Z9J-28886-26252

4 vaccinations 9 coded responses 30 check-ins 8 free-text entries 2 call cases

Sex: Female
Age at first dose: 31-35
ZIP prefix: 368 / AL
Registered: 2021-01-16

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

2021-01-16
Registered in v-safe
2021-01-16
Dose 1 — Moderna
2021-01-16
Health check-in — day 0, dose 1
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-01-17
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Abdominal pain

Adult check-in
2021-01-18
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches

Adult check-in
2021-01-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-23
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-30
Survey response — day 14, dose 1
MedDRA: Pain in extremity, Rash, Rash pruritic — Feeling: Poor

Free text: Rash on the same arm where I received injection. Painful itching and soreness that I had after the initial vaccine. Rash is approx 8 inches tall and 4 inches wide, irregular margins

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-08
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-13
Dose 2 — Moderna
2021-02-15
Survey response — days 1–6 daily, dose 2
MedDRA: Pain, Pyrexia — Feeling: Good · Site: Pain, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches · Be unable to work, Be unable to do your normal daily activities

Free text: None of those symptoms today, but following the second dose, I had a 101 fever for 26 hours and severe body aches. Body aches kept me from sleeping but I was in bed for more than a full day.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling · None

Adult check-in
2021-02-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Swelling, Itching · Fatigue or tiredness, Nausea

Adult check-in
2021-02-18
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness · Headache · Be unable to do your normal daily activities

Adult check-in
2021-02-19
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-02-20
Survey response — day 7, dose 2
MedDRA: Dizziness, Dyspnoea — Feeling: Fair · Headache, Fatigue or tiredness

Free text: Short of breath, lightheaded

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-27
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-06
Survey response — day 21, dose 2
MedDRA: Dizziness, Vomiting — Feeling: Good · Be unable to do your normal daily activities

Free text: Lightheaded, vomiting

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-13
Survey response — day 28, dose 2
MedDRA: Dizziness, Intermenstrual bleeding, Office visit — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Spotting between monthly cycle, lightheadedness · Healthcare visit (other): Visited primary care doctor

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-13
Report sent to call center — day 28, dose 2
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)
2021-03-20
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-29
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-17
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-14
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-01
Dose 3 — Moderna
2022-02-15
Survey response — 12 months, dose 2
MedDRA: Amenorrhoea, SARS-CoV-2 test positive — 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: I contracted Covid in January 2022. I also did not have a menstrual cycle from the date of my booster (Nov. 1) until the week I tested positive.

MedDRA releases: 2024-11 · check-in free text available
2022-02-15
Report sent to call center — 12 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

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-02-17
Call 1 — Left Voicemail
2022-09-08
Dose 4 — Pfizer-BioNTech
2022-09-09
Survey response — days 1–6 daily, dose 4
MedDRA: Lower urinary tract symptoms — 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: About 28 hours after vaccine, developing UTI symptoms

MedDRA releases: 2024-11 · check-in free text available
2022-09-10
Health check-in — days 1–6 daily, dose 4
Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting · 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: Good · Site: Pain · None

Adult check-in
2022-09-24
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-09-29
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-10-06
Survey response — day 28, dose 4
MedDRA: Diarrhoea, Headache, Nausea — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Extreme nausea, diarrhea, headache

MedDRA releases: 2024-11 · check-in free text available
2022-10-13
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2023-03-09
Survey response — 6 months, dose 4
MedDRA: COVID-19, Parosmia, Taste disorder — Feeling: Good

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-16	Moderna
2	2021-02-13	Moderna
3	2021-11-01	Moderna	No
4	2022-09-08	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-03-13	Unsuccessful
2022-02-15	Unsuccessful

Free text

Release 3 — day 14, dose 1

2021-01-30

Symptoms: Rash on the same arm where I received injection. Painful itching and soreness that I had after the initial vaccine. Rash is approx 8 inches tall and 4 inches wide, irregular margins

Release 4 — days 1–6 daily, dose 2

2021-02-15

Systemic reaction (other): None of those symptoms today, but following the second dose, I had a 101 fever for 26 hours and severe body aches. Body aches kept me from sleeping but I was in bed for more than a full day.

Release 4 — day 7, dose 2

2021-02-20

Systemic reaction (other): Short of breath, lightheaded

Release 5 — day 21, dose 2

2021-03-06

Symptoms: Lightheaded, vomiting

Release 5 — day 28, dose 2

2021-03-13

Symptoms: Spotting between monthly cycle, lightheadedness

Healthcare visit (other): Visited primary care doctor

Release 11 — 12 months, dose 2

2022-02-15

Symptoms: I contracted Covid in January 2022. I also did not have a menstrual cycle from the date of my booster (Nov. 1) until the week I tested positive.

Release 12 — days 1–6 daily, dose 4

2022-09-09

Systemic reaction (other): About 28 hours after vaccine, developing UTI symptoms

Release 12 — day 28, dose 4

2022-10-06

Symptoms: Extreme nausea, diarrhea, headache

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	Amenorrhoea	·	·	✓
SD	COVID-19	·	·	✓
SD	Diarrhoea	·	·	✓
SD	Dizziness	✓	✓	✓
SD	Headache	·	·	✓
SD	Intermenstrual bleeding	✓	✓	✓
SD	Nausea	·	·	✓
SD	Pain in extremity	✓	✓	✓
SD	Parosmia	·	·	✓
SD	Rash	✓	✓	✓
SD	Rash pruritic	✓	✓	✓
SD	SARS-CoV-2 test positive	·	·	✓
SD	Taste disorder	·	·	✓
SD	Vomiting	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Lower urinary tract symptoms	·	·	✓
SRO	Pain	✓	✓	✓
SRO	Pyrexia	✓	✓	✓

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