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C8V-14595-37053

4 vaccinations 11 coded responses 51 check-ins 11 free-text entries 2 call cases
Sex
Female
Age at first dose
26-30
ZIP prefix
223 / VA
Registered
2020-12-24
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino
Registered dependents
YDK-13522-85433 Child or adolescent in my care · Female · 2022-09-11

Timeline

  1. 2020-12-24
    Registered in v-safe
  2. 2020-12-24
    Dose 1 — Moderna
  3. 2020-12-24
    Survey response — day 0, dose 1
    MedDRA: Sinus pain — Feeling: Good · Site: Pain, Swelling · Headache
    Free text: Tender frontal, ethmoid, and maxillary sinuses
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2020-12-25
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain, Swelling · Chills, Headache, Fatigue or tiredness
    Adult check-in
  5. 2020-12-26
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain, Swelling · None
    Adult check-in
  6. 2020-12-27
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  7. 2020-12-28
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2020-12-29
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2020-12-30
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2020-12-31
    Health check-in — day 7, dose 1
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  11. 2021-01-07
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-01-14
    Survey response — day 21, dose 1
    MedDRA: Micturition urgency, Pollakiuria, Unevaluable event, Urine odour abnormal — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Hospitalization
    Free text: Symptoms: Mild UTI symptoms - urgency and frequency with smelly urine. · Healthcare visit (other): Went to labcorp to get a urine culture
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-01-14
    Report sent to call center — day 21, dose 1
    Get care from a doctor or other healthcare professional
    1 call case(s)
  14. 2021-01-21
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in
  15. 2021-01-23
    Dose 2 — Moderna
  16. 2021-01-23
    Survey response — day 0, dose 2
    MedDRA: Injection site warmth — Feeling: Good · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness
    Free text: Heat at the injection site, then the heat traveled down my arm and dissipated.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-01-24
    Survey response — days 1–6 daily, dose 2
    MedDRA: Breast tenderness, Hyperhidrosis, Lymph node pain, Pain of skin, Parosmia — Feeling: Poor · Site: Pain, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities
    Free text: No visible rashes but my skin is painful to touch, particularly on my anterolateral arms and legs, and on my neck. Lymph node tenderness in axilla and neck, including sublingual, on same side as injection. Some breast tenderness on same side as injection. Putrid smelling profuse sweating.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-01-25
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Swelling · Diarrhea
    Adult check-in
  19. 2021-01-26
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  20. 2021-01-27
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  21. 2021-01-28
    Survey response — days 1–6 daily, dose 2
    MedDRA: Breast tenderness, Lymph node pain — Feeling: Good · Muscle or body aches
    Free text: Some tenderness in axillary lymph nodes and in breast tissue on same side as injection.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  22. 2021-01-29
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Headache
    Adult check-in
  23. 2021-01-30
    Health check-in — day 7, dose 2
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  24. 2021-02-06
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-02-13
    Survey response — day 21, dose 2
    MedDRA: Breast pain, Breast swelling, Vaccine positive rechallenge — Feeling: Good
    Free text: Sore and swollen breasts this period, more than I usually experience, especially on the same side as the injection. This happened during the first cycle after my first injection, too.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  26. 2021-02-20
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-02-27
    Survey response — day 35, dose 2
    MedDRA: Headache — Feeling: Fair
    Free text: Headaches. Probably just weather.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  28. 2021-03-06
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  29. 2021-03-11
  30. 2021-03-11
    Call successful
    Participant prefers to complete VAERS report online
  31. 2021-04-24
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  32. 2021-07-24
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  33. 2021-11-08
    Dose 3 — Pfizer-BioNTech
  34. 2021-11-08
    Health check-in — day 0, dose 3
    Feeling: Good · Site: Pain, Swelling · Muscle or body aches, Nausea
    Adult check-in
  35. 2021-11-09
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  36. 2021-11-10
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  37. 2021-11-11
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · None
    Adult check-in
  38. 2021-11-12
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  39. 2021-11-13
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Nausea
    Adult check-in
  40. 2021-11-14
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  41. 2021-11-15
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  42. 2021-11-22
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  43. 2021-11-29
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  44. 2021-12-06
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  45. 2021-12-13
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  46. 2021-12-20
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  47. 2022-02-07
    Survey response — 3 months, dose 3
    MedDRA: Nasopharyngitis, 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 · Telehealth, virtual health, or email health consultation, Hospitalization
    Free text: I had a cold in late December and early January. Had 3 negative rapid tests and a negative PCR. I'm now 1 week post-partum, so that's a big change in my health.
    MedDRA releases: 2024-11 · check-in free text available
  48. 2022-02-07
    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
    Telehealth, virtual health, or email health consultation · Hospitalization · 1 call case(s)
  49. 2022-02-08
  50. 2022-02-10
    Call successful
    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
  51. 2022-05-09
    Survey response — 6 months, dose 3
    MedDRA: Breast tenderness — Feeling: Fair
    Free text: Breast tenderness
    MedDRA releases: 2024-11 · check-in free text available
  52. 2022-09-08
    Dose 4 — Pfizer-BioNTech
  53. 2022-09-11
    Health check-in — days 1–6 daily, dose 4
    Feeling: Fair · Site: Pain · Headache, Joint pains, Fatigue or tiredness, Abdominal pain
    Adult check-in
  54. 2022-09-12
    Survey response — days 1–6 daily, dose 4
    MedDRA: Breast pain — Feeling: Fair · Site: Swelling · Abdominal pain
    Free text: Pain in breast
    MedDRA releases: 2024-11 · check-in free text available
  55. 2022-09-17
    Health check-in — day 7, dose 4
    Feeling: Good · Muscle or body aches
    Adult check-in
  56. 2022-09-24
    Health check-in — day 14, dose 4
    Feeling: Fair
    Adult check-in
  57. 2022-10-02
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  58. 2022-10-06
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  59. 2022-10-16
    Health check-in — day 35, dose 4
    Feeling: Fair
    Adult check-in
  60. 2022-10-20
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  61. 2022-12-08
    Survey response — 3 months, dose 4
    MedDRA: Pain in extremity, Palpitations, Pre-existing disease — Feeling: Good
    Free text: Palpitations I've had before are returning after being gone for a long time. New pain in left thumb last couple of weeks, likely overuse injury from childcare.
    MedDRA releases: 2024-11 · check-in free text available
  62. 2023-03-09
    Health check-in — 6 months, dose 4
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12020-12-24Moderna
22021-01-23Moderna
32021-11-08Pfizer-BioNTech No
42022-09-08Pfizer-BioNTech No

Call center

2 call center cases

2 successful

See the call center timeline

Free text

Release 1 — day 0, dose 1

2020-12-24

Systemic reaction (other): Tender frontal, ethmoid, and maxillary sinuses

Release 2 — day 21, dose 1

2021-01-14

Symptoms: Mild UTI symptoms - urgency and frequency with smelly urine.
Healthcare visit (other): Went to labcorp to get a urine culture

Release 2 — day 0, dose 2

2021-01-23

Systemic reaction (other): Heat at the injection site, then the heat traveled down my arm and dissipated.

Release 2 — days 1–6 daily, dose 2

2021-01-24

Systemic reaction (other): No visible rashes but my skin is painful to touch, particularly on my anterolateral arms and legs, and on my neck. Lymph node tenderness in axilla and neck, including sublingual, on same side as injection. Some breast tenderness on same side as injection. Putrid smelling profuse sweating.

2021-01-28

Systemic reaction (other): Some tenderness in axillary lymph nodes and in breast tissue on same side as injection.

Release 4 — day 21, dose 2

2021-02-13

Symptoms: Sore and swollen breasts this period, more than I usually experience, especially on the same side as the injection. This happened during the first cycle after my first injection, too.

Release 4 — day 35, dose 2

2021-02-27

Symptoms: Headaches. Probably just weather.

Release 11 — 3 months, dose 3

2022-02-07

Symptoms: I had a cold in late December and early January. Had 3 negative rapid tests and a negative PCR. I'm now 1 week post-partum, so that's a big change in my health.

Release 11 — 6 months, dose 3

2022-05-09

Symptoms: Breast tenderness

Release 12 — days 1–6 daily, dose 4

2022-09-12

Systemic reaction (other): Pain in breast

Release 12 — 3 months, dose 4

2022-12-08

Symptoms: Palpitations I've had before are returning after being gone for a long time. New pain in left thumb last couple of weeks, likely overuse injury from childcare.

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

FieldPreferred term2021-092023-042024-11
HCVOUnevaluable event ✓ ✓ ✓
SDBreast pain ✓ ✓ ✓
SDBreast swelling ✓ ✓ ✓
SDBreast tenderness · · ✓
SDHeadache ✓ ✓ ✓
SDMicturition urgency ✓ ✓ ✓
SDNasopharyngitis · · ✓
SDPain in extremity · · ✓
SDPalpitations · · ✓
SDPollakiuria ✓ ✓ ✓
SDPostpartum state · · ✓
SDPre-existing disease · · ✓
SDUrine odour abnormal ✓ ✓ ✓
SDVaccine positive rechallenge ✓ ✓ ✓
SROBreast pain · · ✓
SROBreast tenderness ✓ ✓ ✓
SROHyperhidrosis ✓ ✓ ✓
SROInjection site warmth ✓ ✓ ✓
SROLymph node pain ✓ ✓ ✓
SROPain of skin ✓ ✓ ✓
SROParosmia ✓ ✓ ✓
SROSinus pain ✓ ✓ ✓

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