Y34-24951-85609

4 vaccinations 5 coded responses 28 check-ins 5 free-text entries 1 call case

Sex: Female
Age at first dose: 51-55
ZIP prefix: 980 / WA
Registered: 2021-02-17

Relationship: Self
Race: Multiracial
Ethnicity: Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-01-20
Dose 1 — Moderna
2021-02-17
Registered in v-safe
2021-02-17
Dose 2 — Moderna
2021-02-17
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-02-18
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-02-19
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Fatigue or tiredness, Abdominal pain

Adult check-in
2021-02-20
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Fatigue or tiredness

Adult check-in
2021-02-21
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Fatigue or tiredness, Diarrhea, Abdominal pain

Adult check-in
2021-02-22
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness, Abdominal pain

Adult check-in
2021-02-23
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling, Itching · Muscle or body aches, Fatigue or tiredness, Abdominal pain

Adult check-in
2021-02-24
Health check-in — day 7, dose 2
Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness, Abdominal pain

Adult check-in
2021-03-05
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-12
Survey response — day 21, dose 2
MedDRA: Fatigue, Pain in extremity — Feeling: Good

Free text: A little more fatigued. Ive been wanting to sleep a lot more and Im tired in the afternoons. Thats been going on since the 2nd shot. There is still traces pain in the injection arm.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-17
Survey response — day 28, dose 2
MedDRA: Nasal congestion, Nasopharyngitis — Feeling: Fair

Free text: Nasal congestion. I fighting off a cold.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-24
Survey response — day 35, dose 2
MedDRA: Fatigue, Headache, Oropharyngeal pain, Pyrexia — Feeling: Fair

Free text: Very fatigued. Headaches, fever one day, a little bit of a sore throat.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-08-18
Survey response — 6 months, dose 2
MedDRA: Intervertebral disc protrusion, Magnetic resonance imaging abnormal, Renal mass — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Slipped a disk in my back. Also, MRI showed a mass in my kidney.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-18
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-11-18
Dose 3 — Moderna
2021-12-10
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-02-17
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-07-21
Dose 4 — Moderna
2022-07-23
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-07-24
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-07-25
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Fatigue or tiredness

Adult check-in
2022-07-26
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Redness, Swelling, Itching · Headache

Adult check-in
2022-07-27
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache

Adult check-in
2022-07-30
Health check-in — day 7, dose 4
Feeling: Fair · Site: Redness · None

Adult check-in
2022-08-04
Health check-in — day 14, dose 4
Feeling: Fair

Adult check-in
2022-08-11
Health check-in — day 21, dose 4
Feeling: Fair

Adult check-in
2022-08-20
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-08-25
Survey response — day 35, dose 4
MedDRA: Asthenia, Fatigue — Feeling: Good

Free text: I'm been very fatigued since my 4th booster. I started to feel better last week. But I get tired easily and I don't have a lot of energy.

MedDRA releases: 2024-11 · check-in free text available
2022-09-03
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-10-21
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2023-01-19
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-20	Moderna
2	2021-02-17	Moderna
3	2021-11-18	Moderna	No
4	2022-07-21	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2021-08-18	Successful 2021-12-10	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Free text

Release 5 — day 21, dose 2

2021-03-12

Symptoms: A little more fatigued. Ive been wanting to sleep a lot more and Im tired in the afternoons. Thats been going on since the 2nd shot. There is still traces pain in the injection arm.

Release 5 — day 28, dose 2

2021-03-17

Symptoms: Nasal congestion. I fighting off a cold.

Release 6 — day 35, dose 2

2021-03-24

Symptoms: Very fatigued. Headaches, fever one day, a little bit of a sore throat.

Release 9 — 6 months, dose 2

2021-08-18

Symptoms: Slipped a disk in my back. Also, MRI showed a mass in my kidney.

Release 12 — day 35, dose 4

2022-08-25

Symptoms: I'm been very fatigued since my 4th booster. I started to feel better last week. But I get tired easily and I don't have a lot of energy.

Each entry is dated by the survey it was written in (the CDC re-sent the releases with survey dates in 2025); click a date to see that 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	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Intervertebral disc protrusion	✓	·	✓
SD	Magnetic resonance imaging abnormal	✓	·	✓
SD	Nasal congestion	✓	✓	✓
SD	Nasopharyngitis	✓	✓	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SD	Pyrexia	✓	✓	✓
SD	Renal mass	✓	·	✓

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