VKY-10417-42853

4 vaccinations 4 coded responses 49 check-ins 3 free-text entries 3 call cases

Sex: Female
Age at first dose: 26-30
ZIP prefix: 198 / DE
Registered: 2020-12-24

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

2020-12-24
Registered in v-safe
2020-12-24
Dose 1 — Moderna
2020-12-24
Health check-in — day 0, dose 1
Feeling: Fair · Site: Pain, Itching · Fever · Chills, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2020-12-27
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Nausea, Abdominal pain

Adult check-in
2020-12-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Nausea

Adult check-in
2020-12-29
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Nausea

Adult check-in
2020-12-31
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-07
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-14
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-01-20
Dose 2 — Moderna
2021-01-22
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Fatigue or tiredness, Nausea

Adult check-in
2021-01-23
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Joint pains, Rash, not including the immediate area around the injection site

Adult check-in
2021-01-24
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Muscle or body aches

Adult check-in
2021-01-25
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-01-26
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-01-27
Health check-in — day 7, dose 2
Feeling: Fair · Abdominal pain

Adult check-in
2021-02-03
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-10
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-17
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-02-25
Survey response — day 35, dose 2
MedDRA: Abdominal pain, Computerised tomogram abdomen, Gastrointestinal disorder, Nausea, SARS-CoV-2 test negative — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: I am recovering from what is likely a GI bug- nausea, abdominal cramping. COVID test negative yesterday.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-03
Survey response — day 42, dose 2
MedDRA: Gastroenteritis — Feeling: Poor · Be unable to work, 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: Gastroenteritis with ongoing symptoms

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-03
Report sent to call center — day 42, 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)
2021-04-23
Survey response — 3 months, dose 2
MedDRA: Abdominal pain, Nausea — Feeling: Good · Be unable to work, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: Abdominal pain, nausea, early satiety, still being worked up.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-23
Report sent to call center — 3 months, dose 2
Be unable to work · Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-22
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-05
Dose 3 — Moderna
2021-11-05
Health check-in — day 0, dose 3
Feeling: Fair · Site: Pain · Headache, Nausea

Adult check-in
2021-11-06
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Redness, Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain

Adult check-in
2021-11-07
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-11-09
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Fatigue or tiredness, Nausea

Adult check-in
2021-11-10
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Nausea

Adult check-in
2021-11-11
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Fatigue or tiredness, Nausea

Adult check-in
2021-11-12
Health check-in — day 7, dose 3
Feeling: Good · Nausea

Adult check-in
2021-11-19
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-26
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-12-03
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-10
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-18
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2021-12-23
Call 1 — Left Voicemail
2022-02-04
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-05-07
Health check-in — 6 months, dose 3
Feeling: Fair

Adult check-in
2022-11-04
Dose 4 — Pfizer-BioNTech
2022-11-04
Health check-in — day 0, dose 4
Feeling: Fair · Chills, Fatigue or tiredness, Nausea

Adult check-in
2022-11-05
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2022-11-06
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2022-11-07
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · Nausea

Adult check-in
2022-11-08
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-11-09
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-11-10
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-11-11
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-11-18
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-11-25
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-12-02
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-12-09
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-12-16
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2023-02-03
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2023-05-05
Survey response — 6 months, dose 4
MedDRA: Caesarean section, Delivery, Hospitalisation — Feeling: Good · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Hospitalization

MedDRA releases: 2024-11
2023-05-05
Report sent to call center — 6 months, dose 4
Be unable to work or attend school · Get care from a doctor or other healthcare professional

Hospitalization · 1 call case(s)
2023-05-08
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2023-05-08
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2023-05-08
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-24	Moderna
2	2021-01-20	Moderna
3	2021-11-05	Moderna	No
4	2022-11-04	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-03-03	Successful 2023-05-08	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2021-04-23	Successful 2023-05-08	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2023-05-05	Successful 2023-05-08	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Free text

Release 4 — day 35, dose 2

2021-02-25

Symptoms: I am recovering from what is likely a GI bug- nausea, abdominal cramping. COVID test negative yesterday.

Release 4 — day 42, dose 2

2021-03-03

Symptoms: Gastroenteritis with ongoing symptoms

Release 7 — 3 months, dose 2

2021-04-23

Symptoms: Abdominal pain, nausea, early satiety, still being worked up.

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	Hospitalisation	·	·	✓
SD	Abdominal pain	✓	✓	✓
SD	Caesarean section	·	·	✓
SD	Computerised tomogram abdomen	○	✓	○
SD	Delivery	·	·	✓
SD	Gastroenteritis	✓	✓	✓
SD	Gastrointestinal disorder	✓	·	✓
SD	Nausea	✓	✓	✓
SD	SARS-CoV-2 test negative	✓	✓	✓

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