3SA-24878-25287

3 vaccinations 7 coded responses 33 check-ins 7 free-text entries 1 call case

Sex: Female
Age at first dose: 31-35
ZIP prefix: 488 / MI
Registered: 2021-03-12

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

2021-03-11
Dose 1 — Moderna
2021-03-12
Registered in v-safe
2021-03-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-18
Health check-in — day 7, dose 1
Feeling: Poor · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-25
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-01
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-08
Dose 2 — Moderna
2021-04-08
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-04-09
Survey response — days 1–6 daily, dose 2
MedDRA: Fatigue — Feeling: Good · Site: Pain · Headache · Be unable to do your normal daily activities

Free text: Extreme fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-10
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-04-11
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-04-12
Survey response — days 1–6 daily, dose 2
MedDRA: Mastitis — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Mastitis

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-13
Survey response — days 1–6 daily, dose 2
MedDRA: Mastitis — Feeling: Fair · Fatigue or tiredness

Free text: Mastitis

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-14
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-04-15
Health check-in — day 7, dose 2
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-04-22
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-29
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-06
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-13
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-20
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-08
Survey response — 3 months, dose 2
MedDRA: Lower respiratory tract infection — Feeling: Poor · Be unable to do your normal daily activities

Free text: Chest cold

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-10-07
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-04-08
Health check-in — 12 months, dose 2
Feeling: Fair

Adult check-in
2022-09-13
Dose 3 — Pfizer-BioNTech
Co-administered: Flu
2022-09-20
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2022-09-27
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-10-04
Survey response — day 21, dose 3
MedDRA: Dyspnoea, Throat irritation — Feeling: Fair · Be unable to do your normal daily activities

Free text: Scratchy throat. Shortness of breath

MedDRA releases: 2024-11 · check-in free text available
2022-10-11
Survey response — day 28, dose 3
MedDRA: Cough, Dyspnoea, Fatigue, Wheezing — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Shortness of breath, cough, wheezing, fatigue

MedDRA releases: 2024-11 · check-in free text available
2022-10-18
Survey response — day 35, dose 3
MedDRA: Cough — 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 · Outpatient clinic or urgent care clinic visit

Free text: Cough

MedDRA releases: 2024-11 · check-in free text available
2022-10-18
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

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-10-19
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-10-25
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2022-12-13
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2023-03-14
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-11	Moderna
2	2021-04-08	Moderna
3	2022-09-13	Pfizer-BioNTech	Flu

Call center

Reported	Outcome	VAERS-related outcome
2022-10-18	Successful 2022-10-19	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Free text

Release 7 — days 1–6 daily, dose 2

2021-04-09

Systemic reaction (other): Extreme fatigue

2021-04-12

Systemic reaction (other): Mastitis

2021-04-13

Systemic reaction (other): Mastitis

Release 9 — 3 months, dose 2

2021-07-08

Symptoms: Chest cold

Release 12 — day 21, dose 3

2022-10-04

Symptoms: Scratchy throat. Shortness of breath

Release 12 — day 28, dose 3

2022-10-11

Symptoms: Shortness of breath, cough, wheezing, fatigue

Release 12 — day 35, dose 3

2022-10-18

Symptoms: Cough

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	Cough	·	·	✓
SD	Dyspnoea	·	·	✓
SD	Fatigue	·	·	✓
SD	Lower respiratory tract infection	✓	✓	✓
SD	Throat irritation	·	·	✓
SD	Wheezing	·	·	✓
SRO	Fatigue	✓	✓	✓
SRO	Mastitis	✓	✓	✓

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