YF2-18953-78595

3 vaccinations 10 coded responses 39 check-ins 10 free-text entries 3 call cases

Sex: Female
Age at first dose: 31-35
ZIP prefix: 852 / AZ
Registered: 2021-01-20

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
Registered in v-safe
2021-01-20
Dose 1 — Moderna
2021-01-20
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-01-21
Survey response — days 1–6 daily, dose 1
MedDRA: Dry mouth — Feeling: Good · Site: Pain · Fatigue or tiredness

Free text: Dry mouth

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-27
Health check-in — day 7, dose 1
Feeling: Good · None

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
2021-02-17
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-02-18
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-02-19
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fever · Headache

Adult check-in
2021-02-20
Survey response — days 1–6 daily, dose 2
MedDRA: Erythema, Injection site erythema — Feeling: Good · Site: Pain, Redness

Free text: Yesterday I did my check in before I knew that my arm had redness from the shot.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-21
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness · Fatigue or tiredness

Adult check-in
2021-02-22
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-23
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-24
Health check-in — day 7, dose 2
Feeling: Good · None

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

Adult check-in
2021-03-10
Survey response — day 21, dose 2
MedDRA: Oropharyngeal pain, Sneezing — Feeling: Fair · Be unable to do your normal daily activities

Free text: Sneezing, sore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-17
Survey response — day 28, dose 2
MedDRA: Syncope — Feeling: Good · Be unable to work, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: I fainted.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-17
Report sent to call center — day 28, dose 2
Be unable to work · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-24
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-31
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-19
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-18
Survey response — 6 months, dose 2
MedDRA: Chest pain, Hypoaesthesia — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Sharp chest pain that Id never had before. Left arm (side I got shot on) dead weight feeling at times.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-18
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-19
Call 1 — Left Voicemail
2021-12-19
Dose 3 — Pfizer-BioNTech
2021-12-20
Survey response — days 1–6 daily, dose 3
MedDRA: Extrasystoles — Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Felt extra heart beats today

MedDRA releases: 2024-11 · check-in free text available
2021-12-22
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-12-23
Survey response — days 1–6 daily, dose 3
MedDRA: Feeling hot — Feeling: Good

Free text: I'm not feverish, just have moments where I feel hot.

MedDRA releases: 2024-11 · check-in free text available
2021-12-24
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-12-25
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-12-26
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2022-01-02
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-01-09
Survey response — day 21, dose 3
MedDRA: Menstruation delayed — Feeling: Good

Free text: I am late with my menstrual cycle. I had my usual PMS symptoms, but didn't start.

MedDRA releases: 2024-11 · check-in free text available
2022-01-16
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-01-23
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-01-30
Survey response — day 42, dose 3
MedDRA: Throat irritation — Feeling: Fair

Free text: I now have a scratchy throat. Just started on Saturday.

MedDRA releases: 2024-11 · check-in free text available
2022-03-20
Survey response — 3 months, dose 3
MedDRA: Oropharyngeal pain, Rhinorrhoea, Sneezing — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Runny nose, sneezing, sore throat

MedDRA releases: 2024-11 · check-in free text available
2022-03-20
Report sent to call center — 3 months, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-03-23
Call 1 — Left Voicemail
2022-06-21
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-12-21
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-20	Moderna
2	2021-02-17	Moderna
3	2021-12-19	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-03-17	Unsuccessful
2021-08-18	Unsuccessful
2022-03-20	Unsuccessful

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-21

Systemic reaction (other): Dry mouth

Release 4 — days 1–6 daily, dose 2

2021-02-20

Systemic reaction (other): Yesterday I did my check in before I knew that my arm had redness from the shot.

Release 5 — day 21, dose 2

2021-03-10

Symptoms: Sneezing, sore throat

Release 5 — day 28, dose 2

2021-03-17

Symptoms: I fainted.

Release 9 — 6 months, dose 2

2021-08-18

Symptoms: Sharp chest pain that Id never had before. Left arm (side I got shot on) dead weight feeling at times.

Release 10 — days 1–6 daily, dose 3

2021-12-20

Systemic reaction (other): Felt extra heart beats today

2021-12-23

Systemic reaction (other): I'm not feverish, just have moments where I feel hot.

Release 10 — day 21, dose 3

2022-01-09

Symptoms: I am late with my menstrual cycle. I had my usual PMS symptoms, but didn't start.

Release 11 — day 42, dose 3

2022-01-30

Symptoms: I now have a scratchy throat. Just started on Saturday.

Release 11 — 3 months, dose 3

2022-03-20

Symptoms: Runny nose, sneezing, sore throat

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	Chest pain	✓	·	✓
SD	Hypoaesthesia	✓	·	✓
SD	Menstruation delayed	·	·	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Rhinorrhoea	·	·	✓
SD	Sneezing	✓	✓	✓
SD	Syncope	✓	✓	✓
SD	Throat irritation	·	·	✓
SRO	Dry mouth	✓	✓	✓
SRO	Erythema	·	·	✓
SRO	Extrasystoles	·	·	✓
SRO	Feeling hot	·	·	✓
SRO	Injection site erythema	✓	✓	○

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