XUD-90198-42688

4 vaccinations 16 coded responses 41 check-ins 15 free-text entries 2 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 027 / MA
Registered: 2021-04-24

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

2021-04-19
Dose 1 — Moderna
2021-04-24
Registered in v-safe
2021-04-24
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-04-25
Survey response — days 1–6 daily, dose 1
MedDRA: Lymphadenopathy — Feeling: Good · Fatigue or tiredness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-04-26
Survey response — 7 day, dose 1
MedDRA: Lymphadenopathy — Feeling: Good

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-05-03
Health check-in — 14 day, dose 1
Feeling: Good

Adult check-in
2021-05-10
Health check-in — 21 day, dose 1
Feeling: Good

Adult check-in
2021-05-17
Dose 2 — Moderna
2021-05-17
Health check-in — 0 day, dose 2
Feeling: Good · Site: Pain · Headache, Muscle or body aches, Abdominal pain

Adult check-in
2021-05-18
Survey response — days 1–6 daily, dose 2
MedDRA: Skin exfoliation — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Nausea, Abdominal pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-05-19
Survey response — days 1–6 daily, dose 2
MedDRA: Back pain — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-05-20
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Fatigue or tiredness

Adult check-in
2021-05-21
Survey response — days 1–6 daily, dose 2
MedDRA: Decreased appetite — Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Fatigue or tiredness, Abdominal pain, Rash, not including the immediate area around the injection site

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-05-22
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness · Fatigue or tiredness

Adult check-in
2021-05-23
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness · None

Adult check-in
2021-05-24
Health check-in — 7 day, dose 2
Feeling: Fair · Site: Pain, Redness · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-05-31
Health check-in — 14 day, dose 2
Feeling: Good

Adult check-in
2021-06-07
Survey response — 21 day, dose 2
MedDRA: Back pain — Feeling: Good · Be unable to do your normal daily activities

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-06-14
Health check-in — 28 day, dose 2
Feeling: Fair

Adult check-in
2021-06-21
Health check-in — 35 day, dose 2
Feeling: Good

Adult check-in
2021-06-28
Health check-in — 42 day, dose 2
Feeling: Good

Adult check-in
2021-08-16
Health check-in — 3 month, dose 2
Feeling: Good

Adult check-in
2021-11-15
Health check-in — 6 month, dose 2
Feeling: Fair

Adult check-in
2021-11-18
Dose 3 — Pfizer-BioNTech
2021-11-19
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-11-20
Survey response — days 1–6 daily, dose 3
MedDRA: Choking, Feeling cold, Lymphadenopathy — Feeling: Poor · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

MedDRA releases: 2024-11 · check-in answers available
2021-11-21
Survey response — days 1–6 daily, dose 3
MedDRA: Lymphadenopathy — Feeling: Fair · Site: Redness · Headache, Muscle or body aches, Fatigue or tiredness

MedDRA releases: 2024-11 · check-in answers available
2021-11-22
Survey response — days 1–6 daily, dose 3
MedDRA: Lymphadenopathy — Feeling: Good · Site: Redness · Fatigue or tiredness

MedDRA releases: 2024-11 · check-in answers available
2021-11-23
Survey response — days 1–6 daily, dose 3
MedDRA: Lymphadenopathy — Feeling: Good · Fatigue or tiredness

MedDRA releases: 2024-11 · check-in answers available
2021-11-24
Survey response — days 1–6 daily, dose 3
MedDRA: Pre-existing disease, Visual impairment — Feeling: Poor · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

MedDRA releases: 2024-11 · check-in answers available
2021-11-25
Health check-in — 7 day, dose 3
Feeling: Good · None

Adult check-in
2021-12-02
Health check-in — 14 day, dose 3
Feeling: Good

Adult check-in
2021-12-09
Health check-in — 21 day, dose 3
Feeling: Good

Adult check-in
2021-12-16
Health check-in — 28 day, dose 3
Feeling: Good

Adult check-in
2021-12-23
Health check-in — 35 day, dose 3
Feeling: Good

Adult check-in
2021-12-30
Health check-in — 42 day, dose 3
Feeling: Good

Adult check-in
2022-02-17
Health check-in — 3 month, dose 3
Feeling: Good

Adult check-in
2022-05-19
Survey response — 6 month, dose 3
MedDRA: Anosmia, COVID-19, Cough, Fatigue, Headache, Myalgia, Neck pain, Oropharyngeal pain, Paraesthesia oral, Respiratory tract congestion, Rhinorrhoea — Feeling: Fair · Be unable to do your normal daily activities

MedDRA releases: 2024-11 · check-in answers available
2022-09-10
Dose 4 — Moderna
2022-09-25
Survey response — 14 day, dose 4
MedDRA: Abdominal pain upper, Neurological symptom, Pain in extremity — Feeling: Fair · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

MedDRA releases: 2024-11 · check-in answers available
2022-09-25
Report sent to call center — 14 day, dose 4
Get care from a doctor or other healthcare professional

Emergency room or emergency department visit · 1 call case(s)
2022-09-26
Call 1 — Left Voicemail
2022-10-01
Health check-in — 21 day, dose 4
Feeling: Good

Adult check-in
2022-10-08
Survey response — 28 day, dose 4
MedDRA: Headache, Oropharyngeal pain — Feeling: Fair

MedDRA releases: 2024-11 · check-in answers available
2022-10-17
Health check-in — 35 day, dose 4
Feeling: Good

Adult check-in
2022-10-22
Health check-in — 42 day, dose 4
Feeling: Good

Adult check-in
2022-12-10
Survey response — 3 month, dose 4
MedDRA: Bronchitis, Ear infection, Office visit, Sinusitis — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

MedDRA releases: 2024-11 · check-in answers available
2022-12-10
Report sent to call center — 3 month, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2022-12-13
Call 2 — Left Voicemail
2022-12-13
Call 1 — Left Voicemail
2023-03-13
Survey response — 6 month, dose 4
MedDRA: Oropharyngeal pain, Sinus congestion — Feeling: Fair

MedDRA releases: 2024-11 · check-in answers available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-19	Moderna
2	2021-05-17	Moderna
3	2021-11-18	Pfizer-BioNTech	No
4	2022-09-10	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2022-09-25	Unsuccessful
2022-12-10	Unsuccessful

Free text

Release 7

Systemic reaction (other): Swollen lymph nodes near injection

Release 8

Systemic reaction (other): Swelling in lymph nodes under both arms

Systemic reaction (other): Extreme flakiness

Systemic reaction (other): Lower back painlike kidney area

Systemic reaction (other): Decreased appetite since yesterday

Symptoms: Lower back painI would think it was entirely unrelated but my husband who was vaccinated a few days after me experienced the exact same thing a few days after me

Release 10

Systemic reaction (other): Feeling cold and lymph nodes are super swollenchoked trying to eat lunch because my glands were so swollen

Systemic reaction (other): Lymph nodes are still very swollen

Systemic reaction (other): Swelling in lymph nodeshas gone down a bit but still is visibly swollen

Systemic reaction (other): Still some slight swelling in the lymph nodes but thankfully has finally gone down!

Systemic reaction (other): This is a migrainehave vision changes also, and I have a long history of migraines. I cannot imagine that it has anything to do with the vaccine.

Release 11

Symptoms: Had Covid in late April/early May Experienced coughing, sore throat, congestion, runny nose, loss of smell (totally gone but only for 36 hours), fatigue, headache, muscle acheneck was killing me, and a few weird things like tongue tingling

Release 12

Symptoms: Leg pain, sometimes with stomach pain, and bizarre nerve reactions like sudden pain responses without stimuli (that have resolved quickly so far)

Symptoms: Sore throat, headaches pretty typical reactions to seasonal weather change and heat being turned on

Symptoms: Had bronchitis, sinusitis and an ear infection

Healthcare visit (other): CVS Minute Clinic and a follow up with my PCP

Free-text releases are not linked to a specific 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	Office visit	·	·	✓
SD	Abdominal pain upper	·	·	✓
SD	Anosmia	·	·	✓
SD	Back pain	✓	✓	✓
SD	Bronchitis	·	·	✓
SD	Cough	·	·	✓
SD	COVID-19	·	·	✓
SD	Ear infection	·	·	✓
SD	Fatigue	·	·	✓
SD	Headache	·	·	✓
SD	Myalgia	·	·	✓
SD	Neck pain	·	·	✓
SD	Neurological symptom	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pain in extremity	·	·	✓
SD	Paraesthesia oral	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	Rhinorrhoea	·	·	✓
SD	Sinus congestion	·	·	✓
SD	Sinusitis	·	·	✓
SRO	Back pain	✓	✓	✓
SRO	Choking	·	·	✓
SRO	Decreased appetite	✓	✓	✓
SRO	Feeling cold	·	·	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Pre-existing disease	·	·	✓
SRO	Skin exfoliation	✓	✓	✓
SRO	Visual impairment	·	·	✓

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