YG6-33552-43448

5 vaccinations 5 coded responses 27 check-ins 5 free-text entries 3 call cases

Sex: Female
Age at first dose: 31-35
ZIP prefix: 301 / GA
Registered: 2021-01-13

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

2021-01-13
Registered in v-safe
2021-01-13
Dose 1 — Moderna
2021-01-13
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-22
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-27
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-03
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-10
Dose 2 — Moderna
2021-02-10
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-02-11
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia, Muscular weakness, Pain in extremity, Tenderness — Feeling: Fair · Site: Pain · Headache, Muscle or body aches · Be unable to work, Be unable to do your normal daily activities

Free text: I would say my arms are the only sore things, and they are weak and tender, achey joints

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-12
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-17
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-02-24
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-03
Survey response — day 21, dose 2
MedDRA: Pain, Pre-existing disease — Feeling: Good · Be unable to do your normal daily activities

Free text: severe aches and pains. but honestly think it had more to do with my autoimmune diseases and the weather shifts (flip flopping between 70 and below freezing multiple times within 2 week span) and barometric pressure shifts

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-10
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-17
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-24
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-14
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-11
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-09-05
Dose 3 — Moderna
2021-12-05
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-03-06
Survey response — 6 months, dose 3
MedDRA: Spinal operation — Feeling: Good · 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: Lumbar surgery

MedDRA releases: 2024-11 · check-in free text available
2022-03-06
Report sent to call center — 6 months, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-03-09
Call 1 — Left Voicemail
2022-03-21
Dose 4 — Pfizer-BioNTech
2022-09-05
Survey response — 12 months, dose 3
MedDRA: Bronchitis, Influenza virus test negative, Respiratory syncytial virus infection, SARS-CoV-2 test negative — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, 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: Potentially RSV or bronchitis - tested negative for covid, flu, and pneumonia. Lasted 3 daya

MedDRA releases: 2024-11 · check-in free text available
2022-09-05
Report sent to call center — 12 months, dose 3
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-09-07
Call 2 — Left Voicemail
2022-09-07
Call 1 — Left Voicemail
2022-09-08
Dose 5 — Pfizer-BioNTech
Co-administered: Flu
2022-12-08
Survey response — 3 months, dose 5
MedDRA: Allergic respiratory symptom, Asthenia, COVID-19, Decreased activity, Migraine, Nasopharyngitis, Quarantine, Respiratory tract congestion — Feeling: Good · Be unable to work or attend school, 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: I contracted COVID Nov. 20. low grade migraine, and just very stuffy like bad cold or even bad allergies. I only wasn't able to do activities because I was quarantining. sometimes felt like I had less energy, but I was also sad to miss thanksgiving

MedDRA releases: 2024-11 · check-in free text available
2022-12-08
Report sent to call center — 3 months, dose 5
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-12-09
Call 3 — Left Voicemail
2022-12-09
Call 2 — Left Voicemail
2022-12-09
Call 1 — Left Voicemail
2023-03-11
Health check-in — 6 months, dose 5
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-13	Moderna
2	2021-02-10	Moderna
3	2021-09-05	Moderna	No
4	2022-03-21	Pfizer-BioNTech	No
5	2022-09-08	Pfizer-BioNTech	Flu

Call center

Reported	Outcome	VAERS-related outcome
2022-03-06	Unsuccessful
2022-09-05	Unsuccessful
2022-12-08	Unsuccessful

Free text

Release 4 — days 1–6 daily, dose 2

2021-02-11

Systemic reaction (other): I would say my arms are the only sore things, and they are weak and tender, achey joints

Release 5 — day 21, dose 2

2021-03-03

Symptoms: severe aches and pains. but honestly think it had more to do with my autoimmune diseases and the weather shifts (flip flopping between 70 and below freezing multiple times within 2 week span) and barometric pressure shifts

Release 11 — 6 months, dose 3

2022-03-06

Symptoms: Lumbar surgery

Release 12 — 12 months, dose 3

2022-09-05

Symptoms: Potentially RSV or bronchitis - tested negative for covid, flu, and pneumonia. Lasted 3 daya

Release 12 — 3 months, dose 5

2022-12-08

Symptoms: I contracted COVID Nov. 20. low grade migraine, and just very stuffy like bad cold or even bad allergies. I only wasn't able to do activities because I was quarantining. sometimes felt like I had less energy, but I was also sad to miss thanksgiving cut off by CDC

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	Allergic respiratory symptom	·	·	✓
SD	Asthenia	·	·	✓
SD	Bronchitis	·	·	✓
SD	COVID-19	·	·	✓
SD	Decreased activity	·	·	✓
SD	Influenza virus test negative	·	·	✓
SD	Migraine	·	·	✓
SD	Nasopharyngitis	·	·	✓
SD	Pain	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Quarantine	·	·	✓
SD	Respiratory syncytial virus infection	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	Spinal operation	·	·	✓
SRO	Arthralgia	✓	✓	✓
SRO	Muscular weakness	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Tenderness	✓	✓	✓

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