XXG-17520-67525

5 vaccinations 8 coded responses 59 check-ins 8 free-text entries 3 call cases

Sex: Female
Age at first dose: 31-35
ZIP prefix: 787 / TX
Registered: 2021-01-09

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

2021-01-08
Dose 1 — Moderna
2021-01-09
Registered in v-safe
2021-01-09
Survey response — days 1–6 daily, dose 1
MedDRA: Breast pain, Lymph node pain, Lymphadenopathy, Oropharyngeal pain — Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-01-09
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-15
Health check-in — 7 day, dose 1
Feeling: Good · Headache

Adult check-in
2021-01-22
Health check-in — 14 day, dose 1
Feeling: Good

Adult check-in
2021-01-29
Health check-in — 21 day, dose 1
Feeling: Good

Adult check-in
2021-02-05
Dose 2 — Moderna
2021-02-05
Health check-in — 0 day, dose 2
Feeling: Fair · Site: Pain · Fever · Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-02-06
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-02-07
Survey response — days 1–6 daily, dose 2
MedDRA: Chest discomfort, Cough — Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, 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
2021-02-08
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-02-09
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache, Joint pains, Fatigue or tiredness

Adult check-in
2021-02-10
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-11
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-12
Health check-in — 7 day, dose 2
Feeling: Good · None

Adult check-in
2021-02-19
Health check-in — 14 day, dose 2
Feeling: Good

Adult check-in
2021-02-26
Health check-in — 21 day, dose 2
Feeling: Good

Adult check-in
2021-03-05
Health check-in — 28 day, dose 2
Feeling: Good

Adult check-in
2021-03-12
Health check-in — 35 day, dose 2
Feeling: Good

Adult check-in
2021-03-19
Health check-in — 42 day, dose 2
Feeling: Good

Adult check-in
2021-05-07
Health check-in — 3 month, dose 2
Feeling: Good

Adult check-in
2021-08-06
Health check-in — 6 month, dose 2
Feeling: Fair

Adult check-in
2021-08-14
Dose 3 — Moderna
2021-08-14
Health check-in — 0 day, dose 3
Feeling: Poor · Site: Pain · Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-08-15
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-08-16
Survey response — days 1–6 daily, dose 3
MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

MedDRA releases: 2021-09,2024-11 · check-in answers available
2021-08-17
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-08-18
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling, Itching · Headache, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-08-19
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Redness, Itching · Headache, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain

Adult check-in
2021-08-20
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-08-21
Health check-in — 7 day, dose 3
Feeling: Good · None

Adult check-in
2021-08-28
Health check-in — 14 day, dose 3
Feeling: Good

Adult check-in
2021-09-04
Survey response — 21 day, dose 3
MedDRA: Body temperature increased, Lymphadenopathy, Oropharyngeal pain — Feeling: Good · Be unable to work or attend school

MedDRA releases: 2021-09,2024-11 · check-in answers available
2021-09-11
Health check-in — 28 day, dose 3
Feeling: Good

Adult check-in
2021-09-19
Health check-in — 35 day, dose 3
Feeling: Good

Adult check-in
2021-09-25
Health check-in — 42 day, dose 3
Feeling: Good

Adult check-in
2021-11-13
Health check-in — 3 month, dose 3
Feeling: Good

Adult check-in
2022-02-12
Survey response — 6 month, dose 3
MedDRA: Eye pain, Fatigue, Pain — 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 · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

MedDRA releases: 2024-11 · check-in answers available
2022-02-12
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

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-02-14
Call 1 — Left Voicemail
2022-02-18
Dose 4 — Moderna
2022-02-19
Health check-in — days 1–6 daily, dose 4
Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2022-02-20
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Headache, Joint pains, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2022-02-21
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Chills, Headache, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2022-02-22
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Headache, Joint pains, Fatigue or tiredness, Diarrhea

Adult check-in
2022-02-23
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-02-24
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Headache, Diarrhea

Adult check-in
2022-02-25
Health check-in — 7 day, dose 4
Feeling: Fair · Headache, Fatigue or tiredness, Diarrhea

Adult check-in
2022-03-04
Health check-in — 14 day, dose 4
Feeling: Good

Adult check-in
2022-03-11
Health check-in — 21 day, dose 4
Feeling: Good

Adult check-in
2022-03-18
Health check-in — 28 day, dose 4
Feeling: Fair

Adult check-in
2022-03-25
Survey response — 35 day, dose 4
MedDRA: Fatigue, Gastrointestinal disorder — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

MedDRA releases: 2024-11 · check-in answers available
2022-04-01
Health check-in — 42 day, dose 4
Feeling: Good

Adult check-in
2022-05-20
Health check-in — 3 month, dose 4
Feeling: Fair

Adult check-in
2022-08-19
Survey response — 6 month, dose 4
MedDRA: Fibromyalgia, Hypermobility syndrome, Sjogren's syndrome — 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 · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

MedDRA releases: 2024-11 · check-in answers available
2022-08-19
Report sent to call center — 6 month, 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)
2022-08-22
Call 2 — Left Voicemail
2022-08-22
Call 1 — Left Voicemail
2022-09-23
Dose 5 — Moderna
2022-10-06
Health check-in — 7 day, dose 5
Feeling: Fair · None

Adult check-in
2022-10-07
Health check-in — 14 day, dose 5
Feeling: Fair

Adult check-in
2022-10-14
Health check-in — 21 day, dose 5
Feeling: Fair

Adult check-in
2022-10-21
Health check-in — 28 day, dose 5
Feeling: Good

Adult check-in
2022-10-28
Health check-in — 35 day, dose 5
Feeling: Good

Adult check-in
2022-11-04
Health check-in — 42 day, dose 5
Feeling: Poor

Adult check-in
2022-12-23
Survey response — 3 month, dose 5
MedDRA: Dyspnoea exertional, Fatigue — 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
2023-03-26
Health check-in — 6 month, dose 5
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-08	Moderna
2	2021-02-05	Moderna
3	2021-08-14	Moderna	No
4	2022-02-18	Moderna	No
5	2022-09-23	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2021-01-09	priority 2/3
2022-02-12	Unsuccessful
2022-08-19	Unsuccessful

Free text

Release 1

Systemic reaction (other): Moderate swollen/sore lymph nodes on same side of body as shot, including sore breast tissue. Mild sore throat.

Release 3

Systemic reaction (other): Coughing, chest tightness (both mild)

Release 9

Systemic reaction (other): Swollen and painful lymph nodes

Symptoms: Swollen lymph node, sore throat, & low fever of 99, for about one day.

Release 11

Symptoms: Fatigue, body aches, eye pain

Symptoms: Fatigue, GI issues

Release 12

Symptoms: Sjgren's syndrome, fibromyalgia, hypermobility syndrome (new diagnoses)

Symptoms: Fatigue, shortness of breath upon exercise

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	Body temperature increased	✓	·	✓
SD	Dyspnoea exertional	·	·	✓
SD	Eye pain	·	·	✓
SD	Fatigue	·	·	✓
SD	Fibromyalgia	·	·	✓
SD	Gastrointestinal disorder	·	·	✓
SD	Hypermobility syndrome	·	·	✓
SD	Lymphadenopathy	✓	·	✓
SD	Oropharyngeal pain	✓	·	✓
SD	Pain	·	·	✓
SD	Sjogren's syndrome	·	·	✓
SRO	Breast pain	✓	✓	✓
SRO	Chest discomfort	✓	✓	✓
SRO	Cough	✓	✓	✓
SRO	Lymph node pain	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓

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