PKA-67448-04022

2 vaccinations 12 coded responses 24 check-ins 12 free-text entries 3 call cases

Sex: Female
Age at first dose: 26-30
ZIP prefix: 840 / UT
Registered: 2021-03-17

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

2021-03-16
Dose 1 — Moderna
2021-03-17
Registered in v-safe
2021-03-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-19
Survey response — days 1–6 daily, dose 1
MedDRA: Oropharyngeal pain — Feeling: Good

Free text: Sore throat but may be unrelated

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-20
Survey response — days 1–6 daily, dose 1
MedDRA: Nasal congestion, Oropharyngeal pain — Feeling: Good

Free text: Sore throat and stuffy nose

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-21
Survey response — days 1–6 daily, dose 1
MedDRA: Nasal congestion, Oropharyngeal pain — Feeling: Good

Free text: Sore throat and stuffy nose

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-22
Survey response — days 1–6 daily, dose 1
MedDRA: Nasal congestion — Feeling: Good

Free text: Stuffy nose

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-23
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-30
Survey response — day 14, dose 1
MedDRA: Ear pain, Injection site erythema, Injection site pain, Lymphadenopathy — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Red sore spot near shot site, swollen lymph nodes (arm pit and neck) on the side of the vaccine, ear ache on the side of the vaccine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-30
Report sent to call center — day 14, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-06
Survey response — day 21, dose 1
MedDRA: Ear pain, Headache, Middle ear effusion — Feeling: Fair · Be unable to work

Free text: Ear ache, ear full of fluid but no apparent infection, liquid wont drain from middle ear. Severe headaches

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-13
Dose 2 — Moderna
2021-04-13
Health check-in — day 0, dose 2
Feeling: Poor · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-04-14
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, Nausea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-15
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Nausea

Adult check-in
2021-04-16
Survey response — days 1–6 daily, dose 2
MedDRA: Ear pain, Lymph node pain, Lymphadenopathy, Mood swings — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Ear ache, glands hurt and are swollen, mood swings

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness, Nausea

Adult check-in
2021-04-19
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fever · Nausea

Adult check-in
2021-04-20
Health check-in — day 7, dose 2
Feeling: Good · Headache

Adult check-in
2021-04-29
Survey response — day 14, dose 2
MedDRA: Diarrhoea, Nausea, Vomiting — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: Throwing up, nausea, diarrhea (may have been a stomach bug unrelated to vaccine)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-04
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-11
Survey response — day 28, dose 2
MedDRA: Nasal congestion — Feeling: Good

Free text: Stuffy nose

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-18
Survey response — day 35, dose 2
MedDRA: Menstruation irregular — Feeling: Good · 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: Irregular periods likely due to the vaccine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-18
Report sent to call center — day 35, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-25
Survey response — day 42, dose 2
MedDRA: Headache, Menstruation irregular, Nasal congestion, Oropharyngeal pain, Rhinorrhoea — Feeling: Fair · Be unable to do your normal daily activities

Free text: Irregular periods. Sore throat, stuffy/runny nose, headaches

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-13
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-12
Survey response — 6 months, dose 2
MedDRA: Illness, Nasopharyngitis, Pregnancy, Upper respiratory tract infection, Wheezing — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Pregnant. Also had multiple illnesses (colds or upper respiratory infections), currently have a wheezing symptom when breathing.

MedDRA releases: 2024-11 · check-in free text available
2021-10-12
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-10-13
Call successful
Does not wish to fill out VAERS report
2022-04-13
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-16	Moderna
2	2021-04-13	Moderna

Call center

3 call center cases

3 successful

See the call center timeline

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-19

Systemic reaction (other): Sore throat but may be unrelated

2021-03-20

Systemic reaction (other): Sore throat and stuffy nose

2021-03-21

Systemic reaction (other): Sore throat and stuffy nose

2021-03-22

Systemic reaction (other): Stuffy nose

Release 6 — day 14, dose 1

2021-03-30

Symptoms: Red sore spot near shot site, swollen lymph nodes (arm pit and neck) on the side of the vaccine, ear ache on the side of the vaccine.

Release 7 — day 21, dose 1

2021-04-06

Symptoms: Ear ache, ear full of fluid but no apparent infection, liquid wont drain from middle ear. Severe headaches

Release 7 — days 1–6 daily, dose 2

2021-04-16

Systemic reaction (other): Ear ache, glands hurt and are swollen, mood swings

Release 8 — day 14, dose 2

2021-04-29

Symptoms: Throwing up, nausea, diarrhea (may have been a stomach bug unrelated to vaccine)

Release 8 — day 28, dose 2

2021-05-11

Symptoms: Stuffy nose

Release 8 — day 35, dose 2

2021-05-18

Symptoms: Irregular periods likely due to the vaccine.

Release 8 — day 42, dose 2

2021-05-25

Symptoms: Irregular periods. Sore throat, stuffy/runny nose, headaches

Release 10 — 6 months, dose 2

2021-10-12

Symptoms: Pregnant. Also had multiple illnesses (colds or upper respiratory infections), currently have a wheezing symptom when breathing.

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	Diarrhoea	✓	✓	✓
SD	Ear pain	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Illness	·	·	✓
SD	Injection site erythema	✓	✓	✓
SD	Injection site pain	✓	✓	✓
SD	Lymphadenopathy	✓	✓	✓
SD	Menstruation irregular	✓	✓	✓
SD	Middle ear effusion	✓	✓	✓
SD	Nasal congestion	✓	✓	✓
SD	Nasopharyngitis	·	·	✓
SD	Nausea	✓	✓	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Pregnancy	·	·	✓
SD	Rhinorrhoea	✓	✓	✓
SD	Upper respiratory tract infection	·	·	✓
SD	Vomiting	✓	✓	✓
SD	Wheezing	·	·	✓
SRO	Ear pain	✓	✓	✓
SRO	Lymph node pain	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Mood swings	✓	✓	✓
SRO	Nasal congestion	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓

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