YZ7-81649-54734

3 vaccinations 7 coded responses 27 check-ins 7 free-text entries 4 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 481 / MI
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, Redness · Joint pains, Fatigue or tiredness

Adult check-in
2021-03-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

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

Adult check-in
2021-03-04
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-05
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-03-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-07
Health check-in — day 7, 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: Hypersensitivity, Unevaluable event — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Allergic reaction to my own allergens. They put me on Prednisone.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-21
Report sent to call center — day 21, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-27
Dose 2 — Moderna
2021-03-27
Survey response — day 0, dose 2
MedDRA: Pruritus, Thirst — Feeling: Fair · Site: Swelling · Chills

Free text: Itchy skin but no rash and extreme thirst

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-28
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-29
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-03-30
Survey response — days 1–6 daily, dose 2
MedDRA: Decreased appetite — Feeling: Good · Fatigue or tiredness

Free text: Not hungry

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-31
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-04-01
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Fatigue or tiredness, Diarrhea

Adult check-in
2021-04-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-03
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-10
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-17
Survey response — day 21, dose 2
MedDRA: Fatigue — Feeling: Good

Free text: Felt the same kind of exhaustion as the few days after getting shot 2. I know for certain I had an interaction with a COVID+ child and I wonder if that was my body fighting it off

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-24
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-01
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-08
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-26
Survey response — 3 months, dose 2
MedDRA: Surgery — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: A torn tendon and a ruptured Peroneal tendon. And surgery to repair them.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-26
Report sent to call center — 3 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)
2021-07-02
Call 2 — Left Voicemail
2021-09-25
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-27
Dose 3 — Moderna
2022-03-27
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-05-28
Survey response — 6 months, dose 3
MedDRA: Bronchitis, Cough — 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 · Outpatient clinic or urgent care clinic visit

Free text: Bronchitis with a cough that won't leave

MedDRA releases: 2024-11 · check-in free text available
2022-05-28
Report sent to call center — 6 months, 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

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-05-31
Call 1 — Left Voicemail
2022-05-31
Call 1 — Left Voicemail
2022-05-31
Call 1 — Left Voicemail
2022-06-01
Call successful
Completed over the phone
2022-11-27
Survey response — 12 months, dose 3
MedDRA: COVID-19, Herpes zoster, Office visit — Feeling: Good · 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: Shingles, also Covid · Healthcare visit (other): Standard doctor's appointment

MedDRA releases: 2024-11 · check-in free text available
2022-11-27
Report sent to call center — 12 months, 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 · 1 call case(s)
2022-11-28
Call 1 — Left Voicemail
2022-11-28
Callback requested for
04:00PM ET

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-28	Moderna
2	2021-03-27	Moderna
3	2021-11-27	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2021-03-21	Successful	Completed over the phone
2021-06-26	Successful	Completed over the phone
2022-05-28	Successful 2022-06-01	Completed over the phone
2022-11-27	Unsuccessful

Free text

Release 6 — day 21, dose 1

2021-03-21

Symptoms: Allergic reaction to my own allergens. They put me on Prednisone.

Release 6 — day 0, dose 2

2021-03-27

Systemic reaction (other): Itchy skin but no rash and extreme thirst

Release 6 — days 1–6 daily, dose 2

2021-03-30

Systemic reaction (other): Not hungry

Release 7 — day 21, dose 2

2021-04-17

Symptoms: Felt the same kind of exhaustion as the few days after getting shot 2. I know for certain I had an interaction with a COVID+ child and I wonder if that was my body fighting it off

Release 9 — 3 months, dose 2

2021-06-26

Symptoms: A torn tendon and a ruptured Peroneal tendon. And surgery to repair them.

Release 11 — 6 months, dose 3

2022-05-28

Symptoms: Bronchitis with a cough that won't leave

Release 12 — 12 months, dose 3

2022-11-27

Symptoms: Shingles, also Covid

Healthcare visit (other): Standard doctor's appointment

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	Bronchitis	·	·	✓
SD	Cough	·	·	✓
SD	COVID-19	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Herpes zoster	·	·	✓
SD	Hypersensitivity	✓	✓	✓
SD	Surgery	✓	✓	✓
SD	Unevaluable event	○	✓	○
SRO	Decreased appetite	✓	✓	✓
SRO	Pruritus	✓	✓	✓
SRO	Thirst	✓	✓	✓

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