Y57-10435-73785

4 vaccinations 9 coded responses 31 check-ins 8 free-text entries 1 call case

Sex: Female
Age at first dose: 66+
ZIP prefix: 871 / NM
Registered: 2021-01-17

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
Dose 1 — Moderna
2021-01-17
Registered in v-safe
2021-01-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache, Muscle or body aches

Adult check-in
2021-01-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Itching · Headache

Adult check-in
2021-01-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-01-22
Survey response — days 1–6 daily, dose 1
MedDRA: Headache, Pre-existing disease — Feeling: Good · Headache

Free text: It is not unusual to have headache before Covid vaccination.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-23
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-31
Health check-in — day 14, dose 1
Feeling: Good

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

Adult check-in
2021-02-13
Dose 2 — Moderna
2021-02-13
Health check-in — day 0, dose 2
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-02-14
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-15
Survey response — days 1–6 daily, dose 2
MedDRA: Cough, Respiratory tract congestion, Somnolence — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Sleepy, congestion, cough

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-16
Survey response — days 1–6 daily, dose 2
MedDRA: Feeling abnormal — Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Not clear headed off & on

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-18
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-19
Survey response — days 1–6 daily, dose 2
MedDRA: Nasal congestion, Oropharyngeal pain — Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: I have nasal congestion and a sore throat, have had indications for several days but getting progressively more uncomfortable.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-20
Survey response — day 7, dose 2
MedDRA: Cough, Oropharyngeal pain, Respiratory disorder, Respiratory tract congestion — Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Respiratory problems, congestion, coughing, sore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-27
Survey response — day 14, dose 2
MedDRA: Asthma, Pre-existing disease, Respiratory tract congestion — Feeling: Fair · Be unable to do your normal daily activities

Free text: I continue to have congestion and a touch of asthma along with it.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-06
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-13
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-20
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-27
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-17
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-14
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-20
Dose 3 — Moderna
2022-02-13
Survey response — 12 months, dose 2
MedDRA: Headache, Oropharyngeal pain, Respiratory tract congestion — Feeling: Good · Be unable to do your normal daily activities

Free text: Congestion, headache, sore throat

MedDRA releases: 2024-11 · check-in free text available
2022-04-12
Dose 4 — Moderna
2022-04-25
Health check-in — day 7, dose 4
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-04-26
Health check-in — day 14, dose 4
Feeling: Fair

Adult check-in
2022-05-03
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-05-10
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-05-25
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-07-14
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-10-13
Survey response — 6 months, dose 4
MedDRA: Asthma, Respiratory disorder — Feeling: Fair · Be unable to do your normal daily activities

Free text: Respiratory issues followed by asthma.

MedDRA releases: 2024-11 · check-in free text available
2023-04-12
Survey response — 12 months, dose 4
MedDRA: Herpes zoster — Feeling: Good · 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
2023-04-12
Report sent to call center — 12 months, dose 4
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)
2023-04-13
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-16	Moderna
2	2021-02-13	Moderna
3	2021-10-20	Moderna	No
4	2022-04-12	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2023-04-12	Unsuccessful

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-22

Systemic reaction (other): It is not unusual to have headache before Covid vaccination.

Release 4 — days 1–6 daily, dose 2

2021-02-15

Systemic reaction (other): Sleepy, congestion, cough

2021-02-16

Systemic reaction (other): Not clear headed off & on

2021-02-19

Systemic reaction (other): I have nasal congestion and a sore throat, have had indications for several days but getting progressively more uncomfortable.

Release 4 — day 7, dose 2

2021-02-20

Systemic reaction (other): Respiratory problems, congestion, coughing, sore throat

Release 4 — day 14, dose 2

2021-02-27

Symptoms: I continue to have congestion and a touch of asthma along with it.

Release 11 — 12 months, dose 2

2022-02-13

Symptoms: Congestion, headache, sore throat

Release 12 — 6 months, dose 4

2022-10-13

Symptoms: Respiratory issues followed by asthma.

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	Asthma	✓	✓	✓
SD	Headache	·	·	✓
SD	Herpes zoster	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Respiratory disorder	·	·	✓
SD	Respiratory tract congestion	✓	✓	✓
SRO	Cough	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Headache	○	✓	○
SRO	Nasal congestion	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Pre-existing disease	✓	·	✓
SRO	Respiratory disorder	✓	✓	✓
SRO	Respiratory tract congestion	✓	✓	✓
SRO	Somnolence	✓	✓	✓

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