YN3-70260-92014

5 vaccinations 14 coded responses 54 check-ins 14 free-text entries 2 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 840 / UT
Registered: 2020-12-23

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

2020-12-22
Dose 1 — Moderna
2020-12-23
Registered in v-safe
2020-12-23
Survey response — days 1–6 daily, dose 1
MedDRA: Reaction to previous exposure to any vaccine — Feeling: Fair · Site: Pain · Fever · Fatigue or tiredness

Free text: Like I feel after a flu shot

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-24
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Nausea

Adult check-in
2020-12-26
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2020-12-27
Survey response — days 1–6 daily, dose 1
MedDRA: Oropharyngeal pain — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Sore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2020-12-29
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-06
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-19
Dose 2 — Moderna
2021-01-21
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea

Adult check-in
2021-01-22
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-01-23
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-01-24
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-01-25
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Fatigue or tiredness

Adult check-in
2021-01-26
Health check-in — day 7, dose 2
Feeling: Good · Site: Redness, Swelling · Fatigue or tiredness

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

Adult check-in
2021-02-09
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-16
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-02-24
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-02
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-04-20
Survey response — 3 months, dose 2
MedDRA: Asthma, Pre-existing disease — Feeling: Fair · 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: Asthma exacerbation

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-20
Report sent to call center — 3 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-20
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-26
Dose 3 — Moderna
2021-10-26
Health check-in — day 0, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-10-27
Survey response — days 1–6 daily, dose 3
MedDRA: Neck pain — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Neck pain in side received shot

MedDRA releases: 2024-11 · check-in free text available
2021-10-28
Survey response — days 1–6 daily, dose 3
MedDRA: Neck pain — Feeling: Poor · Site: Pain, Redness, 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

Free text: Neck pain on side of injection

MedDRA releases: 2024-11 · check-in free text available
2021-10-29
Survey response — days 1–6 daily, dose 3
MedDRA: Injection site pain, Neck pain — Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Pain up neck on site of injection

MedDRA releases: 2024-11 · check-in free text available
2021-10-30
Survey response — days 1–6 daily, dose 3
MedDRA: Neck pain — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Neck pain on site of injection

MedDRA releases: 2024-11 · check-in free text available
2021-10-31
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-11-01
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-11-03
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-11-09
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-16
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-25
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-30
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-07
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-27
Survey response — 3 months, dose 3
MedDRA: Headache, Muscle tightness, Myalgia, Nausea, Oropharyngeal pain, Vomiting — Feeling: Fair · Be unable to work or attend school

Free text: Muscle aches, sore throat, headache, very tight quad muscles, nausea, vomiting

MedDRA releases: 2024-11 · check-in free text available
2022-04-05
Call successful
Does not wish to fill out VAERS report
2022-05-04
Dose 4 — Moderna
2022-05-04
Health check-in — day 0, dose 4
Feeling: Good · Site: Pain, Redness · None

Adult check-in
2022-05-05
Survey response — days 1–6 daily, dose 4
MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school

Free text: Swollen lymph nodes

MedDRA releases: 2024-11 · check-in free text available
2022-05-06
Survey response — days 1–6 daily, dose 4
MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Swollen lymph nodes in axilla

MedDRA releases: 2024-11 · check-in free text available
2022-05-07
Survey response — days 1–6 daily, dose 4
MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Swollen lymph nodes but it's better today

MedDRA releases: 2024-11 · check-in free text available
2022-05-08
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain, Redness, Swelling, Itching · Headache, Fatigue or tiredness

Adult check-in
2022-05-09
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-05-10
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-05-11
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-05-18
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-05-25
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-06-01
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-06-08
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-06-15
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-08-03
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-09-16
Dose 5 — Pfizer-BioNTech
Co-administered: Flu
2022-10-12
Survey response — day 21, dose 5
MedDRA: Headache, Influenza like illness, Nasopharyngitis, Oropharyngeal pain, Pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Cold and flu type symptoms (body aches, headache, sore throat) but no fever.

MedDRA releases: 2024-11 · check-in free text available
2022-10-14
Survey response — day 28, dose 5
MedDRA: Headache, Injection site pain, Myalgia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Muscle aches, headache, pain at injection site

MedDRA releases: 2024-11 · check-in free text available
2022-10-21
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2022-10-28
Health check-in — day 42, dose 5
Feeling: Fair

Adult check-in
2022-12-16
Survey response — 3 months, dose 5
MedDRA: Muscular weakness — Feeling: Fair · 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: Muscle weakness especially in my legs. Fatigue

MedDRA releases: 2024-11 · check-in free text available
2022-12-16
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)
2022-12-20
Call successful
Participant prefers to complete VAERS report online
2023-03-19
Health check-in — 6 months, dose 5
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-22	Moderna
2	2021-01-19	Moderna
3	2021-10-26	Moderna	No
4	2022-05-04	Moderna	No
5	2022-09-16	Pfizer-BioNTech	Flu

Call center

Reported	Outcome	VAERS-related outcome
2021-04-20	Successful 2022-04-05	Does not wish to fill out VAERS report
2022-12-16	Successful 2022-12-20	Participant prefers to complete VAERS report online

Free text

Release 1 — days 1–6 daily, dose 1

2020-12-23

Systemic reaction (other): Like I feel after a flu shot

2020-12-27

Systemic reaction (other): Sore throat

Release 7 — 3 months, dose 2

2021-04-20

Symptoms: Asthma exacerbation

Release 10 — days 1–6 daily, dose 3

2021-10-27

Systemic reaction (other): Neck pain in side received shot

2021-10-28

Systemic reaction (other): Neck pain on side of injection

2021-10-29

Systemic reaction (other): Pain up neck on site of injection

2021-10-30

Systemic reaction (other): Neck pain on site of injection

Release 11 — 3 months, dose 3

2022-01-27

Symptoms: Muscle aches, sore throat, headache, very tight quad muscles, nausea, vomiting

Release 11 — days 1–6 daily, dose 4

2022-05-05

Systemic reaction (other): Swollen lymph nodes

2022-05-06

Systemic reaction (other): Swollen lymph nodes in axilla

2022-05-07

Systemic reaction (other): Swollen lymph nodes but it's better today

Release 12 — day 21, dose 5

2022-10-12

Symptoms: Cold and flu type symptoms (body aches, headache, sore throat) but no fever.

Release 12 — day 28, dose 5

2022-10-14

Symptoms: Muscle aches, headache, pain at injection site

Release 12 — 3 months, dose 5

2022-12-16

Symptoms: Muscle weakness especially in my legs. Fatigue

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	Asthma	✓	✓	✓
SD	Headache	·	·	✓
SD	Influenza like illness	·	·	✓
SD	Injection site pain	·	·	✓
SD	Muscle tightness	·	·	✓
SD	Muscular weakness	·	·	✓
SD	Myalgia	·	·	✓
SD	Nasopharyngitis	·	·	✓
SD	Nausea	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pain	·	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Vomiting	·	·	✓
SRO	Injection site pain	·	·	✓
SRO	Lymphadenopathy	·	·	✓
SRO	Neck pain	·	·	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Reaction to previous exposure to any vaccine	✓	✓	✓

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