dry throat — Feeling: Fair · Site: Swelling · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Dry throat

MedDRA releases: 2024-11 · check-in free text available
2022-01-22
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Swelling · Headache, Fatigue or tiredness

Adult check-in
2022-01-23
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Swelling · Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2022-01-27
Health check-in — day 7, dose 3
Feeling: Good · Headache

Adult check-in
2022-02-08
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2022-02-23
Survey response — day 35, dose 3
MedDRA: Fatigue, Headache, Oropharyngeal pain, Rhinorrhoea — Feeling: Fair · Be unable to do your normal daily activities

Free text: Exhaustion, runny nose, sore throat, headache

MedDRA releases: 2024-11 · check-in free text available
2022-02-28
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2023-01-17
Survey response — 12 months, dose 3
MedDRA: Delivery, Haematological infection, Upper respiratory tract infection, Urinary tract infection — Feeling: Fair · Be unable to work or attend school, 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
2023-01-17
Report sent to call center — 12 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

Emergency room or emergency department visit · Hospitalization · 1 call case(s)
2023-01-18
Call 1 — Left Voicemail
2023-01-18
Call 1 — Left Voicemail
2023-01-18
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-15	Moderna
2	2021-08-17	Moderna	No
3	2022-01-17	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2021-05-13	Unsuccessful
2021-09-07	Unsuccessful
2023-01-17	Unsuccessful

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-20

Systemic reaction (other): Sore Throat

2021-04-21

Systemic reaction (other): Congestion

Release 7 — day 7, dose 1

2021-04-22

Systemic reaction (other): Facial numbness/tingling

Release 8 — day 14, dose 1

2021-04-29

Symptoms: My arm became itchy and swollen after being fine. I also had cold symptoms but my eldest child was sick (neg for Covid)

Release 8 — day 28, dose 1

2021-05-13

Symptoms: Numbness/tingling in the left side of my face, excessive tearing in my left eye. I also had a bloody nose in my left nostril out of the blue. Some headaches

Release 9 — 3 months, dose 1

2021-07-17

Symptoms: Congestion, stiff neck, left side facial numbness, headache, cough

Release 9 — days 1–6 daily, dose 2

2021-08-19

Systemic reaction (other): Sweating

Release 9 — day 7, dose 2

2021-08-24

Systemic reaction (other): Vaginal spotting not during ovulation or period, sore throat

Release 9 — day 21, dose 2

2021-09-07

Symptoms: Cold symptoms, tested negative for COVID. (Sore throat, congestion, headache.) Have also had odd continued joint pain in my right wrist and left knee, that have now mostly passed.

Release 9 — day 28, dose 2

2021-09-16

Symptoms: Dizziness and blurred vision upon standing.

Release 9 — day 35, dose 2

2021-09-24

Symptoms: Sore throat, brain fog

Release 10 — days 1–6 daily, dose 3

2022-01-18

Systemic reaction (other): Low back pain

2022-01-20

Systemic reaction (other): Dry throat

Release 11 — day 35, dose 3

2022-02-23

Symptoms: Exhaustion, runny nose, sore throat, headache

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	Arthralgia	·	·	✓
SD	Brain fog	·	·	✓
SD	Cough	·	·	✓
SD	Delivery	·	·	✓
SD	Dizziness	·	·	✓
SD	Epistaxis	✓	✓	✓
SD	Fatigue	·	·	✓
SD	Haematological infection	·	·	✓
SD	Headache	✓	✓	✓
SD	Hypoaesthesia	✓	✓	✓
SD	Lacrimation increased	✓	✓	✓
SD	Musculoskeletal stiffness	·	·	✓
SD	Nasopharyngitis	✓	✓	✓
SD	Oropharyngeal pain	·	·	✓
SD	Paraesthesia	✓	✓	✓
SD	Peripheral swelling	✓	✓	✓
SD	Pruritus	✓	✓	✓
SD	Respiratory tract congestion	·	·	✓
SD	Rhinorrhoea	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	Upper respiratory tract infection	·	·	✓
SD	Urinary tract infection	·	·	✓
SD	Vision blurred	·	·	✓
SRO	Back pain	·	·	✓
SRO	Dry throat	·	·	✓
SRO	Hyperhidrosis	✓	·	✓
SRO	Hypoaesthesia	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Paraesthesia	✓	✓	✓
SRO	Respiratory tract congestion	✓	✓	✓
SRO	Vaginal haemorrhage	✓	·	✓

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