Y82-91722-26815

3 vaccinations 10 coded responses 27 check-ins 10 free-text entries 1 call case

Sex: Female
Age at first dose: 31-35
ZIP prefix: 980 / WA
Registered: 2020-12-31

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

2020-12-31
Registered in v-safe
2020-12-31
Dose 1 — Moderna
2020-12-31
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-01-01
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Joint pains, Muscle or body aches

Adult check-in
2021-01-02
Survey response — days 1–6 daily, dose 1
MedDRA: Arthralgia — Feeling: Fair · Site: Pain

Free text: Mild finger joint pain/wrist aching in arm of injection site

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-03
Survey response — days 1–6 daily, dose 1
MedDRA: Nasal congestion — Feeling: Fair · Site: Pain · Fatigue or tiredness

Free text: Mild nasal stuffiness unsure if related

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-05
Survey response — days 1–6 daily, dose 1
MedDRA: Nasal congestion — Feeling: Fair · Fatigue or tiredness

Free text: Nasal stuffiness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-07
Health check-in — day 7, dose 1
Feeling: Fair · Headache, Fatigue or tiredness

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

Adult check-in
2021-01-21
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-01-28
Dose 2 — Moderna
2021-01-28
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Headache, Joint pains

Adult check-in
2021-01-29
Survey response — days 1–6 daily, dose 2
MedDRA: Back pain, Lymph node pain, Neck pain — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Low back and neck pain, painful lymph nodes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-30
Survey response — days 1–6 daily, dose 2
MedDRA: Neck pain — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches · Be unable to do your normal daily activities

Free text: Neck pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-31
Survey response — days 1–6 daily, dose 2
MedDRA: Musculoskeletal stiffness, Neck pain — Feeling: Fair · Site: Pain, Itching · Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Free text: Stiff and painful neck on side of injection

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-01
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Itching · Headache, Muscle or body aches

Adult check-in
2021-02-02
Survey response — days 1–6 daily, dose 2
MedDRA: Myalgia — Feeling: Good · Site: Itching · Muscle or body aches

Free text: Muscle pain continues in legs only, feeling stuffy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-03
Survey response — days 1–6 daily, dose 2
MedDRA: Nasal congestion — Feeling: Fair · Fatigue or tiredness

Free text: Feeling stuffy nasal

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-04
Health check-in — day 7, dose 2
Feeling: Good · Joint pains, Fatigue or tiredness

Adult check-in
2021-02-11
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-18
Survey response — day 21, dose 2
MedDRA: Fatigue — Feeling: Good · Be unable to do your normal daily activities

Free text: Few days of out of norm fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-25
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-04
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-11
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-04-29
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-07-31
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-01-28
Dose 3 — Moderna
2022-01-28
Health check-in — 12 months, dose 2
Feeling: Fair

Adult check-in
2022-05-01
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-07-29
Survey response — 6 months, dose 3
MedDRA: COVID-19, Emergency care, Pyrexia, Tachycardia — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Contracted covid, 3 weeks later had fever of unknown source with tachycardia and had to come to ER- unsure if related to covid infection.

MedDRA releases: 2024-11 · check-in free text available
2022-07-29
Report sent to call center — 6 months, dose 3
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Emergency room or emergency department visit · 1 call case(s)
2022-08-01
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-31	Moderna
2	2021-01-28	Moderna
3	2022-01-28	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2022-07-29	Unsuccessful

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-02

Systemic reaction (other): Mild finger joint pain/wrist aching in arm of injection site

2021-01-03

Systemic reaction (other): Mild nasal stuffiness unsure if related

2021-01-05

Systemic reaction (other): Nasal stuffiness

Release 3 — days 1–6 daily, dose 2

2021-01-29

Systemic reaction (other): Low back and neck pain, painful lymph nodes

2021-01-30

Systemic reaction (other): Neck pain

2021-01-31

Systemic reaction (other): Stiff and painful neck on side of injection

2021-02-02

Systemic reaction (other): Muscle pain continues in legs only, feeling stuffy

2021-02-03

Systemic reaction (other): Feeling stuffy nasal

Release 4 — day 21, dose 2

2021-02-18

Symptoms: Few days of out of norm fatigue

Release 12 — 6 months, dose 3

2022-07-29

Symptoms: Contracted covid, 3 weeks later had fever of unknown source with tachycardia and had to come to ER- unsure if related to covid infection.

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	COVID-19	·	·	✓
SD	Emergency care	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Pyrexia	·	·	✓
SD	Tachycardia	·	·	✓
SRO	Arthralgia	✓	✓	✓
SRO	Back pain	✓	✓	✓
SRO	Lymph node pain	✓	✓	✓
SRO	Musculoskeletal stiffness	✓	✓	✓
SRO	Myalgia	✓	✓	✓
SRO	Nasal congestion	✓	✓	✓
SRO	Neck pain	✓	✓	✓

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