5YD-68713-65746

5 vaccinations 3 coded responses 57 check-ins 3 free-text entries 1 call case

Sex: Female
Age at first dose: 36-40
ZIP prefix: 501 / IA
Registered: 2021-03-09

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

Registered dependents

DA4-22748-53806 Child or adolescent in my care · Female · 2021-11-05

ZJV-14179-76640 Child or adolescent in my care · Male · 2022-06-20

Timeline

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

2021-03-09
Registered in v-safe
2021-03-11
Dose 1 — Moderna
2021-03-11
Survey response — day 0, dose 1
MedDRA: Pre-existing disease — Feeling: Good · Site: Pain · Headache

Free text: Preexisting narcolepsy with cataplexy and history of mild thrombocytopenia following viral infections

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-12
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-14
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-03-15
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-03-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-18
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-25
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-04-01
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
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 · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-04-09
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-10
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Fever · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-11
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness

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 · None

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

Adult check-in
2021-04-29
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-06
Health check-in — day 28, dose 2
Feeling: Good

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

Adult check-in
2021-10-24
Dose 3 — Moderna
2021-10-24
Health check-in — day 0, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-10-25
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Fever · Chills, Muscle or body aches

Adult check-in
2021-10-27
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-28
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-29
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Headache

Adult check-in
2021-10-31
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-11-14
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-21
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-05
Survey response — day 42, dose 3
MedDRA: SARS-CoV-2 test negative, Sinusitis — Feeling: Good

Free text: Symptoms of a sinus infection this week but multiple negative results using the Abbott Binax rapid test.

MedDRA releases: 2024-11 · check-in free text available
2022-01-23
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-04-24
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-05-31
Dose 4 — Moderna
2022-05-31
Health check-in — day 0, dose 4
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2022-06-01
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work or attend school

Adult check-in
2022-06-02
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Muscle or body aches

Adult check-in
2022-06-03
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-06-04
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-06-06
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Joint pains

Adult check-in
2022-06-07
Health check-in — day 7, dose 4
Feeling: Fair · Joint pains

Adult check-in
2022-06-17
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-06-21
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-06-28
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-07-05
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-07-14
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-07-28
Health check-in — days 1–6 daily, dose 2, dependent
Feeling: Good · None

Adult check-in
2022-08-30
Survey response — 3 months, dose 4
MedDRA: Abdominal pain, Cough, Fatigue, Laboratory test abnormal, Malaise, Oropharyngeal pain, Pyrexia, Respiratory tract congestion, SARS-CoV-2 test negative, SARS-CoV-2 test positive — 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 · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: Sore throat, Fever, congestion, abdominal pain, cough, fatigue. Covid+ PCR on 8/18 after two neg. rapids. After Paxlovid, tested neg. for 5 days. Milder symptoms resumed 6 days post-paxlovid/11 days post-PCR. Positive rapids since.

MedDRA releases: 2024-11 · check-in free text available
2022-08-30
Report sent to call center — 3 months, dose 4
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-08-31
Call successful
Participant prefers to complete VAERS report online
2022-11-22
Dose 5 — Pfizer-BioNTech
2022-12-01
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in
2022-12-01
Health check-in — day 7, dose 5
Feeling: Good · None

Adult check-in
2022-12-06
Health check-in — day 14, dose 5
Feeling: Good

Adult check-in
2022-12-15
Health check-in — day 21, dose 5
Feeling: Good

Adult check-in
2022-12-27
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2023-01-03
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2023-02-23
Health check-in — 3 months, dose 5
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-11	Moderna
2	2021-04-08	Moderna
3	2021-10-24	Moderna	No
4	2022-05-31	Moderna	No
5	2022-11-22	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2022-08-30	Successful 2022-08-31	Participant prefers to complete VAERS report online

Free text

Release 5 — day 0, dose 1

2021-03-11

Systemic reaction (other): Preexisting narcolepsy with cataplexy and history of mild thrombocytopenia following viral infections

Release 10 — day 42, dose 3

2021-12-05

Symptoms: Symptoms of a sinus infection this week but multiple negative results using the Abbott Binax rapid test.

Release 12 — 3 months, dose 4

2022-08-30

Symptoms: Sore throat, Fever, congestion, abdominal pain, cough, fatigue. Covid+ PCR on 8/18 after two neg. rapids. After Paxlovid, tested neg. for 5 days. Milder symptoms resumed 6 days post-paxlovid/11 days post-PCR. Positive rapids since.

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	Abdominal pain	·	·	✓
SD	Cough	·	·	✓
SD	Fatigue	·	·	✓
SD	Laboratory test abnormal	·	·	✓
SD	Malaise	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pyrexia	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	SARS-CoV-2 test positive	·	·	✓
SD	Sinusitis	·	·	✓
SRO	Pre-existing disease	✓	✓	✓

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