XUH-29313-48421

4 vaccinations 11 coded responses 23 check-ins 11 free-text entries 6 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 185 / PA
Registered: 2021-01-19

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

2021-01-14
Dose 1 — Moderna
2021-01-19
Registered in v-safe
2021-01-19
Survey response — days 1–6 daily, dose 1
MedDRA: Addison's disease, Autoimmune thyroiditis, Pre-existing disease, Psoriatic arthropathy — Feeling: Good · Site: Pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-01-23
Survey response — 7 day, dose 1
MedDRA: Condition aggravated, Pre-existing disease — Feeling: Good · Joint pains, Muscle or body aches

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-01-29
Health check-in — 14 day, dose 1
Feeling: Good

Adult check-in
2021-02-04
Health check-in — 21 day, dose 1
Feeling: Good

Adult check-in
2021-02-11
Survey response — 28 day, dose 1
MedDRA: Cortisol decreased, Pre-existing disease, Psoriatic arthropathy, Therapeutic product ineffective — Feeling: Fair · Be unable to do your normal daily activities

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-02-12
Dose 2 — Moderna
2021-02-12
Survey response — 0 day, dose 2
MedDRA: Pre-existing disease — Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-02-13
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-02-14
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-02-15
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-02-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-18
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-19
Survey response — 7 day, dose 2
MedDRA: Pre-existing disease, Psoriatic arthropathy — Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-02-26
Health check-in — 14 day, dose 2
Feeling: Good

Adult check-in
2021-03-05
Survey response — 21 day, dose 2
MedDRA: Arthralgia, Condition aggravated, Pre-existing disease — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-03-05
Report sent to call center — 21 day, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-12
Survey response — 28 day, dose 2
MedDRA: Erythromelalgia, Pre-existing disease, Psoriatic arthropathy, Rosacea — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-03-12
Report sent to call center — 28 day, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-19
Survey response — 35 day, dose 2
MedDRA: Unevaluable event — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-03-19
Report sent to call center — 35 day, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-26
Health check-in — 42 day, dose 2
Feeling: Good

Adult check-in
2021-05-14
Survey response — 3 month, dose 2
MedDRA: Haematocrit increased, Office visit, Pre-existing disease — Feeling: Good · Get care from a doctor or other healthcare professional

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-05-14
Report sent to call center — 3 month, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-15
Survey response — 6 month, dose 2
MedDRA: Thyroid cancer — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

MedDRA releases: 2021-09,2024-11 · check-in answers available
2021-08-15
Report sent to call center — 6 month, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-18
Call 1 — Left Voicemail
2021-08-27
Dose 3 — Moderna
2021-11-28
Health check-in — 3 month, dose 3
Feeling: Good

Adult check-in
2022-02-28
Survey response — 6 month, dose 3
MedDRA: COVID-19 — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

MedDRA releases: 2024-11 · check-in answers available
2022-02-28
Report sent to call center — 6 month, 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

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-03-02
Call 1 — Left Voicemail
2022-10-18
Dose 4 — Moderna
2022-10-24
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · None

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-14	Moderna
2	2021-02-12	Moderna
3	2021-08-27	Moderna	No
4	2022-10-18	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2021-03-05	Unsuccessful
2021-03-12	Unsuccessful
2021-03-19	Unsuccessful
2021-05-14	Unsuccessful
2021-08-15	Unsuccessful
2022-02-28	Unsuccessful

Free text

Release 2

Systemic reaction (other): Have: Addison's Disease, Hashimoto's, psoriatic arthritis

Systemic reaction (other): I have psoriatic arthritis & Ehlers-Danlos, so that's probably why I have joint pain today. It's 20 degrees out.

Release 4

Symptoms: Related to Addison's - had a low cortisol episode today. Also my biologic med for psoriatic arthritis has been failing, so my joints are flared up. Not vaccine related.

Systemic reaction (other): I have Addison's and psoriatic arthritis

Systemic reaction (other): Having a psoriatic arthritis flare, most likely

Release 5

Symptoms: Increase in joint pain (I have psoriatic arthritis and my biologic is failing), increase in erythromelalgia flare ups.

Symptoms: Diagnosed with erythromelalgia and vascular rosacea (symptoms have been present for a while, getting worse in past 3-4 months); having psoriatic arthritis flare

Symptoms: Tested positive for type 2 cryoglobulinemia

Release 8

Symptoms: High hematocrit, MPV, high total compliment - with hx of erythromelalgia. Being evaluated for polycythemia vera.

Healthcare visit (other): Regular office visit

Release 9

Symptoms: Confirmed - thyroid cancer

Release 11

Symptoms: COVID-19

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	Arthralgia	✓	✓	✓
SD	Condition aggravated	✓	✓	✓
SD	Cortisol decreased	✓	✓	✓
SD	COVID-19	·	·	✓
SD	Erythromelalgia	✓	✓	✓
SD	Haematocrit increased	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Psoriatic arthropathy	✓	✓	✓
SD	Rosacea	✓	✓	✓
SD	Therapeutic product ineffective	✓	✓	✓
SD	Thyroid cancer	✓	·	✓
SD	Unevaluable event	✓	✓	✓
SRO	Addison's disease	✓	✓	✓
SRO	Autoimmune thyroiditis	✓	✓	✓
SRO	Condition aggravated	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Psoriatic arthropathy	✓	✓	✓

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