Y8L-31212-32215

3 vaccinations 5 coded responses 27 check-ins 5 free-text entries 2 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 921 / CA
Registered: 2021-04-19

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

2021-03-22
Dose 1 — Moderna
2021-04-19
Registered in v-safe
2021-04-19
Dose 2 — Moderna
2021-04-19
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-21
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-22
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-23
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-24
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-25
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness, Abdominal pain

Adult check-in
2021-05-01
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-05-04
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-12
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-17
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-26
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-31
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-19
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-18
Survey response — 6 months, dose 2
MedDRA: Chills, Exposure to SARS-CoV-2, Fatigue, Headache, Hypogeusia, Malaise, Pain, SARS-CoV-2 test negative — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Covid-19 symptoms acrosd the board, had extended direct contact. Tested but result negative, but still feeling tired, achy, headache, chills, limited taste, etc

MedDRA releases: 2024-11 · check-in free text available
2021-11-04
Dose 3 — Moderna
2021-11-04
Health check-in — day 0, dose 3
Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-11-05
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-11-06
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting · Be unable to do your normal daily activities

Adult check-in
2021-11-07
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-09
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-10
Survey response — days 1–6 daily, dose 3
MedDRA: Taste disorder — Feeling: Good · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Seem to have lack of taste since, at worst today.

MedDRA releases: 2024-11 · check-in free text available
2021-11-13
Health check-in — day 7, dose 3
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-11-26
Survey response — day 21, dose 3
MedDRA: Cough, Dizziness, Headache, Medical counselling, Nausea, Pain, Pyrexia, Respiratory disorder, Respiratory tract congestion, Vomiting — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Fever, 102.4 highest measure, vomiting and nausea, congestion, breathing issues, coughing, not productive, achy and headaches with bit of dizziness. Spoke w nurse at my doc's office, if symptoms worsen will go to clinic, otherwise told fluids/rest

MedDRA releases: 2024-11 · check-in free text available
2021-11-26
Report sent to call center — day 21, 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

Telehealth, virtual health, or email health consultation · 1 call case(s)
2021-12-01
Call 1 — Could Not Reach Participant
2021-12-02
Survey response — day 28, dose 3
MedDRA: Chills, Dyspnoea, Headache, Nausea, Pain, Respiratory tract congestion, Vomiting — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Nausea and vomiting, headaches, chills, body aches/pains, congestion, shortness of breath

MedDRA releases: 2024-11 · check-in free text available
2021-12-02
Report sent to call center — day 28, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2021-12-03
Call 1 — Could Not Reach Participant
2021-12-08
Call 2 — Could Not Reach Participant
2021-12-12
Survey response — day 35, dose 3
MedDRA: Nausea, Pain, Vomiting — Feeling: Fair · Be unable to do your normal daily activities

Free text: Nausea and vomiting remains issue along with body aches.

MedDRA releases: 2024-11 · check-in free text available
2021-12-20
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2022-02-03
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-05-06
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-22	Moderna
2	2021-04-19	Moderna
3	2021-11-04	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2021-11-26	Unsuccessful
2021-12-02	Unsuccessful

Free text

Release 10 — 6 months, dose 2

2021-10-18

Symptoms: Covid-19 symptoms acrosd the board, had extended direct contact. Tested but result negative, but still feeling tired, achy, headache, chills, limited taste, etc

Release 10 — days 1–6 daily, dose 3

2021-11-10

Systemic reaction (other): Seem to have lack of taste since, at worst today.

Release 10 — day 21, dose 3

2021-11-26

Symptoms: Fever, 102.4 highest measure, vomiting and nausea, congestion, breathing issues, coughing, not productive, achy and headaches with bit of dizziness. Spoke w nurse at my doc's office, if symptoms worsen will go to clinic, otherwise told fluids/rest cut off by CDC

Release 10 — day 28, dose 3

2021-12-02

Symptoms: Nausea and vomiting, headaches, chills, body aches/pains, congestion, shortness of breath

Release 10 — day 35, dose 3

2021-12-12

Symptoms: Nausea and vomiting remains issue along with body aches.

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	Chills	·	·	✓
SD	Cough	·	·	✓
SD	Dizziness	·	·	✓
SD	Dyspnoea	·	·	✓
SD	Exposure to SARS-CoV-2	·	·	✓
SD	Fatigue	·	·	✓
SD	Headache	·	·	✓
SD	Hypogeusia	·	·	✓
SD	Malaise	·	·	✓
SD	Medical counselling	·	·	✓
SD	Nausea	·	·	✓
SD	Pain	·	·	✓
SD	Pyrexia	·	·	✓
SD	Respiratory disorder	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	Vomiting	·	·	✓
SRO	Taste disorder	·	·	✓

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