WNR-22989-95070

3 vaccinations 12 coded responses 31 check-ins 13 free-text entries 1 call case

Sex: Female
Age at first dose: 31-35
ZIP prefix: 303 / GA
Registered: 2021-03-16

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

Timeline

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

2021-03-16
Registered in v-safe
2021-03-16
Dose 1 — Moderna
2021-03-16
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2021-03-17
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain, Swelling · Fever · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

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

Adult check-in
2021-03-23
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-30
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-06
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-13
Dose 2 — Moderna
2021-04-13
Health check-in — day 0, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-14
Survey response — days 1–6 daily, dose 2
MedDRA: Back pain, Pneumonia — Feeling: Poor · Site: Pain · Fever · Chills, Muscle or body aches · Be unable to work, Be unable to do your normal daily activities

Free text: Lower back pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Muscle or body aches

Adult check-in
2021-04-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-17
Survey response — days 1–6 daily, dose 2
MedDRA: Back pain — Feeling: Good

Free text: Lower back pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-18
Survey response — days 1–6 daily, dose 2
MedDRA: Oropharyngeal pain, Throat irritation — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Itchy/sore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-19
Survey response — days 1–6 daily, dose 2
MedDRA: Oropharyngeal pain — Feeling: Fair · Fatigue or tiredness

Free text: Sore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-20
Survey response — day 7, dose 2
MedDRA: Oropharyngeal pain — Feeling: Fair · Fatigue or tiredness

Free text: Sore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-27
Survey response — day 14, dose 2
MedDRA: Back pain, Fatigue, Headache, Oropharyngeal pain — Feeling: Poor · Be unable to do your normal daily activities

Free text: Sore throat, fatigue, headache, lower back pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-04
Survey response — day 21, dose 2
MedDRA: Oropharyngeal pain — Feeling: Fair

Free text: Still have a sore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-11
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-18
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-25
Survey response — day 42, dose 2
MedDRA: Cough, Oropharyngeal pain, Pyrexia, Respiratory tract congestion — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities

Free text: Fever, sore throat, coughing, congestion

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-13
Survey response — 3 months, dose 2
MedDRA: Cough, Oropharyngeal pain, Sinusitis, Throat irritation, Upper-airway cough syndrome — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: About a month ago, my husband and I had post nasal drip and sinus infection. We went to urgent after 3 days of extremely sore throats and they prescribed a zpack and zyrtec. Today, Im also experiencing a sore and itchy throat and coughing.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-13
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)
2021-07-22
Call 1 — Left Voicemail
2021-10-12
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-20
Dose 3 — Moderna
2021-11-23
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Muscle or body aches

Free text: Swollen lymph node on my left side just above the collar bone. I felt a hard little ball ~1-2 cms. Area was tender. Left armpit, inner side feeling tender and muscle soreness

Adult check-in · check-in free text available
2021-12-04
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-12-11
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-12-25
Survey response — day 35, dose 3
MedDRA: Nasal congestion, Respiratory tract congestion, Rhinorrhoea — Feeling: Poor

Free text: Congestion, runny, stuffy nose,

MedDRA releases: 2024-11 · check-in free text available
2022-01-03
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2022-02-21
Survey response — 3 months, dose 3
MedDRA: Oropharyngeal pain, Respiratory tract congestion — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Sore throat, congestion

MedDRA releases: 2024-11 · check-in free text available
2022-11-23
Survey response — 12 months, dose 3
MedDRA: Abortion spontaneous, Transfusion — Feeling: Fair · Be unable to work or attend school

Free text: Miscarriage, blood transfusion

MedDRA releases: 2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-16	Moderna
2	2021-04-13	Moderna
3	2021-11-20	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2021-07-13	Unsuccessful

Free text

Release 7 — days 1–6 daily, dose 2

2021-04-14

Systemic reaction (other): Lower back pain

2021-04-17

Systemic reaction (other): Lower back pain

2021-04-18

Systemic reaction (other): Itchy/sore throat

2021-04-19

Systemic reaction (other): Sore throat

Release 7 — day 7, dose 2

2021-04-20

Systemic reaction (other): Sore throat

Release 8 — day 14, dose 2

2021-04-27

Symptoms: Sore throat, fatigue, headache, lower back pain

Release 8 — day 21, dose 2

2021-05-04

Symptoms: Still have a sore throat

Release 8 — day 42, dose 2

2021-05-25

Symptoms: Fever, sore throat, coughing, congestion

Release 9 — 3 months, dose 2

2021-07-13

Symptoms: About a month ago, my husband and I had post nasal drip and sinus infection. We went to urgent after 3 days of extremely sore throats and they prescribed a zpack and zyrtec. Today, Im also experiencing a sore and itchy throat and coughing.

Release 10 — day 35, dose 3

2021-12-25

Symptoms: Congestion, runny, stuffy nose,

Release 11 — 3 months, dose 3

2022-02-21

Symptoms: Sore throat, congestion

Release 12 — days 1–6 daily, dose 3

2021-11-23

Systemic reaction (other): Swollen lymph node on my left side just above the collar bone. I felt a hard little ball ~1-2 cms. Area was tender. Left armpit, inner side feeling tender and muscle soreness

Release 12 — 12 months, dose 3

2022-11-23

Symptoms: Miscarriage, blood transfusion

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	Back pain	✓	✓	✓
SD	Cough	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Nasal congestion	·	·	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Pyrexia	✓	✓	✓
SD	Respiratory tract congestion	✓	✓	✓
SD	Rhinorrhoea	·	·	✓
SD	Sinusitis	✓	✓	✓
SD	Throat irritation	✓	✓	✓
SD	Transfusion	·	·	✓
SD	Upper-airway cough syndrome	✓	✓	✓
SRO	Back pain	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Pneumonia	○	✓	○
SRO	Throat irritation	✓	✓	✓

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