H7A-10405-98894

3 vaccinations 10 coded responses 38 check-ins 10 free-text entries 4 call cases

Sex: Female
Age at first dose: 31-35
ZIP prefix: 750 / TX
Registered: 2021-04-08

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

2021-04-08
Registered in v-safe
2021-04-08
Dose 1 — Moderna
2021-04-08
Survey response — day 0, dose 1
MedDRA: Arthralgia, Neck pain — Feeling: Good · Site: Pain · Muscle or body aches

Free text: Neck/shoulder in the injection arm feels sore

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache, Muscle or body aches

Adult check-in
2021-04-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-04-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-04-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-15
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-22
Survey response — day 14, dose 1
MedDRA: Cough, Nasopharyngitis, Respiratory tract congestion — Feeling: Fair

Free text: Cold like symptoms. Congestion and cough.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-29
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-05-06
Dose 2 — Moderna
2021-05-06
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-05-07
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-05-08
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Joint pains, Muscle or body aches

Adult check-in
2021-05-09
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-05-10
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-11
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache

Adult check-in
2021-05-12
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache

Adult check-in
2021-05-13
Health check-in — day 7, dose 2
Feeling: Good · Headache

Adult check-in
2021-05-20
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-27
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-06-03
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-10
Survey response — day 35, dose 2
MedDRA: Arthralgia, Lymphadenopathy — 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: Swollen lymph nodesAchy joints all over, wrists/ankles/knee/hip/shoulder

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-10
Report sent to call center — day 35, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-17
Survey response — day 42, dose 2
MedDRA: Arthralgia, Joint swelling, Office visit — 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: Joints all over my body have become achy or swollen. Saw a rheumatologist today.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-17
Report sent to call center — day 42, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-21
Call 1 — Left Voicemail
2021-06-22
Call successful
Participant prefers to complete VAERS report online
2021-08-05
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-11-04
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-01-13
Dose 3 — Moderna
2022-01-14
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2022-01-15
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fever · Muscle or body aches, Fatigue or tiredness, Abdominal pain

Adult check-in
2022-01-16
Survey response — days 1–6 daily, dose 3
MedDRA: Productive cough, SARS-CoV-2 test positive — Feeling: Fair · Site: Pain · Fever · Muscle or body aches, Abdominal pain · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Systemic reaction (other): Productive cough · Healthcare visit (other): Tested positive for Covid today

MedDRA releases: 2024-11 · check-in free text available
2022-01-16
Report sent to call center — days 1–6 daily, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-01-17
Survey response — days 1–6 daily, dose 3
MedDRA: Cough — Feeling: Fair

Free text: Cough

MedDRA releases: 2024-11 · check-in free text available
2022-01-17
Call 1 — Left Voicemail
2022-01-18
Survey response — days 1–6 daily, dose 3
MedDRA: Cough — Feeling: Good

Free text: Cough

MedDRA releases: 2024-11 · check-in free text available
2022-01-19
Survey response — days 1–6 daily, dose 3
MedDRA: Respiratory tract congestion — Feeling: Good

Free text: Congestion

MedDRA releases: 2024-11 · check-in free text available
2022-01-20
Survey response — day 7, dose 3
MedDRA: Cough, Respiratory tract congestion — Feeling: Good

Free text: Congested cough

MedDRA releases: 2024-11 · check-in free text available
2022-01-27
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-02-03
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-02-12
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-02-17
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-02-24
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-04-16
Survey response — 3 months, dose 3
MedDRA: Cough — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Cough

MedDRA releases: 2024-11 · check-in free text available
2022-04-16
Report sent to call center — 3 months, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-04-25
Call successful
Does not wish to fill out VAERS report

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-08	Moderna
2	2021-05-06	Moderna
3	2022-01-13	Moderna	No

Call center

4 call center cases

3 successful · 1 unsuccessful

See the call center timeline

Free text

Release 7 — day 0, dose 1

2021-04-08

Systemic reaction (other): Neck/shoulder in the injection arm feels sore

Release 7 — day 14, dose 1

2021-04-22

Symptoms: Cold like symptoms. Congestion and cough.

Release 9 — day 35, dose 2

2021-06-10

Symptoms: Swollen lymph nodesAchy joints all over, wrists/ankles/knee/hip/shoulder

Release 9 — day 42, dose 2

2021-06-17

Symptoms: Joints all over my body have become achy or swollen. Saw a rheumatologist today.

Release 10 — days 1–6 daily, dose 3

2022-01-16

Systemic reaction (other): Productive cough

Healthcare visit (other): Tested positive for Covid today

2022-01-17

Systemic reaction (other): Cough

2022-01-18

Systemic reaction (other): Cough

2022-01-19

Systemic reaction (other): Congestion

Release 10 — day 7, dose 3

2022-01-20

Systemic reaction (other): Congested cough

Release 11 — 3 months, dose 3

2022-04-16

Symptoms: Cough

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	SARS-CoV-2 test positive	·	·	✓
SD	Arthralgia	✓	✓	✓
SD	Cough	✓	✓	✓
SD	Joint swelling	✓	✓	✓
SD	Lymphadenopathy	✓	✓	✓
SD	Nasopharyngitis	✓	✓	✓
SD	Office visit	✓	✓	✓
SD	Respiratory tract congestion	✓	✓	✓
SRO	Arthralgia	✓	✓	✓
SRO	Cough	·	·	✓
SRO	Neck pain	✓	✓	✓
SRO	Productive cough	·	·	✓
SRO	Respiratory tract congestion	·	·	✓

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