Y8K-66134-46522

2 vaccinations 10 coded responses 20 check-ins 10 free-text entries 1 call case

Sex: Female
Age at first dose: 61-65
ZIP prefix: 484 / MI
Registered: 2021-03-01

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

2021-02-23
Dose 1 — Moderna
2021-03-01
Registered in v-safe
2021-03-01
Survey response — days 1–6 daily, dose 1
MedDRA: Headache — Feeling: Good · Site: Pain · Headache

Free text: Mild Headache moved around neck, temples, sinuses , was all next day after

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-03
Health check-in — day 7, dose 1
Feeling: Fair · Muscle or body aches, Fatigue or tiredness, Diarrhea

Adult check-in
2021-03-09
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-16
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-23
Dose 2 — Moderna
2021-03-23
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-03-24
Survey response — days 1–6 daily, dose 2
MedDRA: Pain of skin — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Skin hurt all night

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-25
Survey response — days 1–6 daily, dose 2
MedDRA: Unevaluable event — Feeling: Good · Headache

Free text: Very mild part of day

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site pain — Feeling: Good

Free text: Still sore arm muscle at site

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-27
Survey response — days 1–6 daily, dose 2
MedDRA: SARS-CoV-2 test positive — Feeling: Good

Free text: Found out exposed to family member while actively shedding virus & tested positive having symptoms the 2nd day. apositive.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-28
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site coldness — Feeling: Good · Site: Pain

Free text: My muscle/arm area is cold at injection site

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-29
Survey response — days 1–6 daily, dose 2
MedDRA: Feeling cold, Injection site pain, Muscle discomfort — Feeling: Good · Site: Pain

Free text: Mild pain at injection site. Still feels cold around muscle

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-30
Survey response — day 7, dose 2
MedDRA: Pain in extremity — Feeling: Good

Free text: Arm is finally not hurting today after a full week

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-06
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-13
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-21
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-27
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-04
Survey response — day 42, dose 2
MedDRA: Ear discomfort, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Left Ear plugged up for a week. No fever or pain. Will see specialist to evacuate wax in a day. · Healthcare visit (other): ENT doctors office visit

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-04
Report sent to call center — day 42, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-22
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-21
Survey response — 6 months, dose 2
MedDRA: Pre-existing disease — Feeling: Good

Free text: My fall asthma

MedDRA releases: 2024-11 · check-in free text available
2022-03-23
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-05-02
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-23	Moderna
2	2021-03-23	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-05-04	Unsuccessful

Free text

Release 4 — days 1–6 daily, dose 1

2021-03-01

Systemic reaction (other): Mild Headache moved around neck, temples, sinuses , was all next day after

Release 6 — days 1–6 daily, dose 2

2021-03-24

Systemic reaction (other): Skin hurt all night

2021-03-25

Systemic reaction (other): Very mild part of day

2021-03-26

Systemic reaction (other): Still sore arm muscle at site

2021-03-27

Systemic reaction (other): Found out exposed to family member while actively shedding virus & tested positive having symptoms the 2nd day. apositive.

2021-03-28

Systemic reaction (other): My muscle/arm area is cold at injection site

2021-03-29

Systemic reaction (other): Mild pain at injection site. Still feels cold around muscle

Release 6 — day 7, dose 2

2021-03-30

Systemic reaction (other): Arm is finally not hurting today after a full week

Release 8 — day 42, dose 2

2021-05-04

Symptoms: Left Ear plugged up for a week. No fever or pain. Will see specialist to evacuate wax in a day.

Healthcare visit (other): ENT doctors office visit

Release 9 — 6 months, dose 2

2021-09-21

Symptoms: My fall 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
HCVO	Office visit	✓	✓	✓
SD	Ear discomfort	✓	✓	✓
SD	Pre-existing disease	·	·	✓
SRO	Feeling cold	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Injection site coldness	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Muscle discomfort	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Pain of skin	✓	✓	✓
SRO	SARS-CoV-2 test positive	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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