ZA3-11059-35434

3 vaccinations 3 coded responses 31 check-ins 3 free-text entries 1 call case

Sex: Female
Age at first dose: 41-45
ZIP prefix: 066 / CT
Registered: 2021-05-07

Relationship: Self
Race: Other
Ethnicity: Not Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-04-23
Dose 1 — Moderna
2021-05-07
Registered in v-safe
2021-05-07
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-05-14
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-05-21
Dose 2 — Moderna
2021-05-21
Health check-in — day 0, dose 2
Feeling: Poor · Site: Pain · Headache, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-05-22
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-05-23
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness, Swelling · Headache, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-05-24
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Itching · Headache, Nausea, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-05-25
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Redness, Itching · Headache, Nausea, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-05-26
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Itching · Fatigue or tiredness, Diarrhea

Adult check-in
2021-05-27
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Itching · Diarrhea

Adult check-in
2021-05-28
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-06-04
Survey response — day 14, dose 2
MedDRA: Diarrhoea, Fatigue, Feeling abnormal — Feeling: Good · Be unable to do your normal daily activities

Free text: The diarrhea re-emerged and continued for a few more days. Also, the fatigue has come and gone and is pretty limiting at times. I cant exercise without feeling terrible the next day and was a daily exerciser before the 2nd covid vaccine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-11
Survey response — day 21, dose 2
MedDRA: Chest discomfort, Exercise tolerance decreased — Feeling: Good · Be unable to do your normal daily activities

Free text: The chest tightness and inability to exercise worsened over the last week, but may be getting better today.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-18
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-25
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-07-02
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-08-20
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-11-19
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-02-15
Dose 3 — Pfizer-BioNTech
2022-02-15
Health check-in — day 0, dose 3
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Abdominal pain

Adult check-in
2022-02-16
Survey response — days 1–6 daily, dose 3
MedDRA: Chest pain, Heart rate increased, Unevaluable event — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness · Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Chest pains, elevated heart rate ~30bpm above normal · Healthcare visit (other): Called for an in-network appointment; waiting to schedule a visit

MedDRA releases: 2024-11 · check-in free text available
2022-02-16
Report sent to call center — days 1–6 daily, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2022-02-17
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Itching · Headache

Adult check-in
2022-02-17
Call 1 — Could Not Reach Participant
2022-02-18
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2022-02-19
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2022-02-20
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2022-02-21
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2022-02-22
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2022-02-22
Call 2 — Could Not Reach Participant
2022-02-25
Call 3 — Could Not Reach Participant
2022-03-01
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-03-09
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-03-15
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-03-24
Health check-in — day 35, dose 3
Feeling: Fair

Adult check-in
2022-03-29
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-05-17
Health check-in — 3 months, dose 3
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-23	Moderna
2	2021-05-21	Moderna
3	2022-02-15	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2022-02-16	Unsuccessful

Free text

Release 8 — day 14, dose 2

2021-06-04

Symptoms: The diarrhea re-emerged and continued for a few more days. Also, the fatigue has come and gone and is pretty limiting at times. I cant exercise without feeling terrible the next day and was a daily exerciser before the 2nd covid vaccine.

Release 9 — day 21, dose 2

2021-06-11

Symptoms: The chest tightness and inability to exercise worsened over the last week, but may be getting better today.

Release 11 — days 1–6 daily, dose 3

2022-02-16

Systemic reaction (other): Chest pains, elevated heart rate ~30bpm above normal

Healthcare visit (other): Called for an in-network appointment; waiting to schedule a visit

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	Unevaluable event	·	·	✓
SD	Chest discomfort	✓	✓	✓
SD	Diarrhoea	✓	✓	✓
SD	Exercise tolerance decreased	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Feeling abnormal	✓	✓	✓
SRO	Chest pain	·	·	✓
SRO	Heart rate increased	·	·	✓

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