AEV-14253-67811

4 vaccinations 15 coded responses 53 check-ins 11 free-text entries 1 call case

Sex: Female
Age at first dose: 31-35
ZIP prefix: 762 / TX
Registered: 2021-02-06

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

2021-02-06
Registered in v-safe
2021-02-06
Dose 1 — Moderna
2021-02-06
Health check-in — day 0, dose 1
Feeling: Poor · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-02-07
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling · Headache, Fatigue or tiredness

Adult check-in
2021-02-09
Survey response — days 1–6 daily, dose 1
MedDRA: Decreased appetite, Dysgeusia — Feeling: Good · Site: Pain, Swelling · Nausea

Free text: Lack of appetite, weird taste

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-10
Survey response — days 1–6 daily, dose 1
MedDRA: Insomnia — Feeling: Good · Site: Pain · Fatigue or tiredness

Free text: Insomnia

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-13
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-20
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-27
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-06
Dose 2 — Moderna
2021-03-06
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-03-07
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Diarrhea, Abdominal pain, 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
2021-03-08
Survey response — days 1–6 daily, dose 2
MedDRA: Pruritus — Feeling: Poor · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: Itchy armpits

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-09
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-03-10
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-03-11
Survey response — days 1–6 daily, dose 2
MedDRA: Dyspepsia — Feeling: Fair · Site: Pain, Redness · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: Extreme indigestion

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-12
Survey response — days 1–6 daily, dose 2
MedDRA: Arthritis, Body temperature fluctuation, Dyspepsia, Pre-existing disease, Pruritus — Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: Itching generalized, indigestion, poor temperature regulation, arthritic flare ups

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-13
Survey response — day 7, dose 2
MedDRA: Dyspepsia, Pruritus — Feeling: Good · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Free text: Itching, indigestion

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-20
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-27
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-03
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-11
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-17
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-05
Survey response — 3 months, dose 2
MedDRA: Arthritis, Pre-existing disease — Feeling: Good

Free text: My arthritis is flaring up

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-09-04
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-12-23
Dose 3 — Moderna
2021-12-25
Survey response — days 1–6 daily, dose 3
MedDRA: Ear pain, Ophthalmic migraine — Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school

Free text: Ocular migraine, earache

MedDRA releases: 2024-11 · check-in free text available
2021-12-26
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-12-27
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-12-28
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-12-29
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-12-30
Survey response — day 7, dose 3
MedDRA: Visual impairment — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Visual disturbances

MedDRA releases: 2024-11 · check-in free text available
2022-01-06
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-01-13
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2022-01-21
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-01-27
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-02-03
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-03-24
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-06-24
Survey response — 6 months, dose 3
MedDRA: Headache, SARS-CoV-2 test negative, Upper respiratory tract infection — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Headaches have worsened. I had an URI that seemed very very similar to COVID but tested negative

MedDRA releases: 2024-11 · check-in free text available
2022-12-26
Dose 4 — Pfizer-BioNTech
2022-12-26
Health check-in — day 0, dose 4
Feeling: Fair · Site: Pain, Swelling · Diarrhea

Adult check-in
2022-12-26
Survey response — 12 months, dose 3
MedDRA: Faeces discoloured, Gastrointestinal disorder, Habitual abortion, Headache, Hypoaesthesia, Migraine, Pain, Paraesthesia, Rash, Solar urticaria — 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

Free text: Recurrent pregnancy loss, upper G.I. issues, including pain and black stool, solar urticaria, other various rashes, more frequent headaches and migraines, numbness and tingling in extremities

MedDRA releases: 2024-11 · check-in free text available
2022-12-26
Report sent to call center — 12 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

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-12-27
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2022-12-28
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-12-28
Call successful
Not applicable - Accidental Reporting
2022-12-29
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2022-12-30
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-12-31
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2023-01-01
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2023-01-02
Health check-in — day 7, dose 4
Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2023-01-09
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2023-01-16
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2023-01-23
Survey response — day 28, dose 4
MedDRA: Cough, Fatigue, Nasal congestion, Productive cough, Rhinorrhoea, Tonsillolith — Feeling: Fair · Be unable to do your normal daily activities

MedDRA releases: 2024-11
2023-01-30
Survey response — day 35, dose 4
MedDRA: Cough, Fatigue, Nasal congestion, Oropharyngeal pain, Respiratory tract congestion, Rhinorrhoea — Feeling: Fair

MedDRA releases: 2024-11
2023-02-06
Survey response — day 42, dose 4
MedDRA: Chest pain, Cough, Muscle tightness — Feeling: Good

MedDRA releases: 2024-11
2023-03-27
Health check-in — 3 months, dose 4
Feeling: Fair

Adult check-in
2023-06-26
Survey response — 6 months, dose 4
MedDRA: Abortion spontaneous, Anembryonic gestation, Gastrointestinal pain — Feeling: Fair

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-06	Moderna
2	2021-03-06	Moderna
3	2021-12-23	Moderna	No
4	2022-12-26	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2022-12-26	Successful 2022-12-28	Not applicable - Accidental Reporting

Free text

Release 3 — days 1–6 daily, dose 1

2021-02-09

Systemic reaction (other): Lack of appetite, weird taste

Release 4 — days 1–6 daily, dose 1

2021-02-10

Systemic reaction (other): Insomnia

Release 5 — days 1–6 daily, dose 2

2021-03-08

Systemic reaction (other): Itchy armpits

2021-03-11

Systemic reaction (other): Extreme indigestion

2021-03-12

Systemic reaction (other): Itching generalized, indigestion, poor temperature regulation, arthritic flare ups

Release 5 — day 7, dose 2

2021-03-13

Systemic reaction (other): Itching, indigestion

Release 8 — 3 months, dose 2

2021-06-05

Symptoms: My arthritis is flaring up

Release 10 — days 1–6 daily, dose 3

2021-12-25

Systemic reaction (other): Ocular migraine, earache

Release 10 — day 7, dose 3

2021-12-30

Systemic reaction (other): Visual disturbances

Release 12 — 6 months, dose 3

2022-06-24

Symptoms: Headaches have worsened. I had an URI that seemed very very similar to COVID but tested negative

Release 12 — 12 months, dose 3

2022-12-26

Symptoms: Recurrent pregnancy loss, upper G.I. issues, including pain and black stool, solar urticaria, other various rashes, more frequent headaches and migraines, numbness and tingling in extremities

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	Anembryonic gestation	·	·	✓
SD	Arthritis	✓	✓	✓
SD	Chest pain	·	·	✓
SD	Cough	·	·	✓
SD	Faeces discoloured	·	·	✓
SD	Fatigue	·	·	✓
SD	Gastrointestinal disorder	·	·	✓
SD	Gastrointestinal pain	·	·	✓
SD	Habitual abortion	·	·	✓
SD	Headache	·	·	✓
SD	Hypoaesthesia	·	·	✓
SD	Migraine	·	·	✓
SD	Muscle tightness	·	·	✓
SD	Nasal congestion	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pain	·	·	✓
SD	Paraesthesia	·	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Productive cough	·	·	✓
SD	Rash	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	Rhinorrhoea	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	Solar urticaria	·	·	✓
SD	Tonsillolith	·	·	✓
SD	Upper respiratory tract infection	·	·	✓
SRO	Arthritis	✓	✓	✓
SRO	Body temperature fluctuation	✓	✓	✓
SRO	Decreased appetite	✓	✓	✓
SRO	Dysgeusia	✓	✓	✓
SRO	Dyspepsia	✓	✓	✓
SRO	Ear pain	·	·	✓
SRO	Insomnia	✓	✓	✓
SRO	Ophthalmic migraine	·	·	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Pruritus	✓	✓	✓
SRO	Visual impairment	·	·	✓

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