YQW-32283-65354

4 vaccinations 10 coded responses 35 check-ins 10 free-text entries 1 call case

Sex: Female
Age at first dose: 31-35
ZIP prefix: 600 / IL
Registered: 2021-02-28

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

2021-02-28
Registered in v-safe
2021-02-28
Dose 1 — Moderna
2021-02-28
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-03-01
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-02
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work

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

Adult check-in
2021-03-04
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-03-05
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-14
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-21
Survey response — day 21, dose 1
MedDRA: Stress, Vomiting — Feeling: Fair

Free text: Vomited today. More likely due to stress.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-28
Dose 2 — Moderna
2021-03-29
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-03-30
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work

Adult check-in
2021-03-31
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness · Headache, Joint pains

Adult check-in
2021-04-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness · Headache

Adult check-in
2021-04-04
Health check-in — day 7, dose 2
Feeling: Good · Headache

Adult check-in
2021-04-18
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-25
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-04
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-09-26
Survey response — 6 months, dose 2
MedDRA: Cough, Headache, Oropharyngeal pain — Feeling: Poor · Be unable to work or attend school

Free text: Cough, sore throat, headache

MedDRA releases: 2024-11 · check-in free text available
2021-11-23
Dose 3 — Moderna
2021-11-23
Health check-in — day 0, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-11-24
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain · 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

Adult check-in
2021-11-25
Survey response — days 1–6 daily, dose 3
MedDRA: Lymphadenopathy — Feeling: Poor · Site: Pain · 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: Swollen lymph node in armpit

MedDRA releases: 2024-11 · check-in free text available
2021-11-26
Survey response — days 1–6 daily, dose 3
MedDRA: Lymphadenopathy, Vaginal haemorrhage — Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Free text: Very swollen lymph node. Spotting

MedDRA releases: 2024-11 · check-in free text available
2021-11-27
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-12-01
Survey response — day 7, dose 3
MedDRA: Heavy menstrual bleeding — Feeling: Good

Free text: Abnormally heavy period

MedDRA releases: 2024-11 · check-in free text available
2022-05-26
Survey response — 6 months, dose 3
MedDRA: Exposure to SARS-CoV-2, Malaise, SARS-CoV-2 test negative — Feeling: Good · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: I got a covid like illness. I had symptoms. My husband tested positive but i didnt even though i was symptomatic

MedDRA releases: 2024-11 · check-in free text available
2022-05-26
Report sent to call center — 6 months, dose 3
Be unable to work or attend school · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-05-27
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-09-09
Dose 4 — Pfizer-BioNTech
2022-09-10
Health check-in — days 1–6 daily, dose 4
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2022-09-11
Health check-in — days 1–6 daily, dose 4
Feeling: Poor · Site: Pain · 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

Adult check-in
2022-09-12
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Fever · Chills, Headache, 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

Adult check-in
2022-09-16
Survey response — day 7, dose 4
MedDRA: Oedema peripheral, Paraesthesia — Feeling: Good · Site: Pain

Free text: There is swelling by my armpit near the injection site and that shoulder (rotator cuff) hurts and is sending tingling feelings down my arm to my fingers

MedDRA releases: 2024-11 · check-in free text available
2022-09-25
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-09-30
Survey response — day 21, dose 4
MedDRA: Cough, Nasal congestion, Oropharyngeal pain, Paranasal sinus discomfort, Rhinorrhoea, Sneezing, Stomatitis, Upper respiratory tract infection — Feeling: Poor · Be unable to work or attend school

Free text: Upper respiratory infection. Sore throat, nasal congestion, sinus pressure, runny nose, cough, sneezing, and mouth sores

MedDRA releases: 2024-11 · check-in free text available
2022-10-09
Survey response — day 28, dose 4
MedDRA: Cough, Nasal congestion — Feeling: Fair · Be unable to work or attend school

Free text: Cough. Nasal congestion

MedDRA releases: 2024-11 · check-in free text available
2022-12-09
Survey response — 3 months, dose 4
MedDRA: Pregnancy — Feeling: Fair

Free text: Im pregnant and experiencing morning sickness. Both seem unrelated to vaccination

MedDRA releases: 2024-11 · check-in free text available
2023-03-10
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-28	Moderna
2	2021-03-28	Moderna
3	2021-11-23	Moderna	No
4	2022-09-09	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2022-05-26	Successful 2022-05-27	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Free text

Release 6 — day 21, dose 1

2021-03-21

Symptoms: Vomited today. More likely due to stress.

Release 9 — 6 months, dose 2

2021-09-26

Symptoms: Cough, sore throat, headache

Release 10 — days 1–6 daily, dose 3

2021-11-25

Systemic reaction (other): Swollen lymph node in armpit

2021-11-26

Systemic reaction (other): Very swollen lymph node. Spotting

Release 10 — day 7, dose 3

2021-12-01

Systemic reaction (other): Abnormally heavy period

Release 11 — 6 months, dose 3

2022-05-26

Symptoms: I got a covid like illness. I had symptoms. My husband tested positive but i didnt even though i was symptomatic

Release 12 — day 7, dose 4

2022-09-16

Systemic reaction (other): There is swelling by my armpit near the injection site and that shoulder (rotator cuff) hurts and is sending tingling feelings down my arm to my fingers

Release 12 — day 21, dose 4

2022-09-30

Symptoms: Upper respiratory infection. Sore throat, nasal congestion, sinus pressure, runny nose, cough, sneezing, and mouth sores

Release 12 — day 28, dose 4

2022-10-09

Symptoms: Cough. Nasal congestion

Release 12 — 3 months, dose 4

2022-12-09

Symptoms: Im pregnant and experiencing morning sickness. Both seem unrelated to vaccination

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	Cough	·	·	✓
SD	Exposure to SARS-CoV-2	·	·	✓
SD	Headache	·	·	✓
SD	Malaise	·	·	✓
SD	Nasal congestion	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Paranasal sinus discomfort	·	·	✓
SD	Pregnancy	·	·	✓
SD	Rhinorrhoea	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	Sneezing	·	·	✓
SD	Stomatitis	·	·	✓
SD	Stress	✓	✓	✓
SD	Upper respiratory tract infection	·	·	✓
SD	Vomiting	✓	✓	✓
SRO	Heavy menstrual bleeding	·	·	✓
SRO	Lymphadenopathy	·	·	✓
SRO	Oedema peripheral	·	·	✓
SRO	Paraesthesia	·	·	✓
SRO	Vaginal haemorrhage	·	·	✓

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