YST-33724-45552

4 vaccinations 7 coded responses 29 check-ins 7 free-text entries 1 call case

Sex: Female
Age at first dose: 26-30
ZIP prefix: 875 / NM
Registered: 2021-02-02

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

2021-02-02
Registered in v-safe
2021-02-02
Dose 1 — Moderna
2021-02-03
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-04
Survey response — days 1–6 daily, dose 1
MedDRA: Abnormal dreams — Feeling: Good · Site: Pain

Free text: Very vivid dreams!!

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-05
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-09
Survey response — day 7, dose 1
MedDRA: Lymphadenopathy — Feeling: Poor · Fever · Chills, Fatigue or tiredness

Free text: Swollen armpit lymph node on same arm that I had vaccine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-16
Survey response — day 14, dose 1
MedDRA: Chills, Fatigue, Headache, Lymph node pain, Lymphadenopathy, Pain in extremity, SARS-CoV-2 test — Feeling: Good · Be unable to work, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Symptoms: One week post vaccine I had swollen and painful lymph nodes in the same arm as injection. Pain lasted 4 days and I had chills, fatigue, and headache. · Healthcare visit (other): Got tested for COVID

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-16
Report sent to call center — day 14, dose 1
Be unable to work · Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-23
Survey response — day 21, dose 1
MedDRA: Fatigue — Feeling: Good

Free text: Overall fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-02
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-03-05
Dose 2 — Moderna
2021-03-06
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
2021-03-07
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Fatigue or tiredness

Adult check-in
2021-03-08
Survey response — days 1–6 daily, dose 2
MedDRA: Anxiety — Feeling: Poor · Headache, Muscle or body aches · Be unable to work

Free text: Anxiety

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-09
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-10
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-14
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-19
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-26
Health check-in — day 21, dose 2
Feeling: Good

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

Adult check-in
2021-04-11
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-16
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-06
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-06
Call 1 — Left Voicemail
2021-09-05
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-12-01
Dose 3 — Pfizer-BioNTech
2022-03-05
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-10-28
Dose 4 — Pfizer-BioNTech
Co-administered: Flu
2022-11-06
Survey response — day 7, dose 4
MedDRA: Unevaluable event — Feeling: Good · Abdominal pain

Free text: Are spicy food

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

Adult check-in
2022-11-19
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-11-27
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-12-03
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-12-11
Survey response — day 42, dose 4
MedDRA: Oropharyngeal pain, Rhinorrhoea — Feeling: Fair

Free text: Sore throat, runny nose

MedDRA releases: 2024-11 · check-in free text available
2023-01-27
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2023-04-28
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-02	Moderna
2	2021-03-05	Moderna
3	2021-12-01	Pfizer-BioNTech	No
4	2022-10-28	Pfizer-BioNTech	Flu

Call center

Reported	Outcome	VAERS-related outcome
2021-02-16	Unsuccessful

Free text

Release 3 — days 1–6 daily, dose 1

2021-02-04

Systemic reaction (other): Very vivid dreams!!

Release 3 — day 7, dose 1

2021-02-09

Systemic reaction (other): Swollen armpit lymph node on same arm that I had vaccine

Release 4 — day 14, dose 1

2021-02-16

Symptoms: One week post vaccine I had swollen and painful lymph nodes in the same arm as injection. Pain lasted 4 days and I had chills, fatigue, and headache.

Healthcare visit (other): Got tested for COVID

Release 4 — day 21, dose 1

2021-02-23

Symptoms: Overall fatigue

Release 5 — days 1–6 daily, dose 2

2021-03-08

Systemic reaction (other): Anxiety

Release 12 — day 7, dose 4

2022-11-06

Systemic reaction (other): Are spicy food

Release 12 — day 42, dose 4

2022-12-11

Symptoms: Sore throat, runny nose

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	SARS-CoV-2 test	✓	✓	✓
SD	Chills	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Lymph node pain	✓	✓	✓
SD	Lymphadenopathy	✓	✓	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pain in extremity	✓	✓	✓
SD	Rhinorrhoea	·	·	✓
SRO	Abnormal dreams	✓	✓	✓
SRO	Anxiety	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Unevaluable event	·	·	✓

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