YP3-31051-75988

3 vaccinations 10 coded responses 38 check-ins 9 free-text entries 7 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 932 / CA
Registered: 2021-01-16

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

2021-01-16
Registered in v-safe
2021-01-16
Dose 1 — Moderna
2021-01-16
Health check-in — day 0, dose 1
Feeling: Good · Site: Redness · None

Adult check-in
2021-01-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-01-18
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fever · 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
2021-01-18
Report sent to call center — days 1–6 daily, dose 1
Be unable to work · Be unable to do your normal daily activities

2 call case(s)
2021-01-19
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-01-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Itching · Headache, Joint pains

Adult check-in
2021-01-23
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-30
Survey response — day 14, dose 1
MedDRA: Erythema, Pain in extremity — Feeling: Good

Free text: Arm became sore again and was red in large patch.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-06
Survey response — day 21, dose 1
MedDRA: Chills, Headache, Nasal congestion, Pain, Pyrexia — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities

Free text: Body aches, headache, nasal congestion, chills and fever.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-13
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-02-17
Dose 2 — Moderna
2021-02-17
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain, Redness · Headache

Adult check-in
2021-02-18
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Light headed

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-19
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness, 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
2021-02-20
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness · Fatigue or tiredness

Adult check-in
2021-02-22
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness, Itching · Fatigue or tiredness

Adult check-in
2021-02-23
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness, Itching · None

Adult check-in
2021-02-24
Health check-in — day 7, dose 2
Feeling: Good · Site: Redness · None

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

Adult check-in
2021-03-12
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-17
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-24
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-02
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-19
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-18
Survey response — 6 months, dose 2
MedDRA: Ageusia, Anosmia, Headache, Pain, Pyrexia — 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 · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: Headache, body ache, fever, loss of taste and smell

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-18
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

1 call case(s)
2021-08-24
Call 2 — Left Voicemail
2022-01-14
Dose 3 — Pfizer-BioNTech
2022-01-15
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-01-16
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2022-01-17
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Itching · Fatigue or tiredness

Adult check-in
2022-01-18
Survey response — days 1–6 daily, dose 3
MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness

Free text: Lymph nodes in left armpit enlarged and painful.

MedDRA releases: 2024-11 · check-in free text available
2022-01-19
Survey response — days 1–6 daily, dose 3
MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Good · Site: Pain · Fatigue or tiredness

Free text: Lymph nodes in left armpit extremely enlarged and painful.

MedDRA releases: 2024-11 · check-in free text available
2022-01-20
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Headache

Adult check-in
2022-01-21
Health check-in — day 7, dose 3
Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-01-28
Health check-in — day 14, dose 3
Feeling: Fair

Adult check-in
2022-02-04
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-02-11
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-02-18
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-02-25
Survey response — day 42, dose 3
MedDRA: Oligomenorrhoea — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Menstrual cycle is 15 days long for last 2 cycles!

MedDRA releases: 2024-11 · check-in free text available
2022-02-25
Report sent to call center — day 42, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-02-28
Call successful
Participant prefers to complete VAERS report online
2022-04-15
Survey response — 3 months, dose 3
MedDRA: Heavy menstrual bleeding, Unevaluable event — 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: Symptoms: Since booster i have experienced longer and heavy menstrual bleeding. Currently on day 15 and last three have lasted 19 days on average. · Healthcare visit (other): Scheduled for hysterectomy May 2

MedDRA releases: 2024-11 · check-in free text available
2022-04-15
Report sent to call center — 3 months, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-04-19
Call 2 — Left Voicemail
2022-07-15
Survey response — 6 months, dose 3
MedDRA: SARS-CoV-2 test positive — 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: April 29, 2022 tested positive for COVID-19.

MedDRA releases: 2024-11 · check-in free text available
2022-07-15
Report sent to call center — 6 months, 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)
2022-07-18
Call 1 — Left Voicemail
2022-07-18
Call 1 — Left Voicemail
2022-07-18
Call 3 — Left Voicemail
2022-07-18
Call 1 — Left Voicemail
2023-01-14
Survey response — 12 months, dose 3
MedDRA: 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
2023-01-14
Report sent to call center — 12 months, dose 3
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)
2023-01-16
Call 1 — Left Voicemail
2023-01-16
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-16	Moderna
2	2021-02-17	Moderna
3	2022-01-14	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-01-18	Successful	Participant prefers to complete VAERS report online
2021-01-18	priority 2/3
2021-08-18	Successful	Participant prefers to complete VAERS report online
2022-02-25	Successful 2022-02-28	Participant prefers to complete VAERS report online
2022-04-15	Unsuccessful
2022-07-15	Unsuccessful
2023-01-14	Unsuccessful

Free text

Release 3 — day 14, dose 1

2021-01-30

Symptoms: Arm became sore again and was red in large patch.

Release 3 — day 21, dose 1

2021-02-06

Symptoms: Body aches, headache, nasal congestion, chills and fever.

Release 4 — days 1–6 daily, dose 2

2021-02-18

Systemic reaction (other): Light headed

Release 9 — 6 months, dose 2

2021-08-18

Symptoms: Headache, body ache, fever, loss of taste and smell

Release 10 — days 1–6 daily, dose 3

2022-01-18

Systemic reaction (other): Lymph nodes in left armpit enlarged and painful.

2022-01-19

Systemic reaction (other): Lymph nodes in left armpit extremely enlarged and painful.

Release 11 — day 42, dose 3

2022-02-25

Symptoms: Menstrual cycle is 15 days long for last 2 cycles!

Release 11 — 3 months, dose 3

2022-04-15

Symptoms: Since booster i have experienced longer and heavy menstrual bleeding. Currently on day 15 and last three have lasted 19 days on average.

Healthcare visit (other): Scheduled for hysterectomy May 2

Release 12 — 6 months, dose 3

2022-07-15

Symptoms: April 29, 2022 tested positive for COVID-19.

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	Unevaluable event	·	·	✓
SD	Ageusia	✓	·	✓
SD	Anosmia	✓	·	✓
SD	Chills	✓	✓	✓
SD	Erythema	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Heavy menstrual bleeding	·	·	✓
SD	Nasal congestion	✓	✓	✓
SD	Oligomenorrhoea	·	·	✓
SD	Pain	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SD	Pyrexia	✓	✓	✓
SD	SARS-CoV-2 test positive	·	·	✓
SD	Sinusitis	·	·	✓
SRO	Dizziness	✓	✓	✓
SRO	Lymph node pain	·	·	✓
SRO	Lymphadenopathy	·	·	✓

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