X5F-13952-24543

3 vaccinations 4 coded responses 35 check-ins 4 free-text entries 3 call cases

Sex: Female
Age at first dose: 26-30
ZIP prefix: 030 / NH
Registered: 2021-04-27

Relationship: Self
Race: White
Ethnicity: Hispanic or Latino

Timeline

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

2021-04-26
Dose 1 — Moderna
2021-04-27
Registered in v-safe
2021-04-27
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-04-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-29
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-30
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-05-01
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-05-02
Survey response — days 1–6 daily, dose 1
MedDRA: Tenderness — Feeling: Good

Free text: Tenderness in armpit on side where injection was placed

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-03
Survey response — day 7, dose 1
MedDRA: Headache, Ocular hyperaemia — Feeling: Fair · Headache · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Bloodshot eye on side of headache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-03
Report sent to call center — day 7, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-10
Survey response — day 14, dose 1
MedDRA: Eye pain, Headache, Ocular hyperaemia — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Severe headache behind left eye, bloodshot left eye

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-10
Report sent to call center — day 14, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-19
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-05-24
Dose 2 — Moderna
2021-05-24
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain, Redness · None

Adult check-in
2021-05-25
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness · Fever · Chills, Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2021-05-26
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Swelling, Itching · None

Adult check-in
2021-05-27
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Swelling, Itching · None

Adult check-in
2021-05-28
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-05-29
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-05-30
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache

Adult check-in
2021-05-31
Health check-in — day 7, dose 2
Feeling: Fair · Site: Pain · Headache · Be unable to do your normal daily activities

Adult check-in
2021-06-04
Call 1 — Left Voicemail
2021-06-07
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-06-16
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-06-21
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-28
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-07-05
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-08-23
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-11-24
Survey response — 6 months, dose 2
MedDRA: Nasopharyngitis, Palpitations, SARS-CoV-2 test negative — Feeling: Good · 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: Heart palpitations, cold symptoms but negative covid test

MedDRA releases: 2024-11 · check-in free text available
2021-11-24
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-11-29
Call 1 — Left Voicemail
2022-05-24
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-07-07
Dose 3 — Pfizer-BioNTech
2022-07-09
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2022-07-10
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache, Joint pains

Adult check-in
2022-07-11
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Headache

Adult check-in
2022-07-14
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2022-07-23
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-07-28
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-08-06
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-08-11
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-08-18
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2023-01-07
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-26	Moderna
2	2021-05-24	Moderna
3	2022-07-07	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-05-03	Unsuccessful
2021-05-10	Unsuccessful
2021-11-24	Unsuccessful

Free text

Release 8 — days 1–6 daily, dose 1

2021-05-02

Systemic reaction (other): Tenderness in armpit on side where injection was placed

Release 8 — day 7, dose 1

2021-05-03

Systemic reaction (other): Bloodshot eye on side of headache

Release 8 — day 14, dose 1

2021-05-10

Symptoms: Severe headache behind left eye, bloodshot left eye

Release 10 — 6 months, dose 2

2021-11-24

Symptoms: Heart palpitations, cold symptoms but negative covid test

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	Eye pain	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Nasopharyngitis	·	·	✓
SD	Ocular hyperaemia	✓	✓	✓
SD	Palpitations	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SRO	Headache	✓	✓	✓
SRO	Ocular hyperaemia	✓	✓	✓
SRO	Tenderness	✓	✓	✓

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