AH2-27552-68822

4 vaccinations 6 coded responses 32 check-ins 4 free-text entries 4 call cases

Sex: Female
Age at first dose: 26-30
ZIP prefix: 223 / VA
Registered: 2021-01-15

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

2021-01-15
Registered in v-safe
2021-01-15
Dose 1 — Moderna
2021-01-15
Health check-in — day 0, dose 1
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-01-15
Report sent to call center — day 0, 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: Fair · Site: Pain, Swelling · Headache

Adult check-in
2021-01-17
Survey response — days 1–6 daily, dose 1
MedDRA: Musculoskeletal stiffness, Pain in jaw — Feeling: Good · Site: Pain, Swelling, Itching · Headache, Joint pains

Free text: Stiff neck and jaw pain starting later last night and going until mid-morning today

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

Adult check-in
2021-01-29
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-12
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-02-23
Dose 2 — Moderna
2021-02-24
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness, Swelling, Itching · 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
2021-02-25
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Poor · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Sore throat, swollen lymph node in left armpit

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-26
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness · None

Adult check-in
2021-02-27
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness · None

Adult check-in
2021-02-28
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness · None

Adult check-in
2021-03-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-02
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-09
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-16
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-23
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-30
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-06
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-08-24
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-12-15
Dose 3 — Moderna
2022-02-23
Survey response — 12 months, dose 2
MedDRA: Abortion spontaneous, Pregnancy — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: I had a miscarriage in December, but I'm pregnant again.

MedDRA releases: 2024-11 · check-in free text available
2022-03-16
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-06-15
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-10-09
Dose 4 — Moderna
2022-10-21
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-10-23
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-10-30
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-11-06
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-11-13
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-11-20
Survey response — day 42, dose 4
MedDRA: Sinusitis, Urinary tract infection — Feeling: Fair · 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: Upper urinary tract infection, sinusitis

MedDRA releases: 2024-11 · check-in free text available
2022-11-20
Report sent to call center — day 42, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-11-21
Call 1 — Left Voicemail
2023-01-08
Survey response — 3 months, dose 4
MedDRA: Pregnancy, Sinusitis — Feeling: Poor · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

MedDRA releases: 2024-11
2023-01-08
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)
2023-01-09
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2023-01-09
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2023-04-09
Survey response — 6 months, dose 4
MedDRA: Office visit, Pregnancy — Feeling: Good · Get care from a doctor or other healthcare professional

MedDRA releases: 2024-11
2023-04-09
Report sent to call center — 6 months, dose 4
Get care from a doctor or other healthcare professional

1 call case(s)
2023-04-10
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-15	Moderna
2	2021-02-23	Moderna
3	2021-12-15	Moderna	No
4	2022-10-09	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2021-01-15	priority 2/3
2022-11-20	Successful 2023-01-09	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2023-01-08	Successful 2023-01-09	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2023-04-09	Unsuccessful

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-17

Systemic reaction (other): Stiff neck and jaw pain starting later last night and going until mid-morning today

Release 4 — days 1–6 daily, dose 2

2021-02-25

Systemic reaction (other): Sore throat, swollen lymph node in left armpit

Release 11 — 12 months, dose 2

2022-02-23

Symptoms: I had a miscarriage in December, but I'm pregnant again.

Release 12 — day 42, dose 4

2022-11-20

Symptoms: Upper urinary tract infection, sinusitis

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	Pregnancy	·	·	✓
SD	Sinusitis	·	·	✓
SD	Urinary tract infection	·	·	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Musculoskeletal stiffness	✓	✓	✓
SRO	Pain in jaw	✓	✓	✓

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