GU8-32442-66008

4 vaccinations 5 coded responses 29 check-ins 5 free-text entries 2 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 402 / KY
Registered: 2021-01-11

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

2021-01-06
Dose 1 — Moderna
2021-01-11
Registered in v-safe
2021-01-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

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

Adult check-in
2021-01-13
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-21
Survey response — day 14, dose 1
MedDRA: Arthralgia, Headache, Neck pain — Feeling: Good

Free text: Sharp head pain on front right side. Left neck pain. Pain at bottom of left shoulder blade (left side was side of injection).

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-27
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-03
Dose 2 — Moderna
2021-02-03
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-04
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-02-05
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-02-06
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-02-07
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-08
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-09
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-10
Health check-in — day 7, dose 2
Feeling: Good · Site: Itching · Headache

Adult check-in
2021-02-17
Survey response — day 14, dose 2
MedDRA: Fatigue — Feeling: Fair · Be unable to do your normal daily activities

Free text: Fatigue in the past 24 hrs

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-24
Health check-in — day 21, dose 2
Feeling: Good

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

Adult check-in
2021-03-10
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-17
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-05
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-04
Survey response — 6 months, dose 2
MedDRA: Emergency care, Tinnitus, Urticaria — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Hives, tinnitus · Healthcare visit (other): Called EMS

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-04
Report sent to call center — 6 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-11-02
Dose 3 — Pfizer-BioNTech
2021-11-21
Call 1 — Left Voicemail
2022-02-03
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-09-23
Dose 4 — Other-Unknown
Co-administered: Flu
2022-10-03
Health check-in — day 7, dose 4
Feeling: Good · Joint pains

Adult check-in
2022-10-09
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
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
2022-10-28
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-11-04
Survey response — day 42, dose 4
MedDRA: Cough, Headache, Oropharyngeal pain, Pyrexia, Rhinorrhoea — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Fever, headache, runny nose, cough, sore throat.

MedDRA releases: 2024-11 · check-in free text available
2022-12-23
Survey response — 3 months, dose 4
MedDRA: Cerebral venous sinus thrombosis — 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: Dural venous sinus thrombosis (blood clot)

MedDRA releases: 2024-11 · check-in free text available
2022-12-23
Report sent to call center — 3 months, 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)
2022-12-27
Call 2 — Left Voicemail
2022-12-27
Call 1 — Left Voicemail
2022-12-27
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-12-27
Call successful
Completed over the phone
2023-03-25
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-06	Moderna
2	2021-02-03	Moderna
3	2021-11-02	Pfizer-BioNTech	No
4	2022-09-23	Other-Unknown	Flu

Call center

2 call center cases

2 successful

VAERS report filed, before or during a call: 1

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 2 — day 14, dose 1

2021-01-21

Symptoms: Sharp head pain on front right side. Left neck pain. Pain at bottom of left shoulder blade (left side was side of injection).

Release 4 — day 14, dose 2

2021-02-17

Symptoms: Fatigue in the past 24 hrs

Release 9 — 6 months, dose 2

2021-08-04

Symptoms: Hives, tinnitus

Healthcare visit (other): Called EMS

Release 12 — day 42, dose 4

2022-11-04

Symptoms: Fever, headache, runny nose, cough, sore throat.

Release 12 — 3 months, dose 4

2022-12-23

Symptoms: Dural venous sinus thrombosis (blood clot)

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	Emergency care	✓	·	✓
SD	Arthralgia	✓	✓	✓
SD	Cerebral venous sinus thrombosis	·	·	✓
SD	Cough	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Neck pain	✓	✓	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pyrexia	·	·	✓
SD	Rhinorrhoea	·	·	✓
SD	Tinnitus	✓	·	✓
SD	Urticaria	✓	·	✓

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