YK3-12314-34602

4 vaccinations 10 coded responses 26 check-ins 10 free-text entries 1 call case

Sex: Female
Age at first dose: 61-65
ZIP prefix: 372 / TN
Registered: 2021-03-27

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

2021-03-11
Dose 1 — Moderna
2021-03-27
Registered in v-safe
2021-03-27
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-08
Dose 2 — Moderna
2021-04-08
Survey response — day 0, dose 2
MedDRA: Pain — Feeling: Good · Site: Pain

Free text: Very mild, vague achiness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-09
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Muscle or body aches

Adult check-in
2021-04-10
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2021-04-11
Survey response — days 1–6 daily, dose 2
MedDRA: Pain — Feeling: Good

Free text: Very slight residual achiness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-12
Survey response — days 1–6 daily, dose 2
MedDRA: No adverse event — Feeling: Good

Free text: None

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-15
Survey response — day 7, dose 2
MedDRA: Sensory disturbance — Feeling: Good

Free text: I didnt sign up for this soon enough to let you know, but this shot was undetectable as it went in. I could feel the first one. I could feelIt go in, and travel down my arm to my palm. It was the strangest sensation. Maybe temperature was weird? Ick

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Survey response — day 14, dose 2
MedDRA: Myalgia, Pruritus — Feeling: Good

Free text: Somewhat mild but deep muscular pain and some itchiness in the vaccinated arm.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-30
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-06
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-17
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-22
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-10
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-11-18
Dose 3 — Moderna
2022-04-08
Survey response — 12 months, dose 2
MedDRA: Blood pressure fluctuation — Feeling: Good

Free text: Blood pressure issues.

MedDRA releases: 2024-11 · check-in free text available
2022-04-26
Dose 4 — Pfizer-BioNTech
2022-04-30
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-05-02
Survey response — days 1–6 daily, dose 4
MedDRA: Increased upper airway secretion, Oropharyngeal pain — Feeling: Fair

Free text: Slight sore throat. A little phlegm-y

MedDRA releases: 2024-11 · check-in free text available
2022-05-03
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-05-11
Health check-in — day 14, dose 4
Feeling: Fair

Adult check-in
2022-05-19
Health check-in — day 21, dose 4
Feeling: Fair

Adult check-in
2022-05-26
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-06-02
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-06-07
Survey response — day 42, dose 4
MedDRA: Oropharyngeal pain, Pain, SARS-CoV-2 test negative — Feeling: Fair

Free text: Sore throat some aches. Maybe Covid, but currently not showing in home tests.

MedDRA releases: 2024-11 · check-in free text available
2022-07-26
Survey response — 3 months, dose 4
MedDRA: Malaise, Oropharyngeal pain, Pain — 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, Outpatient clinic or urgent care clinic visit

Free text: When you last contacted me I was in the middle of a four-week long run-in with something. I had achy body, night-time sore throat and general malaise. I never tested positive, despite many tests. Eventually diagnosed as a possible sinus infection.

MedDRA releases: 2024-11 · check-in free text available
2022-07-26
Report sent to call center — 3 months, dose 4
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 · 1 call case(s)
2022-07-27
Call 1 — Left Voicemail
2022-10-25
Survey response — 6 months, dose 4
MedDRA: Pain — Feeling: Good

Free text: Vaccine-induced soreness (boosted 10/21)

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-11	Moderna
2	2021-04-08	Moderna
3	2021-11-18	Moderna	No
4	2022-04-26	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2022-07-26	Unsuccessful

Free text

Release 7 — day 0, dose 2

2021-04-08

Systemic reaction (other): Very mild, vague achiness

Release 7 — days 1–6 daily, dose 2

2021-04-11

Systemic reaction (other): Very slight residual achiness

2021-04-12

Systemic reaction (other): None

Release 7 — day 7, dose 2

2021-04-15

Systemic reaction (other): I didnt sign up for this soon enough to let you know, but this shot was undetectable as it went in. I could feel the first one. I could feelIt go in, and travel down my arm to my palm. It was the strangest sensation. Maybe temperature was weird? Ick

Release 7 — day 14, dose 2

2021-04-22

Symptoms: Somewhat mild but deep muscular pain and some itchiness in the vaccinated arm.

Release 11 — 12 months, dose 2

2022-04-08

Symptoms: Blood pressure issues.

Release 11 — days 1–6 daily, dose 4

2022-05-02

Systemic reaction (other): Slight sore throat. A little phlegm-y

Release 11 — day 42, dose 4

2022-06-07

Symptoms: Sore throat some aches. Maybe Covid, but currently not showing in home tests.

Release 12 — 3 months, dose 4

2022-07-26

Symptoms: When you last contacted me I was in the middle of a four-week long run-in with something. I had achy body, night-time sore throat and general malaise. I never tested positive, despite many tests. Eventually diagnosed as a possible sinus infection.

Release 12 — 6 months, dose 4

2022-10-25

Symptoms: Vaccine-induced soreness (boosted 10/21)

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	Blood pressure fluctuation	·	·	✓
SD	Malaise	·	·	✓
SD	Myalgia	✓	✓	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pain	·	·	✓
SD	Pruritus	✓	✓	✓
SD	SARS-CoV-2 test negative	·	·	✓
SRO	Increased upper airway secretion	·	·	✓
SRO	No adverse event	✓	✓	✓
SRO	Oropharyngeal pain	·	·	✓
SRO	Pain	✓	✓	✓
SRO	Sensory disturbance	✓	✓	✓

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