XXM-38199-31977

2 vaccinations 10 coded responses 23 check-ins 10 free-text entries 7 call cases

Sex: Female
Age at first dose: 26-30
ZIP prefix: 941 / CA
Registered: 2020-12-29

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

2020-12-29
Registered in v-safe
2020-12-29
Dose 1 — Moderna
2020-12-29
Health check-in — 0 day, dose 1
Feeling: Fair · Site: Pain, Itching · Headache, Fatigue or tiredness, Nausea

Adult check-in
2020-12-30
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2020-12-31
Survey response — days 1–6 daily, dose 1
MedDRA: Condition aggravated, Pain, Pre-existing disease, Vulvovaginal pain — Feeling: Poor · Muscle or body aches · 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
2020-12-31
Report sent to call center — days 1–6 daily, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-01-01
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache

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

Adult check-in
2021-01-05
Health check-in — 7 day, dose 1
Feeling: Good · None

Adult check-in
2021-01-12
Survey response — 14 day, dose 1
MedDRA: Fatigue, Headache — Feeling: Fair · Be unable to work

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-01-12
Report sent to call center — 14 day, dose 1
Be unable to work

1 call case(s)
2021-01-21
Health check-in — 21 day, dose 1
Feeling: Good

Adult check-in
2021-01-25
Call 1 — Could Not Reach Participant
2021-01-26
Dose 2 — Moderna
2021-01-26
Survey response — 0 day, dose 2
MedDRA: Dizziness — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-01-27
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-01-28
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site erythema, Injection site swelling, Injection site warmth — Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Fatigue or tiredness, Nausea, Abdominal pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-01-28
Call 2 — Left Voicemail
2021-01-29
Survey response — days 1–6 daily, dose 2
MedDRA: No adverse event — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · 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
2021-01-29
Report sent to call center — days 1–6 daily, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-01-31
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-01-31
Call 3 — Left Voicemail
2021-02-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-01
Call successful
Does not wish to fill out VAERS report
2021-02-04
Health check-in — 7 day, dose 2
Feeling: Good · Headache

Adult check-in
2021-02-11
Health check-in — 14 day, dose 2
Feeling: Good

Adult check-in
2021-02-16
Health check-in — 21 day, dose 2
Feeling: Good

Adult check-in
2021-02-23
Survey response — 28 day, dose 2
MedDRA: Headache, Hypersensitivity, Oropharyngeal pain — Feeling: Fair

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-03-08
Survey response — 35 day, dose 2
MedDRA: Headache — Feeling: Fair · 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
2021-03-08
Report sent to call center — 35 day, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-09
Survey response — 42 day, dose 2
MedDRA: Headache — Feeling: Good · 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
2021-03-09
Report sent to call center — 42 day, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-01
Health check-in — 3 month, dose 2
Feeling: Good

Adult check-in
2021-07-27
Survey response — 6 month, dose 2
MedDRA: Chest discomfort, Fatigue, Headache, Nasal disorder, 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, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

MedDRA releases: 2021-09,2024-11 · check-in answers available
2021-07-27
Report sent to call center — 6 month, 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

1 call case(s)
2021-08-04
Call 1 — Left Voicemail
2022-01-31
Survey response — 12 month, dose 2
MedDRA: Vulval ulceration — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

MedDRA releases: 2024-11 · check-in answers available
2022-01-31
Report sent to call center — 12 month, dose 2
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-02-02
Call 1 — Left Voicemail
2022-02-03
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-29	Moderna
2	2021-01-26	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2020-12-31	Successful
2021-01-12	Successful
2021-01-29	Successful 2021-02-01	Does not wish to fill out VAERS report
2021-03-08	Successful	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-03-09	Successful	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-07-27	Successful	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-01-31	Successful 2022-02-03	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Free text

Release 1

Systemic reaction (other): I have vulvodynia-massive pain flare today. Maybe unrelated

Symptoms: Fatigue and headache

Release 2

Systemic reaction (other): Dizziness

Release 3

Systemic reaction (other): Large area just below of injection is red warm and swollen

Healthcare visit (other): Seeking care for my stomach issues. Stomach issues were also present before vaccine sm

Release 4

Symptoms: Worsening headache sore throat allergy symptoms. Probably allergies

Release 5

Symptoms: Near daily headaches

Symptoms: Frequent headaches

Release 9

Symptoms: Tested positive for covid 19 on 7/19. Experienced headache, congestion/nasal symptoms, fatigue and chest tightness

Release 11

Symptoms: I had vulvar ulcers after my last covid booster (non herpetic).

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	No adverse event	✓	✓	✓
SD	Chest discomfort	✓	·	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Hypersensitivity	✓	✓	✓
SD	Nasal disorder	✓	·	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Respiratory tract congestion	✓	·	✓
SD	SARS-CoV-2 test positive	✓	·	✓
SD	Vulval ulceration	·	·	✓
SRO	Condition aggravated	○	✓	○
SRO	Dizziness	✓	✓	✓
SRO	Injection site erythema	✓	✓	✓
SRO	Injection site swelling	✓	✓	✓
SRO	Injection site warmth	✓	✓	✓
SRO	Pain	✓	·	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Vulvovaginal pain	○	✓	○

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