H2G-26446-21762

2 vaccinations 9 coded responses 16 check-ins 9 free-text entries 7 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 454 / OH
Registered: 2021-01-06

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
Registered in v-safe
2021-01-06
Dose 1 — Moderna
2021-01-06
Survey response — day 0, dose 1
MedDRA: Pre-existing disease — Feeling: Good

Free text: Just a cough. And I was coughing before the injection.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-07
Survey response — days 1–6 daily, dose 1
MedDRA: Cough, Medical counselling — Feeling: Fair · Site: Pain · Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Cough · Healthcare visit (other): Asked for script for cough medicine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-07
Report sent to call center — days 1–6 daily, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-01-08
Survey response — days 1–6 daily, dose 1
MedDRA: Cough, Respiratory tract congestion, SARS-CoV-2 test — Feeling: Fair · Be unable to work, Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Cough and congestion · Healthcare visit (other): Covid test

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-08
Report sent to call center — days 1–6 daily, dose 1
Be unable to work · Get care from a doctor or other healthcare professional

1 call case(s)
2021-01-09
Survey response — days 1–6 daily, dose 1
MedDRA: COVID-19, SARS-CoV-2 test positive — Feeling: Poor · Headache, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: I tested positive for covid

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-09
Report sent to call center — days 1–6 daily, dose 1
Be unable to work · Be unable to do your normal daily activities

1 call case(s)
2021-01-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-01-11
Survey response — days 1–6 daily, dose 1
MedDRA: Nasal congestion — Feeling: Fair · Fatigue or tiredness · Be unable to work, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Stuffiness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-11
Report sent to call center — days 1–6 daily, dose 1
Be unable to work · Get care from a doctor or other healthcare professional

1 call case(s)
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 · Be unable to work

Adult check-in
2021-01-13
Report sent to call center — day 7, dose 1
Be unable to work

1 call case(s)
2021-01-21
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-27
Survey response — day 21, dose 1
MedDRA: Cough, Fatigue — Feeling: Good

Free text: CoughFatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-03
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-02-04
Dose 2 — Moderna
2021-02-10
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Itching · None

Adult check-in
2021-02-11
Survey response — day 7, dose 2
MedDRA: Cough — Feeling: Good · Site: Itching

Free text: Cough. Mild

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-18
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-18
Call 1 — Left Voicemail
2021-08-05
Survey response — 6 months, dose 2
MedDRA: Postmenopausal haemorrhage, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: Post menopausal bleeding. · Healthcare visit (other): I have a D&C scheduled

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-05
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-13
Call 1 — Left Voicemail
2022-02-04
Survey response — 12 months, dose 2
MedDRA: COVID-19 — 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

Free text: COVID

MedDRA releases: 2024-11 · check-in free text available
2022-02-04
Report sent to call center — 12 months, dose 2
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 · 1 call case(s)
2022-02-07
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-06	Moderna
2	2021-02-04	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-01-07	Successful	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-01-08	Successful	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-01-09	Successful	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-01-11	Successful	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-01-13	Successful	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-08-05	Successful	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-02-04	Successful 2022-02-07	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Free text

Release 1 — day 0, dose 1

2021-01-06

Systemic reaction (other): Just a cough. And I was coughing before the injection.

Release 1 — days 1–6 daily, dose 1

2021-01-07

Systemic reaction (other): Cough

Healthcare visit (other): Asked for script for cough medicine

2021-01-08

Systemic reaction (other): Cough and congestion

Healthcare visit (other): Covid test

2021-01-09

Systemic reaction (other): I tested positive for covid

2021-01-11

Systemic reaction (other): Stuffiness

Release 2 — day 21, dose 1

2021-01-27

Symptoms: CoughFatigue

Release 4 — day 7, dose 2

2021-02-11

Systemic reaction (other): Cough. Mild

Release 9 — 6 months, dose 2

2021-08-05

Symptoms: Post menopausal bleeding.

Healthcare visit (other): I have a D&C scheduled

Release 11 — 12 months, dose 2

2022-02-04

Symptoms: COVID

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	Medical counselling	✓	✓	✓
HCVO	SARS-CoV-2 test	✓	✓	✓
HCVO	Unevaluable event	✓	·	✓
SD	Cough	✓	✓	✓
SD	COVID-19	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Postmenopausal haemorrhage	✓	·	✓
SRO	Cough	✓	✓	✓
SRO	COVID-19	✓	✓	✓
SRO	Nasal congestion	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Respiratory tract congestion	✓	✓	✓
SRO	SARS-CoV-2 test positive	✓	✓	✓

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