YPB-33183-25753

3 vaccinations 8 coded responses 37 check-ins 8 free-text entries 1 call case

Sex: Female
Age at first dose: 26-30
ZIP prefix: 113 / NY
Registered: 2021-01-24

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

Timeline

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

2021-01-24
Registered in v-safe
2021-01-24
Dose 1 — Moderna
2021-01-24
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness

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

Adult check-in
2021-01-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness, Abdominal pain

Adult check-in
2021-01-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness, Abdominal pain

Adult check-in
2021-01-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-29
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-30
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · None

Adult check-in
2021-01-31
Health check-in — day 7, dose 1
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-07
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-14
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-21
Health check-in — day 28, dose 1
Feeling: Fair

Adult check-in
2021-02-27
Dose 2 — Moderna
2021-02-27
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain, Redness, Swelling · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-28
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, Abdominal pain

Adult check-in
2021-03-01
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-02
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-03
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-04
Survey response — days 1–6 daily, dose 2
MedDRA: Feeling abnormal — Feeling: Good · Fatigue or tiredness

Free text: Brain fog on and off since the date of injection

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-05
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-03-06
Health check-in — day 7, dose 2
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-03-13
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-20
Survey response — day 21, dose 2
MedDRA: Chills, Pain, Pre-existing disease, Pyrexia, Sensitivity to weather change — Feeling: Fair

Free text: It may just be allergies since it's about that time of the year as well as recent stressors becoming too much, but I feel almost feverish, chilly, and achy since last night.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-27
Survey response — day 28, dose 2
MedDRA: Headache, Pain — Feeling: Poor

Free text: Might not be related to the vaccine, but I've been feeling achy and have a headache right now.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-03
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-04-10
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-05-29
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-28
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-12-09
Dose 3 — Pfizer-BioNTech
2021-12-13
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-12-14
Survey response — days 1–6 daily, dose 3
MedDRA: Injection site bruising — Feeling: Good · Muscle or body aches, Fatigue or tiredness

Free text: Bruising at injection site

MedDRA releases: 2024-11 · check-in free text available
2021-12-15
Survey response — days 1–6 daily, dose 3
MedDRA: Injection site bruising, Injection site pain — Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness

Free text: Bruising is still apparent at injection site. Slightly painful when pressed.

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

Free text: Bruise is healing

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

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

Adult check-in
2022-01-10
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-01-13
Survey response — day 35, dose 3
MedDRA: Fatigue, Throat irritation — Feeling: Fair

Free text: Fatigued, scratchy throat; might just be stress though or lack of restful sleep or accumulated anxiety or repressed anger...

MedDRA releases: 2024-11 · check-in free text available
2022-01-20
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2022-03-12
Survey response — 3 months, dose 3
MedDRA: Cough, Influenza like illness, Oropharyngeal pain — 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

Free text: Was sick last month with symptoms similar to the stomach flu; also been having a sore throat and some coughing every now and then, maybe from allergies.

MedDRA releases: 2024-11 · check-in free text available
2022-03-12
Report sent to call center — 3 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)
2022-03-16
Call 1 — Left Voicemail
2022-06-09
Health check-in — 6 months, dose 3
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-24	Moderna
2	2021-02-27	Moderna
3	2021-12-09	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2022-03-12	Unsuccessful

Free text

Release 5 — days 1–6 daily, dose 2

2021-03-04

Systemic reaction (other): Brain fog on and off since the date of injection

Release 6 — day 21, dose 2

2021-03-20

Symptoms: It may just be allergies since it's about that time of the year as well as recent stressors becoming too much, but I feel almost feverish, chilly, and achy since last night.

Release 6 — day 28, dose 2

2021-03-27

Symptoms: Might not be related to the vaccine, but I've been feeling achy and have a headache right now.

Release 10 — days 1–6 daily, dose 3

2021-12-14

Systemic reaction (other): Bruising at injection site

2021-12-15

Systemic reaction (other): Bruising is still apparent at injection site. Slightly painful when pressed.

Release 10 — day 7, dose 3

2021-12-16

Systemic reaction (other): Bruise is healing

Release 10 — day 35, dose 3

2022-01-13

Symptoms: Fatigued, scratchy throat; might just be stress though or lack of restful sleep or accumulated anxiety or repressed anger...

Release 11 — 3 months, dose 3

2022-03-12

Symptoms: Was sick last month with symptoms similar to the stomach flu; also been having a sore throat and some coughing every now and then, maybe from allergies.

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	Chills	✓	✓	✓
SD	Cough	·	·	✓
SD	Fatigue	·	·	✓
SD	Headache	✓	✓	✓
SD	Influenza like illness	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pain	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Pyrexia	✓	✓	✓
SD	Sensitivity to weather change	✓	✓	✓
SD	Throat irritation	·	·	✓
SRO	Contusion	·	·	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Injection site bruising	·	·	✓
SRO	Injection site pain	·	·	✓

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