ZDC-82529-83524

3 vaccinations 9 coded responses 38 check-ins 9 free-text entries 1 call case

Sex: Female
Age at first dose: 31-35
ZIP prefix: 840 / UT
Registered: 2021-02-03

Relationship: Self
Race: White
Ethnicity: Hispanic or Latino

Timeline

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

2021-02-03
Registered in v-safe
2021-02-03
Dose 1 — Moderna
2021-02-03
Health check-in — day 0, dose 1
Feeling: Good · Headache

Adult check-in
2021-02-04
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-02-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-10
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-17
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-24
Health check-in — day 21, dose 1
Feeling: Good

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

Adult check-in
2021-03-04
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-03-05
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Chills, Joint pains, Muscle or body aches

Adult check-in
2021-03-06
Survey response — days 1–6 daily, dose 2
MedDRA: Aphthous ulcer — Feeling: Poor · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: I have a canker sore, but it's likely not vaccine related

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-07
Survey response — days 1–6 daily, dose 2
MedDRA: Aphthous ulcer — Feeling: Good

Free text: Canker sore

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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 — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-17
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-24
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-31
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-07
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-14
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-02
Survey response — 3 months, dose 2
MedDRA: Asthenia, Diarrhoea, Gastroenteritis viral, Vomiting — Feeling: Good · Be unable to work, Be unable to do your normal daily activities

Free text: I had a stomach flu/food poisoning. I vomited and had diarrhea for about 8 hours about 4 weeks ago, and was weak for a couple days after. Took about a week for my stomach to return to normal. No fever that I was aware of.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-09-01
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-12-22
Dose 3 — Pfizer-BioNTech
2021-12-23
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Diarrhea · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-12-24
Survey response — days 1–6 daily, dose 3
MedDRA: Axillary mass, Axillary pain — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain

Free text: Arm pit on shot arm is suuuuuper sore. Hurt yesterday too. Feels like there's a ping pong ball in it.

MedDRA releases: 2024-11 · check-in free text available
2021-12-25
Survey response — days 1–6 daily, dose 3
MedDRA: Axillary pain — Feeling: Good · Site: Pain, Redness, Swelling, Itching

Free text: Arm pit is still extremely painful

MedDRA releases: 2024-11 · check-in free text available
2021-12-26
Survey response — days 1–6 daily, dose 3
MedDRA: Axillary pain, Oedema peripheral — Feeling: Good · Site: Redness

Free text: Arm pit is still swollen and sore, but a little less

MedDRA releases: 2024-11 · check-in free text available
2021-12-27
Survey response — days 1–6 daily, dose 3
MedDRA: Axillary pain — Feeling: Good

Free text: Very mild pain in arm pit

MedDRA releases: 2024-11 · check-in free text available
2021-12-28
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-12-29
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2022-01-07
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-01-12
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-01-19
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-01-26
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-02-04
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-03-23
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-06-22
Survey response — 6 months, dose 3
MedDRA: Abdominal discomfort, Diarrhoea, Gastroenteritis viral, Illness, Pain, Vomiting — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: I've had one or two stomach bugs. About 12 hours of periodic vomiting and/or diarrhea and a quick recovery. I'm currently experiencing prolonged stomach discomfort and aches from a bout of illness starting last Thursday.

MedDRA releases: 2024-11 · check-in free text available
2022-12-22
Survey response — 12 months, dose 3
MedDRA: Chills, Pain, Vomiting — 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: Vomiting, body aches, chills

MedDRA releases: 2024-11 · check-in free text available
2022-12-22
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

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-12-23
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-03	Moderna
2	2021-03-03	Moderna
3	2021-12-22	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2022-12-22	Unsuccessful

Free text

Release 5 — days 1–6 daily, dose 2

2021-03-06

Systemic reaction (other): I have a canker sore, but it's likely not vaccine related

2021-03-07

Systemic reaction (other): Canker sore

Release 8 — 3 months, dose 2

2021-06-02

Symptoms: I had a stomach flu/food poisoning. I vomited and had diarrhea for about 8 hours about 4 weeks ago, and was weak for a couple days after. Took about a week for my stomach to return to normal. No fever that I was aware of.

Release 10 — days 1–6 daily, dose 3

2021-12-24

Systemic reaction (other): Arm pit on shot arm is suuuuuper sore. Hurt yesterday too. Feels like there's a ping pong ball in it.

2021-12-25

Systemic reaction (other): Arm pit is still extremely painful

2021-12-26

Systemic reaction (other): Arm pit is still swollen and sore, but a little less

2021-12-27

Systemic reaction (other): Very mild pain in arm pit

Release 12 — 6 months, dose 3

2022-06-22

Symptoms: I've had one or two stomach bugs. About 12 hours of periodic vomiting and/or diarrhea and a quick recovery. I'm currently experiencing prolonged stomach discomfort and aches from a bout of illness starting last Thursday.

Release 12 — 12 months, dose 3

2022-12-22

Symptoms: Vomiting, body aches, chills

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
SD	Abdominal discomfort	·	·	✓
SD	Asthenia	✓	✓	✓
SD	Chills	·	·	✓
SD	Diarrhoea	✓	✓	✓
SD	Gastroenteritis viral	✓	✓	✓
SD	Illness	·	·	✓
SD	Pain	·	·	✓
SD	Vomiting	✓	✓	✓
SRO	Aphthous ulcer	✓	✓	✓
SRO	Axillary mass	·	·	✓
SRO	Axillary pain	·	·	✓
SRO	Oedema peripheral	·	·	✓

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