ZW6-30737-82857

5 vaccinations 7 coded responses 33 check-ins 7 free-text entries 1 call case

Sex: Female
Age at first dose: 66+
ZIP prefix: 017 / MA
Registered: 2021-03-12

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

2021-02-08
Dose 1 — Moderna
2021-03-11
Dose 2 — Moderna
2021-03-12
Registered in v-safe
2021-03-12
Survey response — days 1–6 daily, dose 2
MedDRA: Pyrexia — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Fever

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling, Itching · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Swelling, Itching · None

Adult check-in
2021-03-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling, Itching · None

Adult check-in
2021-03-17
Survey response — days 1–6 daily, dose 2
MedDRA: Fatigue, Insomnia, Tinnitus — Feeling: Fair · Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: More tired than yesterday, not sleeping as well the past 2 nights, increase in tinnitus

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-18
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-25
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-01
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-08
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-15
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-22
Survey response — day 42, dose 2
MedDRA: Nasopharyngitis — Feeling: Fair

Free text: I have a cold.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-10
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-10
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-14
Dose 3 — Moderna
2022-03-11
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-05-06
Dose 4 — Pfizer-BioNTech
2022-05-08
Survey response — days 1–6 daily, dose 4
MedDRA: Pain, Pyrexia — Feeling: Good · Site: Pain · Fatigue or tiredness

Free text: Low grade fever and body aches day after vaccine, May 7

MedDRA releases: 2024-11 · check-in free text available
2022-05-09
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Fatigue or tiredness

Adult check-in
2022-05-10
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Fatigue or tiredness

Adult check-in
2022-05-11
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2022-05-12
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-05-13
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-05-20
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-05-27
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-06-03
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-06-10
Survey response — day 35, dose 4
MedDRA: Cough, Lower respiratory tract congestion, Nasopharyngitis — Feeling: Fair · Be unable to do your normal daily activities

Free text: A cold since Sun, June 5, with some coughing and slight congestion in upper bronchial area. Getting better today.

MedDRA releases: 2024-11 · check-in free text available
2022-06-17
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-08-05
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-09-29
Dose 5 — Pfizer-BioNTech
2022-10-16
Health check-in — day 14, dose 5
Feeling: Good

Adult check-in
2022-10-20
Health check-in — day 21, dose 5
Feeling: Good

Adult check-in
2022-10-27
Health check-in — day 28, dose 5
Feeling: Good

Adult check-in
2022-11-03
Survey response — day 35, dose 5
MedDRA: Oropharyngeal pain, Rhinorrhoea — Feeling: Good

Free text: I have a mild sore throat on one side of my throat and a runny nose. No fever

MedDRA releases: 2024-11 · check-in free text available
2022-11-10
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2022-12-29
Survey response — 3 months, dose 5
MedDRA: Breast cancer, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Diagnosed with a malignant growth in my breast this week. · Healthcare visit (other): Outpatient biopsy at (b)(6)

MedDRA releases: 2024-11 · check-in free text available
2022-12-29
Report sent to call center — 3 months, dose 5
Get care from a doctor or other healthcare professional

1 call case(s)
2022-12-30
Call 1 — Left Voicemail
2022-12-30
Call successful
Does not wish to fill out VAERS report
2023-03-30
Health check-in — 6 months, dose 5
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-08	Moderna
2	2021-03-11	Moderna
3	2021-11-14	Moderna	No
4	2022-05-06	Pfizer-BioNTech	No
5	2022-09-29	Pfizer-BioNTech	No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 2

2021-03-12

Systemic reaction (other): Fever

2021-03-17

Systemic reaction (other): More tired than yesterday, not sleeping as well the past 2 nights, increase in tinnitus

Release 7 — day 42, dose 2

2021-04-22

Symptoms: I have a cold.

Release 11 — days 1–6 daily, dose 4

2022-05-08

Systemic reaction (other): Low grade fever and body aches day after vaccine, May 7

Release 12 — day 35, dose 4

2022-06-10

Symptoms: A cold since Sun, June 5, with some coughing and slight congestion in upper bronchial area. Getting better today.

Release 12 — day 35, dose 5

2022-11-03

Symptoms: I have a mild sore throat on one side of my throat and a runny nose. No fever

Release 12 — 3 months, dose 5

2022-12-29

Symptoms: Diagnosed with a malignant growth in my breast this week.

Healthcare visit (other): Outpatient biopsy at (b)(6)

redacted (b)(6)

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	Breast cancer	·	·	✓
SD	Cough	·	·	✓
SD	Lower respiratory tract congestion	·	·	✓
SD	Nasopharyngitis	✓	✓	✓
SD	Oropharyngeal pain	·	·	✓
SD	Rhinorrhoea	·	·	✓
SRO	Fatigue	✓	✓	✓
SRO	Insomnia	✓	✓	✓
SRO	Pain	·	·	✓
SRO	Pyrexia	✓	✓	✓
SRO	Tinnitus	✓	✓	✓

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