YD7-21088-09009

2 vaccinations 8 coded responses 23 check-ins 8 free-text entries 6 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 612 / IL
Registered: 2021-02-09

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

2021-02-09
Registered in v-safe
2021-02-11
Dose 1 — Moderna
2021-02-11
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-02-12
Survey response — days 1–6 daily, dose 1
MedDRA: Rash — Feeling: Good · Rash, not including the immediate area around the injection site

Free text: Rash on face

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-20
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-27
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-04
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-11
Dose 2 — Moderna
2021-03-11
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-03-12
Survey response — days 1–6 daily, dose 2
MedDRA: Erythema, Oropharyngeal pain, Toothache — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activities

Free text: Throat red and sore, under teeth hurt,

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-13
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Diarrhea, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-03-14
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-03-15
Survey response — days 1–6 daily, dose 2
MedDRA: Hyperhidrosis, Mass, Swelling — Feeling: Poor · Site: Pain, Swelling · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to work, 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: Sweating off an on since 20 hrs in. Upper Abdominal swelling and hardness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-15
Report sent to call center — days 1–6 daily, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-16
Survey response — days 1–6 daily, dose 2
MedDRA: Abdominal tenderness, Oropharyngeal pain, Unevaluable event, Urticaria — Feeling: Poor · Site: Pain, Swelling, Itching · Fever · Chills, Headache, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to work, 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: Systemic reaction (other): Throat sore, abdominal tenderness, hives · Healthcare visit (other): Made in person appointment for tomorrow

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-16
Report sent to call center — days 1–6 daily, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-17
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Adult check-in
2021-03-17
Report sent to call center — days 1–6 daily, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-18
Health check-in — day 7, dose 2
Feeling: Fair · Site: Swelling · Fatigue or tiredness, Nausea

Adult check-in
2021-03-25
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-04-01
Survey response — day 21, dose 2
MedDRA: Oropharyngeal pain, Sinus pain, Swelling — Feeling: Fair

Free text: Sore throat and sinus pain with swelling.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-10
Survey response — day 28, dose 2
MedDRA: Asthma prophylaxis, Fatigue, Oropharyngeal pain, Pharyngeal erythema, Pharyngeal swelling, Pre-existing disease, Rhinorrhoea, SARS-CoV-2 test — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: Swollen, painful, and red throat/sinus areaIncreased and thick mucous Asthma exacerbation Fatigue · Healthcare visit (other): COVID test today

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-10
Report sent to call center — day 28, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-16
Survey response — day 35, dose 2
MedDRA: Fatigue, Oropharyngeal pain, Pharyngeal swelling, Urticaria — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Sore throat, inflammation in throat, fatigued, hives on face

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
Report sent to call center — day 35, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-23
Survey response — day 42, dose 2
MedDRA: Medical counselling, Pharyngeal swelling — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Inflammation in throat. Appointment made for ENT now after a few to express care and primary care.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-23
Report sent to call center — day 42, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-09-09
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-01-20
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-11	Moderna
2	2021-03-11	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-03-15	Unsuccessful
2021-03-16	Unsuccessful
2021-03-17	Unsuccessful
2021-04-10	Unsuccessful
2021-04-16	Unsuccessful
2021-04-23	Unsuccessful

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-12

Systemic reaction (other): Rash on face

Release 5 — days 1–6 daily, dose 2

2021-03-12

Systemic reaction (other): Throat red and sore, under teeth hurt,

2021-03-15

Systemic reaction (other): Sweating off an on since 20 hrs in. Upper Abdominal swelling and hardness

2021-03-16

Systemic reaction (other): Throat sore, abdominal tenderness, hives

Healthcare visit (other): Made in person appointment for tomorrow

Release 6 — day 21, dose 2

2021-04-01

Symptoms: Sore throat and sinus pain with swelling.

Release 7 — day 28, dose 2

2021-04-10

Symptoms: Swollen, painful, and red throat/sinus areaIncreased and thick mucous Asthma exacerbation Fatigue

Healthcare visit (other): COVID test today

Release 7 — day 35, dose 2

2021-04-16

Symptoms: Sore throat, inflammation in throat, fatigued, hives on face

Release 7 — day 42, dose 2

2021-04-23

Symptoms: Inflammation in throat. Appointment made for ENT now after a few to express care and primary care.

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	SARS-CoV-2 test	✓	✓	✓
HCVO	Unevaluable event	✓	✓	✓
SD	Asthma prophylaxis	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Medical counselling	✓	✓	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Pharyngeal erythema	✓	✓	✓
SD	Pharyngeal swelling	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Rhinorrhoea	✓	✓	✓
SD	Sinus pain	✓	✓	✓
SD	Swelling	✓	✓	✓
SD	Urticaria	✓	✓	✓
SRO	Abdominal tenderness	✓	✓	✓
SRO	Erythema	✓	✓	✓
SRO	Hyperhidrosis	✓	✓	✓
SRO	Mass	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Rash	✓	✓	✓
SRO	Swelling	✓	✓	✓
SRO	Toothache	✓	✓	✓
SRO	Urticaria	✓	✓	✓

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