XC7-24307-34351

5 vaccinations 4 coded responses 52 check-ins 3 free-text entries 1 call case

Sex: Female
Age at first dose: 36-40
ZIP prefix: 151 / PA
Registered: 2021-01-02

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

Registered dependents

M32-21745-36750 Child or adolescent in my care · Male · 2022-06-29

Timeline

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

2020-12-26
Dose 1 — Moderna
2021-01-02
Registered in v-safe
2021-01-02
Health check-in — day 7, dose 1
Feeling: Fair · Site: Pain, Swelling, Itching · Joint pains, Fatigue or tiredness, Nausea

Adult check-in
2021-01-09
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-16
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-01-25
Dose 2 — Moderna
2021-01-25
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-26
Survey response — days 1–6 daily, dose 2
MedDRA: Back pain — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work

Free text: Lower back pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-27
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Fatigue or tiredness, Nausea

Adult check-in
2021-01-28
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Nausea

Adult check-in
2021-01-29
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-30
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-01-31
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-01
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-02-08
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-15
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-22
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-01
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-08
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-04-26
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-07-27
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-28
Dose 3 — Moderna
2021-10-28
Health check-in — day 0, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-10-29
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-10-30
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Headache

Adult check-in
2021-10-31
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Headache

Adult check-in
2021-11-01
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-03
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-04
Health check-in — day 7, dose 3
Feeling: Good · None

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

Adult check-in
2021-11-18
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-26
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-02
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-09
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-27
Health check-in — 3 months, dose 3
Feeling: Fair

Adult check-in
2022-04-30
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-06-20
Dose 4 — Moderna
2022-06-23
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-06-24
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Headache

Adult check-in
2022-06-25
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-06-27
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-07-06
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-08-01
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-09-21
Survey response — 3 months, dose 4
MedDRA: Croup infectious, SARS-CoV-2 test negative, Viral infection — Feeling: Good · 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: My son had croup and whatever virus caused that, we were both Covid negative and I was strep negative, made me me very sick.

MedDRA releases: 2024-11 · check-in free text available
2022-09-21
Report sent to call center — 3 months, dose 4
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)
2022-09-22
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-10-04
Dose 5 — Moderna
2022-10-04
Health check-in — day 0, dose 5
Feeling: Good · Site: Swelling, Itching · None

Adult check-in
2022-10-05
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Site: Redness, Swelling, Itching · Headache

Adult check-in
2022-10-06
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Site: Pain, Redness, Swelling, Itching · None

Adult check-in
2022-10-07
Health check-in — days 1–6 daily, dose 5
Feeling: Good · None

Adult check-in
2022-10-08
Health check-in — days 1–6 daily, dose 5
Feeling: Good · None

Adult check-in
2022-10-09
Health check-in — days 1–6 daily, dose 5
Feeling: Good · None

Adult check-in
2022-10-10
Health check-in — days 1–6 daily, dose 5
Feeling: Good · None

Adult check-in
2022-10-11
Health check-in — day 7, dose 5
Feeling: Good · None

Adult check-in
2022-10-18
Survey response — day 14, dose 5
MedDRA: Cough, Malaise, Rhinorrhoea — Feeling: Poor

Free text: Cough, running nose, not feeling well

MedDRA releases: 2024-11 · check-in free text available
2022-11-01
Health check-in — day 28, dose 5
Feeling: Good

Adult check-in
2022-11-10
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2022-11-17
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2023-01-03
Survey response — 3 months, dose 5
MedDRA: Cough, Ear pain, Rhinorrhoea — Feeling: Poor

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-26	Moderna
2	2021-01-25	Moderna
3	2021-10-28	Moderna	No
4	2022-06-20	Moderna	No
5	2022-10-04	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2022-09-21	Successful 2022-09-22	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Free text

Release 2 — days 1–6 daily, dose 2

2021-01-26

Systemic reaction (other): Lower back pain

Release 12 — 3 months, dose 4

2022-09-21

Symptoms: My son had croup and whatever virus caused that, we were both Covid negative and I was strep negative, made me me very sick.

Release 12 — day 14, dose 5

2022-10-18

Symptoms: Cough, running nose, not feeling well

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	Cough	·	·	✓
SD	Croup infectious	·	·	✓
SD	Ear pain	·	·	✓
SD	Malaise	·	·	✓
SD	Rhinorrhoea	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	Viral infection	·	·	✓
SRO	Back pain	✓	✓	✓

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