5UF-22942-24674

5 vaccinations 11 coded responses 23 check-ins 10 free-text entries 2 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 490 / MI
Registered: 2021-02-07

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

Timeline

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

2020-12-28
Dose 1 — Moderna
2021-01-27
Dose 2 — Moderna
2021-02-07
Registered in v-safe
2021-02-07
Health check-in — day 7, dose 2
Feeling: Good · Site: Pain, Redness, Swelling · None

Adult check-in
2021-02-10
Survey response — day 14, dose 2
MedDRA: Nasal congestion — Feeling: Good

Free text: Mild stuffy nose

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-17
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-24
Health check-in — day 28, dose 2
Feeling: Good

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

Adult check-in
2021-03-10
Survey response — day 42, dose 2
MedDRA: Eyelid cyst, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: An eye cyst. Its been there for about 5-6 weeks and wont go away with usual steroid treatment. I didnt think much of it until a friend said she got a sore in her mouth the day after her second shot. · Healthcare visit (other): Optometrist

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-10
Report sent to call center — day 42, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-28
Survey response — 3 months, dose 2
MedDRA: Skin exfoliation — Feeling: Good

Free text: A couple of scaly skin sores - one at site of injection. Other one on hand of same arm by the thumb

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-28
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-29
Dose 3 — Moderna
2021-12-15
Call 1 — Left Voicemail
2021-12-30
Call successful
Completed over the phone
2022-01-27
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-05-06
Dose 4 — Moderna
2022-09-21
Dose 5 — Pfizer-BioNTech
Co-administered: Flu
2022-09-22
Survey response — days 1–6 daily, dose 5
MedDRA: Nasal congestion — Feeling: Fair · Site: Pain · Headache, Joint pains, Nausea, Abdominal pain

Free text: Stuffy nose

MedDRA releases: 2024-11 · check-in free text available
2022-09-23
Survey response — days 1–6 daily, dose 5
MedDRA: Cough, Dyspnoea, Pre-existing disease — Feeling: Good

Free text: A little a little cough and shortness of breath probably from my asthma

MedDRA releases: 2024-11 · check-in free text available
2022-09-24
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2022-09-25
Health check-in — days 1–6 daily, dose 5
Feeling: Good · None

Adult check-in
2022-09-26
Survey response — days 1–6 daily, dose 5
MedDRA: Nasal congestion — Feeling: Good

Free text: Stuffy nose

MedDRA releases: 2024-11 · check-in free text available
2022-09-27
Health check-in — days 1–6 daily, dose 5
Feeling: Good · None

Adult check-in
2022-09-28
Health check-in — day 7, dose 5
Feeling: Good · None

Adult check-in
2022-10-05
Survey response — day 14, dose 5
MedDRA: Fatigue, Nasal congestion — Feeling: Fair

Free text: Really bad fatigue and slight stuffy nose

MedDRA releases: 2024-11 · check-in free text available
2022-10-12
Survey response — day 21, dose 5
MedDRA: Chest pain, Heart rate increased — Feeling: Good

Free text: Some chest pains and increased heart rate

MedDRA releases: 2024-11 · check-in free text available
2022-10-19
Health check-in — day 28, dose 5
Feeling: Good

Adult check-in
2022-10-28
Survey response — day 35, dose 5
MedDRA: Nasal congestion, Pre-existing disease — Feeling: Good

Free text: Stuffy nose but probably from allergies

MedDRA releases: 2024-11 · check-in free text available
2022-11-04
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2022-12-23
Survey response — 3 months, dose 5
MedDRA: Chills, Headache, Hyperacusis, Nasal congestion, Neck pain, Pain, Photophobia — 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: Headache with light and sound sensitivity, neck, pain, body aches, chills, stuffy nose

MedDRA releases: 2024-11 · check-in free text available
2022-12-23
Report sent to call center — 3 months, dose 5
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)
2022-12-27
Call 1 — Left Voicemail
2023-03-22
Survey response — 6 months, dose 5
MedDRA: Malaise, Nasopharyngitis, SARS-CoV-2 test negative, SARS-CoV-2 test positive — Feeling: Fair · Be unable to work or attend school

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-28	Moderna
2	2021-01-27	Moderna
3	2021-10-29	Moderna	No
4	2022-05-06	Moderna	No
5	2022-09-21	Pfizer-BioNTech	Flu

Call center

2 call center cases

1 successful · 1 unsuccessful

VAERS report filed, before or during a call: 1

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 4 — day 14, dose 2

2021-02-10

Symptoms: Mild stuffy nose

Release 5 — day 42, dose 2

2021-03-10

Symptoms: An eye cyst. Its been there for about 5-6 weeks and wont go away with usual steroid treatment. I didnt think much of it until a friend said she got a sore in her mouth the day after her second shot.

Healthcare visit (other): Optometrist

Release 8 — 3 months, dose 2

2021-04-28

Symptoms: A couple of scaly skin sores - one at site of injection. Other one on hand of same arm by the thumb

Release 12 — days 1–6 daily, dose 5

2022-09-22

Systemic reaction (other): Stuffy nose

2022-09-23

Systemic reaction (other): A little a little cough and shortness of breath probably from my asthma

2022-09-26

Systemic reaction (other): Stuffy nose

Release 12 — day 14, dose 5

2022-10-05

Symptoms: Really bad fatigue and slight stuffy nose

Release 12 — day 21, dose 5

2022-10-12

Symptoms: Some chest pains and increased heart rate

Release 12 — day 35, dose 5

2022-10-28

Symptoms: Stuffy nose but probably from allergies

Release 12 — 3 months, dose 5

2022-12-23

Symptoms: Headache with light and sound sensitivity, neck, pain, body aches, chills, stuffy 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	Chest pain	·	·	✓
SD	Chills	·	·	✓
SD	Eyelid cyst	✓	✓	✓
SD	Fatigue	·	·	✓
SD	Headache	·	·	✓
SD	Heart rate increased	·	·	✓
SD	Hyperacusis	·	·	✓
SD	Malaise	·	·	✓
SD	Nasal congestion	✓	✓	✓
SD	Nasopharyngitis	·	·	✓
SD	Neck pain	·	·	✓
SD	Pain	·	·	✓
SD	Photophobia	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	SARS-CoV-2 test positive	·	·	✓
SD	Skin exfoliation	✓	✓	✓
SRO	Cough	·	·	✓
SRO	Dyspnoea	·	·	✓
SRO	Nasal congestion	·	·	✓
SRO	Pre-existing disease	·	·	✓

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