VB9-29845-54982

3 vaccinations 2 coded responses 37 check-ins 2 free-text entries 1 call case

Sex: Female
Age at first dose: 26-30
ZIP prefix: 211 / MD
Registered: 2021-03-19

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

2021-03-19
Registered in v-safe
2021-03-19
Dose 1 — Moderna
2021-03-19
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-20
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-03-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-03-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-26
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-02
Survey response — day 14, dose 1
MedDRA: Middle insomnia, Pain in extremity, Sleep disorder — Feeling: Good · Be unable to do your normal daily activities

Free text: The initial arm pain lasted 3 or so days, then receded. Eight days after my vaccine, however, my arm started to hurt again even worse that the initial pain. My arm hurt so bad that it woke me up and I couldn't sleep. No rash/swelling, just pain.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-09
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-16
Dose 2 — Moderna
2021-04-16
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-17
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-18
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

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

Adult check-in
2021-04-20
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-04-21
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-04-22
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-04-23
Health check-in — day 7, dose 2
Feeling: Good · Headache

Adult check-in
2021-04-30
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-07
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-14
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-21
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-28
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-16
Survey response — 3 months, dose 2
MedDRA: Diarrhoea, Nausea, SARS-CoV-2 test negative, Vomiting — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Nausea/vomiting/diarrhea but negative COVID test.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-16
Report sent to call center — 3 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-20
Call 1 — Left Voicemail
2021-10-15
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-02-25
Dose 3 — Moderna
2022-02-27
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Redness, Swelling · Fatigue or tiredness, Rash, not including the immediate area around the injection site

Adult check-in
2022-02-28
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Redness, Swelling · Fatigue or tiredness, Rash, not including the immediate area around the injection site

Adult check-in
2022-03-01
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Redness, Swelling · Fatigue or tiredness, Rash, not including the immediate area around the injection site

Adult check-in
2022-03-02
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Redness, Swelling · Rash, not including the immediate area around the injection site

Adult check-in
2022-03-03
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2022-03-04
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2022-03-11
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-03-18
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-03-25
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-04-01
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-04-08
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-05-27
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-19	Moderna
2	2021-04-16	Moderna
3	2022-02-25	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2021-07-16	Unsuccessful

Free text

Release 6 — day 14, dose 1

2021-04-02

Symptoms: The initial arm pain lasted 3 or so days, then receded. Eight days after my vaccine, however, my arm started to hurt again even worse that the initial pain. My arm hurt so bad that it woke me up and I couldn't sleep. No rash/swelling, just pain.

Release 9 — 3 months, dose 2

2021-07-16

Symptoms: Nausea/vomiting/diarrhea but negative COVID test.

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	Middle insomnia	✓	✓	✓
SD	Nausea	✓	·	✓
SD	Pain in extremity	✓	✓	✓
SD	SARS-CoV-2 test negative	✓	·	✓
SD	Sleep disorder	✓	✓	✓
SD	Vomiting	✓	·	✓

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