YA4-29876-92221

3 vaccinations 4 coded responses 22 check-ins 4 free-text entries 4 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 920 / CA
Registered: 2021-04-14

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Registered dependents

YSQ-13225-26815 Child or adolescent in my care · Female · 2022-06-25

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-04-12
Dose 1 — Moderna
2021-04-14
Registered in v-safe
2021-04-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling · None

Adult check-in
2021-04-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling · None

Adult check-in
2021-04-19
Survey response — day 7, dose 1
MedDRA: Injection site reaction, Muscle twitching — Feeling: Good · Site: Pain, Redness, Swelling, Itching · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: muscle twitching at the injection site

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-19
Report sent to call center — day 7, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-26
Survey response — day 14, dose 1
MedDRA: Arthralgia, Injection site pruritus, Injection site swelling, Muscle twitching — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: My arm (where I got the injection) went through a progression of bizarre symptoms: a week after the injection, it got very itchy and swollen just below the injection site. I had shoulder muscle twitches and intermittent pain. Now it feels really sore

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-26
Report sent to call center — day 14, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-03
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-05-10
Dose 2 — Moderna
2021-05-10
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-05-11
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-05-12
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Itching · Muscle or body aches

Adult check-in
2021-05-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Itching · Fatigue or tiredness

Adult check-in
2021-05-14
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Itching · Headache, Fatigue or tiredness

Adult check-in
2021-05-15
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache

Adult check-in
2021-05-16
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-05-17
Health check-in — day 7, dose 2
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-05-24
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-05-31
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-06-07
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-16
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-23
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-08-09
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-11-12
Survey response — 6 months, dose 2
MedDRA: Irritable bowel syndrome, Pre-existing disease, Pregnancy — Feeling: Fair · 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, Outpatient clinic or urgent care clinic visit

Free text: pregnancy. Flare up of IBS-D

MedDRA releases: 2024-11 · check-in free text available
2021-11-12
Report sent to call center — 6 months, dose 2
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 · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-11-17
Call 1 — Left Voicemail
2021-11-27
Dose 3 — Pfizer-BioNTech
2022-05-28
Survey response — 6 months, dose 3
MedDRA: Delivery — 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 · Hospitalization

Free text: gave birth

MedDRA releases: 2024-11 · check-in free text available
2022-05-28
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

Hospitalization · 1 call case(s)
2022-05-31
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-11-27
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-12	Moderna
2	2021-05-10	Moderna
3	2021-11-27	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-04-19	Successful	Not applicable - Accidental Reporting
2021-04-26	Successful	Not applicable - Accidental Reporting
2021-11-12	Successful	Participant prefers to complete VAERS report online
2022-05-28	Successful 2022-05-31	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Free text

Release 7 — day 7, dose 1

2021-04-19

Systemic reaction (other): muscle twitching at the injection site

Release 8 — day 14, dose 1

2021-04-26

Symptoms: My arm (where I got the injection) went through a progression of bizarre symptoms: a week after the injection, it got very itchy and swollen just below the injection site. I had shoulder muscle twitches and intermittent pain. Now it feels really sore cut off by CDC

Release 10 — 6 months, dose 2

2021-11-12

Symptoms: pregnancy. Flare up of IBS-D

Release 11 — 6 months, dose 3

2022-05-28

Symptoms: gave birth

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	Arthralgia	✓	✓	✓
SD	Delivery	·	·	✓
SD	Injection site pruritus	✓	✓	✓
SD	Injection site swelling	✓	✓	✓
SD	Irritable bowel syndrome	·	·	✓
SD	Muscle twitching	✓	✓	✓
SD	Pre-existing disease	·	·	✓
SD	Pregnancy	·	·	✓
SRO	Injection site reaction	·	·	✓
SRO	Muscle twitching	✓	✓	✓

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