5UP-12384-29032

4 vaccinations 8 coded responses 37 check-ins 8 free-text entries 2 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 100 / NY
Registered: 2021-04-06

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

Timeline

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

2021-04-02
Dose 1 — Moderna
2021-04-06
Registered in v-safe
2021-04-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Muscle or body aches, Fatigue or tiredness, Diarrhea

Adult check-in
2021-04-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Muscle or body aches, Diarrhea

Adult check-in
2021-04-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Diarrhea

Adult check-in
2021-04-09
Health check-in — day 7, dose 1
Feeling: Good · Diarrhea

Adult check-in
2021-04-18
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-23
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-05-07
Dose 2 — Moderna
2021-05-08
Survey response — days 1–6 daily, dose 2
MedDRA: Constipation — Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Constipation

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-09
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Swelling · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-05-10
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Swelling · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-05-11
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Swelling · Muscle or body aches

Adult check-in
2021-05-12
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-14
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-05-21
Survey response — day 14, dose 2
MedDRA: Massage, Myalgia — Feeling: Poor · Get care from a doctor or other healthcare professional

Free text: Symptoms: Muscle pain · Healthcare visit (other): Massage

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-21
Report sent to call center — day 14, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-28
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-06-04
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-11
Survey response — day 35, dose 2
MedDRA: Diarrhoea, Headache — Feeling: Good

Free text: Headache, loose stool

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-18
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-08-08
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-11-05
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-12-03
Dose 3 — Moderna
2021-12-04
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-12-05
Survey response — days 1–6 daily, dose 3
MedDRA: Sensory disturbance, Sleep disorder — Feeling: Good · Site: Pain, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Felt like right leg had a blockage and woke up from sleep

MedDRA releases: 2024-11 · check-in free text available
2021-12-06
Survey response — days 1–6 daily, dose 3
MedDRA: Muscle tightness — Feeling: Fair · Site: Pain, Itching · Chills, Headache, Muscle or body aches, Fatigue or tiredness

Free text: Muscles tight in lower right leg

MedDRA releases: 2024-11 · check-in free text available
2021-12-07
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Chills, Muscle or body aches

Adult check-in
2021-12-08
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Joint pains, Fatigue or tiredness

Adult check-in
2021-12-09
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Chills, Headache, Fatigue or tiredness

Adult check-in
2021-12-10
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-12-17
Survey response — day 14, dose 3
MedDRA: Headache — Feeling: Good

Free text: Headache low dull persistent left side back of head for the past week

MedDRA releases: 2024-11 · check-in free text available
2021-12-25
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2021-12-31
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-01-07
Health check-in — day 35, dose 3
Feeling: Fair

Adult check-in
2022-01-14
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-03-04
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-05-11
Call 1 — Left Voicemail
2022-06-05
Survey response — 6 months, dose 3
MedDRA: Cough — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Cough

MedDRA releases: 2024-11 · check-in free text available
2022-06-05
Report sent to call center — 6 months, dose 3
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-06-06
Call 2 — Left Voicemail
2022-06-06
Call 1 — Left Voicemail
2022-06-15
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-06-15
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-09-11
Dose 4 — Pfizer-BioNTech
2022-12-04
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in
2022-12-12
Survey response — 3 months, dose 4
MedDRA: Cough, Headache, Myalgia — Feeling: Good

Free text: Muscle aches , headaches, cough

MedDRA releases: 2024-11 · check-in free text available
2023-03-12
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-02	Moderna
2	2021-05-07	Moderna
3	2021-12-03	Moderna	No
4	2022-09-11	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-05-21	Successful 2022-06-15	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-06-05	Successful 2022-06-15	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Free text

Release 8 — days 1–6 daily, dose 2

2021-05-08

Systemic reaction (other): Constipation

Release 8 — day 14, dose 2

2021-05-21

Symptoms: Muscle pain

Healthcare visit (other): Massage

Release 9 — day 35, dose 2

2021-06-11

Symptoms: Headache, loose stool

Release 10 — days 1–6 daily, dose 3

2021-12-05

Systemic reaction (other): Felt like right leg had a blockage and woke up from sleep

2021-12-06

Systemic reaction (other): Muscles tight in lower right leg

Release 10 — day 14, dose 3

2021-12-17

Symptoms: Headache low dull persistent left side back of head for the past week

Release 11 — 6 months, dose 3

2022-06-05

Symptoms: Cough

Release 12 — 3 months, dose 4

2022-12-12

Symptoms: Muscle aches , headaches, 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
HCVO	Massage	✓	✓	✓
SD	Cough	·	·	✓
SD	Diarrhoea	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Myalgia	✓	✓	✓
SRO	Constipation	✓	✓	✓
SRO	Muscle tightness	·	·	✓
SRO	Sensory disturbance	·	·	✓
SRO	Sleep disorder	·	·	✓

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