WQD-99111-28015

4 vaccinations 2 coded responses 39 check-ins 3 free-text entries 2 call cases

Sex: Female
Age at first dose: 31-35
ZIP prefix: 800 / CO
Registered: 2021-03-27

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

Registered dependents

TJ4-55471-04390 Child or adolescent in my care · Female · 2022-07-17

Timeline

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

2021-03-27
Registered in v-safe
2021-03-27
Dose 1 — Moderna
2021-03-27
Health check-in — day 0, dose 1
Feeling: Fair · Site: Pain · Fatigue or tiredness, Nausea

Adult check-in
2021-03-28
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · None · Be unable to do your normal daily activities

Adult check-in
2021-03-29
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-30
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-31
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-01
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache

Adult check-in
2021-04-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-04-03
Health check-in — day 7, dose 1
Feeling: Good · Headache

Adult check-in
2021-04-10
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-17
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-24
Dose 2 — Moderna
2021-04-24
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-25
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work, 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 · Site: Pain · Muscle or body aches

Adult check-in
2021-04-27
Survey response — days 1–6 daily, dose 2
MedDRA: Medical counselling — Feeling: Fair · Muscle or body aches · Get care from a doctor or other healthcare professional

Free text: Called office and they advised that if it went beyond a week to call back and take ibuprofen and use heating pad in the meantime

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-27
Report sent to call center — days 1–6 daily, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-28
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Muscle or body aches

Adult check-in
2021-04-29
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Muscle or body aches

Adult check-in
2021-04-30
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Muscle or body aches

Adult check-in
2021-05-01
Health check-in — day 7, dose 2
Feeling: Good · Headache

Adult check-in
2021-05-08
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-15
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-25
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-01
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-06-05
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-26
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-23
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2021-12-17
Dose 3 — Moderna
2021-12-18
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-12-20
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness

Adult check-in
2021-12-22
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Headache, Fatigue or tiredness, Nausea, Vomiting · Be unable to do your normal daily activities

Adult check-in
2021-12-23
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Headache, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-12-25
Health check-in — day 7, dose 3
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-12-31
Health check-in — day 14, dose 3
Feeling: Fair

Adult check-in
2022-01-07
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-01-14
Health check-in — day 28, dose 3
Feeling: Fair

Adult check-in
2022-01-21
Health check-in — day 35, dose 3
Feeling: Fair

Adult check-in
2022-01-30
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-03-18
Health check-in — 3 months, dose 3
Feeling: Fair

Adult check-in
2022-04-08
Call 1 — Left Voicemail
2022-06-17
Health check-in — 6 months, dose 3
Feeling: Fair

Adult check-in
2022-11-11
Dose 4 — Moderna
2022-12-20
Survey response — 12 months, dose 3
MedDRA: Oropharyngeal pain, Rhinorrhoea — Feeling: Poor

Free text: Runny nose, sore throat

MedDRA releases: 2024-11 · check-in free text available
2022-12-24
Health check-in — day 42, dose 4
Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: 2 viral respiratory illnesses that havent tested positive for COVID

Adult check-in · check-in free text available
2022-12-24
Call case (no matching report) — Unsuccessful
2022-12-28
Call 2 — Left Voicemail
2022-12-28
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-27	Moderna
2	2021-04-24	Moderna
3	2021-12-17	Moderna	No
4	2022-11-11	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2021-04-27	Unsuccessful
2022-12-24	Unsuccessful

Free text

Release 8 — days 1–6 daily, dose 2

2021-04-27

Healthcare visit (other): Called office and they advised that if it went beyond a week to call back and take ibuprofen and use heating pad in the meantime

Release 12 — 12 months, dose 3

2022-12-20

Symptoms: Runny nose, sore throat

Release 12 — day 42, dose 4

2022-12-24

Symptoms: 2 viral respiratory illnesses that havent tested positive for COVID

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	Medical counselling	✓	✓	✓
SD	Oropharyngeal pain	·	·	✓
SD	Rhinorrhoea	·	·	✓

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