SMP-14610-49004

3 vaccinations 9 coded responses 25 check-ins 9 free-text entries 1 call case

Sex: Female
Age at first dose: 36-40
ZIP prefix: 918 / CA
Registered: 2021-05-21

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

Timeline

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

2021-04-23
Dose 1 — Moderna
2021-05-21
Registered in v-safe
2021-05-21
Dose 2 — Moderna
2021-05-21
Survey response — day 0, dose 2
MedDRA: Urticaria — Feeling: Good · Site: Pain · Rash, not including the immediate area around the injection site

Free text: Hives

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-22
Survey response — days 1–6 daily, dose 2
MedDRA: Urticaria — Feeling: Fair · Site: Pain, Swelling, Itching · Headache, Fatigue or tiredness, Rash, not including the immediate area around the injection site

Free text: Small hives

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-23
Survey response — days 1–6 daily, dose 2
MedDRA: Urticaria — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activities

Free text: Hives here and there, started 4 weeks after 1st shot.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-24
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Nausea, Rash, not including the immediate area around the injection site

Adult check-in
2021-05-27
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-05-28
Survey response — day 7, dose 2
MedDRA: Urticaria — Feeling: Good · Rash, not including the immediate area around the injection site

Free text: Hives come and go

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-04
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-06-11
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-06-20
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-06-25
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-07-02
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-08-20
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-11-19
Dose 3 — Pfizer-BioNTech
2021-11-21
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-11-22
Survey response — days 1–6 daily, dose 3
MedDRA: Lymphadenopathy — Feeling: Good · Site: Swelling · Headache, Fatigue or tiredness

Free text: Swollen lymph node in armpit of the arm that received the injection

MedDRA releases: 2024-11 · check-in free text available
2021-11-24
Survey response — days 1–6 daily, dose 3
MedDRA: Axillary pain, Lymphadenopathy — Feeling: Good

Free text: Sore armpit/swollen lymph node

MedDRA releases: 2024-11 · check-in free text available
2021-11-25
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-26
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-12-03
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-12-10
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-12-17
Survey response — day 28, dose 3
MedDRA: Oropharyngeal pain, Paraesthesia, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Sore throat tingling · Healthcare visit (other): 1

MedDRA releases: 2024-11 · check-in free text available
2021-12-17
Report sent to call center — day 28, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2021-12-21
Call successful
Participant prefers to complete VAERS report online
2021-12-26
Survey response — day 35, dose 3
MedDRA: Pregnancy — Feeling: Good

Free text: I'm pregnant!

MedDRA releases: 2024-11 · check-in free text available
2021-12-31
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-02-18
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-05-20
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-11-19
Survey response — 12 months, dose 3
MedDRA: Fatigue — Feeling: Fair · Be unable to do your normal daily activities

Free text: Extreme fatigue

MedDRA releases: 2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-23	Moderna
2	2021-05-21	Moderna
3	2021-11-19	Pfizer-BioNTech	No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 8 — day 0, dose 2

2021-05-21

Systemic reaction (other): Hives

Release 8 — days 1–6 daily, dose 2

2021-05-22

Systemic reaction (other): Small hives

2021-05-23

Systemic reaction (other): Hives here and there, started 4 weeks after 1st shot.

Release 8 — day 7, dose 2

2021-05-28

Systemic reaction (other): Hives come and go

Release 10 — days 1–6 daily, dose 3

2021-11-22

Systemic reaction (other): Swollen lymph node in armpit of the arm that received the injection

2021-11-24

Systemic reaction (other): Sore armpit/swollen lymph node

Release 10 — day 28, dose 3

2021-12-17

Symptoms: Sore throat tingling

Healthcare visit (other): 1

Release 10 — day 35, dose 3

2021-12-26

Symptoms: I'm pregnant!

Release 12 — 12 months, dose 3

2022-11-19

Symptoms: Extreme fatigue

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	Fatigue	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Paraesthesia	·	·	✓
SD	Pregnancy	·	·	✓
SRO	Axillary pain	·	·	✓
SRO	Lymphadenopathy	·	·	✓
SRO	Urticaria	✓	✓	✓

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