24Q-33060-79471

3 vaccinations 9 coded responses 40 check-ins 9 free-text entries 1 call case

Sex: Female
Age at first dose: 66+
ZIP prefix: 117 / NY
Registered: 2021-05-14

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

2021-05-14
Registered in v-safe
2021-05-14
Dose 1 — Moderna
2021-05-14
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain, Swelling · Headache

Adult check-in
2021-05-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling · Headache, Fatigue or tiredness

Adult check-in
2021-05-16
Survey response — days 1–6 daily, dose 1
MedDRA: Decreased appetite, Heart rate increased, Neck pain, Pyrexia — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: Loss of appetite, racing pulse, neck pain, fever began yesterday afternoon right after my check-in.ternoon

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-17
Survey response — days 1–6 daily, dose 1
MedDRA: Decreased appetite, Fatigue — Feeling: Poor · 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: Loss of appetite, EXTREME fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-18
Survey response — days 1–6 daily, dose 1
MedDRA: Decreased appetite — Feeling: Fair · Chills, Headache, Fatigue or tiredness · Be unable to work

Free text: Loss of appetite

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-05-20
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-05-21
Health check-in — day 7, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-05-28
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-06-04
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-06-11
Dose 2 — Moderna
2021-06-11
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-06-12
Survey response — days 1–6 daily, dose 2
MedDRA: Paraesthesia — Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Tingling in hands and feet

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-13
Survey response — days 1–6 daily, dose 2
MedDRA: Paraesthesia — Feeling: Good · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Tingling in hands and feet

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-14
Survey response — days 1–6 daily, dose 2
MedDRA: Paraesthesia — Feeling: Good · Site: Pain, Redness · Joint pains, Muscle or body aches

Free text: Tingling hands and feet

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness · Headache

Adult check-in
2021-06-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-06-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Joint pains

Adult check-in
2021-06-18
Health check-in — day 7, dose 2
Feeling: Good · Fever · None

Adult check-in
2021-06-25
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-07-02
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-07-09
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-07-16
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-07-23
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-09-10
Survey response — 3 months, dose 2
MedDRA: Fatigue — Feeling: Good · Be unable to do your normal daily activities

Free text: Fatigue returned

MedDRA releases: 2024-11 · check-in free text available
2021-12-11
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-12-16
Dose 3 — Moderna
2021-12-17
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-12-18
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Diarrhea

Adult check-in
2021-12-19
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Diarrhea

Adult check-in
2021-12-20
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-12-21
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-12-22
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-12-23
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-12-30
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-01-06
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-01-13
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-01-20
Survey response — day 35, dose 3
MedDRA: Haemoglobin decreased, Serum ferritin decreased — Feeling: Good

Free text: Low hemoglobin and ferritin levels in routine CBC

MedDRA releases: 2024-11 · check-in free text available
2022-01-27
Survey response — day 42, dose 3
MedDRA: Office visit, Serum ferritin decreased — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Low ferritin levels necessitated a visit to a Hematologist. I am being scheduled for ferric carboxymaltose injections. · Healthcare visit (other): Hematologist

MedDRA releases: 2024-11 · check-in free text available
2022-01-27
Report sent to call center — day 42, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2022-03-17
Health check-in — 3 months, dose 3
Feeling: Fair

Adult check-in
2022-04-19
Call successful
Reported to VAERS voluntarily prior to GDIT contact
2022-06-16
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-12-16
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-05-14	Moderna
2	2021-06-11	Moderna
3	2021-12-16	Moderna	No

Call center

1 call center case

1 successful

VAERS report filed, before or during a call: 1

See the call center timeline

Free text

Release 8 — days 1–6 daily, dose 1

2021-05-16

Systemic reaction (other): Loss of appetite, racing pulse, neck pain, fever began yesterday afternoon right after my check-in.ternoon

2021-05-17

Systemic reaction (other): Loss of appetite, EXTREME fatigue

2021-05-18

Systemic reaction (other): Loss of appetite

Release 9 — days 1–6 daily, dose 2

2021-06-12

Systemic reaction (other): Tingling in hands and feet

2021-06-13

Systemic reaction (other): Tingling in hands and feet

2021-06-14

Systemic reaction (other): Tingling hands and feet

Release 9 — 3 months, dose 2

2021-09-10

Symptoms: Fatigue returned

Release 10 — day 35, dose 3

2022-01-20

Symptoms: Low hemoglobin and ferritin levels in routine CBC

Release 11 — day 42, dose 3

2022-01-27

Symptoms: Low ferritin levels necessitated a visit to a Hematologist. I am being scheduled for ferric carboxymaltose injections.

Healthcare visit (other): Hematologist

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	Office visit	·	·	✓
SD	Fatigue	·	·	✓
SD	Haemoglobin decreased	·	·	✓
SD	Office visit	·	·	✓
SD	Serum ferritin decreased	·	·	✓
SRO	Decreased appetite	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Heart rate increased	✓	✓	✓
SRO	Neck pain	✓	✓	✓
SRO	Paraesthesia	✓	✓	✓
SRO	Pyrexia	✓	✓	✓

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