DLR-20022-58951

2 vaccinations 8 coded responses 17 check-ins 8 free-text entries 3 call cases

Sex: Female
Age at first dose: 21-25
ZIP prefix: 850 / AZ
Registered: 2021-01-23

Relationship: Self
Race: N/A
Ethnicity: Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-01-23
Registered in v-safe
2021-01-23
Dose 1 — Moderna
2021-01-24
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · Chills, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-01-25
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-02-06
Survey response — day 14, dose 1
MedDRA: Headache — Feeling: Good

Free text: Head ache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-14
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-27
Dose 2 — Moderna
2021-02-27
Health check-in — day 0, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-01
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 · Be unable to do your normal daily activities

Adult check-in
2021-03-02
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-08
Survey response — day 7, dose 2
MedDRA: Pain in extremity — Feeling: Good · Joint pains

Free text: Pain right arm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-13
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-03-22
Survey response — day 21, dose 2
MedDRA: Adverse reaction — Feeling: Poor · 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: I am experiencing covid symptoms

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-22
Report sent to call center — day 21, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-27
Survey response — day 28, dose 2
MedDRA: Cough, Oropharyngeal pain, Productive cough — Feeling: Fair · Be unable to do your normal daily activities

Free text: Cough with phlegm, sore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-05
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-04-10
Survey response — day 42, dose 2
MedDRA: Ear discomfort — Feeling: Good

Free text: Ear clogged, sore throar

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-29
Survey response — 3 months, dose 2
MedDRA: Cough, Pain, Respiratory tract congestion — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: CoughCongestionBody aches

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-29
Report sent to call center — 3 months, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-03
Call 1 — Left Voicemail
2021-08-28
Survey response — 6 months, dose 2
MedDRA: Malaise, Nasopharyngitis — Feeling: Fair · Be unable to do your normal daily activities

Free text: Keep getting sick with cold symptoms. This is my third time getting sick this year.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2022-02-27
Survey response — 12 months, dose 2
MedDRA: Anaemia, Hospitalisation, Pre-eclampsia — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Symptoms: Anemia Preeclampsia · Healthcare visit (other): Labor and delivery

MedDRA releases: 2024-11 · check-in free text available
2022-02-27
Report sent to call center — 12 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Emergency room or emergency department visit · 1 call case(s)
2022-02-28
Call successful
Does not wish to fill out VAERS report

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-23	Moderna
2	2021-02-27	Moderna

Call center

3 call center cases

1 successful · 2 unsuccessful

See the call center timeline

Free text

Release 3 — day 14, dose 1

2021-02-06

Symptoms: Head ache

Release 5 — day 7, dose 2

2021-03-08

Systemic reaction (other): Pain right arm

Release 6 — day 21, dose 2

2021-03-22

Symptoms: I am experiencing covid symptoms

Release 6 — day 28, dose 2

2021-03-27

Symptoms: Cough with phlegm, sore throat

Release 7 — day 42, dose 2

2021-04-10

Symptoms: Ear clogged, sore throar

Release 8 — 3 months, dose 2

2021-05-29

Symptoms: CoughCongestionBody aches

Release 9 — 6 months, dose 2

2021-08-28

Symptoms: Keep getting sick with cold symptoms. This is my third time getting sick this year.

Release 11 — 12 months, dose 2

2022-02-27

Symptoms: Anemia Preeclampsia

Healthcare visit (other): Labor and delivery

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	Hospitalisation	·	·	✓
SD	Adverse reaction	✓	✓	✓
SD	Anaemia	·	·	✓
SD	Cough	✓	✓	✓
SD	Ear discomfort	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Malaise	✓	·	✓
SD	Nasopharyngitis	✓	·	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Pre-eclampsia	·	·	✓
SD	Productive cough	✓	✓	✓
SD	Respiratory tract congestion	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓

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