4E2-17047-82661

3 vaccinations 7 coded responses 32 check-ins 7 free-text entries 1 call case

Sex: Female
Age at first dose: 26-30
ZIP prefix: 296 / SC
Registered: 2021-06-13

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

2021-06-03
Dose 1 — Moderna
2021-06-13
Registered in v-safe
2021-06-13
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-06-17
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-06-24
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-06-29
Dose 2 — Moderna
2021-06-30
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-07-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Muscle or body aches, Diarrhea

Adult check-in
2021-07-03
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-07-04
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site pain — Feeling: Good

Free text: Tenderness at injection site very mild

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-05
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-07-06
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-07-13
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-07-20
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-07-27
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-08-03
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-08-10
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-09-28
Survey response — 3 months, dose 2
MedDRA: Fatigue — Feeling: Fair

Free text: Fatigue

MedDRA releases: 2024-11 · check-in free text available
2021-12-28
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-12-31
Dose 3 — Moderna
2021-12-31
Health check-in — day 0, dose 3
Feeling: Fair · Site: Pain · Headache

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

Adult check-in
2022-01-02
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Fever · Diarrhea

Adult check-in
2022-01-03
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fever · Muscle or body aches, Fatigue or tiredness, Abdominal pain

Adult check-in
2022-01-04
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Redness, Swelling · None

Adult check-in
2022-01-05
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-01-06
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2022-01-09
Health check-in — day 7, dose 3
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-01-14
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-01-21
Survey response — day 21, dose 3
MedDRA: Cough, Diarrhoea, Oropharyngeal pain — Feeling: Fair

Free text: Sore throat, cough, diarrhea,

MedDRA releases: 2024-11 · check-in free text available
2022-01-28
Health check-in — day 28, dose 3
Feeling: Fair

Adult check-in
2022-02-04
Survey response — day 35, dose 3
MedDRA: Nasopharyngitis, Respiratory tract congestion, Rhinorrhoea — Feeling: Fair

Free text: Cold, runny nose, congestion

MedDRA releases: 2024-11 · check-in free text available
2022-02-13
Survey response — day 42, dose 3
MedDRA: Cough, Respiratory tract congestion — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Cough, congestion.

MedDRA releases: 2024-11 · check-in free text available
2022-02-13
Report sent to call center — day 42, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-02-17
Call 1 — Left Voicemail
2022-04-01
Survey response — 3 months, dose 3
MedDRA: No adverse event — Feeling: Good

Free text: No health issues at this time.

MedDRA releases: 2024-11 · check-in free text available
2022-07-01
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-12-31
Survey response — 12 months, dose 3
MedDRA: Cough, Oropharyngeal pain, Paranasal sinus discomfort — Feeling: Fair

Free text: Sore throat, cough, sinus pressure

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-06-03	Moderna
2	2021-06-29	Moderna	No
3	2021-12-31	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2022-02-13	Unsuccessful

Free text

Release 9 — days 1–6 daily, dose 2

2021-07-04

Systemic reaction (other): Tenderness at injection site very mild

Release 9 — 3 months, dose 2

2021-09-28

Symptoms: Fatigue

Release 11 — day 21, dose 3

2022-01-21

Symptoms: Sore throat, cough, diarrhea,

Release 11 — day 35, dose 3

2022-02-04

Symptoms: Cold, runny nose, congestion

Release 11 — day 42, dose 3

2022-02-13

Symptoms: Cough, congestion.

Release 11 — 3 months, dose 3

2022-04-01

Symptoms: No health issues at this time.

Release 12 — 12 months, dose 3

2022-12-31

Symptoms: Sore throat, cough, sinus pressure

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	Diarrhoea	·	·	✓
SD	Fatigue	·	·	✓
SD	Nasopharyngitis	·	·	✓
SD	No adverse event	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Paranasal sinus discomfort	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	Rhinorrhoea	·	·	✓
SRO	Injection site pain	✓	✓	✓

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