3ZG-13975-62296

4 vaccinations 5 coded responses 39 check-ins 4 free-text entries 1 call case

Sex: Female
Age at first dose: 31-35
ZIP prefix: 804 / CO
Registered: 2021-02-06

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

Registered dependents

J5L-23213-44366 Child or adolescent in my care · Female · 2022-07-25

Timeline

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

2021-02-06
Registered in v-safe
2021-02-06
Dose 1 — Moderna
2021-02-07
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness — Feeling: Fair · Site: Pain · Joint pains, Nausea

Free text: Light headed

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-13
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-20
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-27
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-06
Dose 2 — Moderna
2021-03-13
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-20
Survey response — day 14, dose 2
MedDRA: Migraine — Feeling: Good · Be unable to work

Free text: Migraines

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-27
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-03
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-12
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-17
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-06-05
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-04
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-19
Dose 3 — Pfizer-BioNTech
2021-11-20
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school

Adult check-in
2021-11-21
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-11-22
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-23
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-24
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-25
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-26
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-12-03
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-12-10
Survey response — day 21, dose 3
MedDRA: Dyspnoea, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Symptoms: Shortness of breath... may be asthma related though ( trying to figure out with Dr). · Healthcare visit (other): In person check up

MedDRA releases: 2024-11 · check-in free text available
2021-12-10
Report sent to call center — day 21, dose 3
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2021-12-14
Call 1 — Could Not Reach Participant
2021-12-17
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-17
Call 2 — Could Not Reach Participant
2021-12-25
Survey response — day 35, dose 3
MedDRA: Oropharyngeal pain, Rhinorrhoea, Sinus congestion — Feeling: Fair · Be unable to do your normal daily activities

Free text: Sinus congestion, sore throat, runny nose

MedDRA releases: 2024-11 · check-in free text available
2022-01-01
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-02-20
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-05-20
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-11-19
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in
2022-11-21
Dose 4 — Other-Unknown
2022-11-28
Health check-in — day 7, dose 4
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-12-05
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-12-12
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-12-21
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-12-26
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2023-01-02
Survey response — day 42, dose 4
MedDRA: Chills, Headache, Myalgia, Nausea, Vomiting — Feeling: Poor · Be unable to do your normal daily activities

MedDRA releases: 2024-11
2023-02-20
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-06	Moderna
2	2021-03-06	Moderna
3	2021-11-19	Pfizer-BioNTech	No
4	2022-11-21	Other-Unknown	No

Call center

Reported	Outcome	VAERS-related outcome
2021-12-10	Unsuccessful

Free text

Release 3 — days 1–6 daily, dose 1

2021-02-07

Systemic reaction (other): Light headed

Release 6 — day 14, dose 2

2021-03-20

Symptoms: Migraines

Release 10 — day 21, dose 3

2021-12-10

Symptoms: Shortness of breath... may be asthma related though ( trying to figure out with Dr).

Healthcare visit (other): In person check up

Release 10 — day 35, dose 3

2021-12-25

Symptoms: Sinus congestion, sore throat, runny nose

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	·	·	✓
SD	Chills	·	·	✓
SD	Dyspnoea	·	·	✓
SD	Headache	·	·	✓
SD	Migraine	✓	✓	✓
SD	Myalgia	·	·	✓
SD	Nausea	·	·	✓
SD	Office visit	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Rhinorrhoea	·	·	✓
SD	Sinus congestion	·	·	✓
SD	Vomiting	·	·	✓
SRO	Dizziness	✓	✓	✓

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