Y6L-94286-71822

3 vaccinations 14 coded responses 29 check-ins 14 free-text entries 4 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 731 / OK
Registered: 2021-02-12

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

2021-02-12
Registered in v-safe
2021-02-12
Dose 1 — Moderna
2021-02-12
Survey response — day 0, dose 1
MedDRA: Throat irritation — Feeling: Fair · Site: Redness, Itching · Headache

Free text: Scratchy throat a little raw but more scratchy like after an allergy attack

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-13
Survey response — days 1–6 daily, dose 1
MedDRA: Nasal congestion — Feeling: Fair · Site: Pain, Redness, Itching · Headache

Free text: Stuffy nose

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Redness, Itching · Diarrhea

Adult check-in
2021-02-15
Survey response — days 1–6 daily, dose 1
MedDRA: Cough — Feeling: Good · Site: Pain, Redness, Itching

Free text: Crunchy dry cough

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-16
Survey response — days 1–6 daily, dose 1
MedDRA: Cough, Nasal congestion — Feeling: Good · Site: Pain, Redness, Itching · Diarrhea

Free text: Crunchy cough; stuffy nose

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-17
Survey response — days 1–6 daily, dose 1
MedDRA: Cough — Feeling: Good · Site: Pain, Redness, Itching

Free text: Crunchy cough

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-18
Survey response — days 1–6 daily, dose 1
MedDRA: Cough, Nasal congestion — Feeling: Good · Site: Redness, Itching

Free text: Crunchy cough (dwindling) stuffy nose (dwindling)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-19
Health check-in — day 7, dose 1
Feeling: Good · Site: Redness, Itching · None

Adult check-in
2021-02-26
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-05
Survey response — day 21, dose 1
MedDRA: Lymphadenopathy — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Swollen lymph node in my neck and just above my collarbone.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-05
Report sent to call center — day 21, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-12
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-03-13
Dose 2 — Moderna
2021-03-13
Survey response — day 0, dose 2
MedDRA: Memory impairment — Feeling: Good · Site: Pain, Redness, Swelling · Headache, Joint pains

Free text: Forgetfulness - my husband said we had a conversation and I dont remember it at all.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Swelling · Chills, Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Diarrhea

Adult check-in
2021-03-17
Survey response — days 1–6 daily, dose 2
MedDRA: Circadian rhythm sleep disorder — Feeling: Good

Free text: Sleep schedule is messed up.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-18
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-19
Survey response — days 1–6 daily, dose 2
MedDRA: Musculoskeletal stiffness — Feeling: Good · Headache

Free text: Neck stiff

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-20
Survey response — day 7, dose 2
MedDRA: Abnormal sleep-related event — Feeling: Good

Free text: Weird sleep schedule

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-27
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-03
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-10
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-17
Survey response — day 35, dose 2
MedDRA: Abdominal discomfort, COVID-19, Cough, Pyrexia — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Sore throat, cough · Healthcare visit (other): Took a Covid test. My son has been sick with high fever, cough, upset stomach. I took the test to make sure I wasnt carrying it and gave it to him unknowingly. Hell be 3 next month. Weve had a lot of kids at school who are sick and I try to not bring germs home.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-17
Report sent to call center — day 35, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-24
Survey response — day 42, dose 2
MedDRA: Cough, Oropharyngeal pain, Pyrexia — Feeling: Good · Be unable to work, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Cough, fever, sore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-24
Report sent to call center — day 42, dose 2
Be unable to work · Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-12
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-06-17
Call 2 — Could Not Reach Participant
2021-06-22
Call 3 — Left Voicemail
2021-09-11
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-22
Call successful
Participant prefers to complete VAERS report online
2021-11-23
Dose 3 — Pfizer-BioNTech
2022-03-15
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-05-24
Survey response — 6 months, dose 3
MedDRA: Lymphadenopathy, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Swollen lymph node still there since 2 weeks after first shot. · Healthcare visit (other): Doctor visit scheduled

MedDRA releases: 2024-11 · check-in free text available
2022-05-24
Report sent to call center — 6 months, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2022-05-25
Call 1 — Left Voicemail
2022-05-25
Call 1 — Left Voicemail
2022-05-25
Call 1 — Left Voicemail
2022-05-25
Call 1 — Left Voicemail
2022-11-23
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-12	Moderna
2	2021-03-13	Moderna
3	2021-11-23	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-03-05	Successful	Participant prefers to complete VAERS report online
2021-04-17	Successful	Participant prefers to complete VAERS report online
2021-04-24	Successful 2021-10-22	Participant prefers to complete VAERS report online
2022-05-24	Unsuccessful

Free text

Release 4 — day 0, dose 1

2021-02-12

Systemic reaction (other): Scratchy throat a little raw but more scratchy like after an allergy attack

Release 4 — days 1–6 daily, dose 1

2021-02-13

Systemic reaction (other): Stuffy nose

2021-02-15

Systemic reaction (other): Crunchy dry cough

2021-02-16

Systemic reaction (other): Crunchy cough; stuffy nose

2021-02-17

Systemic reaction (other): Crunchy cough

2021-02-18

Systemic reaction (other): Crunchy cough (dwindling) stuffy nose (dwindling)

Release 5 — day 21, dose 1

2021-03-05

Symptoms: Swollen lymph node in my neck and just above my collarbone.

Release 5 — day 0, dose 2

2021-03-13

Systemic reaction (other): Forgetfulness - my husband said we had a conversation and I dont remember it at all.

Release 5 — days 1–6 daily, dose 2

2021-03-17

Systemic reaction (other): Sleep schedule is messed up.

2021-03-19

Systemic reaction (other): Neck stiff

Release 6 — day 7, dose 2

2021-03-20

Systemic reaction (other): Weird sleep schedule

Release 7 — day 35, dose 2

2021-04-17

Symptoms: Sore throat, cough

Healthcare visit (other): Took a Covid test. My son has been sick with high fever, cough, upset stomach. I took the test to make sure I wasnt carrying it and gave it to him unknowingly. Hell be 3 next month. Weve had a lot of kids at school who are sick and I try to not bring germs home.

Release 7 — day 42, dose 2

2021-04-24

Symptoms: Cough, fever, sore throat

Release 11 — 6 months, dose 3

2022-05-24

Symptoms: Swollen lymph node still there since 2 weeks after first shot.

Healthcare visit (other): Doctor visit scheduled

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
HCVO	Abdominal discomfort	✓	✓	✓
HCVO	COVID-19	✓	✓	✓
HCVO	Pyrexia	✓	✓	✓
HCVO	Unevaluable event	·	·	✓
SD	Cough	✓	✓	✓
SD	Lymphadenopathy	✓	✓	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Pyrexia	✓	✓	✓
SRO	Abnormal sleep-related event	✓	✓	✓
SRO	Circadian rhythm sleep disorder	✓	✓	✓
SRO	Cough	✓	✓	✓
SRO	Memory impairment	✓	✓	✓
SRO	Musculoskeletal stiffness	✓	✓	✓
SRO	Nasal congestion	✓	✓	✓
SRO	Throat irritation	✓	✓	✓

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