TVQ-11273-90449

2 vaccinations 9 coded responses 24 check-ins 9 free-text entries 5 call cases

Sex: Female
Age at first dose: 31-35
ZIP prefix: 374 / TN
Registered: 2020-12-31

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

Timeline

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

2020-12-30
Dose 1 — Moderna
2020-12-31
Registered in v-safe
2020-12-31
Survey response — days 1–6 daily, dose 1
MedDRA: Frequent bowel movements — Feeling: Poor · Site: Pain · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2020-12-31
Report sent to call center — days 1–6 daily, dose 1
Be unable to work · Be unable to do your normal daily activities

1 call case(s)
2021-01-01
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling · Joint pains, Fatigue or tiredness · Be unable to work

Adult check-in
2021-01-01
Report sent to call center — days 1–6 daily, dose 1
Be unable to work

1 call case(s)
2021-01-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling · None

Adult check-in
2021-01-03
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-07
Health check-in — 7 day, dose 1
Feeling: Good · None

Adult check-in
2021-01-13
Survey response — 14 day, dose 1
MedDRA: No adverse event — Feeling: Good

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-01-21
Survey response — 21 day, dose 1
MedDRA: Blood glucose increased — Feeling: Good

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-01-27
Health check-in — 28 day, dose 1
Feeling: Good

Adult check-in
2021-01-28
Dose 2 — Moderna
2021-01-28
Health check-in — 0 day, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work

Adult check-in
2021-01-29
Survey response — days 1–6 daily, dose 2
MedDRA: Cough, Dyspnoea — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-01-30
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-01-31
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-01
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-02-02
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-02-03
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-02-04
Health check-in — 7 day, dose 2
Feeling: Good · None

Adult check-in
2021-02-11
Survey response — 14 day, dose 2
MedDRA: Depressed mood — Feeling: Fair

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-02-19
Survey response — 21 day, dose 2
MedDRA: Fatigue — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-02-25
Survey response — 28 day, dose 2
MedDRA: Skin cancer, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-02-25
Report sent to call center — 28 day, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-05
Survey response — 35 day, dose 2
MedDRA: Cancer surgery, Malignant melanoma — Feeling: Good · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-03-05
Report sent to call center — 35 day, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-13
Survey response — 42 day, dose 2
MedDRA: Pre-existing disease — Feeling: Good · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-03-13
Report sent to call center — 42 day, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-29
Health check-in — 3 month, dose 2
Feeling: Good

Adult check-in
2021-05-31
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-05-31
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-05-31
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-07-29
Health check-in — 6 month, dose 2
Feeling: Good

Adult check-in
2022-01-28
Health check-in — 12 month, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-30	Moderna
2	2021-01-28	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2020-12-31	priority 2/3
2021-01-01	priority 2/3
2021-02-25	Successful 2021-05-31	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-03-05	Successful 2021-05-31	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-03-13	Successful 2021-05-31	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Free text

Release 1

Systemic reaction (other): Extra bowel movements

Symptoms: None

Release 2

Symptoms: Elevated fasting blood sugar

Release 3

Systemic reaction (other): Cough and shortness of breath last night which resolved

Release 4

Symptoms: Feeling sad about the baby I lost in November (miscarriage).

Symptoms: Fatigue

Symptoms: Got diagnosed with skin cancer have to have surgery on Monday.

Healthcare visit (other): Skin cancer surgery scheduled for Monday

Release 5

Symptoms: Diagnosed with melanoma, had surgery to remove it on Monday

Healthcare visit (other): Surgery for melanoma

Symptoms: I had melanoma skin cancer, and it was removed.

Free-text releases are not linked to a specific 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	Cancer surgery	✓	✓	✓
HCVO	Malignant melanoma	✓	✓	✓
HCVO	Unevaluable event	✓	✓	✓
SD	Blood glucose increased	✓	✓	✓
SD	Cancer surgery	✓	✓	✓
SD	Depressed mood	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Malignant melanoma	✓	✓	✓
SD	No adverse event	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Skin cancer	✓	✓	✓
SRO	Cough	✓	✓	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Frequent bowel movements	✓	✓	✓

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