YT2-11782-59000

4 vaccinations 9 coded responses 38 check-ins 9 free-text entries 4 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 222 / VA
Registered: 2021-01-25

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

2021-01-25
Registered in v-safe
2021-01-25
Dose 1 — Moderna
2021-01-25
Health check-in — day 0, dose 1
Feeling: Poor · Site: Pain · 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
2021-01-26
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Adult check-in
2021-01-26
Report sent to call center — days 1–6 daily, dose 1
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-01-27
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-01-28
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: Dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-29
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-01-30
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-02-01
Health check-in — day 7, dose 1
Feeling: Fair · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-08
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-15
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-22
Dose 2 — Moderna
2021-02-22
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Chills, Headache

Adult check-in
2021-02-23
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-02-24
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-02-26
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-03-03
Survey response — day 7, dose 2
MedDRA: Asthma, Medical counselling — Feeling: Fair · Nausea · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Systemic reaction (other): Asthma attack after not having one in years. Only recent change has been the vaccine. · Healthcare visit (other): Soufht doctor advice on asthma attack.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-03
Report sent to call center — day 7, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-15
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-24
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-31
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-04-05
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-24
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-06-03
Call successful
Reported to VAERS voluntarily prior to GDIT contact
2021-06-03
Call successful
Reported to VAERS voluntarily prior to GDIT contact
2021-08-23
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2021-12-09
Dose 3 — Pfizer-BioNTech
2021-12-10
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-12-11
Survey response — days 1–6 daily, dose 3
MedDRA: Lymphadenopathy — Feeling: Poor · Site: Pain · Fever · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Swollen glands on side of body near shot

MedDRA releases: 2024-11 · check-in free text available
2021-12-12
Survey response — days 1–6 daily, dose 3
MedDRA: Lymphadenopathy — Feeling: Fair · Fever · Fatigue or tiredness

Free text: Swollen supraclavicular glands on side of injection

MedDRA releases: 2024-11 · check-in free text available
2021-12-13
Survey response — days 1–6 daily, dose 3
MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Fair

Free text: Swollen painful glands

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
Survey response — day 21, dose 3
MedDRA: Decreased appetite, Fatigue, Headache, Nausea, Vomiting — 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

Free text: Nasuea, vomiting, headaches, fatigue, loss of appetite

MedDRA releases: 2024-11 · check-in free text available
2021-12-30
Report sent to call center — day 21, 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)
2022-01-04
Call 1 — Could Not Reach Participant
2022-01-10
Call 2 — Could Not Reach Participant
2022-01-15
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-01-21
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-03-12
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-06-11
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-09-11
Dose 4 — Pfizer-BioNTech
2022-09-11
Health check-in — day 0, dose 4
Feeling: Good · None

Adult check-in
2022-09-12
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-09-16
Survey response — days 1–6 daily, dose 4
MedDRA: Cough, SARS-CoV-2 test positive — Feeling: Poor · Chills, Headache, Fatigue or tiredness · 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: Coughing. Tested positive for COVID.

MedDRA releases: 2024-11 · check-in free text available
2022-09-16
Report sent to call center — days 1–6 daily, dose 4
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)
2022-09-17
Survey response — days 1–6 daily, dose 4
MedDRA: Ageusia, Anosmia, Cough, SARS-CoV-2 test positive — Feeling: Poor · Chills, Headache, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Coughing, loss of taste and smell. Tested positive for COVID

MedDRA releases: 2024-11 · check-in free text available
2022-09-18
Survey response — day 7, dose 4
MedDRA: Ageusia, Anosmia, COVID-19, Cough, Nasopharyngitis — Feeling: Poor · Headache, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Cough and cold synotoms, loss of taste and smell due to COVID infection.

MedDRA releases: 2024-11 · check-in free text available
2022-09-19
Call 3 — Left Voicemail
2022-09-19
Call 1 — Left Voicemail
2022-10-10
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-10-18
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-10-25
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-25	Moderna
2	2021-02-22	Moderna
3	2021-12-09	Pfizer-BioNTech	No
4	2022-09-11	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-01-26	Successful 2021-06-03	Reported to VAERS voluntarily prior to GDIT contact
2021-03-03	Successful 2021-06-03	Reported to VAERS voluntarily prior to GDIT contact
2021-12-30	Unsuccessful
2022-09-16	Unsuccessful

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-28

Systemic reaction (other): Dizziness

Release 5 — day 7, dose 2

2021-03-03

Systemic reaction (other): Asthma attack after not having one in years. Only recent change has been the vaccine.

Healthcare visit (other): Soufht doctor advice on asthma attack.

Release 10 — days 1–6 daily, dose 3

2021-12-11

Systemic reaction (other): Swollen glands on side of body near shot

2021-12-12

Systemic reaction (other): Swollen supraclavicular glands on side of injection

2021-12-13

Systemic reaction (other): Swollen painful glands

Release 10 — day 21, dose 3

2021-12-30

Symptoms: Nasuea, vomiting, headaches, fatigue, loss of appetite

Release 12 — days 1–6 daily, dose 4

2022-09-16

Systemic reaction (other): Coughing. Tested positive for COVID.

2022-09-17

Systemic reaction (other): Coughing, loss of taste and smell. Tested positive for COVID

Release 12 — day 7, dose 4

2022-09-18

Systemic reaction (other): Cough and cold synotoms, loss of taste and smell due to COVID infection.

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	Asthma	✓	✓	✓
HCVO	Medical counselling	✓	✓	✓
SD	Decreased appetite	·	·	✓
SD	Fatigue	·	·	✓
SD	Headache	·	·	✓
SD	Nausea	·	·	✓
SD	Vomiting	·	·	✓
SRO	Ageusia	·	·	✓
SRO	Anosmia	·	·	✓
SRO	Asthma	✓	✓	✓
SRO	Cough	·	·	✓
SRO	COVID-19	·	·	✓
SRO	Dizziness	✓	✓	✓
SRO	Lymph node pain	·	·	✓
SRO	Lymphadenopathy	·	·	✓
SRO	Nasopharyngitis	·	·	✓
SRO	SARS-CoV-2 test positive	·	·	✓

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