A7E-11490-78459

4 vaccinations 6 coded responses 45 check-ins 6 free-text entries 2 call cases

Sex: Female
Age at first dose: 26-30
ZIP prefix: 551 / MN
Registered: 2021-03-21

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

2021-03-21
Registered in v-safe
2021-03-21
Dose 1 — Moderna
2021-03-21
Survey response — day 0, dose 1
MedDRA: Adverse reaction — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Nausea

Free text: Not sure if they are due to the vaccine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-22
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-03-26
Survey response — days 1–6 daily, dose 1
MedDRA: Nasopharyngitis — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness

Free text: I just got a cold so my other symptoms are related to that and not the vaccine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-28
Survey response — day 7, dose 1
MedDRA: Nasopharyngitis — Feeling: Good

Free text: I got a cold that is not related to the vaccine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-06
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-13
Survey response — day 21, dose 1
MedDRA: Nasopharyngitis — Feeling: Good

Free text: Not related to the vaccine. Have gotten a cold

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-18
Dose 2 — Moderna
2021-04-18
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-04-19
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-20
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-22
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-04-23
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache

Adult check-in
2021-04-24
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache

Adult check-in
2021-04-26
Health check-in — day 7, dose 2
Feeling: Good · Headache

Adult check-in
2021-05-03
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-11
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-16
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-23
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-01
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-18
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-17
Survey response — 6 months, dose 2
MedDRA: Abortion spontaneous, Biochemical pregnancy, Nasopharyngitis, Pre-existing disease, Respiratory syncytial virus infection — Feeling: Good · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Have gotten a couple of colds and RSV but not covid. Had an early miscarriage/chemical pregnancy as well (2nd one, first one in early 2020).

MedDRA releases: 2024-11 · check-in free text available
2021-10-17
Report sent to call center — 6 months, dose 2
Be unable to work or attend school · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2021-10-21
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-12-07
Dose 3 — Pfizer-BioNTech
2021-12-08
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-12-09
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Nausea

Adult check-in
2021-12-10
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Headache

Adult check-in
2021-12-11
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-12-13
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-12-14
Health check-in — day 7, dose 3
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-12-21
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-12-28
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-01-04
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-01-11
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-01-18
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-03-08
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-06-08
Survey response — 6 months, dose 3
MedDRA: Cough, Nasopharyngitis, SARS-CoV-2 test negative — Feeling: Fair · 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: Cough with a cold so far lasting 4 weeks. Negative covid tests though.

MedDRA releases: 2024-11 · check-in free text available
2022-06-08
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

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-06-09
Call 1 — Left Voicemail
2022-10-14
Dose 4 — Pfizer-BioNTech
Co-administered: Flu
2022-10-15
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2022-10-16
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2022-10-18
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2022-10-19
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Fatigue or tiredness

Adult check-in
2022-10-20
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Fatigue or tiredness

Adult check-in
2022-10-23
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-11-04
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-11-11
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-11-18
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-11-27
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-21	Moderna
2	2021-04-18	Moderna
3	2021-12-07	Pfizer-BioNTech	No
4	2022-10-14	Pfizer-BioNTech	Flu

Call center

Reported	Outcome	VAERS-related outcome
2021-10-17	Successful 2021-10-21	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-06-08	Unsuccessful

Free text

Release 6 — day 0, dose 1

2021-03-21

Systemic reaction (other): Not sure if they are due to the vaccine.

Release 6 — days 1–6 daily, dose 1

2021-03-26

Systemic reaction (other): I just got a cold so my other symptoms are related to that and not the vaccine

Release 6 — day 7, dose 1

2021-03-28

Systemic reaction (other): I got a cold that is not related to the vaccine

Release 7 — day 21, dose 1

2021-04-13

Symptoms: Not related to the vaccine. Have gotten a cold

Release 10 — 6 months, dose 2

2021-10-17

Symptoms: Have gotten a couple of colds and RSV but not covid. Had an early miscarriage/chemical pregnancy as well (2nd one, first one in early 2020).

Release 11 — 6 months, dose 3

2022-06-08

Symptoms: Cough with a cold so far lasting 4 weeks. Negative covid tests though.

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	Abortion spontaneous	·	·	✓
SD	Biochemical pregnancy	·	·	✓
SD	Cough	·	·	✓
SD	Nasopharyngitis	✓	✓	✓
SD	Pre-existing disease	·	·	✓
SD	Respiratory syncytial virus infection	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SRO	Adverse reaction	✓	✓	✓
SRO	Nasopharyngitis	✓	✓	✓

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