3K7-26709-42092

4 vaccinations 12 coded responses 54 check-ins 9 free-text entries 6 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 920 / CA
Registered: 2021-01-06

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

2021-01-06
Registered in v-safe
2021-01-06
Dose 1 — Moderna
2021-01-06
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-01-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-08
Survey response — days 1–6 daily, dose 1
MedDRA: Back pain — Feeling: Good · Site: Pain

Free text: Low back pain but I'm not sure if it's from work

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-09
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Joint pains

Adult check-in
2021-01-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Nausea

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

Adult check-in
2021-01-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-13
Health check-in — day 7, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-01-22
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-27
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-02-02
Dose 2 — Moderna
2021-02-02
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-03
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

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

Adult check-in
2021-02-05
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-06
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-07
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-08
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-09
Health check-in — day 7, dose 2
Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-16
Survey response — day 14, dose 2
MedDRA: Dyspnoea, Productive cough, Upper respiratory tract infection, Wheezing — Feeling: Good · 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: Upper respiratory infection. No fever. Sob, productive cough, wheezing. Started antibiotics, steroids, neb treatments and chronic steroid inhaler and now much better.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-16
Report sent to call center — day 14, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-23
Survey response — day 21, dose 2
MedDRA: Fatigue — Feeling: Good · Be unable to do your normal daily activities

Free text: Ongoing fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-02
Survey response — day 28, dose 2
MedDRA: Productive cough — Feeling: Fair

Free text: Productive cough

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

Adult check-in
2021-03-16
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-04
Survey response — 3 months, dose 2
MedDRA: Ear infection — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Ear infection

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-04
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-03
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-08-07
Call 2 — Left Voicemail
2021-10-26
Dose 3 — Moderna
2021-10-26
Health check-in — day 0, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-10-27
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-10-28
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-10-29
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-10-30
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-10-31
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-01
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-11-02
Survey response — day 7, dose 3
MedDRA: Cough — Feeling: Good

Free text: Cough

MedDRA releases: 2024-11 · check-in free text available
2021-11-09
Survey response — day 14, dose 3
MedDRA: Angioedema, Emergency care, Hypersensitivity, Urticaria, White blood cell count increased — 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 · Emergency room or emergency department visit

Free text: Symptoms: Allergic reaction. Elevated WBC, hives and angioedema · Healthcare visit (other): ED 2x

MedDRA releases: 2024-11 · check-in free text available
2021-11-09
Report sent to call center — day 14, 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 · 1 call case(s)
2021-11-11
Call 1 — Left Voicemail
2021-11-11
Call successful
Participant prefers to complete VAERS report online
2021-11-16
Survey response — day 21, dose 3
MedDRA: Hypersensitivity, Urticaria — 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 · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: Allergic reaction with stomach hives for a week

MedDRA releases: 2024-11 · check-in free text available
2021-11-16
Report sent to call center — day 21, 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

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
2021-11-17
Call 2 — Left Voicemail
2021-11-23
Health check-in — day 28, dose 3
Feeling: Fair

Adult check-in
2021-11-30
Survey response — day 35, dose 3
MedDRA: Fungal infection, Urticaria — 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 · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: Had yeast infection. Continue with hives

MedDRA releases: 2024-11 · check-in free text available
2021-11-30
Report sent to call center — day 35, 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

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-12-01
Call 2 — Left Voicemail
2021-12-07
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2022-01-25
Health check-in — 3 months, dose 3
Feeling: Fair

Adult check-in
2022-04-28
Health check-in — 6 months, dose 3
Feeling: Fair

Adult check-in
2022-10-26
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in
2023-01-19
Dose 4 — Other-Unknown
2023-01-20
Survey response — days 1–6 daily, dose 4
MedDRA: Urticaria — Feeling: Fair · Site: Pain · Fatigue or tiredness, Rash, not including the immediate area around the injection site

MedDRA releases: 2024-11
2023-01-21
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Adult check-in
2023-01-22
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · Rash, not including the immediate area around the injection site

Adult check-in
2023-01-23
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Rash, not including the immediate area around the injection site

Adult check-in
2023-01-24
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2023-01-25
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Rash, not including the immediate area around the injection site

Adult check-in
2023-01-26
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2023-02-02
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2023-02-09
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2023-02-16
Survey response — day 28, dose 4
MedDRA: Nasopharyngitis, Oropharyngeal pain — Feeling: Good · Be unable to do your normal daily activities

MedDRA releases: 2024-11
2023-02-23
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2023-03-02
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2023-04-20
Survey response — 3 months, dose 4
MedDRA: Laboratory test abnormal, Mass, Positron emission tomogram abnormal — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

MedDRA releases: 2024-11
2023-04-20
Report sent to call center — 3 months, dose 4
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2023-04-21
Call 1 — Left Voicemail
2023-04-21
Call 1 — Left Voicemail
2023-04-21
Call 1 — Left Voicemail
2023-04-21
Call 1 — Left Voicemail
2023-04-21
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-06	Moderna
2	2021-02-02	Moderna
3	2021-10-26	Moderna	No
4	2023-01-19	Other-Unknown	No

Call center

6 call center cases

1 successful · 5 unsuccessful

2 waits over 3 months for a first call

See the call center timeline

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-08

Systemic reaction (other): Low back pain but I'm not sure if it's from work

Release 4 — day 14, dose 2

2021-02-16

Symptoms: Upper respiratory infection. No fever. Sob, productive cough, wheezing. Started antibiotics, steroids, neb treatments and chronic steroid inhaler and now much better.

Release 4 — day 21, dose 2

2021-02-23

Symptoms: Ongoing fatigue

Release 4 — day 28, dose 2

2021-03-02

Symptoms: Productive cough

Release 8 — 3 months, dose 2

2021-05-04

Symptoms: Ear infection

Release 10 — day 7, dose 3

2021-11-02

Systemic reaction (other): Cough

Release 10 — day 14, dose 3

2021-11-09

Symptoms: Allergic reaction. Elevated WBC, hives and angioedema

Healthcare visit (other): ED 2x

Release 10 — day 21, dose 3

2021-11-16

Symptoms: Allergic reaction with stomach hives for a week

Release 10 — day 35, dose 3

2021-11-30

Symptoms: Had yeast infection. Continue with hives

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	Emergency care	·	·	✓
SD	Angioedema	·	·	✓
SD	Dyspnoea	✓	✓	✓
SD	Ear infection	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Fungal infection	·	·	✓
SD	Hypersensitivity	·	·	✓
SD	Laboratory test abnormal	·	·	✓
SD	Mass	·	·	✓
SD	Nasopharyngitis	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Positron emission tomogram abnormal	·	·	✓
SD	Productive cough	✓	✓	✓
SD	Upper respiratory tract infection	✓	✓	✓
SD	Urticaria	·	·	✓
SD	Wheezing	✓	✓	✓
SD	White blood cell count increased	·	·	✓
SRO	Back pain	✓	✓	✓
SRO	Cough	·	·	✓
SRO	Urticaria	·	·	✓

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