KW4-46103-63063

4 vaccinations 8 coded responses 46 check-ins 8 free-text entries 2 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 770 / TX
Registered: 2021-01-04

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Registered dependents

NQR-25424-90325 Child or adolescent in my care · Male · 2022-06-28

Timeline

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

2021-01-04
Registered in v-safe
2021-01-04
Dose 1 — Moderna
2021-01-04
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-05
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling · Headache, Fatigue or tiredness

Adult check-in
2021-01-06
Survey response — days 1–6 daily, dose 1
MedDRA: Migraine — Feeling: Fair · Site: Pain · Headache

Free text: Migraine - likely unrelated.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-01-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-01-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-10
Survey response — days 1–6 daily, dose 1
MedDRA: Migraine — Feeling: Good · Headache · Be unable to do your normal daily activities

Free text: Migraine - likely unrelated but rather due to strong cold front moving through.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-10
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-11
Health check-in — day 7, dose 1
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-01-18
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-01-25
Survey response — day 21, dose 1
MedDRA: Migraine — Feeling: Fair · Be unable to do your normal daily activities

Free text: Migraine off and on for the past 5 days

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-01
Dose 2 — Moderna
2021-02-01
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · None

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

Adult check-in
2021-02-03
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

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

Adult check-in
2021-02-07
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-02-09
Health check-in — day 7, dose 2
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-02-17
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-22
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-03-01
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-08
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-15
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-03
Survey response — 3 months, dose 2
MedDRA: Menstruation irregular — Feeling: Good

Free text: My menstrual cycle seems to have changed. I am now bleeding about every 14 or so days. I am on continuous birth control.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-02
Survey response — 6 months, dose 2
MedDRA: Fatigue, Nausea, Pain, Pyrexia — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Aches, fever, nausea, exhau

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-11-23
Dose 3 — Moderna
Co-administered: Flu
2021-11-23
Health check-in — day 0, dose 3
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2021-11-24
Survey response — days 1–6 daily, dose 3
MedDRA: Migraine — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Migraine

MedDRA releases: 2024-11 · check-in free text available
2021-11-26
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-11-27
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-11-28
Survey response — days 1–6 daily, dose 3
MedDRA: Migraine — Feeling: Fair · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Migraine

MedDRA releases: 2024-11 · check-in free text available
2021-11-29
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Headache, Nausea, Diarrhea · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-11-30
Health check-in — day 7, dose 3
Feeling: Good · Fatigue or tiredness, Nausea

Adult check-in
2021-12-07
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-12-14
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-12-23
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-28
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-01-04
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-02-22
Survey response — 3 months, dose 3
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, Outpatient clinic or urgent care clinic visit

Free text: Covid

MedDRA releases: 2024-11 · check-in free text available
2022-02-22
Report sent to call center — 3 months, dose 3
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 · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-02-23
Call successful
Does not wish to fill out VAERS report
2022-05-24
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-11-03
Dose 4 — Pfizer-BioNTech
2022-11-23
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in
2022-11-23
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-11-24
Health check-in — day 21, dose 4
Feeling: Fair

Adult check-in
2022-12-03
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-12-10
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-12-17
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2023-02-02
Health check-in — 3 months, dose 4
Feeling: Fair

Adult check-in
2023-05-04
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-04	Moderna
2	2021-02-01	Moderna
3	2021-11-23	Moderna	Flu
4	2022-11-03	Pfizer-BioNTech	No

Call center

2 call center cases

1 successful · 1 priority 2/3 (triaged and no follow up)

See the call center timeline

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-06

Systemic reaction (other): Migraine - likely unrelated.

2021-01-10

Systemic reaction (other): Migraine - likely unrelated but rather due to strong cold front moving through.

Release 2 — day 21, dose 1

2021-01-25

Symptoms: Migraine off and on for the past 5 days

Release 8 — 3 months, dose 2

2021-05-03

Symptoms: My menstrual cycle seems to have changed. I am now bleeding about every 14 or so days. I am on continuous birth control.

Release 9 — 6 months, dose 2

2021-08-02

Symptoms: Aches, fever, nausea, exhau

Release 10 — days 1–6 daily, dose 3

2021-11-24

Systemic reaction (other): Migraine

2021-11-28

Systemic reaction (other): Migraine

Release 11 — 3 months, dose 3

2022-02-22

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
SD	COVID-19	·	·	✓
SD	Fatigue	✓	·	✓
SD	Menstruation irregular	✓	✓	✓
SD	Migraine	✓	✓	✓
SD	Nausea	✓	·	✓
SD	Pain	✓	·	✓
SD	Pyrexia	✓	·	✓
SRO	Migraine	✓	✓	✓

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