238-19267-99830

3 vaccinations 5 coded responses 28 check-ins 5 free-text entries 2 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 791 / TX
Registered: 2021-01-26

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

2021-01-26
Registered in v-safe
2021-01-26
Dose 1 — Moderna
2021-01-26
Health check-in — day 0, dose 1
Feeling: Good · Muscle or body aches

Adult check-in
2021-01-27
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Joint pains, Nausea

Adult check-in
2021-01-28
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Itching · Joint pains, Muscle or body aches

Adult check-in
2021-01-29
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Joint pains, Muscle or body aches

Adult check-in
2021-01-30
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Diarrhea

Adult check-in
2021-01-31
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache

Adult check-in
2021-02-01
Survey response — days 1–6 daily, dose 1
MedDRA: Office visit, Pre-existing disease, SARS-CoV-2 test negative — Feeling: Fair · Chills, Headache, Joint pains, Muscle or body aches · Get care from a doctor or other healthcare professional

Free text: Dr office. Turns out they did a covid test turned out neg. Dr thought it might be a cold coming on with my other autoimmune diseases I currently have.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-01
Report sent to call center — days 1–6 daily, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-02
Health check-in — day 7, dose 1
Feeling: Fair · Chills, Headache, Joint pains, Muscle or body aches

Adult check-in
2021-02-09
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-16
Survey response — day 21, dose 1
MedDRA: Cough, Diarrhoea, Faeces soft, Headache, Pain, Throat irritation — Feeling: Fair

Free text: Dry cough, headache, body aches, scratchy throat, feels like an upper respiratory thing. (Diarrhea, soft stool yesterday)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-23
Dose 2 — Moderna
2021-02-23
Health check-in — day 0, dose 2
Feeling: Good · Muscle or body aches

Adult check-in
2021-02-24
Survey response — days 1–6 daily, dose 2
MedDRA: Medical counselling, Pre-existing disease — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Nausea, Vomiting · Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): My regular body temp is 97 F. I have Fibromyalgia and Addisons among other Autoimmune problems. · Healthcare visit (other): I called my Endocrinologist to ask how I needed to dose my meds since I was throwing up.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-24
Report sent to call center — days 1–6 daily, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-25
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness postural — Feeling: Poor · Site: Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain

Free text: Fainty feeling when up and about.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-26
Survey response — days 1–6 daily, dose 2
MedDRA: Rhinorrhoea, Sneezing — Feeling: Poor · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain

Free text: Sneezing, Runny nose

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-27
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain

Adult check-in
2021-02-28
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Muscle or body aches, Fatigue or tiredness, Abdominal pain

Adult check-in
2021-03-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Muscle or body aches, Fatigue or tiredness, Abdominal pain

Adult check-in
2021-03-02
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-09
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-16
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-23
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-30
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-06
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-25
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-06-15
Call successful
Does not wish to fill out VAERS report
2021-08-24
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2021-12-03
Dose 3 — Moderna
2022-02-23
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-06-03
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-12-03
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-26	Moderna
2	2021-02-23	Moderna
3	2021-12-03	Moderna	No

Call center

2 call center cases

2 successful

See the call center timeline

Free text

Release 3 — days 1–6 daily, dose 1

2021-02-01

Healthcare visit (other): Dr office. Turns out they did a covid test turned out neg. Dr thought it might be a cold coming on with my other autoimmune diseases I currently have.

Release 4 — day 21, dose 1

2021-02-16

Symptoms: Dry cough, headache, body aches, scratchy throat, feels like an upper respiratory thing. (Diarrhea, soft stool yesterday)

Release 4 — days 1–6 daily, dose 2

2021-02-24

Systemic reaction (other): My regular body temp is 97 F. I have Fibromyalgia and Addisons among other Autoimmune problems.

Healthcare visit (other): I called my Endocrinologist to ask how I needed to dose my meds since I was throwing up.

2021-02-25

Systemic reaction (other): Fainty feeling when up and about.

2021-02-26

Systemic reaction (other): Sneezing, Runny nose

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	Medical counselling	✓	✓	✓
HCVO	Office visit	✓	✓	✓
HCVO	Pre-existing disease	✓	✓	✓
HCVO	SARS-CoV-2 test negative	✓	✓	✓
SD	Cough	✓	✓	✓
SD	Diarrhoea	✓	✓	✓
SD	Faeces soft	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Throat irritation	✓	✓	✓
SRO	Dizziness postural	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Rhinorrhoea	✓	✓	✓
SRO	Sneezing	✓	✓	✓

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