YKF-23778-72923

5 vaccinations 3 coded responses 53 check-ins 2 free-text entries 2 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 105 / NY
Registered: 2021-01-18

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

2021-01-17
Dose 1 — Moderna
2021-01-18
Registered in v-safe
2021-01-18
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work

Adult check-in
2021-01-18
Report sent to call center — days 1–6 daily, dose 1
Be unable to work

1 call case(s)
2021-01-19
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work

Adult check-in
2021-01-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Joint pains

Adult check-in
2021-01-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Joint pains, Muscle or body aches

Adult check-in
2021-01-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Joint pains

Adult check-in
2021-01-24
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-31
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-07
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-14
Survey response — day 28, dose 1
MedDRA: Injection site erythema — Feeling: Good

Free text: On Feb 1 noticed reddened area about 3 inches by 4 inches on arm at injection site. Lasted for about 2 days then resolved. Did not itch or hurt.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-16
Dose 2 — Moderna
2021-02-21
Survey response — days 1–6 daily, dose 2
MedDRA: Body temperature increased, Fatigue, Immunisation, Pain — Feeling: Good

Free text: I am answering this on Feb 21 having gotten dose #2 on Feb 16. On the day after ie Feb 17, I did have a fever of 99.5 and fatigue plus all over body aches - mild to moderate. Much less than with first dose and limited to a single day. Temp on Fe18 was 96.9 and 98.0 the following day.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-22
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-23
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-02
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-09
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-16
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-23
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-30
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-18
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-17
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-25
Dose 3 — Pfizer-BioNTech
2021-10-26
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-27
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-28
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Joint pains

Adult check-in
2021-10-29
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-30
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-31
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-01
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-11-08
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-15
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-22
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-29
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-06
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-24
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-04-25
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-04-29
Dose 4 — Pfizer-BioNTech
2022-05-18
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-05-20
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-05-27
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-06-03
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-07-29
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-10-20
Dose 5 — Pfizer-BioNTech
Co-administered: Flu
2022-10-20
Health check-in — day 0, dose 5
Feeling: Good · None

Adult check-in
2022-10-21
Health check-in — days 1–6 daily, dose 5
Feeling: Good · None

Adult check-in
2022-10-22
Health check-in — days 1–6 daily, dose 5
Feeling: Good · None

Adult check-in
2022-10-23
Health check-in — days 1–6 daily, dose 5
Feeling: Good · None

Adult check-in
2022-10-24
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Headache

Adult check-in
2022-10-25
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Headache

Adult check-in
2022-10-26
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Headache

Adult check-in
2022-10-29
Health check-in — day 7, dose 5
Feeling: Good · Headache

Adult check-in
2022-11-03
Health check-in — day 14, dose 5
Feeling: Good

Adult check-in
2022-11-11
Health check-in — day 21, dose 5
Feeling: Good

Adult check-in
2022-11-17
Health check-in — day 28, dose 5
Feeling: Good

Adult check-in
2022-11-24
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2022-12-01
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2023-01-19
Survey response — 3 months, dose 5
MedDRA: Bacterial infection, COVID-19, Fatigue, Sinusitis — 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

MedDRA releases: 2024-11
2023-01-19
Report sent to call center — 3 months, dose 5
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)
2023-01-20
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2023-04-22
Health check-in — 6 months, dose 5
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-17	Moderna
2	2021-02-16	Moderna
3	2021-10-25	Pfizer-BioNTech	No
4	2022-04-29	Pfizer-BioNTech	No
5	2022-10-20	Pfizer-BioNTech	Flu

Call center

Reported	Outcome	VAERS-related outcome
2021-01-18	priority 2/3
2023-01-19	Successful 2023-01-20	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Free text

Release 4 — day 28, dose 1

2021-02-14

Symptoms: On Feb 1 noticed reddened area about 3 inches by 4 inches on arm at injection site. Lasted for about 2 days then resolved. Did not itch or hurt.

Release 4 — days 1–6 daily, dose 2

2021-02-21

Systemic reaction (other): I am answering this on Feb 21 having gotten dose #2 on Feb 16. On the day after ie Feb 17, I did have a fever of 99.5 and fatigue plus all over body aches - mild to moderate. Much less than with first dose and limited to a single day. Temp on Fe18 was 96.9 and 98.0 the following day.

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	Bacterial infection	·	·	✓
SD	COVID-19	·	·	✓
SD	Fatigue	·	·	✓
SD	Injection site erythema	✓	✓	✓
SD	Sinusitis	·	·	✓
SRO	Body temperature increased	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Immunisation	✓	✓	✓
SRO	Pain	✓	✓	✓

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