YUU-15170-47880

2 vaccinations 6 coded responses 26 check-ins 6 free-text entries 2 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 021 / MA
Registered: 2021-02-06

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

2021-02-06
Registered in v-safe
2021-02-06
Dose 1 — Moderna
2021-02-06
Health check-in — day 0, dose 1
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-07
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work

Adult check-in
2021-02-08
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
2021-02-09
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache

Adult check-in
2021-02-10
Survey response — days 1–6 daily, dose 1
MedDRA: Gastrooesophageal reflux disease, Headache, Insomnia, Nausea — Feeling: Fair · Headache, Nausea · Be unable to work

Free text: was up all night waiting to vomit, bad headache, very bad acid/and nauseous all day today

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-11
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Nausea

Adult check-in
2021-02-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-13
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-20
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-27
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-03-05
Dose 2 — Moderna
2021-03-05
Health check-in — day 0, dose 2
Feeling: Good · None

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

Adult check-in
2021-03-07
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness, Nausea

Adult check-in
2021-03-08
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
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
2021-03-11
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-12
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-19
Survey response — day 14, dose 2
MedDRA: Abdominal pain upper, Back pain, Pain — Feeling: Good

Free text: I had back and side pain into stomach all day wednesday.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-02
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-09
Survey response — day 35, dose 2
MedDRA: Abdominal discomfort — Feeling: Good · Be unable to work

Free text: Intestinal stomach issues

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-04
Survey response — 3 months, dose 2
MedDRA: Office visit, Vitamin D deficiency — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Vitamin D defiency. In high doses vitamin D2 for 10 weeks · Healthcare visit (other): Primary dr

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-04
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-09-03
Survey response — 6 months, dose 2
MedDRA: Oropharyngeal pain, Pre-existing disease, SARS-CoV-2 test negative — 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: Symptoms: Had symptoms that I thought could be Covid even though I am fully vaccinated, I did have two negative Covid tests a few weeks ago. I had some kind of a virus I guess today I have a sore throat on the left side but I do suffer from allergies · Healthcare visit (other): Covid tests x2 neg

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-09-03
Report sent to call center — 6 months, 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)
2021-09-08
Call 1 — Could Not Reach Participant
2021-09-13
Call 2 — Left Voicemail
2022-03-09
Survey response — 12 months, dose 2
MedDRA: COVID-19 — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Had Covid end of December through January

MedDRA releases: 2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-06	Moderna
2	2021-03-05	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-06-04	Unsuccessful
2021-09-03	Unsuccessful

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-10

Systemic reaction (other): was up all night waiting to vomit, bad headache, very bad acid/and nauseous all day today

Release 5 — day 14, dose 2

2021-03-19

Symptoms: I had back and side pain into stomach all day wednesday.

Release 7 — day 35, dose 2

2021-04-09

Symptoms: Intestinal stomach issues

Release 8 — 3 months, dose 2

2021-06-04

Symptoms: Vitamin D defiency. In high doses vitamin D2 for 10 weeks

Healthcare visit (other): Primary dr

Release 9 — 6 months, dose 2

2021-09-03

Symptoms: Had symptoms that I thought could be Covid even though I am fully vaccinated, I did have two negative Covid tests a few weeks ago. I had some kind of a virus I guess today I have a sore throat on the left side but I do suffer from allergies

Healthcare visit (other): Covid tests x2 neg

Release 11 — 12 months, dose 2

2022-03-09

Symptoms: Had Covid end of December through January

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	✓	✓	✓
HCVO	SARS-CoV-2 test negative	✓	·	✓
SD	Abdominal discomfort	✓	✓	✓
SD	Abdominal pain upper	✓	✓	✓
SD	Back pain	✓	✓	✓
SD	COVID-19	·	·	✓
SD	Oropharyngeal pain	✓	·	✓
SD	Pain	✓	✓	✓
SD	Pre-existing disease	✓	·	✓
SD	SARS-CoV-2 test negative	✓	·	✓
SD	Vitamin D deficiency	✓	✓	✓
SRO	Gastrooesophageal reflux disease	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Insomnia	✓	✓	✓
SRO	Nausea	✓	✓	✓

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