YDH-83732-21897

5 vaccinations 10 coded responses 36 check-ins 10 free-text entries 2 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 983 / WA
Registered: 2021-04-16

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

2021-04-16
Registered in v-safe
2021-04-16
Dose 1 — Moderna
2021-04-16
Health check-in — day 0, dose 1
Feeling: Poor · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-17
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling · Rash, not including the immediate area around the injection site

Adult check-in
2021-04-20
Survey response — days 1–6 daily, dose 1
MedDRA: Chest pain — Feeling: Good · Site: Pain, Itching · Headache, Rash, not including the immediate area around the injection site

Free text: Infrequent sharp chest pains behind breast bone

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
Survey response — days 1–6 daily, dose 1
MedDRA: Chest discomfort, Chest pain — Feeling: Good · Muscle or body aches

Free text: Some chest tightness/aches lingering after having infrequent chest pains yesterday

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Survey response — days 1–6 daily, dose 1
MedDRA: Chest pain — Feeling: Good

Free text: Still experiencing intermittent chest pains

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-23
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-30
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-05-07
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-05-14
Dose 2 — Moderna
2021-05-14
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain, Swelling · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-05-15
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, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-05-16
Survey response — days 1–6 daily, dose 2
MedDRA: Chest pain, Lymphadenopathy — Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Chest pain, swollen lymph nodes in neck and throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-17
Survey response — days 1–6 daily, dose 2
MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness

Free text: Swollen and painful lymph nodes in neck, throat, and armpits

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-18
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Lymphadenopathy — Feeling: Fair · Headache, Fatigue or tiredness, Nausea

Free text: Swollen lymph nodes in neck, dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-19
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy, Migraine — Feeling: Good · Headache, Fatigue or tiredness, Nausea

Free text: Migraine, Swollen lymph nodes in armpit and neck

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-20
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Good · Headache, Fatigue or tiredness

Free text: Swollen lymph node in armpit

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-21
Health check-in — day 7, dose 2
Feeling: Good · Headache

Adult check-in
2021-05-28
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-06-04
Survey response — day 21, dose 2
MedDRA: Chest pain — Feeling: Fair · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Sharp, intense, short duration chest pains. Ongoing for three days with varying frequency.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-04
Report sent to call center — day 21, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-13
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-20
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-25
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-08-13
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-11-12
Survey response — 6 months, dose 2
MedDRA: Abortion spontaneous, Benign hydatidiform mole, Pre-existing disease, Uterine dilation and curettage — 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 · Hospitalization

Free text: Symptoms: Partial molar pregnancy resulted in miscarriage on 11/5/2021. This was our second partial molar pregnancy. First happened pre-COVID · Healthcare visit (other): D&C surgery

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

Hospitalization · 1 call case(s)
2021-11-17
Call successful
Participant prefers to complete VAERS report online
2021-11-21
Dose 3 — Pfizer-BioNTech
2022-04-27
Dose 4 — Pfizer-BioNTech
2022-05-19
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-09-08
Dose 5 — Pfizer-BioNTech
Co-administered: Flu
2022-09-10
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Site: Pain · None

Adult check-in
2022-09-11
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Site: Pain · None

Adult check-in
2022-09-12
Health check-in — days 1–6 daily, dose 5
Feeling: Good · None

Adult check-in
2022-09-14
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Fatigue or tiredness

Adult check-in
2022-09-17
Health check-in — day 7, dose 5
Feeling: Good · Fatigue or tiredness

Adult check-in
2022-09-22
Health check-in — day 14, dose 5
Feeling: Good

Adult check-in
2022-09-29
Health check-in — day 21, dose 5
Feeling: Good

Adult check-in
2022-10-06
Health check-in — day 28, dose 5
Feeling: Good

Adult check-in
2022-10-13
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2022-10-23
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2023-03-09
Health check-in — 6 months, dose 5
Feeling: Poor

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-16	Moderna
2	2021-05-14	Moderna
3	2021-11-21	Pfizer-BioNTech	No
4	2022-04-27	Pfizer-BioNTech	No
5	2022-09-08	Pfizer-BioNTech	Flu

Call center

Reported	Outcome	VAERS-related outcome
2021-06-04	Successful	Participant prefers to complete VAERS report online
2021-11-12	Successful 2021-11-17	Participant prefers to complete VAERS report online

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-20

Systemic reaction (other): Infrequent sharp chest pains behind breast bone

2021-04-21

Systemic reaction (other): Some chest tightness/aches lingering after having infrequent chest pains yesterday

2021-04-22

Systemic reaction (other): Still experiencing intermittent chest pains

Release 8 — days 1–6 daily, dose 2

2021-05-16

Systemic reaction (other): Chest pain, swollen lymph nodes in neck and throat

2021-05-17

Systemic reaction (other): Swollen and painful lymph nodes in neck, throat, and armpits

2021-05-18

Systemic reaction (other): Swollen lymph nodes in neck, dizziness

2021-05-19

Systemic reaction (other): Migraine, Swollen lymph nodes in armpit and neck

2021-05-20

Systemic reaction (other): Swollen lymph node in armpit

Release 8 — day 21, dose 2

2021-06-04

Symptoms: Sharp, intense, short duration chest pains. Ongoing for three days with varying frequency.

Release 10 — 6 months, dose 2

2021-11-12

Symptoms: Partial molar pregnancy resulted in miscarriage on 11/5/2021. This was our second partial molar pregnancy. First happened pre-COVID

Healthcare visit (other): D&C surgery

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	Uterine dilation and curettage	·	·	✓
SD	Abortion spontaneous	·	·	✓
SD	Benign hydatidiform mole	·	·	✓
SD	Chest pain	✓	✓	✓
SD	Pre-existing disease	·	·	✓
SRO	Chest discomfort	✓	✓	✓
SRO	Chest pain	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Lymph node pain	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Migraine	✓	✓	✓

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