6WX-34558-98738

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

Sex: Female
Age at first dose: 36-40
ZIP prefix: 208 / MD
Registered: 2021-01-11

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

Timeline

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

2021-01-09
Dose 1 — Moderna
2021-01-11
Registered in v-safe
2021-01-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-16
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-23
Survey response — day 14, dose 1
MedDRA: Injection site pain — Feeling: Good

Free text: Soreness at inject site one week after

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-30
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-06
Dose 2 — Moderna
2021-02-07
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-02-08
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-02-09
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-02-10
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Itching · Fatigue or tiredness

Adult check-in
2021-02-11
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Itching · Fatigue or tiredness, Rash, not including the immediate area around the injection site

Adult check-in
2021-02-12
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Itching · Rash, not including the immediate area around the injection site

Adult check-in
2021-02-13
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-02-20
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-02-27
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-06
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-13
Survey response — day 35, dose 2
MedDRA: Cough, Dyspnoea, Pyrexia — Feeling: Poor · Be unable to work, 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: Fever, cough, shortness of breath

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-13
Report sent to call center — day 35, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-20
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-05-08
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-09
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-08-31
Dose 3 — Moderna
2021-09-01
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-09-02
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-09-03
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Muscle or body aches

Adult check-in
2021-09-04
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Muscle or body aches

Adult check-in
2021-09-05
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-09-06
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-09-07
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-09-14
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-09-21
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-09-28
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-10-05
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-10-12
Survey response — day 42, dose 3
MedDRA: Cough, Pre-existing disease, Rhinorrhoea — Feeling: Fair

Free text: Cough and runny nose - probably allergies

MedDRA releases: 2024-11 · check-in free text available
2021-11-30
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-03-02
Survey response — 6 months, dose 3
MedDRA: Tenosynovitis stenosans — 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: DeQuervains Tenosynovitis

MedDRA releases: 2024-11 · check-in free text available
2022-03-02
Report sent to call center — 6 months, dose 3
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)
2022-03-03
Call 1 — Left Voicemail
2022-09-02
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-09	Moderna
2	2021-02-06	Moderna
3	2021-08-31	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2021-03-13	Unsuccessful
2022-03-02	Unsuccessful

Free text

Release 2 — day 14, dose 1

2021-01-23

Symptoms: Soreness at inject site one week after

Release 5 — day 35, dose 2

2021-03-13

Symptoms: Fever, cough, shortness of breath

Release 10 — day 42, dose 3

2021-10-12

Symptoms: Cough and runny nose - probably allergies

Release 11 — 6 months, dose 3

2022-03-02

Symptoms: DeQuervains Tenosynovitis

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	Dyspnoea	✓	✓	✓
SD	Injection site pain	✓	✓	✓
SD	Pre-existing disease	·	·	✓
SD	Pyrexia	✓	✓	✓
SD	Rhinorrhoea	·	·	✓
SD	Tenosynovitis stenosans	·	·	✓

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