XY4-29316-82496

2 vaccinations 6 coded responses 24 check-ins 6 free-text entries 6 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 198 / DE
Registered: 2021-01-16

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

2021-01-16
Registered in v-safe
2021-01-16
Dose 1 — Moderna
2021-01-16
Health check-in — 0 day, dose 1
Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Headache, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-01-16
Report sent to call center — 0 day, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-17
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Joint pains, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-01-17
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-18
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-01-18
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-19
Survey response — days 1–6 daily, dose 1
MedDRA: Muscle spasms — Feeling: Fair · Site: Redness, Swelling · Joint pains, Fatigue or tiredness, Nausea, Abdominal pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-01-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache, Joint pains

Adult check-in
2021-01-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fever · Headache, Joint pains

Adult check-in
2021-01-23
Health check-in — 7 day, dose 1
Feeling: Good · Muscle or body aches

Adult check-in
2021-01-30
Health check-in — 14 day, dose 1
Feeling: Good

Adult check-in
2021-02-06
Health check-in — 21 day, dose 1
Feeling: Good

Adult check-in
2021-02-13
Dose 2 — Moderna
2021-02-13
Health check-in — 0 day, dose 2
Feeling: Fair · Site: Pain, Itching · Chills, Fatigue or tiredness · Be unable to work

Adult check-in
2021-02-14
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-02-15
Survey response — days 1–6 daily, dose 2
MedDRA: Erythema, Nasal inflammation, Swelling face — Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-02-16
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-02-18
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache, Muscle or body aches, Abdominal pain

Adult check-in
2021-02-19
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache, Muscle or body aches

Adult check-in
2021-02-20
Health check-in — 7 day, dose 2
Feeling: Good · None

Adult check-in
2021-02-27
Health check-in — 14 day, dose 2
Feeling: Good

Adult check-in
2021-03-08
Health check-in — 21 day, dose 2
Feeling: Good

Adult check-in
2021-03-13
Survey response — 28 day, dose 2
MedDRA: Decreased appetite, Headache, Respiratory tract congestion — Feeling: Poor · Be unable to work

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-03-20
Survey response — 35 day, dose 2
MedDRA: Cough, Decreased appetite, Ear pain, Headache, Influenza virus test negative, Pain, Pyrexia, Respiratory tract congestion, SARS-CoV-2 test negative — 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
2021-03-20
Report sent to call center — 35 day, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-29
Survey response — 42 day, dose 2
MedDRA: Abdominal discomfort, Decreased appetite, Dysgeusia, Headache, Hypogeusia, Oropharyngeal pain, Respiratory tract congestion — Feeling: Good · Be unable to work, 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
2021-03-29
Report sent to call center — 42 day, dose 2
Be unable to work · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-16
Health check-in — 3 month, dose 2
Feeling: Good

Adult check-in
2021-07-31
Call 1 — Left Voicemail
2021-08-14
Health check-in — 6 month, dose 2
Feeling: Good

Adult check-in
2022-02-13
Survey response — 12 month, dose 2
MedDRA: Arthralgia, Hyperhidrosis, Office visit, Pain, Rheumatoid arthritis — Feeling: Poor · Get care from a doctor or other healthcare professional

MedDRA releases: 2024-11 · check-in answers available
2022-02-13
Report sent to call center — 12 month, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2022-02-15
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-16	Moderna
2	2021-02-13	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-01-16	priority 2/3
2021-01-17	priority 2/3
2021-01-18	priority 2/3
2021-03-20	Unsuccessful
2021-03-29	Unsuccessful
2022-02-13	Unsuccessful

Free text

Release 2

Systemic reaction (other): Cramps in both legs

Release 4

Systemic reaction (other): First day of shot my face got red and swollen from cheek to cheek and across my nose.... i forgot to put it in on my first day

Release 5

Symptoms: Severe headaches, loss of appetite, stuffy headI have not gotten tested. Symptoms started getting worse thursday. Feels like i did after the shots

Release 6

Symptoms: Fever, cough, ear pain, headache, loss appetite, congestion body ache.Tested negative for flue Tested negative for covid

Symptoms: Sore throat headache head congestion No appetite no thirsts metal taste or no taste upset stomach

Release 11

Symptoms: Was diagnosed with RA . With sweats, joint pain dody aches

Healthcare visit (other): Appointments with rheumatology drs clinic

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	Abdominal discomfort	✓	✓	✓
SD	Arthralgia	·	·	✓
SD	Cough	✓	✓	✓
SD	Decreased appetite	✓	✓	✓
SD	Dysgeusia	✓	✓	✓
SD	Ear pain	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Hyperhidrosis	·	·	✓
SD	Hypogeusia	✓	✓	✓
SD	Influenza virus test negative	✓	✓	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Pyrexia	✓	✓	✓
SD	Respiratory tract congestion	✓	✓	✓
SD	Rheumatoid arthritis	·	·	✓
SD	SARS-CoV-2 test negative	✓	✓	✓
SRO	Erythema	✓	✓	✓
SRO	Muscle spasms	✓	✓	✓
SRO	Nasal inflammation	✓	✓	✓
SRO	Swelling face	✓	✓	✓

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