257-23667-23346

3 vaccinations 11 coded responses 35 check-ins 11 free-text entries 1 call case

Sex: Female
Age at first dose: 66+
ZIP prefix: 804 / CO
Registered: 2021-03-31

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

2021-03-30
Dose 1 — Moderna
2021-03-31
Registered in v-safe
2021-03-31
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-01
Survey response — days 1–6 daily, dose 1
MedDRA: Dysgeusia, Feeling abnormal, Flatulence, Skin odour abnormal — Feeling: Fair · Site: Pain, Swelling · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Free text: Smelly farts, funny taste, fuzzy mind, and body odor

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Survey response — days 1–6 daily, dose 1
MedDRA: Therapeutic response unexpected — Feeling: Good · Site: Pain

Free text: Feel better than I've felt in months.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-03
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-04-04
Survey response — days 1–6 daily, dose 1
MedDRA: Pain in extremity — Feeling: Good · Joint pains

Free text: Other arm hurts in same spot.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-05
Survey response — days 1–6 daily, dose 1
MedDRA: Back pain, Pain, Pre-existing disease — Feeling: Poor · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Low back pain more than usual. Whole right side aches.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-06
Health check-in — day 7, dose 1
Feeling: Good · Joint pains, Muscle or body aches

Adult check-in
2021-04-13
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-20
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-28
Health check-in — day 28, dose 1
Feeling: Fair

Adult check-in
2021-04-30
Dose 2 — Moderna
2021-05-03
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-05-04
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Itching · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-05-05
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Itching · Fever · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-05-06
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-05-07
Health check-in — day 7, dose 2
Feeling: Fair · Site: Itching · Fever · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-05-14
Survey response — day 14, dose 2
MedDRA: Abdominal distension, Abdominal pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Belly pain like a hiatal hernia. Feels like something stuck down there. Bloating too.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-21
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-05-29
Health check-in — day 28, dose 2
Feeling: Good

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

Adult check-in
2021-06-11
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-07-30
Survey response — 3 months, dose 2
MedDRA: Asthenia, Vertigo — Feeling: Good · Be unable to work or attend school

Free text: Debiltating Vertigo for 5-days 7/14-7/18/21Low energy for 1-week after vertigo subsided, still not completely over it.Couldn't get ride to Urgent Care or doctor's office.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-10-29
Survey response — 6 months, dose 2
MedDRA: Tumour excision — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: 10/26/21 Surgical removal of a Warthin Tumor

MedDRA releases: 2024-11 · check-in free text available
2021-12-13
Dose 3 — Moderna
2021-12-14
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain, Swelling · Fever · Chills, 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

Adult check-in
2021-12-15
Survey response — days 1–6 daily, dose 3
MedDRA: Decreased appetite — Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: no appetite

MedDRA releases: 2024-11 · check-in free text available
2021-12-16
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-12-17
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Swelling, Itching · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-12-19
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-12-20
Health check-in — day 7, dose 3
Feeling: Good · Site: Itching · None

Adult check-in
2021-12-27
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-01-03
Survey response — day 21, dose 3
MedDRA: Productive cough, Secretion discharge — Feeling: Good

Free text: Cough with mucus

MedDRA releases: 2024-11 · check-in free text available
2022-01-10
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-01-18
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-01-24
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-03-14
Survey response — 3 months, dose 3
MedDRA: Asthenia, Brain fog, Malaise — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Brain fog & general malaise. Rapidly decline of strength and stamina.

MedDRA releases: 2024-11 · check-in free text available
2022-03-14
Report sent to call center — 3 months, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-03-15
Call successful
Does not wish to fill out VAERS report
2022-06-13
Survey response — 6 months, dose 3
MedDRA: Fatigue, Headache, Pain, Pyrexia — Feeling: Poor · Be unable to do your normal daily activities

Free text: Headache, body aches, feverish, extreme fatigue.

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-30	Moderna
2	2021-04-30	Moderna
3	2021-12-13	Moderna	No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 6 — days 1–6 daily, dose 1

2021-04-01

Systemic reaction (other): Smelly farts, funny taste, fuzzy mind, and body odor

2021-04-02

Systemic reaction (other): Feel better than I've felt in months.

2021-04-04

Systemic reaction (other): Other arm hurts in same spot.

2021-04-05

Systemic reaction (other): Low back pain more than usual. Whole right side aches.

Release 8 — day 14, dose 2

2021-05-14

Symptoms: Belly pain like a hiatal hernia. Feels like something stuck down there. Bloating too.

Release 9 — 3 months, dose 2

2021-07-30

Symptoms: Debiltating Vertigo for 5-days 7/14-7/18/21Low energy for 1-week after vertigo subsided, still not completely over it.Couldn't get ride to Urgent Care or doctor's office.

Release 10 — 6 months, dose 2

2021-10-29

Symptoms: 10/26/21 Surgical removal of a Warthin Tumor

Release 10 — days 1–6 daily, dose 3

2021-12-15

Systemic reaction (other): no appetite

Release 10 — day 21, dose 3

2022-01-03

Symptoms: Cough with mucus

Release 11 — 3 months, dose 3

2022-03-14

Symptoms: Brain fog & general malaise. Rapidly decline of strength and stamina.

Release 12 — 6 months, dose 3

2022-06-13

Symptoms: Headache, body aches, feverish, extreme 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
SD	Abdominal distension	✓	✓	✓
SD	Abdominal pain	✓	✓	✓
SD	Asthenia	✓	·	✓
SD	Brain fog	·	·	✓
SD	Fatigue	·	·	✓
SD	Headache	·	·	✓
SD	Malaise	·	·	✓
SD	Pain	·	·	✓
SD	Productive cough	·	·	✓
SD	Pyrexia	·	·	✓
SD	Secretion discharge	·	·	✓
SD	Tumour excision	·	·	✓
SD	Vertigo	✓	·	✓
SRO	Back pain	✓	✓	✓
SRO	Decreased appetite	·	·	✓
SRO	Dysgeusia	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Flatulence	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Skin odour abnormal	✓	✓	✓
SRO	Therapeutic response unexpected	✓	✓	✓

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