XXP-24236-58073

4 vaccinations 11 coded responses 35 check-ins 11 free-text entries 1 call case

Sex: Female
Age at first dose: 31-35
ZIP prefix: 222 / VA
Registered: 2021-04-10

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

2021-03-31
Dose 1 — Moderna
2021-04-10
Registered in v-safe
2021-04-10
Health check-in — 7 day, dose 1
Feeling: Good · Site: Redness, Swelling, Itching · Diarrhea

Adult check-in
2021-04-14
Health check-in — 14 day, dose 1
Feeling: Good

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

Adult check-in
2021-04-28
Dose 2 — Moderna
2021-04-28
Health check-in — 0 day, dose 2
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-29
Survey response — days 1–6 daily, dose 2
MedDRA: Decreased appetite, Energy increased, Fatigue, Hunger, Nausea — Feeling: Good · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-04-30
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-05-01
Survey response — days 1–6 daily, dose 2
MedDRA: Energy increased — Feeling: Good · Rash, not including the immediate area around the injection site

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-05-02
Survey response — days 1–6 daily, dose 2
MedDRA: Rash — Feeling: Good · Site: Redness, Itching · Rash, not including the immediate area around the injection site

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-05-06
Survey response — 7 day, dose 2
MedDRA: Fatigue, Stress — Feeling: Fair · Fatigue or tiredness, Diarrhea

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-05-13
Health check-in — 14 day, dose 2
Feeling: Good

Adult check-in
2021-05-19
Health check-in — 21 day, dose 2
Feeling: Good

Adult check-in
2021-05-26
Health check-in — 28 day, dose 2
Feeling: Good

Adult check-in
2021-06-02
Survey response — 35 day, dose 2
MedDRA: Asthenia, Chills, Diarrhoea, Hyperhidrosis, Mobility decreased, Nausea, Tremor — Feeling: Good · Be unable to work, Be unable to do your normal daily activities

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-06-09
Health check-in — 42 day, dose 2
Feeling: Good

Adult check-in
2021-07-28
Health check-in — 3 month, dose 2
Feeling: Good

Adult check-in
2021-10-27
Survey response — 6 month, dose 2
MedDRA: Pre-existing disease — Feeling: Fair

MedDRA releases: 2024-11 · check-in answers available
2021-11-26
Dose 3 — Pfizer-BioNTech
2021-11-27
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-28
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-29
Survey response — days 1–6 daily, dose 3
MedDRA: Decreased appetite — Feeling: Good · Site: Pain, Redness · Chills, Headache, Muscle or body aches, Fatigue or tiredness

MedDRA releases: 2024-11 · check-in answers available
2021-11-30
Survey response — days 1–6 daily, dose 3
MedDRA: Oropharyngeal pain, Upper-airway cough syndrome — Feeling: Good

MedDRA releases: 2024-11 · check-in answers available
2021-12-01
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-12-02
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-12-03
Health check-in — 7 day, dose 3
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-12-11
Health check-in — 14 day, dose 3
Feeling: Good

Adult check-in
2021-12-19
Health check-in — 21 day, dose 3
Feeling: Good

Adult check-in
2021-12-24
Health check-in — 28 day, dose 3
Feeling: Good

Adult check-in
2021-12-31
Health check-in — 35 day, dose 3
Feeling: Good

Adult check-in
2022-01-09
Survey response — 42 day, dose 3
MedDRA: Rhinorrhoea — Feeling: Fair

MedDRA releases: 2024-11 · check-in answers available
2022-02-25
Health check-in — 3 month, dose 3
Feeling: Good

Adult check-in
2022-05-27
Survey response — 6 month, dose 3
MedDRA: Hypersensitivity, Pre-existing disease — 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: 2024-11 · check-in answers available
2022-05-27
Report sent to call center — 6 month, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-05-31
Call 1 — Left Voicemail
2022-09-09
Dose 4 — Pfizer-BioNTech
2022-10-10
Health check-in — 28 day, dose 4
Feeling: Good

Adult check-in
2022-10-16
Health check-in — 35 day, dose 4
Feeling: Good

Adult check-in
2022-10-21
Survey response — 42 day, dose 4
MedDRA: Fatigue, Lymphadenopathy, Pre-existing disease — Feeling: Good

MedDRA releases: 2024-11 · check-in answers available
2022-12-12
Health check-in — 3 month, dose 4
Feeling: Fair

Adult check-in
2023-03-12
Health check-in — 6 month, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-31	Moderna
2	2021-04-28	Moderna
3	2021-11-26	Pfizer-BioNTech	No
4	2022-09-09	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2022-05-27	Unsuccessful

Free text

Release 8

Systemic reaction (other): Loss of appetite. I dont feel nauseous but I dont feel hungry until Im really hungry. And a weird combo of tired, but full of energy like adrenaline.

Systemic reaction (other): Still very high energy. I feel like I had some extra coffee...

Systemic reaction (other): The rash this time is still on my upper arm, but a couple inches below the injection spot.

Systemic reaction (other): Its probably because I am stressed and tired

Symptoms: Diarrhea and nausea Monday evening through early Tuesday morning. Included chills, sweats, weak (had to lay on floor to recover before going back to bed), shakes, and fever of 99 Tuesday afternoon.Maybe it was food poisoning or stress?

Release 10

Symptoms: Fall Allergy Season

Systemic reaction (other): Loss of appetite.

Systemic reaction (other): Post nasal drip and sore throat

Symptoms: Runny nose. Might just be from all the cold and snow here.

Release 11

Symptoms: Increased seasonal allergies

Release 12

Symptoms: Very tired. Swollen Lymph nodes, allergies.

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	Asthenia	✓	✓	✓
SD	Chills	✓	✓	✓
SD	Diarrhoea	✓	✓	✓
SD	Fatigue	·	·	✓
SD	Hyperhidrosis	✓	✓	✓
SD	Hypersensitivity	·	·	✓
SD	Lymphadenopathy	·	·	✓
SD	Mobility decreased	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Pre-existing disease	·	·	✓
SD	Rhinorrhoea	·	·	✓
SD	Tremor	✓	✓	✓
SRO	Decreased appetite	✓	✓	✓
SRO	Energy increased	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Hunger	✓	✓	✓
SRO	Nausea	✓	✓	✓
SRO	Oropharyngeal pain	·	·	✓
SRO	Rash	✓	✓	✓
SRO	Stress	✓	✓	✓
SRO	Upper-airway cough syndrome	·	·	✓

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