5M7-72417-10072

3 vaccinations 8 coded responses 30 check-ins 8 free-text entries 1 call case

Sex: Female
Age at first dose: 41-45
ZIP prefix: 982 / WA
Registered: 2021-04-08

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
2021-04-08
Registered in v-safe
2021-04-08
Dose 2 — Moderna
2021-04-08
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness

Adult check-in
2021-04-09
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-10
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-11
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-12
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-15
Health check-in — day 7, dose 2
Feeling: Good · Site: Pain · None

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

Adult check-in
2021-04-29
Survey response — day 21, dose 2
MedDRA: Fatigue, Headache, Injection site pain — Feeling: Fair

Free text: Soreness at the injection site on days 18-21. Headache and fatigue on day 18.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-06
Survey response — day 28, dose 2
MedDRA: Rash — Feeling: Good

Free text: Rash on neck

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-07
Survey response — 6 months, dose 2
MedDRA: Injection site pruritus, Nasal congestion, Nasopharyngitis, Oropharyngeal pain, Pain, Sneezing — Feeling: Good · 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: I got a cold this summer. Stuffy nose, achy body, sneezing. No fever. Also got a sore throat. No fever. Had very itchy arms at injection sites a couple months after last vsafe contact.

MedDRA releases: 2024-11 · check-in free text available
2021-10-07
Report sent to call center — 6 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-10-12
Call 1 — Left Voicemail
2021-10-14
Call 2 — Left Voicemail
2021-10-14
Call successful
Participant prefers to complete VAERS report online
2021-12-27
Dose 3 — Moderna
Co-administered: Flu
2021-12-28
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain, Itching · Fever · Chills, Headache, 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
2021-12-29
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Swelling, Itching · Joint pains, Muscle or body aches

Adult check-in
2021-12-30
Survey response — days 1–6 daily, dose 3
MedDRA: Oropharyngeal pain, Pyrexia — Feeling: Poor · Site: Pain, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Fever, sore throat

MedDRA releases: 2024-11 · check-in free text available
2021-12-31
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Swelling · Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2022-01-01
Survey response — days 1–6 daily, dose 3
MedDRA: Cough, Respiratory tract congestion, Rhinorrhoea — Feeling: Fair · Site: Swelling · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Runny nose and congestion. Cough.

MedDRA releases: 2024-11 · check-in free text available
2022-01-02
Survey response — days 1–6 daily, dose 3
MedDRA: Respiratory tract congestion — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Congestion

MedDRA releases: 2024-11 · check-in free text available
2022-01-03
Health check-in — day 7, dose 3
Feeling: Good · Site: Itching · Headache, Fatigue or tiredness · Be unable to work or attend school

Adult check-in
2022-01-10
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-01-17
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-01-24
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-01-31
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-02-07
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-03-28
Survey response — 3 months, dose 3
MedDRA: Fatigue, Headache, Oropharyngeal pain, Pain — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: I had a sore throat, body aches, fatigue and headache for three days.

MedDRA releases: 2024-11 · check-in free text available
2022-06-27
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-12-27
Survey response — 12 months, dose 3
MedDRA: COVID-19, Menstruation irregular — Feeling: Good · Be unable to work or attend school

Free text: Irregular periods Covid infection

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-11	Moderna
2	2021-04-08	Moderna
3	2021-12-27	Moderna	Flu

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 8 — day 21, dose 2

2021-04-29

Symptoms: Soreness at the injection site on days 18-21. Headache and fatigue on day 18.

Release 8 — day 28, dose 2

2021-05-06

Symptoms: Rash on neck

Release 10 — 6 months, dose 2

2021-10-07

Symptoms: I got a cold this summer. Stuffy nose, achy body, sneezing. No fever. Also got a sore throat. No fever. Had very itchy arms at injection sites a couple months after last vsafe contact.

Release 10 — days 1–6 daily, dose 3

2021-12-30

Systemic reaction (other): Fever, sore throat

2022-01-01

Systemic reaction (other): Runny nose and congestion. Cough.

2022-01-02

Systemic reaction (other): Congestion

Release 11 — 3 months, dose 3

2022-03-28

Symptoms: I had a sore throat, body aches, fatigue and headache for three days.

Release 12 — 12 months, dose 3

2022-12-27

Symptoms: Irregular periods Covid infection

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	COVID-19	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Injection site pain	✓	✓	✓
SD	Injection site pruritus	·	·	✓
SD	Menstruation irregular	·	·	✓
SD	Nasal congestion	·	·	✓
SD	Nasopharyngitis	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pain	·	·	✓
SD	Rash	✓	✓	✓
SD	Sneezing	·	·	✓
SRO	Cough	·	·	✓
SRO	Oropharyngeal pain	·	·	✓
SRO	Pyrexia	·	·	✓
SRO	Respiratory tract congestion	·	·	✓
SRO	Rhinorrhoea	·	·	✓

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