VCF-33399-54952

3 vaccinations 6 coded responses 24 check-ins 6 free-text entries 6 call cases

Sex: Female
Age at first dose: 31-35
ZIP prefix: 602 / IL
Registered: 2021-03-24

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

2021-03-24
Registered in v-safe
2021-03-24
Dose 1 — Moderna
2021-03-25
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-26
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Chills, Headache, Fatigue or tiredness

Adult check-in
2021-03-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-03-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Abdominal pain

Adult check-in
2021-03-29
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Fatigue or tiredness, Nausea, Abdominal pain · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Adult check-in
2021-03-29
Report sent to call center — days 1–6 daily, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-30
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness, Abdominal pain

Adult check-in
2021-03-31
Health check-in — 7 day, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-07
Survey response — 14 day, dose 1
MedDRA: Constipation, Fatigue — Feeling: Poor · 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
2021-04-07
Report sent to call center — 14 day, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-15
Health check-in — 21 day, dose 1
Feeling: Fair

Adult check-in
2021-04-21
Dose 2 — Moderna
2021-04-21
Survey response — 0 day, dose 2
MedDRA: Dizziness — Feeling: Good · Site: Pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-04-22
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-23
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Abdominal pain

Adult check-in
2021-04-24
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-25
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-04-26
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache

Adult check-in
2021-04-27
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache, Abdominal pain

Adult check-in
2021-04-30
Health check-in — 7 day, dose 2
Feeling: Good · Headache, Fatigue or tiredness

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

Adult check-in
2021-05-14
Survey response — 21 day, dose 2
MedDRA: Abdominal distension, Back pain, Office visit, Pain, Wheezing — Feeling: Fair · Get care from a doctor or other healthcare professional

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-05-14
Report sent to call center — 21 day, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-19
Health check-in — 28 day, dose 2
Feeling: Good

Adult check-in
2021-06-04
Health check-in — 42 day, dose 2
Feeling: Good

Adult check-in
2021-07-21
Survey response — 3 month, dose 2
MedDRA: Fatigue, Gastrointestinal disorder, Weight increased — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

MedDRA releases: 2024-11 · check-in answers available
2021-07-21
Report sent to call center — 3 month, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-30
Call 2 — Left Voicemail
2021-10-20
Survey response — 6 month, dose 2
MedDRA: Migraine, Office visit — Feeling: Good · 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

MedDRA releases: 2024-11 · check-in answers available
2021-10-20
Report sent to call center — 6 month, dose 2
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 · 1 call case(s)
2021-10-21
Call 2 — Left Voicemail
2021-11-17
Dose 3 — Pfizer-BioNTech
2022-05-20
Survey response — 6 month, dose 3
MedDRA: Chills, Fatigue, Oropharyngeal pain, Pyrexia — Feeling: Good · Be unable to work or attend school, 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: 2024-11 · check-in answers available
2022-05-20
Report sent to call center — 6 month, 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

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-05-23
Call 1 — Left Voicemail
2022-05-23
Call 1 — Left Voicemail
2022-05-23
Call 1 — Left Voicemail
2022-05-23
Call 1 — Left Voicemail
2022-05-23
Call 1 — Left Voicemail
2022-05-23
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-24	Moderna
2	2021-04-21	Moderna
3	2021-11-17	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-03-29	Unsuccessful
2021-04-07	Unsuccessful
2021-05-14	Unsuccessful
2021-07-21	Unsuccessful
2021-10-20	Unsuccessful
2022-05-20	Unsuccessful

Free text

Release 7

Symptoms: Exhaustion, constipation

Systemic reaction (other): Dizziness

Release 8

Symptoms: Back aches, constipation, bloating, chest heaviness, wheezing

Healthcare visit (other): Chiropractor

Release 9

Symptoms: Weight gain, fatigue, stomach issues, possible miscarriage, seeking medical care currently.

Release 10

Symptoms: Migraines

Healthcare visit (other): Visits with multiple doctors in person

Release 11

Symptoms: Sore throat, fever, chills, fatigue

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	Office visit	✓	✓	✓
SD	Abdominal distension	✓	✓	✓
SD	Back pain	✓	✓	✓
SD	Chills	·	·	✓
SD	Constipation	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Gastrointestinal disorder	·	·	✓
SD	Migraine	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pain	✓	✓	✓
SD	Pyrexia	·	·	✓
SD	Weight increased	·	·	✓
SD	Wheezing	✓	✓	✓
SRO	Dizziness	✓	✓	✓

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