WF8-32861-39410

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

Sex: Female
Age at first dose: 36-40
ZIP prefix: 921 / CA
Registered: 2021-01-15

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

2021-01-15
Registered in v-safe
2021-01-15
Dose 1 — Moderna
2021-01-16
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Nausea, Abdominal pain

Adult check-in
2021-01-17
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-01-18
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-01-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-01-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-22
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-31
Survey response — day 14, dose 1
MedDRA: Injection site pruritus — Feeling: Good

Free text: Itchiness around injection site, mild

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-05
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-09
Dose 2 — Moderna
2021-02-09
Health check-in — day 0, dose 2
Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-02-10
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Poor · Site: Pain, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to work, Be unable to do your normal daily activities

Free text: Dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-11
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling, Itching · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-02-12
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-02-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Swelling, Itching · Fatigue or tiredness, Diarrhea

Adult check-in
2021-02-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness

Adult check-in
2021-02-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-02-16
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-02-23
Survey response — day 14, dose 2
MedDRA: Diarrhoea, Myalgia — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Continued diarrhea and muscle aches

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-23
Report sent to call center — day 14, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-04
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-11
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-16
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-25
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-11
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-17
Survey response — 6 months, dose 2
MedDRA: Fatigue, Nasopharyngitis, Oropharyngeal pain, Rhinorrhoea — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: I had cold symptoms-fatigue, sore throat, runny nose

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-30
Call 1 — Left Voicemail
2022-02-11
Survey response — 12 months, dose 2
MedDRA: Abortion spontaneous, Arthralgia, Chills, Fatigue, Muscle spasms, Myalgia, Oropharyngeal pain, Pyrexia, SARS-CoV-2 test positive, Vaginal haemorrhage — Feeling: Fair · 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, Outpatient clinic or urgent care clinic visit

Free text: Chills, fever, muscle and joint aches, sore throat , excess fatigue starting 12/28, tested positive for covid 1/1. Had an early miscarriage later in the month-cramping, bleeding, fatigue.

MedDRA releases: 2024-11 · check-in free text available
2022-02-11
Report sent to call center — 12 months, 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 · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-02-14
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-15	Moderna
2	2021-02-09	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-02-23	Unsuccessful
2022-02-11	Unsuccessful

Free text

Release 3 — day 14, dose 1

2021-01-31

Symptoms: Itchiness around injection site, mild

Release 4 — days 1–6 daily, dose 2

2021-02-10

Systemic reaction (other): Dizziness

Release 4 — day 14, dose 2

2021-02-23

Symptoms: Continued diarrhea and muscle aches

Release 9 — 6 months, dose 2

2021-08-17

Symptoms: I had cold symptoms-fatigue, sore throat, runny nose

Release 11 — 12 months, dose 2

2022-02-11

Symptoms: Chills, fever, muscle and joint aches, sore throat , excess fatigue starting 12/28, tested positive for covid 1/1. Had an early miscarriage later in the month-cramping, bleeding, 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
SD	Abortion spontaneous	·	·	✓
SD	Arthralgia	·	·	✓
SD	Chills	·	·	✓
SD	Diarrhoea	✓	✓	✓
SD	Fatigue	✓	·	✓
SD	Injection site pruritus	✓	✓	✓
SD	Muscle spasms	·	·	✓
SD	Myalgia	✓	✓	✓
SD	Nasopharyngitis	✓	·	✓
SD	Oropharyngeal pain	✓	·	✓
SD	Pyrexia	·	·	✓
SD	Rhinorrhoea	✓	·	✓
SD	SARS-CoV-2 test positive	·	·	✓
SD	Vaginal haemorrhage	·	·	✓
SRO	Dizziness	✓	✓	✓

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