7SM-10442-63788

4 vaccinations 8 coded responses 39 check-ins 7 free-text entries 4 call cases

Sex: Female
Age at first dose: 26-30
ZIP prefix: 553 / MN
Registered: 2021-01-23

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

Registered dependents

SMX-20537-61680 Child or adolescent in my care · Male · 2022-10-11

Timeline

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

2021-01-23
Registered in v-safe
2021-01-23
Dose 1 — Moderna
2021-01-23
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-01-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2021-01-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fever · Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2021-01-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-30
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-07
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-13
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-20
Dose 2 — Moderna
2021-02-20
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-02-21
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-02-22
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-24
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-25
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-02-26
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-28
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-06
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-13
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-20
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-27
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-03
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-22
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-21
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-28
Dose 3 — Moderna
Co-administered: Flu
2021-11-29
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-11-30
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-12-01
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Headache, Muscle or body aches, Nausea

Adult check-in
2021-12-02
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-12-03
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-12-08
Health check-in — day 7, dose 3
Feeling: Good · Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain

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

Free text: Increased headaches

MedDRA releases: 2024-11 · check-in free text available
2021-12-19
Survey response — day 21, dose 3
MedDRA: Fall, Muscle spasms, Pregnancy — Feeling: Good

Free text: Falling and increased spasms - d/t pregnancy

MedDRA releases: 2024-11 · check-in free text available
2021-12-26
Health check-in — day 28, dose 3
Feeling: Fair

Adult check-in
2022-01-02
Survey response — day 35, dose 3
MedDRA: Muscle spasms, Pregnancy — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Increased muscle spasms d/t pregnancy

MedDRA releases: 2024-11 · check-in free text available
2022-01-02
Report sent to call center — day 35, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-01-05
Call 1 — Left Voicemail
2022-01-06
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-01-09
Survey response — day 42, dose 3
MedDRA: Pregnancy — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Pregnancy related leg spasms and pain

MedDRA releases: 2024-11 · check-in free text available
2022-01-09
Report sent to call center — day 42, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-01-12
Call 1 — Left Voicemail
2022-01-12
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-02-27
Health check-in — 3 months, dose 3
Feeling: Fair

Adult check-in
2022-05-29
Survey response — 6 months, dose 3
MedDRA: Pain in extremity, Sciatica — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: More sciatica and leg pains

MedDRA releases: 2024-11 · check-in free text available
2022-05-29
Report sent to call center — 6 months, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-05-31
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-09-16
Dose 4 — Pfizer-BioNTech
Co-administered: Flu
2022-10-11
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-10-14
Survey response — day 28, dose 4
MedDRA: Depression, Pre-existing disease — Feeling: Fair

Free text: Depression has increased

MedDRA releases: 2024-11 · check-in free text available
2022-12-18
Survey response — 3 months, dose 4
MedDRA: Influenza, Respiratory syncytial virus infection — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: RSV and flu

MedDRA releases: 2024-11 · check-in free text available
2022-12-18
Report sent to call center — 3 months, dose 4
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-12-19
Call 1 — Left Voicemail
2023-03-17
Survey response — 6 months, dose 4
MedDRA: Oropharyngeal pain, Pain, Rhinorrhoea — Feeling: Fair

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-23	Moderna
2	2021-02-20	Moderna
3	2021-11-28	Moderna	Flu
4	2022-09-16	Pfizer-BioNTech	Flu

Call center

Reported	Outcome	VAERS-related outcome
2022-01-02	Successful 2022-01-06	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-01-09	Successful 2022-01-12	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-05-29	Successful 2022-05-31	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-12-18	Unsuccessful

Free text

Release 10 — day 14, dose 3

2021-12-12

Symptoms: Increased headaches

Release 10 — day 21, dose 3

2021-12-19

Symptoms: Falling and increased spasms - d/t pregnancy

Release 10 — day 35, dose 3

2022-01-02

Symptoms: Increased muscle spasms d/t pregnancy

Release 10 — day 42, dose 3

2022-01-09

Symptoms: Pregnancy related leg spasms and pain

Release 11 — 6 months, dose 3

2022-05-29

Symptoms: More sciatica and leg pains

Release 12 — day 28, dose 4

2022-10-14

Symptoms: Depression has increased

Release 12 — 3 months, dose 4

2022-12-18

Symptoms: RSV and flu

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	Depression	·	·	✓
SD	Fall	·	·	✓
SD	Headache	·	·	✓
SD	Influenza	·	·	✓
SD	Muscle spasms	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pain	·	·	✓
SD	Pain in extremity	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Pregnancy	·	·	✓
SD	Respiratory syncytial virus infection	·	·	✓
SD	Rhinorrhoea	·	·	✓
SD	Sciatica	·	·	✓

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