YQQ-12578-80617

3 vaccinations 11 coded responses 37 check-ins 11 free-text entries 4 call cases

Sex: Female
Age at first dose: 16-20
ZIP prefix: 770 / TX
Registered: 2021-04-27

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

Timeline

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

2021-04-27
Registered in v-safe
2021-04-27
Dose 1 — Moderna
2021-04-27
Health check-in — day 0, dose 1
Feeling: Fair · Headache

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

Adult check-in
2021-04-29
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Itching · Headache

Adult check-in
2021-04-30
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Redness, Itching · Headache

Adult check-in
2021-05-01
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Itching · Headache

Adult check-in
2021-05-02
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Redness, Itching · Headache

Adult check-in
2021-05-03
Survey response — days 1–6 daily, dose 1
MedDRA: Fatigue — Feeling: Fair · Site: Itching · Headache · Be unable to do your normal daily activities

Free text: Being Tired More

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-04
Survey response — day 7, dose 1
MedDRA: Acne — Feeling: Fair · Site: Itching · Headache

Free text: My left side of my face broke out

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-11
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-05-18
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-06-06
Dose 2 — Moderna
2021-06-10
Survey response — days 1–6 daily, dose 2
MedDRA: Rash — Feeling: Fair · Site: Redness, Swelling, Itching · Chills, Headache, Muscle or body aches, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: A rash appeared on both of my arms that looks like its in my blood veins

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-11
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Swelling, Itching · Headache

Adult check-in
2021-06-12
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Swelling, Itching · Headache

Adult check-in
2021-06-13
Health check-in — day 7, dose 2
Feeling: Fair · Site: Swelling, Itching · Headache, Fatigue or tiredness

Adult check-in
2021-06-20
Survey response — day 14, dose 2
MedDRA: Rash, Vaccine positive rechallenge — Feeling: Fair · Be unable to do your normal daily activities

Free text: Rash that appeared on my right arm when I got my first vaccine than it has gotten worse when I got my second vaccine. It has spread to my left a as well. It looks like the rash is in my veins in my arms. It look really bad especially on my right arm.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-27
Survey response — day 21, dose 2
MedDRA: Rash — 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, Outpatient clinic or urgent care clinic visit

Free text: Rash

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-27
Report sent to call center — day 21, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-02
Call 1 — Left Voicemail
2021-07-04
Survey response — day 28, dose 2
MedDRA: Medical counselling, Rash — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Rash on my right arm where I got my first and second vaccine on.My doctor said I might be allergic to the covid-19 vaccination.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-11
Survey response — day 35, dose 2
MedDRA: Office visit, Rash — 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: The arm I got my vaccine in I have gotten a weird rash on my right arm than it had gotten on my left arm as well. It had gotten worse on my right arm. I went the doctor for the rash on my right arm and the doctor said I might be allergic to vaccine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-11
Report sent to call center — day 35, 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)
2021-07-18
Survey response — day 42, dose 2
MedDRA: Office visit, Rash, Reaction to previous exposure to any vaccine — 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: Symptoms: The first time I took the vaccine shot I gotten a rash on my right arm than when I gotten my second vaccine shot the rash gotten worse on my right arm. I went to the doctor and the doctor said I might be having a allergic reaction to the vaccine. · Healthcare visit (other): Doctor Office

MedDRA releases: 2024-11 · check-in free text available
2021-07-18
Report sent to call center — day 42, 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)
2021-07-19
Call 1 — Left Voicemail
2021-07-20
Call 2 — Left Voicemail
2021-07-20
Call successful
Participant prefers to complete VAERS report online
2021-09-05
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-12-05
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2021-12-21
Dose 3 — Pfizer-BioNTech
2021-12-21
Health check-in — day 0, dose 3
Feeling: Fair · Site: Itching · Headache · Be unable to work or attend school

Adult check-in
2021-12-22
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Itching · Fever · Headache · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-12-23
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Itching · Fever · Chills, Headache, Muscle or body aches · 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, Emergency room or emergency department visit

Adult check-in
2021-12-23
Report sent to call center — days 1–6 daily, 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 · Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
2021-12-24
Survey response — days 1–6 daily, dose 3
MedDRA: Rhinorrhoea — Feeling: Fair · Site: Itching · Fever · Headache, Muscle or body aches · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Running nose

MedDRA releases: 2024-11 · check-in free text available
2021-12-25
Survey response — days 1–6 daily, dose 3
MedDRA: Oropharyngeal pain, Rhinorrhoea — Feeling: Fair · Site: Itching · Fever · Chills, Headache, Muscle or body aches · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Sore Throat & Running Nose

MedDRA releases: 2024-11 · check-in free text available
2021-12-26
Survey response — days 1–6 daily, dose 3
MedDRA: Oropharyngeal pain — Feeling: Fair · Site: Itching · Headache, Muscle or body aches · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Sore throat

MedDRA releases: 2024-11 · check-in free text available
2021-12-27
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Headache · Be unable to work or attend school

Adult check-in
2021-12-27
Call 1 — Left Voicemail
2021-12-28
Health check-in — day 7, dose 3
Feeling: Fair · Headache · Be unable to work or attend school

Adult check-in
2021-12-28
Call successful
Participant prefers to complete VAERS report online
2022-01-04
Health check-in — day 14, dose 3
Feeling: Fair

Adult check-in
2022-01-11
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2022-01-18
Health check-in — day 28, dose 3
Feeling: Fair

Adult check-in
2022-01-25
Health check-in — day 35, dose 3
Feeling: Fair

Adult check-in
2022-02-01
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2022-03-22
Health check-in — 3 months, dose 3
Feeling: Fair

Adult check-in
2022-06-23
Health check-in — 6 months, dose 3
Feeling: Fair

Adult check-in
2022-12-23
Health check-in — 12 months, dose 3
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-27	Moderna
2	2021-06-06	Moderna
3	2021-12-21	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-06-27	Successful
2021-07-11	Successful
2021-07-18	Successful 2021-07-20	Participant prefers to complete VAERS report online
2021-12-23	Successful 2021-12-28	Participant prefers to complete VAERS report online

Free text

Release 8 — days 1–6 daily, dose 1

2021-05-03

Systemic reaction (other): Being Tired More

Release 8 — day 7, dose 1

2021-05-04

Systemic reaction (other): My left side of my face broke out

Release 9 — days 1–6 daily, dose 2

2021-06-10

Systemic reaction (other): A rash appeared on both of my arms that looks like its in my blood veins

Release 9 — day 14, dose 2

2021-06-20

Symptoms: Rash that appeared on my right arm when I got my first vaccine than it has gotten worse when I got my second vaccine. It has spread to my left a as well. It looks like the rash is in my veins in my arms. It look really bad especially on my right arm. cut off by CDC

Release 9 — day 21, dose 2

2021-06-27

Symptoms: Rash

Release 9 — day 28, dose 2

2021-07-04

Symptoms: Rash on my right arm where I got my first and second vaccine on.My doctor said I might be allergic to the covid-19 vaccination.

Release 9 — day 35, dose 2

2021-07-11

Symptoms: The arm I got my vaccine in I have gotten a weird rash on my right arm than it had gotten on my left arm as well. It had gotten worse on my right arm. I went the doctor for the rash on my right arm and the doctor said I might be allergic to vaccine. cut off by CDC

Release 9 — day 42, dose 2

2021-07-18

Symptoms: The first time I took the vaccine shot I gotten a rash on my right arm than when I gotten my second vaccine shot the rash gotten worse on my right arm. I went to the doctor and the doctor said I might be having a allergic reaction to the vaccine.

Healthcare visit (other): Doctor Office

Release 10 — days 1–6 daily, dose 3

2021-12-24

Systemic reaction (other): Running nose

2021-12-25

Systemic reaction (other): Sore Throat & Running Nose

2021-12-26

Systemic reaction (other): Sore throat

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	Office visit	·	·	✓
SD	Medical counselling	✓	✓	✓
SD	Office visit	✓	✓	✓
SD	Rash	✓	✓	✓
SD	Reaction to previous exposure to any vaccine	·	·	✓
SD	Vaccine positive rechallenge	✓	✓	✓
SRO	Acne	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Oropharyngeal pain	·	·	✓
SRO	Rash	✓	✓	✓
SRO	Rhinorrhoea	·	·	✓

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