953-16361-07419

4 vaccinations 11 coded responses 37 check-ins 11 free-text entries 2 call cases

Sex: Female
Age at first dose: 31-35
ZIP prefix: 190 / PA
Registered: 2021-01-14

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

Timeline

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

2021-01-14
Registered in v-safe
2021-01-14
Dose 1 — Moderna
2021-01-14
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-01-15
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-01-15
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling · Fever · Chills, Joint pains, Fatigue or tiredness

Adult check-in
2021-01-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-21
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-28
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-04
Survey response — day 21, dose 1
MedDRA: Oropharyngeal pain, Respiratory tract congestion — Feeling: Good

Free text: Sore throat slight congestion (possibly weather related)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-11
Dose 2 — Moderna
2021-02-11
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-02-11
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-02-12
Survey response — days 1–6 daily, dose 2
MedDRA: Decreased appetite, Photophobia, Respiratory tract congestion — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Loss of appetite, sensitivity to light, congestion

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-13
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-14
Survey response — days 1–6 daily, dose 2
MedDRA: Oropharyngeal pain, Rhinorrhoea — Feeling: Good · Site: Pain · Fatigue or tiredness

Free text: Sore throat, runny nose

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-15
Survey response — days 1–6 daily, dose 2
MedDRA: Rhinorrhoea — Feeling: Good · Fatigue or tiredness

Free text: Runny nose

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-16
Survey response — days 1–6 daily, dose 2
MedDRA: Rhinorrhoea — Feeling: Good · Fatigue or tiredness

Free text: Runny nose

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-18
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-02-25
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-04
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-11
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-18
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-25
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-13
Survey response — 3 months, dose 2
MedDRA: Eye pruritus, Hypersensitivity — Feeling: Good

Free text: Itchy eyes (likely allergies but a new sorry allergy symptom for me)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-12
Survey response — 6 months, dose 2
MedDRA: Oropharyngeal pain — Feeling: Fair

Free text: Sore throat

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-11-19
Dose 3 — Moderna
2021-11-23
Survey response — days 1–6 daily, dose 3
MedDRA: Back pain, Neck pain, Swelling, Tenderness — Feeling: Good · Site: Pain, Swelling · Headache, Fatigue or tiredness

Free text: I developed a swollen, tender spot shopping my cost bone where it meets my neck (presumably a lymph node?) And my neck and back are very sore

MedDRA releases: 2024-11 · check-in free text available
2021-11-25
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-26
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-12-05
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-12-10
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-12-17
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-24
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-31
Survey response — day 42, dose 3
MedDRA: Cough, Fatigue, Respiratory tract congestion — Feeling: Poor · Be unable to do your normal daily activities

Free text: Cough, congestion, fatigue

MedDRA releases: 2024-11 · check-in free text available
2022-02-18
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-05-20
Survey response — 6 months, dose 3
MedDRA: Abortion spontaneous, Placental insufficiency, Twin pregnancy — Feeling: Poor · Be unable to work or attend school

Free text: Twin pregnancy in which twin a passed in first trimester, second twin developed low fluid and died in the second trimester. Suspected placental insufficiency.

MedDRA releases: 2024-11 · check-in free text available
2022-10-07
Dose 4 — Pfizer-BioNTech
Co-administered: Flu
2022-11-21
Survey response — 12 months, dose 3
MedDRA: Office visit, Premenstrual dysphoric disorder — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Pmdd · Healthcare visit (other): Regular in person mental health care

MedDRA releases: 2024-11 · check-in free text available
2022-11-21
Report sent to call center — 12 months, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2022-11-22
Call 1 — Left Voicemail
2022-12-01
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2023-01-06
Health check-in — 3 months, dose 4
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-14	Moderna
2	2021-02-11	Moderna
3	2021-11-19	Moderna	No
4	2022-10-07	Pfizer-BioNTech	Flu

Call center

Reported	Outcome	VAERS-related outcome
2021-01-15	priority 2/3
2022-11-21	Successful 2022-12-01	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Free text

Release 3 — day 21, dose 1

2021-02-04

Symptoms: Sore throat slight congestion (possibly weather related)

Release 4 — days 1–6 daily, dose 2

2021-02-12

Systemic reaction (other): Loss of appetite, sensitivity to light, congestion

2021-02-14

Systemic reaction (other): Sore throat, runny nose

2021-02-15

Systemic reaction (other): Runny nose

2021-02-16

Systemic reaction (other): Runny nose

Release 8 — 3 months, dose 2

2021-05-13

Symptoms: Itchy eyes (likely allergies but a new sorry allergy symptom for me)

Release 9 — 6 months, dose 2

2021-08-12

Symptoms: Sore throat

Release 10 — days 1–6 daily, dose 3

2021-11-23

Systemic reaction (other): I developed a swollen, tender spot shopping my cost bone where it meets my neck (presumably a lymph node?) And my neck and back are very sore

Release 10 — day 42, dose 3

2021-12-31

Symptoms: Cough, congestion, fatigue

Release 11 — 6 months, dose 3

2022-05-20

Symptoms: Twin pregnancy in which twin a passed in first trimester, second twin developed low fluid and died in the second trimester. Suspected placental insufficiency.

Release 12 — 12 months, dose 3

2022-11-21

Symptoms: Pmdd

Healthcare visit (other): Regular in person mental health care

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	Office visit	·	·	✓
SD	Abortion spontaneous	·	·	✓
SD	Cough	·	·	✓
SD	Eye pruritus	✓	✓	✓
SD	Fatigue	·	·	✓
SD	Hypersensitivity	✓	✓	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Placental insufficiency	·	·	✓
SD	Premenstrual dysphoric disorder	·	·	✓
SD	Respiratory tract congestion	✓	✓	✓
SD	Twin pregnancy	·	·	✓
SRO	Back pain	·	·	✓
SRO	Decreased appetite	✓	✓	✓
SRO	Neck pain	·	·	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Photophobia	✓	✓	✓
SRO	Respiratory tract congestion	✓	✓	✓
SRO	Rhinorrhoea	✓	✓	✓
SRO	Swelling	·	·	✓
SRO	Tenderness	·	·	✓

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