8SD-24554-86980

3 vaccinations 10 coded responses 30 check-ins 10 free-text entries 6 call cases

Sex: Female
Age at first dose: 16-20
ZIP prefix: 760 / TX
Registered: 2021-01-30

Relationship: Self
Race: Other
Ethnicity: Hispanic or Latino

Timeline

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

2021-01-30
Registered in v-safe
2021-01-30
Dose 1 — Moderna
2021-01-31
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain

Adult check-in
2021-02-01
Survey response — days 1–6 daily, dose 1
MedDRA: Asthenia, Tremor — Feeling: Fair · Nausea, Abdominal pain

Free text: Shaky, hands feel weak

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-03
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness, Nausea

Adult check-in
2021-02-04
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-02-05
Survey response — days 1–6 daily, dose 1
MedDRA: Oropharyngeal pain — Feeling: Good

Free text: Sore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-06
Health check-in — day 7, dose 1
Feeling: Fair · Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain

Adult check-in
2021-02-13
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-02-20
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-03-09
Dose 2 — Moderna
2021-03-10
Survey response — days 1–6 daily, dose 2
MedDRA: Ear pain — Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Ear pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-11
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-12
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Fair · Be unable to do your normal daily activities

Free text: Dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-13
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · None

Adult check-in
2021-03-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-18
Health check-in — day 7, dose 2
Feeling: Fair · None

Adult check-in
2021-03-23
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-01
Survey response — day 21, dose 2
MedDRA: Headache, Pain — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Body aches and headache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-01
Report sent to call center — day 21, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-22
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-08
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-06-09
Call 1 — Could Not Reach Participant
2021-06-14
Call 2 — Could Not Reach Participant
2021-06-17
Call successful
Does not wish to fill out VAERS report
2021-09-07
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-01-15
Dose 3 — Moderna
2022-01-15
Health check-in — day 0, dose 3
Feeling: Fair · Site: Pain · Diarrhea, Abdominal pain

Adult check-in
2022-01-16
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling · Chills, Headache, Fatigue or tiredness, Nausea, Abdominal pain

Adult check-in
2022-01-17
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain, Swelling · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea

Adult check-in
2022-01-20
Survey response — days 1–6 daily, dose 3
MedDRA: Exposure to SARS-CoV-2, Pharyngitis streptococcal, SARS-CoV-2 test negative — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · 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: Been in contact with COVID, negative but have strep throat

MedDRA releases: 2024-11 · check-in free text available
2022-01-20
Report sent to call center — days 1–6 daily, dose 3
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)
2022-01-21
Call 1 — Could Not Reach Participant
2022-01-22
Health check-in — day 7, dose 3
Feeling: Poor · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting · 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

Adult check-in
2022-01-22
Report sent to call center — day 7, dose 3
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)
2022-01-24
Call 1 — Could Not Reach Participant
2022-01-27
Call 2 — Could Not Reach Participant
2022-01-29
Survey response — day 14, dose 3
MedDRA: Menstruation irregular, SARS-CoV-2 test positive — Feeling: Fair · 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: Tested positive from COVID and period has been every week

MedDRA releases: 2024-11 · check-in free text available
2022-01-29
Report sent to call center — day 14, dose 3
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)
2022-02-01
Call 1 — Could Not Reach Participant
2022-02-04
Call 2 — Could Not Reach Participant
2022-02-05
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2022-02-26
Survey response — day 42, dose 3
MedDRA: Brain fog, Myalgia — Feeling: Fair · 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, Emergency room or emergency department visit

Free text: Brain fog, muscle pain

MedDRA releases: 2024-11 · check-in free text available
2022-02-26
Report sent to call center — day 42, dose 3
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 · Emergency room or emergency department visit · 1 call case(s)
2022-03-01
Call 1 — Could Not Reach Participant
2022-03-04
Call 2 — Could Not Reach Participant
2022-04-16
Survey response — 3 months, dose 3
MedDRA: Vitamin D decreased — Feeling: Fair

Free text: Low vitamin D

MedDRA releases: 2024-11 · check-in free text available
2022-07-17
Survey response — 6 months, dose 3
MedDRA: Cough, Diarrhoea, Dyspnoea, Ear discomfort, Nasal congestion, Oropharyngeal pain, Secretion discharge — 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: Diarrhea, mild cough sometime, sore throat with mucus, stuffy nose,clogged ears and shortness of breath

MedDRA releases: 2024-11 · check-in free text available
2022-07-17
Report sent to call center — 6 months, dose 3
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)
2022-07-19
Call 2 — Could Not Reach Participant
2022-07-19
Call 3 — Could Not Reach Participant
2022-07-19
Call 3 — Could Not Reach Participant
2022-07-19
Call 3 — Could Not Reach Participant
2022-07-19
Call 1 — Could Not Reach Participant
2022-07-22
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-07-22
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-07-22
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-07-22
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-07-22
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-30	Moderna
2	2021-03-09	Moderna
3	2022-01-15	Moderna	No

Call center

6 call center cases

6 successful

See the call center timeline

Free text

Release 3 — days 1–6 daily, dose 1

2021-02-01

Systemic reaction (other): Shaky, hands feel weak

2021-02-05

Systemic reaction (other): Sore throat

Release 5 — days 1–6 daily, dose 2

2021-03-10

Systemic reaction (other): Ear pain

2021-03-12

Systemic reaction (other): Dizziness

Release 6 — day 21, dose 2

2021-04-01

Symptoms: Body aches and headache

Release 10 — days 1–6 daily, dose 3

2022-01-20

Systemic reaction (other): Been in contact with COVID, negative but have strep throat

Release 11 — day 14, dose 3

2022-01-29

Symptoms: Tested positive from COVID and period has been every week

Release 11 — day 42, dose 3

2022-02-26

Symptoms: Brain fog, muscle pain

Release 11 — 3 months, dose 3

2022-04-16

Symptoms: Low vitamin D

Release 12 — 6 months, dose 3

2022-07-17

Symptoms: Diarrhea, mild cough sometime, sore throat with mucus, stuffy nose,clogged ears and shortness of breath

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	Brain fog	·	·	✓
SD	Cough	·	·	✓
SD	Diarrhoea	·	·	✓
SD	Dyspnoea	·	·	✓
SD	Ear discomfort	·	·	✓
SD	Headache	✓	✓	✓
SD	Menstruation irregular	·	·	✓
SD	Myalgia	·	·	✓
SD	Nasal congestion	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pain	✓	✓	✓
SD	SARS-CoV-2 test positive	·	·	✓
SD	Secretion discharge	·	·	✓
SD	Vitamin D decreased	·	·	✓
SRO	Asthenia	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Ear pain	✓	✓	✓
SRO	Exposure to SARS-CoV-2	·	·	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Pharyngitis streptococcal	·	·	✓
SRO	SARS-CoV-2 test negative	·	·	✓
SRO	Tremor	✓	✓	✓

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