XFN-28502-30539

3 vaccinations 9 coded responses 38 check-ins 9 free-text entries 3 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 967 / HI
Registered: 2021-02-24

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

2021-02-24
Registered in v-safe
2021-02-25
Dose 1 — Moderna
2021-02-25
Health check-in — day 0, dose 1
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-02-26
Survey response — days 1–6 daily, dose 1
MedDRA: Migraine — Feeling: Poor · Site: Swelling · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: Migraine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-02-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-03
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fever · Fatigue or tiredness

Adult check-in
2021-03-04
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-11
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-18
Survey response — day 21, dose 1
MedDRA: Asthenia, Headache, Nasal congestion, Pain, Respiratory tract congestion — Feeling: Good · Be unable to work

Free text: Body aches, pulsating head ache, stuffy nose, stuffy head, body weakness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
Dose 2 — Moderna
2021-03-26
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-03-27
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-28
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Swelling · None

Adult check-in
2021-03-29
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Swelling, Itching · Rash, not including the immediate area around the injection site

Adult check-in
2021-03-31
Survey response — days 1–6 daily, dose 2
MedDRA: Ear pain, Lymphadenopathy — Feeling: Fair · Headache · Be unable to do your normal daily activities

Free text: Ear ache, swollen lymph node under left armpit

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-01
Survey response — days 1–6 daily, dose 2
MedDRA: Ear pain, Lymphadenopathy — Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Ear ache, lymph node under armpit swollen

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Health check-in — day 7, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-10
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-16
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-23
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-30
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-07
Survey response — day 42, dose 2
MedDRA: Nasopharyngitis — Feeling: Fair · Be unable to do your normal daily activities

Free text: Head cold

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-25
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-24
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-03-26
Survey response — 12 months, dose 2
MedDRA: Anxiety, Depression — 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

Free text: Extreme Anxiety and depression

MedDRA releases: 2024-11 · check-in free text available
2022-03-26
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 · 1 call case(s)
2022-03-29
Call 1 — Left Voicemail
2022-04-04
Dose 3 — Moderna
2022-04-05
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-04-06
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain, Redness · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2022-04-07
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-04-08
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Fatigue or tiredness

Adult check-in
2022-04-10
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-04-13
Health check-in — day 7, dose 3
Feeling: Good · Fatigue or tiredness, Diarrhea

Adult check-in
2022-04-18
Survey response — day 14, dose 3
MedDRA: Anxiety — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Anxiety attacks

MedDRA releases: 2024-11 · check-in free text available
2022-04-25
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2022-05-02
Survey response — day 28, dose 3
MedDRA: Aphonia, Asthenia, Diarrhoea, Fatigue, Headache, Pain — Feeling: Poor · 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

Free text: Lots of voice for a week, weakness, tiredness, body aches, headache, diarrhea

MedDRA releases: 2024-11 · check-in free text available
2022-05-02
Report sent to call center — day 28, dose 3
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 · 1 call case(s)
2022-05-03
Call 1 — Left Voicemail
2022-05-11
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-05-18
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2022-07-06
Health check-in — 3 months, dose 3
Feeling: Poor

Adult check-in
2022-10-04
Survey response — 6 months, dose 3
MedDRA: COVID-19, Chest discomfort, Cough — Feeling: Good · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Cough that lasted 2 months. Heavy chest when breathing. Caught covid again.

MedDRA releases: 2024-11 · check-in free text available
2022-10-04
Report sent to call center — 6 months, dose 3
Be unable to work or attend school · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-10-05
Call 2 — Left Voicemail
2022-10-05
Call 2 — Left Voicemail
2022-10-05
Call 1 — Left Voicemail
2023-04-05
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-25	Moderna
2	2021-03-26	Moderna
3	2022-04-04	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2022-03-26	Unsuccessful
2022-05-02	Unsuccessful
2022-10-04	Unsuccessful

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-26

Systemic reaction (other): Migraine

Release 5 — day 21, dose 1

2021-03-18

Symptoms: Body aches, pulsating head ache, stuffy nose, stuffy head, body weakness

Release 6 — days 1–6 daily, dose 2

2021-03-31

Systemic reaction (other): Ear ache, swollen lymph node under left armpit

2021-04-01

Systemic reaction (other): Ear ache, lymph node under armpit swollen

Release 8 — day 42, dose 2

2021-05-07

Symptoms: Head cold

Release 11 — 12 months, dose 2

2022-03-26

Symptoms: Extreme Anxiety and depression

Release 11 — day 14, dose 3

2022-04-18

Symptoms: Anxiety attacks

Release 11 — day 28, dose 3

2022-05-02

Symptoms: Lots of voice for a week, weakness, tiredness, body aches, headache, diarrhea

Release 12 — 6 months, dose 3

2022-10-04

Symptoms: Cough that lasted 2 months. Heavy chest when breathing. Caught covid again.

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	Anxiety	·	·	✓
SD	Aphonia	·	·	✓
SD	Asthenia	✓	✓	✓
SD	Chest discomfort	·	·	✓
SD	Cough	·	·	✓
SD	COVID-19	·	·	✓
SD	Depression	·	·	✓
SD	Diarrhoea	·	·	✓
SD	Fatigue	·	·	✓
SD	Headache	✓	✓	✓
SD	Nasal congestion	✓	✓	✓
SD	Nasopharyngitis	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Respiratory tract congestion	✓	✓	✓
SRO	Ear pain	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Migraine	✓	✓	✓

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