AY9-11865-08486

4 vaccinations 10 coded responses 25 check-ins 9 free-text entries 2 call cases

Sex: Female
Age at first dose: 26-30
ZIP prefix: 465 / IN
Registered: 2021-05-22

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

2021-03-24
Dose 1 — Moderna
2021-04-21
Dose 2 — Moderna
2021-05-22
Registered in v-safe
2021-05-22
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-26
Survey response — day 35, dose 2
MedDRA: Pregnancy — Feeling: Good

Free text: I am 4 weeks pregnant

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-02
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-21
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-20
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-26
Dose 3 — Moderna
2021-11-27
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Swelling · Fatigue or tiredness, Nausea

Adult check-in
2021-11-28
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-11-29
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-12-01
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-12-03
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-12-10
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-12-19
Survey response — day 21, dose 3
MedDRA: Nasopharyngitis — Feeling: Good

Free text: Light cold symptoms

MedDRA releases: 2024-11 · check-in free text available
2021-12-24
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-31
Survey response — day 35, dose 3
MedDRA: Nasopharyngitis — Feeling: Good

Free text: Light cold symptoms. Tested negative through a rapid test on Thursday.

MedDRA releases: 2024-11 · check-in free text available
2022-01-07
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-02-27
Survey response — 3 months, dose 3
MedDRA: Mastitis, Postpartum state — 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, Hospitalization

Free text: I'm 3 weeks postpartum and have developed mastitis.

MedDRA releases: 2024-11 · check-in free text available
2022-02-27
Report sent to call center — 3 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 · Hospitalization · 1 call case(s)
2022-02-28
Call successful
Does not wish to fill out VAERS report
2022-05-27
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-09-23
Dose 4 — Moderna
2022-10-04
Survey response — day 7, dose 4
MedDRA: Lymph node pain, Sleep disorder — Feeling: Good

Free text: For 3-4 days after getting the vaccine, my armpit lymph node on the side of the injection was incredibly painful. It woke me from my sleep.

MedDRA releases: 2024-11 · check-in free text available
2022-10-07
Survey response — day 14, dose 4
MedDRA: Nasopharyngitis — Feeling: Good

Free text: Just light cold symptoms. My husband and daughter both have colds so not unexpected. Husband tested negative for Covid twice.

MedDRA releases: 2024-11 · check-in free text available
2022-10-16
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-10-21
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-10-29
Survey response — day 35, dose 4
MedDRA: Cough, Headache, Nasopharyngitis, Respiratory tract congestion, Rhinorrhoea, SARS-CoV-2 test negative — Feeling: Poor

Free text: Head cold- runny nose, headache, cough, congestion. I used an at home test and it's negative for Covid so far.

MedDRA releases: 2024-11 · check-in free text available
2022-11-04
Survey response — day 42, dose 4
MedDRA: Chills, Diarrhoea, Headache, Lymphadenopathy, Office visit, Pharyngitis streptococcal, Pyrexia, Tonsillar hypertrophy — 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: Dr confirmed Strep throat- fever, chills, swollen tonsils, swollen lymph nodes, diarrhea, headache

MedDRA releases: 2024-11 · check-in free text available
2022-11-04
Report sent to call center — day 42, dose 4
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)
2022-11-07
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-12-23
Survey response — 3 months, dose 4
MedDRA: Gastroenteritis viral — Feeling: Good · Be unable to do your normal daily activities

Free text: I had a brief stomach bug. It seems to be going around

MedDRA releases: 2024-11 · check-in free text available
2023-03-26
Survey response — 6 months, dose 4
MedDRA: Attention deficit hyperactivity disorder — Feeling: Good

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-24	Moderna
2	2021-04-21	Moderna
3	2021-11-26	Moderna	No
4	2022-09-23	Moderna	No

Call center

2 call center cases

2 successful

See the call center timeline

Free text

Release 8 — day 35, dose 2

2021-05-26

Symptoms: I am 4 weeks pregnant

Release 10 — day 21, dose 3

2021-12-19

Symptoms: Light cold symptoms

Release 10 — day 35, dose 3

2021-12-31

Symptoms: Light cold symptoms. Tested negative through a rapid test on Thursday.

Release 11 — 3 months, dose 3

2022-02-27

Symptoms: I'm 3 weeks postpartum and have developed mastitis.

Release 12 — day 7, dose 4

2022-10-04

Systemic reaction (other): For 3-4 days after getting the vaccine, my armpit lymph node on the side of the injection was incredibly painful. It woke me from my sleep.

Release 12 — day 14, dose 4

2022-10-07

Symptoms: Just light cold symptoms. My husband and daughter both have colds so not unexpected. Husband tested negative for Covid twice.

Release 12 — day 35, dose 4

2022-10-29

Symptoms: Head cold- runny nose, headache, cough, congestion. I used an at home test and it's negative for Covid so far.

Release 12 — day 42, dose 4

2022-11-04

Symptoms: Dr confirmed Strep throat- fever, chills, swollen tonsils, swollen lymph nodes, diarrhea, headache

Release 12 — 3 months, dose 4

2022-12-23

Symptoms: I had a brief stomach bug. It seems to be going around

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	Attention deficit hyperactivity disorder	·	·	✓
SD	Chills	·	·	✓
SD	Cough	·	·	✓
SD	Diarrhoea	·	·	✓
SD	Gastroenteritis viral	·	·	✓
SD	Headache	·	·	✓
SD	Lymphadenopathy	·	·	✓
SD	Mastitis	·	·	✓
SD	Nasopharyngitis	·	·	✓
SD	Office visit	·	·	✓
SD	Pharyngitis streptococcal	·	·	✓
SD	Postpartum state	·	·	✓
SD	Pregnancy	✓	✓	✓
SD	Pyrexia	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	Rhinorrhoea	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	Tonsillar hypertrophy	·	·	✓
SRO	Lymph node pain	·	·	✓
SRO	Sleep disorder	·	·	✓

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