24F-98882-39322

4 vaccinations 15 coded responses 51 check-ins 15 free-text entries 1 call case

Sex: Female
Age at first dose: 56-60
ZIP prefix: 857 / AZ
Registered: 2021-06-01

Relationship: Self
Race: Multiracial
Ethnicity: N/A

Timeline

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

2021-06-01
Registered in v-safe
2021-06-01
Dose 1 — Moderna
2021-06-01
Health check-in — day 0, dose 1
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain

Adult check-in
2021-06-02
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-06-03
Survey response — days 1–6 daily, dose 1
MedDRA: Sensitive skin, Skin burning sensation — Feeling: Fair · Site: Pain

Free text: sensitive patches of skin on feet, arms, hands. Sort of a burning sensation.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-04
Survey response — days 1–6 daily, dose 1
MedDRA: Pain of skin, Sensitive skin — Feeling: Good · Site: Pain

Free text: Sensitive, sore skin around body

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-05
Survey response — days 1–6 daily, dose 1
MedDRA: Sensitive skin — Feeling: Good

Free text: Sensitive skin

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-06
Survey response — days 1–6 daily, dose 1
MedDRA: Sensitive skin — Feeling: Good

Free text: Sensitive skin

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-07
Survey response — days 1–6 daily, dose 1
MedDRA: Self-medication, Sensitive skin — Feeling: Good

Free text: Ibuprofen helped with skin sensitivity.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-08
Survey response — day 7, dose 1
MedDRA: Sensitive skin — Feeling: Good

Free text: Sensitive skin

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-15
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-06-22
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-06-29
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-07-02
Dose 2 — Moderna
2021-07-02
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-07-03
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-07-04
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-07-05
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-07-06
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-07-07
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-07-08
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-07-09
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-07-16
Survey response — day 14, dose 2
MedDRA: Rash — Feeling: Good

Free text: Rash

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-23
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-07-30
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-08-06
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-08-13
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-10-01
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-12-30
Dose 3 — Moderna
2021-12-31
Survey response — 6 months, dose 2
MedDRA: Cold urticaria — Feeling: Fair · Be unable to do your normal daily activities

Free text: Cold uticaria

MedDRA releases: 2024-11 · check-in free text available
2022-01-02
Survey response — days 1–6 daily, dose 3
MedDRA: Cold urticaria, Night sweats — Feeling: Good · Site: Pain

Free text: Hives with cold air or cold water and night sweats.

MedDRA releases: 2024-11 · check-in free text available
2022-01-03
Survey response — days 1–6 daily, dose 3
MedDRA: Night sweats, Rhinorrhoea — Feeling: Poor · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Night sweats, sniffles. I think I picked up Covid when I got my booster.

MedDRA releases: 2024-11 · check-in free text available
2022-01-04
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Muscle or body aches

Adult check-in
2022-01-05
Survey response — days 1–6 daily, dose 3
MedDRA: Feeling abnormal, Sneezing — Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Sneezing. Also, I felt better yesterday and then worse.

MedDRA releases: 2024-11 · check-in free text available
2022-01-06
Health check-in — day 7, dose 3
Feeling: Fair · Fatigue or tiredness

Adult check-in
2022-01-13
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-01-20
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-01-27
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-02-05
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-02-10
Survey response — day 42, dose 3
MedDRA: Insomnia, Toothache, Unevaluable event — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Toothache, insomnia · Healthcare visit (other): Emergency dental appt tomorrow

MedDRA releases: 2024-11 · check-in free text available
2022-02-10
Report sent to call center — day 42, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2022-02-15
Call 1 — Left Voicemail
2022-02-16
Call successful
Participant prefers to complete VAERS report online
2022-06-21
Dose 4 — Moderna
2022-06-21
Health check-in — day 0, dose 4
Feeling: Poor · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-06-22
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-06-23
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-06-24
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-06-25
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Fatigue or tiredness

Adult check-in
2022-06-26
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Fatigue or tiredness

Adult check-in
2022-06-27
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Fatigue or tiredness

Adult check-in
2022-06-28
Health check-in — day 7, dose 4
Feeling: Good · Fatigue or tiredness

Adult check-in
2022-07-05
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-07-12
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-07-19
Survey response — day 28, dose 4
MedDRA: Pruritus — Feeling: Good

Free text: Itchy skin

MedDRA releases: 2024-11 · check-in free text available
2022-07-26
Survey response — day 35, dose 4
MedDRA: Pruritus, Skin burning sensation — Feeling: Good

Free text: Itchy, burning skin in patches (no rash or visible changes though)

MedDRA releases: 2024-11 · check-in free text available
2022-08-02
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-09-20
Survey response — 3 months, dose 4
MedDRA: Fatigue — Feeling: Good · Be unable to do your normal daily activities

Free text: Fatigue

MedDRA releases: 2024-11 · check-in free text available
2022-12-22
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-06-01	Moderna
2	2021-07-02	Moderna	No
3	2021-12-30	Moderna	No
4	2022-06-21	Moderna	No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 8 — days 1–6 daily, dose 1

2021-06-03

Systemic reaction (other): sensitive patches of skin on feet, arms, hands. Sort of a burning sensation.

2021-06-04

Systemic reaction (other): Sensitive, sore skin around body

2021-06-05

Systemic reaction (other): Sensitive skin

2021-06-06

Systemic reaction (other): Sensitive skin

2021-06-07

Systemic reaction (other): Ibuprofen helped with skin sensitivity.

Release 8 — day 7, dose 1

2021-06-08

Systemic reaction (other): Sensitive skin

Release 9 — day 14, dose 2

2021-07-16

Symptoms: Rash

Release 10 — 6 months, dose 2

2021-12-31

Symptoms: Cold uticaria

Release 10 — days 1–6 daily, dose 3

2022-01-02

Systemic reaction (other): Hives with cold air or cold water and night sweats.

2022-01-03

Systemic reaction (other): Night sweats, sniffles. I think I picked up Covid when I got my booster.

2022-01-05

Systemic reaction (other): Sneezing. Also, I felt better yesterday and then worse.

Release 11 — day 42, dose 3

2022-02-10

Symptoms: Toothache, insomnia

Healthcare visit (other): Emergency dental appt tomorrow

Release 12 — day 28, dose 4

2022-07-19

Symptoms: Itchy skin

Release 12 — day 35, dose 4

2022-07-26

Symptoms: Itchy, burning skin in patches (no rash or visible changes though)

Release 12 — 3 months, dose 4

2022-09-20

Symptoms: Fatigue

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	Cold urticaria	·	·	✓
SD	Fatigue	·	·	✓
SD	Insomnia	·	·	✓
SD	Pruritus	·	·	✓
SD	Rash	✓	·	✓
SD	Skin burning sensation	·	·	✓
SD	Toothache	·	·	✓
SRO	Cold urticaria	·	·	✓
SRO	Feeling abnormal	·	·	✓
SRO	Night sweats	·	·	✓
SRO	Pain of skin	✓	✓	✓
SRO	Rhinorrhoea	·	·	✓
SRO	Self-medication	✓	✓	✓
SRO	Sensitive skin	✓	✓	✓
SRO	Skin burning sensation	✓	✓	✓
SRO	Sneezing	·	·	✓

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