YN9-32864-79154

3 vaccinations 11 coded responses 40 check-ins 11 free-text entries 2 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 812 / CO
Registered: 2021-04-24

Relationship: Self
Race: Multiracial
Ethnicity: Not Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-04-24
Registered in v-safe
2021-04-24
Dose 1 — Pfizer-BioNTech
2021-04-24
Health check-in — day 0, dose 1
Feeling: Fair · Site: Pain, Swelling · Headache

Adult check-in
2021-04-25
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache

Adult check-in
2021-04-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache, Nausea

Adult check-in
2021-04-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-04-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-04-29
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-30
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-05-01
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-05-09
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-05-15
Dose 2 — Pfizer-BioNTech
2021-05-15
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-05-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling · None

Adult check-in
2021-05-17
Survey response — days 1–6 daily, dose 2
MedDRA: Musculoskeletal stiffness, Neck pain — Feeling: Good · Site: Pain · Diarrhea

Free text: Neck stiffness and pain last night but better today.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-18
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-19
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-20
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-21
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Joint pains, Muscle or body aches, Nausea

Adult check-in
2021-05-22
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-05-29
Survey response — day 14, dose 2
MedDRA: Nausea — Feeling: Good

Free text: Nauseous

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-05
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-06-12
Survey response — day 28, dose 2
MedDRA: Diarrhoea, Nausea — Feeling: Good

Free text: I had nausea and diarrhea for 3 days starting last Sunday.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-19
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-26
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-08-14
Survey response — 3 months, dose 2
MedDRA: Cough, Headache, Malaise, Pyrexia, Rhinorrhoea, SARS-CoV-2 test negative — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: 4th of July weekend I was very sick. 103 fever, runny nose, bad headache, bad cough. I was sick with this for 5 days. I got a Covid test, it was negative.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-11-15
Survey response — 6 months, dose 2
MedDRA: Arthralgia, Ligament pain, Migraine, Self-medication, Sinus pain — Feeling: Fair

Free text: For about two months I have been getting an almost daily migraine and sinus pain in the afternoon. I have been taking Tylenol when it's really bad. I don't know if it's related but my ligaments and joints have been hurting.

MedDRA releases: 2024-11 · check-in free text available
2021-11-19
Dose 3 — Moderna
2021-11-19
Health check-in — day 0, dose 3
Feeling: Good · Site: Pain · Headache, Muscle or body aches

Adult check-in
2021-11-20
Survey response — days 1–6 daily, dose 3
MedDRA: Pruritus — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Itchy

MedDRA releases: 2024-11 · check-in free text available
2021-11-21
Survey response — days 1–6 daily, dose 3
MedDRA: Pruritus — Feeling: Fair · Site: Pain · Be unable to do your normal daily activities

Free text: Itchy

MedDRA releases: 2024-11 · check-in free text available
2021-11-22
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-11-23
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-11-24
Survey response — days 1–6 daily, dose 3
MedDRA: Insomnia — Feeling: Good · Site: Pain

Free text: Insomnia

MedDRA releases: 2024-11 · check-in free text available
2021-11-25
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-26
Health check-in — day 7, dose 3
Feeling: Fair · Abdominal pain

Adult check-in
2021-12-03
Survey response — day 14, dose 3
MedDRA: Diverticulitis, Pre-existing disease — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Diverticulitis flare.

MedDRA releases: 2024-11 · check-in free text available
2021-12-03
Report sent to call center — day 14, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-12-07
Call 1 — Could Not Reach Participant
2021-12-10
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-12-14
Call 2 — Left Voicemail
2021-12-17
Health check-in — day 28, dose 3
Feeling: Fair

Adult check-in
2021-12-24
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-31
Survey response — day 42, dose 3
MedDRA: Palpitations — Feeling: Fair

Free text: Heart palpitations

MedDRA releases: 2024-11 · check-in free text available
2022-02-18
Survey response — 3 months, dose 3
MedDRA: Gastrointestinal disorder, Headache — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Headache and digestive issues.

MedDRA releases: 2024-11 · check-in free text available
2022-02-18
Report sent to call center — 3 months, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-02-23
Call 1 — Left Voicemail
2022-05-20
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-11-19
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-24	Pfizer-BioNTech
2	2021-05-15	Pfizer-BioNTech
3	2021-11-19	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2021-12-03	Unsuccessful
2022-02-18	Unsuccessful

Free text

Release 8 — days 1–6 daily, dose 2

2021-05-17

Systemic reaction (other): Neck stiffness and pain last night but better today.

Release 8 — day 14, dose 2

2021-05-29

Symptoms: Nauseous

Release 9 — day 28, dose 2

2021-06-12

Symptoms: I had nausea and diarrhea for 3 days starting last Sunday.

Release 9 — 3 months, dose 2

2021-08-14

Symptoms: 4th of July weekend I was very sick. 103 fever, runny nose, bad headache, bad cough. I was sick with this for 5 days. I got a Covid test, it was negative.

Release 10 — 6 months, dose 2

2021-11-15

Symptoms: For about two months I have been getting an almost daily migraine and sinus pain in the afternoon. I have been taking Tylenol when it's really bad. I don't know if it's related but my ligaments and joints have been hurting.

Release 10 — days 1–6 daily, dose 3

2021-11-20

Systemic reaction (other): Itchy

2021-11-21

Systemic reaction (other): Itchy

2021-11-24

Systemic reaction (other): Insomnia

Release 10 — day 14, dose 3

2021-12-03

Symptoms: Diverticulitis flare.

Release 10 — day 42, dose 3

2021-12-31

Symptoms: Heart palpitations

Release 11 — 3 months, dose 3

2022-02-18

Symptoms: Headache and digestive issues.

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	Arthralgia	·	·	✓
SD	Cough	✓	·	✓
SD	Diarrhoea	✓	✓	✓
SD	Diverticulitis	·	·	✓
SD	Gastrointestinal disorder	·	·	✓
SD	Headache	✓	·	✓
SD	Ligament pain	·	·	✓
SD	Malaise	✓	·	✓
SD	Migraine	·	·	✓
SD	Nausea	✓	✓	✓
SD	Palpitations	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Pyrexia	✓	·	✓
SD	Rhinorrhoea	✓	·	✓
SD	SARS-CoV-2 test negative	✓	·	✓
SD	Self-medication	·	·	✓
SD	Sinus pain	·	·	✓
SRO	Insomnia	·	·	✓
SRO	Musculoskeletal stiffness	✓	✓	✓
SRO	Neck pain	✓	✓	✓
SRO	Pruritus	·	·	✓

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