YE4-33484-19230

3 vaccinations 12 coded responses 27 check-ins 12 free-text entries 2 call cases

Sex: Female
Age at first dose: 21-25
ZIP prefix: 770 / TX
Registered: 2021-01-05

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

2021-01-05
Registered in v-safe
2021-01-05
Dose 1 — Moderna
2021-01-06
Survey response — days 1–6 daily, dose 1
MedDRA: Pain in extremity, Paraesthesia — Feeling: Good

Free text: Yesterday after I got the vaccine my arm was tingly for about 30 min. It's sore now.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-07
Survey response — days 1–6 daily, dose 1
MedDRA: Pain in extremity — Feeling: Good

Free text: Arm still quite sore

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-08
Survey response — days 1–6 daily, dose 1
MedDRA: Oropharyngeal pain — Feeling: Fair · Fatigue or tiredness

Free text: Sore throat for a few hours

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-09
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-01-10
Survey response — days 1–6 daily, dose 1
MedDRA: Oropharyngeal pain — Feeling: Fair · Fatigue or tiredness

Free text: Sore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-12
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-20
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-26
Survey response — day 21, dose 1
MedDRA: Abdominal pain, Groin pain — Feeling: Good

Free text: Intermittent lower abdominal pain. Fairly mild and only lasts a few minutes. Maybe 2-3 times a day. Pain is in hypogastric region and in left groin. About to start a new menstrual cycle (possible cause?), but I usually dont get cramps beforehand.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-02
Survey response — day 28, dose 1
MedDRA: Fatigue — Feeling: Good

Free text: Easily fatigued when I exercised for a few days.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-04
Dose 2 — Moderna
2021-02-04
Health check-in — day 0, dose 2
Feeling: Fair · None

Adult check-in
2021-02-05
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-06
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness · Headache, Fatigue or tiredness

Adult check-in
2021-02-07
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache

Adult check-in
2021-02-08
Survey response — days 1–6 daily, dose 2
MedDRA: Oropharyngeal pain, Tenderness — Feeling: Good

Free text: Left sided sore throat and jaw tenderness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-09
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-10
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-11
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-02-18
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-25
Survey response — day 21, dose 2
MedDRA: Sensation of foreign body — Feeling: Good

Free text: Lump in my throat that wont go away. Maybe stress related?

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-06
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-11
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-18
Survey response — day 42, dose 2
MedDRA: Rhinorrhoea, Sensation of foreign body — Feeling: Good

Free text: Lump in throat, extra mucus secretions

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-06
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-05
Survey response — 6 months, dose 2
MedDRA: Condition aggravated, Pre-existing disease — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Lower abdominal pain (previously experienced, but has since worsened; not associated with menstruation)

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-05
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-11-03
Call 1 — Left Voicemail
2021-11-11
Dose 3 — Moderna
2022-02-04
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-05-12
Survey response — 6 months, dose 3
MedDRA: Nasopharyngitis — Feeling: Good · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Minor cold, not covid

MedDRA releases: 2024-11 · check-in free text available
2022-05-12
Report sent to call center — 6 months, dose 3
Be unable to work or attend school · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-05-13
Call 1 — Left Voicemail
2022-05-13
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-05-13
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-11-11
Survey response — 12 months, dose 3
MedDRA: COVID-19 — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Covid infection

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-05	Moderna
2	2021-02-04	Moderna
3	2021-11-11	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2021-08-05	Successful 2022-05-13	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-05-12	Successful 2022-05-13	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-06

Systemic reaction (other): Yesterday after I got the vaccine my arm was tingly for about 30 min. It's sore now.

2021-01-07

Systemic reaction (other): Arm still quite sore

2021-01-08

Systemic reaction (other): Sore throat for a few hours

2021-01-10

Systemic reaction (other): Sore throat

Release 2 — day 21, dose 1

2021-01-26

Symptoms: Intermittent lower abdominal pain. Fairly mild and only lasts a few minutes. Maybe 2-3 times a day. Pain is in hypogastric region and in left groin. About to start a new menstrual cycle (possible cause?), but I usually dont get cramps beforehand.

Release 3 — day 28, dose 1

2021-02-02

Symptoms: Easily fatigued when I exercised for a few days.

Release 3 — days 1–6 daily, dose 2

2021-02-08

Systemic reaction (other): Left sided sore throat and jaw tenderness

Release 4 — day 21, dose 2

2021-02-25

Symptoms: Lump in my throat that wont go away. Maybe stress related?

Release 5 — day 42, dose 2

2021-03-18

Symptoms: Lump in throat, extra mucus secretions

Release 9 — 6 months, dose 2

2021-08-05

Symptoms: Lower abdominal pain (previously experienced, but has since worsened; not associated with menstruation)

Release 11 — 6 months, dose 3

2022-05-12

Symptoms: Minor cold, not covid

Release 12 — 12 months, dose 3

2022-11-11

Symptoms: Covid infection

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	Condition aggravated	✓	·	✓
SD	COVID-19	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Groin pain	✓	✓	✓
SD	Nasopharyngitis	·	·	✓
SD	Pre-existing disease	✓	·	✓
SD	Rhinorrhoea	✓	✓	✓
SD	Sensation of foreign body	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Paraesthesia	✓	✓	✓
SRO	Tenderness	✓	✓	✓

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