YCF-11677-18916

5 vaccinations 5 coded responses 39 check-ins 5 free-text entries 2 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 972 / OR
Registered: 2021-01-26

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

2021-01-20
Dose 1 — Moderna
2021-01-26
Registered in v-safe
2021-01-27
Health check-in — day 7, dose 1
Feeling: Fair · Site: Itching · Fatigue or tiredness

Adult check-in
2021-02-03
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-10
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-17
Dose 2 — Moderna
2021-02-19
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-02-21
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Joint pains, Muscle or body aches

Adult check-in
2021-02-22
Survey response — days 1–6 daily, dose 2
MedDRA: Back pain, Pre-existing disease, Spinal pain — Feeling: Poor · Joint pains, Muscle or body aches · Be unable to work, Be unable to do your normal daily activities

Free text: Very bad back pain. Not sure if it is related. Prior history of laminectomy at L5/S1 circa 2013. Happened to experience increasing, severe low back/spine pain since 2nd dose. Today is at its worst.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-23
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-24
Health check-in — day 7, dose 2
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-04
Survey response — day 14, dose 2
MedDRA: Chills, Fatigue, Paranasal sinus discomfort, Rhinorrhoea — Feeling: Poor

Free text: Sinus pressure, chills,fatigue, post nasal drip

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-12
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-19
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-25
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-01
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-21
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-18
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-09-15
Dose 3 — Moderna
2022-04-21
Dose 4 — Pfizer-BioNTech
2022-04-23
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Itching · Fatigue or tiredness

Adult check-in
2022-04-25
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-04-27
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-04-28
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-05-05
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-05-12
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-05-19
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-05-26
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-06-02
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-07-23
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-10-22
Survey response — 6 months, dose 4
MedDRA: Dysgeusia — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Bad taste in mouth

MedDRA releases: 2024-11 · check-in free text available
2022-10-22
Report sent to call center — 6 months, dose 4
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-10-25
Call successful
Not applicable - Accidental Reporting
2022-10-28
Dose 5 — Pfizer-BioNTech
Co-administered: Flu
2022-10-29
Survey response — days 1–6 daily, dose 5
MedDRA: Abdominal pain, Pelvic pain — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Free text: Abdominal pain is specifically pelvic pain

MedDRA releases: 2024-11 · check-in free text available
2022-10-30
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2022-11-01
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Site: Itching · None

Adult check-in
2022-11-02
Health check-in — days 1–6 daily, dose 5
Feeling: Good · None

Adult check-in
2022-11-03
Health check-in — days 1–6 daily, dose 5
Feeling: Good · None

Adult check-in
2022-11-06
Health check-in — day 7, dose 5
Feeling: Fair · Chills, Headache

Adult check-in
2022-11-11
Health check-in — day 14, dose 5
Feeling: Good

Adult check-in
2022-11-18
Survey response — day 21, dose 5
MedDRA: Abdominal pain, Gastrooesophageal reflux disease — Feeling: Good · 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: Acid reflux, abdominal pain - CT scan of abdomen negative for abnormality; issue likely unrelated to any vaccine

MedDRA releases: 2024-11 · check-in free text available
2022-11-18
Report sent to call center — day 21, dose 5
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-11-21
Call 1 — Left Voicemail
2022-11-25
Health check-in — day 28, dose 5
Feeling: Good

Adult check-in
2022-12-02
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2022-12-09
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2023-01-29
Health check-in — 3 months, dose 5
Feeling: Good

Adult check-in
2023-04-29
Health check-in — 6 months, dose 5
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-20	Moderna
2	2021-02-17	Moderna
3	2021-09-15	Moderna	No
4	2022-04-21	Pfizer-BioNTech	No
5	2022-10-28	Pfizer-BioNTech	Flu

Call center

Reported	Outcome	VAERS-related outcome
2022-10-22	Successful 2022-10-25	Not applicable - Accidental Reporting
2022-11-18	Unsuccessful

Free text

Release 4 — days 1–6 daily, dose 2

2021-02-22

Systemic reaction (other): Very bad back pain. Not sure if it is related. Prior history of laminectomy at L5/S1 circa 2013. Happened to experience increasing, severe low back/spine pain since 2nd dose. Today is at its worst.

Release 5 — day 14, dose 2

2021-03-04

Symptoms: Sinus pressure, chills,fatigue, post nasal drip

Release 12 — 6 months, dose 4

2022-10-22

Symptoms: Bad taste in mouth

Release 12 — days 1–6 daily, dose 5

2022-10-29

Systemic reaction (other): Abdominal pain is specifically pelvic pain

Release 12 — day 21, dose 5

2022-11-18

Symptoms: Acid reflux, abdominal pain - CT scan of abdomen negative for abnormality; issue likely unrelated to any vaccine

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	Abdominal pain	·	·	✓
SD	Chills	✓	✓	✓
SD	Dysgeusia	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Gastrooesophageal reflux disease	·	·	✓
SD	Paranasal sinus discomfort	✓	✓	✓
SD	Rhinorrhoea	✓	✓	✓
SRO	Abdominal pain	·	·	✓
SRO	Back pain	✓	✓	✓
SRO	Pelvic pain	·	·	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Spinal pain	✓	✓	✓

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