XUP-84992-42525

3 vaccinations 7 coded responses 22 check-ins 7 free-text entries 3 call cases

Sex: Female
Age at first dose: 21-25
ZIP prefix: 087 / NJ
Registered: 2021-01-26

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

2021-01-26
Registered in v-safe
2021-01-26
Dose 1 — Moderna
2021-01-26
Health check-in — 0 day, dose 1
Feeling: Fair · Site: Pain, Swelling · Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2021-01-28
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Chills, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-01-30
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Nausea

Adult check-in
2021-01-31
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Diarrhea

Adult check-in
2021-02-01
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-09
Health check-in — 14 day, dose 1
Feeling: Good

Adult check-in
2021-02-18
Health check-in — 21 day, dose 1
Feeling: Good

Adult check-in
2021-02-23
Dose 2 — Moderna
2021-02-24
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Fever · Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-02-25
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-26
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-27
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-28
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-02
Health check-in — 7 day, dose 2
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-09
Survey response — 14 day, dose 2
MedDRA: Adverse reaction, Menstruation delayed — Feeling: Good

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-03-16
Health check-in — 21 day, dose 2
Feeling: Good

Adult check-in
2021-03-23
Survey response — 28 day, dose 2
MedDRA: Ear discomfort, Neck pain, Oropharyngeal pain, Paranasal sinus discomfort, Rhinorrhoea, SARS-CoV-2 test negative, Sinusitis, Sputum discoloured, Streptococcus test negative — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-03-23
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)
2021-04-06
Survey response — 42 day, dose 2
MedDRA: Ageusia, Bacterial infection, Cough, Oropharyngeal pain, Pain, Paraesthesia oral, Rhinorrhoea, SARS-CoV-2 test negative, Sinusitis bacterial — Feeling: Good · Be unable to work, 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
2021-04-06
Report sent to call center — 42 day, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-12-20
Dose 3 — Moderna
2021-12-22
Survey response — days 1–6 daily, dose 3
MedDRA: Lymph node pain — Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school

MedDRA releases: 2024-11 · check-in answers available
2021-12-25
Survey response — days 1–6 daily, dose 3
MedDRA: Oropharyngeal pain — Feeling: Fair · Diarrhea

MedDRA releases: 2024-11 · check-in answers available
2021-12-27
Survey response — 7 day, dose 3
MedDRA: Respiratory tract congestion, SARS-CoV-2 test positive — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

MedDRA releases: 2024-11 · check-in answers available
2022-03-08
Call 1 — Left Voicemail
2022-03-23
Survey response — 3 month, dose 3
MedDRA: COVID-19, Menstruation irregular — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

MedDRA releases: 2024-11 · check-in answers available
2022-03-23
Report sent to call center — 3 month, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-03-24
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-26	Moderna
2	2021-02-23	Moderna
3	2021-12-20	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2021-03-23	Unsuccessful
2021-04-06	Unsuccessful
2022-03-23	Unsuccessful

Free text

Release 5

Symptoms: My period was late by 16 days. Finally got it today. Not sure if that was because of the vaccine or related to lexapro I took for about two weeks in early February and stopped.

Release 6

Symptoms: Sinus infection. Negative for COVID, negative for strep. Sore throat, sinus pressure in ears/neck pain, tons of yellow phlegm, runny nose.

Release 7

Symptoms: I had a terrible bacterial sinusitis infection. Tested negative for covid wed, thurs, and wed. Dry cough, no fever, runny nose, sore throat, loss of taste, tingly tongue, full body aches. Z Pak for 6 days. Recovered after 10 days.

Release 10

Systemic reaction (other): Lymph node pain moderate

Systemic reaction (other): Sore throat

Systemic reaction (other): Congestion. Tested positive for Covid 19 yesterday.

Release 11

Symptoms: Missed period again, not sexually active. Had it Dec, got booster + got Covid, missed Jan, had it feb, missing March so far 12 days.

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
SD	Adverse reaction	○	✓	○
SD	Ageusia	✓	✓	✓
SD	Bacterial infection	✓	✓	✓
SD	Cough	✓	✓	✓
SD	COVID-19	·	·	✓
SD	Ear discomfort	✓	✓	✓
SD	Menstruation delayed	✓	·	✓
SD	Menstruation irregular	·	·	✓
SD	Neck pain	✓	✓	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Paraesthesia oral	✓	✓	✓
SD	Paranasal sinus discomfort	✓	✓	✓
SD	Rhinorrhoea	✓	✓	✓
SD	SARS-CoV-2 test negative	✓	✓	✓
SD	Sinusitis	✓	✓	✓
SD	Sinusitis bacterial	✓	✓	✓
SD	Sputum discoloured	✓	✓	✓
SD	Streptococcus test negative	✓	✓	✓
SRO	Lymph node pain	·	·	✓
SRO	Oropharyngeal pain	·	·	✓
SRO	Respiratory tract congestion	·	·	✓
SRO	SARS-CoV-2 test positive	·	·	✓

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