JZ8-32158-68346

4 vaccinations 6 coded responses 33 check-ins 6 free-text entries 2 call cases

Sex: Female
Age at first dose: 31-35
ZIP prefix: 441 / OH
Registered: 2021-01-13

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

2021-01-13
Registered in v-safe
2021-01-13
Dose 1 — Moderna
2021-01-13
Health check-in — day 0, dose 1
Feeling: Good · Headache

Adult check-in
2021-01-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-01-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-01-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-01-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-01-19
Survey response — days 1–6 daily, dose 1
MedDRA: Oropharyngeal pain — Feeling: Good

Free text: Sore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-22
Health check-in — day 7, dose 1
Feeling: Good · Headache

Adult check-in
2021-01-27
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-03
Survey response — day 21, dose 1
MedDRA: Fatigue, Headache, Pain — Feeling: Fair

Free text: Headache, tired, soreness.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-10
Dose 2 — Moderna
2021-02-10
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-02-11
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-02-12
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-02-15
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-17
Health check-in — day 7, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-24
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-03
Survey response — day 21, dose 2
MedDRA: Menstrual disorder, Oligomenorrhoea — Feeling: Good

Free text: No menstrual cycle since second shot- very late. Not pregnant. Due to shot?

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-10
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-17
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-24
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-12
Survey response — 3 months, dose 2
MedDRA: Headache, Oropharyngeal pain — Feeling: Fair

Free text: Sore throat headache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-11
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-14
Dose 3 — Pfizer-BioNTech
2022-02-10
Survey response — 12 months, dose 2
MedDRA: Abortion spontaneous — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: 2 miscarriages

MedDRA releases: 2024-11 · check-in free text available
2022-02-10
Report sent to call center — 12 months, dose 2
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-02-15
Call 1 — Left Voicemail
2022-05-15
Survey response — 6 months, dose 3
MedDRA: Abortion spontaneous, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Symptoms: Miscarriage · Healthcare visit (other): Lab work

MedDRA releases: 2024-11 · check-in free text available
2022-05-15
Report sent to call center — 6 months, dose 3
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-05-16
Call 2 — Left Voicemail
2022-05-16
Call 1 — Left Voicemail
2022-10-13
Dose 4 — Pfizer-BioNTech
2022-11-15
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in
2022-11-15
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-11-17
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-11-26
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2023-01-14
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2023-04-13
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-13	Moderna
2	2021-02-10	Moderna
3	2021-11-14	Pfizer-BioNTech	No
4	2022-10-13	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2022-02-10	Unsuccessful
2022-05-15	Unsuccessful

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-19

Systemic reaction (other): Sore throat

Release 3 — day 21, dose 1

2021-02-03

Symptoms: Headache, tired, soreness.

Release 5 — day 21, dose 2

2021-03-03

Symptoms: No menstrual cycle since second shot- very late. Not pregnant. Due to shot?

Release 8 — 3 months, dose 2

2021-05-12

Symptoms: Sore throat headache

Release 11 — 12 months, dose 2

2022-02-10

Symptoms: 2 miscarriages

Release 11 — 6 months, dose 3

2022-05-15

Symptoms: Miscarriage

Healthcare visit (other): Lab work

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	Unevaluable event	·	·	✓
SD	Abortion spontaneous	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Menstrual disorder	·	·	✓
SD	Oligomenorrhoea	✓	✓	○
SD	Oropharyngeal pain	✓	✓	✓
SD	Pain	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓

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