YL2-70171-68352

4 vaccinations 16 coded responses 50 check-ins 16 free-text entries 4 call cases

Sex: Female
Age at first dose: 26-30
ZIP prefix: 024 / MA
Registered: 2021-03-24

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

2021-03-24
Registered in v-safe
2021-03-24
Dose 1 — Moderna
2021-03-24
Health check-in — day 0, dose 1
Feeling: Poor · Site: Pain, Swelling · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-03-25
Survey response — days 1–6 daily, dose 1
MedDRA: Diarrhoea, Muscle spasms — Feeling: Fair · Site: Pain · Joint pains, Fatigue or tiredness, Diarrhea

Free text: Diarrhea came on suddenly with intense cramps last night

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea

Adult check-in
2021-03-27
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain

Adult check-in
2021-03-28
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Muscle or body aches, Fatigue or tiredness, Diarrhea

Adult check-in
2021-03-29
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea

Adult check-in
2021-03-30
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-31
Health check-in — day 7, dose 1
Feeling: Good · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-07
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-14
Survey response — day 21, dose 1
MedDRA: Arthralgia, Condition aggravated, Migraine — Feeling: Poor · Be unable to do your normal daily activities

Free text: Pain in right hip for the last 3 days, worsening migraines

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
Dose 2 — Moderna
2021-04-21
Survey response — day 0, dose 2
MedDRA: Dizziness — Feeling: Poor · Site: Pain, Swelling, Itching · Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-23
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-24
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Redness, Swelling, Itching · Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-04-25
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site bruising — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Free text: Severe bruising around injection site

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-26
Survey response — days 1–6 daily, dose 2
MedDRA: Oropharyngeal pain — Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea

Free text: sore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-27
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-28
Health check-in — day 7, dose 2
Feeling: Fair · Site: Itching · Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea

Adult check-in
2021-05-05
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-05-12
Health check-in — day 21, dose 2
Feeling: Poor

Adult check-in
2021-05-19
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-26
Survey response — day 35, dose 2
MedDRA: Muscle strain — Feeling: Good · Be unable to work, 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: I threw out my lower back

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-26
Report sent to call center — day 35, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-02
Survey response — day 42, dose 2
MedDRA: Anxiety — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: Heightened anxiety

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-21
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-10-20
Survey response — 6 months, dose 2
MedDRA: Gastrointestinal disorder, Illness, Influenza like illness — 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

Free text: Period of illness due to severe celiac reaction - bowel and stomach issues, mild flu like symptoms.

MedDRA releases: 2024-11 · check-in free text available
2021-10-20
Report sent to call center — 6 months, dose 2
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 · 1 call case(s)
2021-10-22
Call successful
Does not wish to fill out VAERS report
2021-10-22
Call successful
Does not wish to fill out VAERS report
2021-12-09
Dose 3 — Moderna
2021-12-10
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-12-11
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain

Adult check-in
2021-12-12
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain

Adult check-in
2021-12-13
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain, Redness, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Diarrhea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-12-14
Survey response — days 1–6 daily, dose 3
MedDRA: Constipation — Feeling: Poor · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work or attend school

Free text: constipation

MedDRA releases: 2024-11 · check-in free text available
2021-12-16
Survey response — day 7, dose 3
MedDRA: Constipation — Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Free text: Constipation

MedDRA releases: 2024-11 · check-in free text available
2021-12-23
Health check-in — day 14, dose 3
Feeling: Fair

Adult check-in
2021-12-30
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-01-06
Survey response — day 28, dose 3
MedDRA: Cough — Feeling: Poor · Be unable to do your normal daily activities

Free text: Sudden onset cough

MedDRA releases: 2024-11 · check-in free text available
2022-01-13
Survey response — day 35, dose 3
MedDRA: Cough, Dysphonia, Dyspnoea, Fatigue, Feeling hot, Medical counselling, Nasal congestion, Oropharyngeal pain, Rhinorrhoea, SARS-CoV-2 test — Feeling: Poor · 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

Free text: Symptoms: Sore throat, runny nose, stuffy nose, cough, trouble breathing, extreme fatigue, feverish feeling but no temp, hoarse voice · Healthcare visit (other): COVID test performed by PCP's office, stayed in car, performed in parking lot

MedDRA releases: 2024-11 · check-in free text available
2022-01-13
Report sent to call center — day 35, 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 · 1 call case(s)
2022-01-14
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-01-20
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-03-10
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-06-09
Health check-in — 6 months, dose 3
Feeling: Fair

Adult check-in
2022-09-10
Dose 4 — Moderna
Co-administered: Flu
2022-09-10
Health check-in — day 0, dose 4
Feeling: Fair · Site: Pain, Itching · Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2022-09-11
Survey response — days 1–6 daily, dose 4
MedDRA: Poor quality sleep — Feeling: Poor · Site: Pain, Redness · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: Restlessness while trying to sleep

MedDRA releases: 2024-11 · check-in free text available
2022-09-12
Survey response — days 1–6 daily, dose 4
MedDRA: Constipation — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to work or attend school

Free text: constipation

MedDRA releases: 2024-11 · check-in free text available
2022-09-16
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-09-17
Health check-in — day 7, dose 4
Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-09-24
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-10-01
Health check-in — day 21, dose 4
Feeling: Fair

Adult check-in
2022-10-08
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-10-17
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-10-22
Survey response — day 42, dose 4
MedDRA: Nasal congestion, Rhinorrhoea, Sneezing — Feeling: Fair

Free text: Stuffy/runny nose. Sneezing.

MedDRA releases: 2024-11 · check-in free text available
2022-12-10
Survey response — 3 months, dose 4
MedDRA: Sinusitis — Feeling: Fair · 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: Sinus infection

MedDRA releases: 2024-11 · check-in free text available
2022-12-10
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 · 1 call case(s)
2022-12-12
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2023-03-13
Health check-in — 6 months, dose 4
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-24	Moderna
2	2021-04-21	Moderna
3	2021-12-09	Moderna	No
4	2022-09-10	Moderna	Flu

Call center

Reported	Outcome	VAERS-related outcome
2021-05-26	Successful 2021-10-22	Does not wish to fill out VAERS report
2021-10-20	Successful 2021-10-22	Does not wish to fill out VAERS report
2022-01-13	Successful 2022-01-14	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-12-10	Successful 2022-12-12	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-25

Systemic reaction (other): Diarrhea came on suddenly with intense cramps last night

Release 7 — day 21, dose 1

2021-04-14

Symptoms: Pain in right hip for the last 3 days, worsening migraines

Release 7 — day 0, dose 2

2021-04-21

Systemic reaction (other): dizziness

Release 7 — days 1–6 daily, dose 2

2021-04-25

Systemic reaction (other): Severe bruising around injection site

Release 8 — days 1–6 daily, dose 2

2021-04-26

Systemic reaction (other): sore throat

Release 8 — day 35, dose 2

2021-05-26

Symptoms: I threw out my lower back

Release 8 — day 42, dose 2

2021-06-02

Symptoms: Heightened anxiety

Release 10 — 6 months, dose 2

2021-10-20

Symptoms: Period of illness due to severe celiac reaction - bowel and stomach issues, mild flu like symptoms.

Release 10 — days 1–6 daily, dose 3

2021-12-14

Systemic reaction (other): constipation

Release 10 — day 7, dose 3

2021-12-16

Systemic reaction (other): Constipation

Release 10 — day 28, dose 3

2022-01-06

Symptoms: Sudden onset cough

Release 10 — day 35, dose 3

2022-01-13

Symptoms: Sore throat, runny nose, stuffy nose, cough, trouble breathing, extreme fatigue, feverish feeling but no temp, hoarse voice

Healthcare visit (other): COVID test performed by PCP's office, stayed in car, performed in parking lot

Release 12 — days 1–6 daily, dose 4

2022-09-11

Systemic reaction (other): Restlessness while trying to sleep

2022-09-12

Systemic reaction (other): constipation

Release 12 — day 42, dose 4

2022-10-22

Symptoms: Stuffy/runny nose. Sneezing.

Release 12 — 3 months, dose 4

2022-12-10

Symptoms: Sinus 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
HCVO	Medical counselling	·	·	✓
HCVO	SARS-CoV-2 test	·	·	✓
SD	Anxiety	✓	✓	✓
SD	Arthralgia	✓	✓	✓
SD	Condition aggravated	✓	✓	✓
SD	Cough	·	·	✓
SD	Dysphonia	·	·	✓
SD	Dyspnoea	·	·	✓
SD	Fatigue	·	·	✓
SD	Feeling hot	·	·	✓
SD	Gastrointestinal disorder	·	·	✓
SD	Illness	·	·	✓
SD	Influenza like illness	·	·	✓
SD	Migraine	✓	✓	✓
SD	Muscle strain	✓	✓	✓
SD	Nasal congestion	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Rhinorrhoea	·	·	✓
SD	Sinusitis	·	·	✓
SD	Sneezing	·	·	✓
SRO	Constipation	·	·	✓
SRO	Diarrhoea	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Injection site bruising	✓	✓	✓
SRO	Muscle spasms	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Poor quality sleep	·	·	✓

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