25S-11637-68539

2 vaccinations 9 coded responses 20 check-ins 9 free-text entries 6 call cases

Sex: Female
Age at first dose: 31-35
ZIP prefix: 060 / CT
Registered: 2021-02-05

Relationship: Self
Race: American Indian or Alaska Native
Ethnicity: Hispanic or Latino

Timeline

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

2021-02-03
Dose 1 — Moderna
2021-02-05
Registered in v-safe
2021-02-05
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fatigue or tiredness

Adult check-in
2021-02-07
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Redness, Itching · Headache, Fatigue or tiredness

Adult check-in
2021-02-08
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site bruising — Feeling: Fair · Site: Itching · Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Free text: Bruised to the area of shot

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Itching · Fatigue or tiredness, Diarrhea

Adult check-in
2021-02-10
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-17
Survey response — day 14, dose 1
MedDRA: Fatigue, Injection site pruritus, Injection site reaction, Pain of skin, Sensitive skin, Sluggishness — Feeling: Fair · Be unable to do your normal daily activities

Free text: More tired than usual, the area if the shot itches alit and skin is sensitive and hurts in the area. A little fatigue and sluggish.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-25
Survey response — day 21, dose 1
MedDRA: Asthenia, Fatigue, Headache — Feeling: Fair · Be unable to do your normal daily activities

Free text: Headaches, tiredness and some weakness.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-03
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-03-10
Survey response — day 35, dose 1
MedDRA: Cough, Fatigue, Oropharyngeal pain, Pain — Feeling: Fair · Be unable to work

Free text: Cough,body aches, sore throat, fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-12
Dose 2 — Moderna
2021-03-17
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to work

Adult check-in
2021-03-18
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness, Diarrhea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-03-19
Health check-in — day 7, dose 2
Feeling: Fair · Site: Pain · Chills, Fatigue or tiredness, Diarrhea · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Adult check-in
2021-03-19
Report sent to call center — day 7, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-26
Survey response — day 14, dose 2
MedDRA: SARS-CoV-2 test positive, X-ray — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: Symptoms: I tested positive for covid-19 · Healthcare visit (other): X-ray at hospital

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
Report sent to call center — day 14, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-02
Survey response — day 21, dose 2
MedDRA: Chills, Cough, Dyspnoea, Headache, Pyrexia — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Emergency room or emergency department visit

Free text: Trouble breathing, cough, fevers, chills, Headaches

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Report sent to call center — day 21, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-09
Survey response — day 28, dose 2
MedDRA: Cough, Dyspnoea, Headache, Pulmonary pain — Feeling: Poor · Be unable to work, 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: Breathing, cough and my lungs hurting. Headaches

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-09
Report sent to call center — day 28, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-16
Survey response — day 35, dose 2
MedDRA: Chest pain, Fatigue, Headache, Respiratory disorder — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Emergency room or emergency department visit

Free text: Fatigue, headache, chest pains, breathing issues

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
Report sent to call center — day 35, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-23
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-06-11
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-06-14
Call 1 — Could Not Reach Participant
2021-06-17
Call successful
Completed over the phone
2021-09-10
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2022-03-12
Survey response — 12 months, dose 2
MedDRA: Arthralgia, Bone pain, Gallbladder operation, Tinnitus — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit, Hospitalization

Free text: Tinnitus, gallbladder surgery, joints and bone pain

MedDRA releases: 2024-11 · check-in free text available
2022-03-12
Report sent to call center — 12 months, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · Hospitalization · 1 call case(s)
2022-03-14
Call successful
Participant prefers to complete VAERS report online

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-03	Moderna
2	2021-03-12	Moderna

Call center

6 call center cases

6 successful

VAERS report filed, before or during a call: 5

See the call center timeline

Free text

Release 3 — days 1–6 daily, dose 1

2021-02-08

Systemic reaction (other): Bruised to the area of shot

Release 4 — day 14, dose 1

2021-02-17

Symptoms: More tired than usual, the area if the shot itches alit and skin is sensitive and hurts in the area. A little fatigue and sluggish.

Release 4 — day 21, dose 1

2021-02-25

Symptoms: Headaches, tiredness and some weakness.

Release 5 — day 35, dose 1

2021-03-10

Symptoms: Cough,body aches, sore throat, fatigue

Release 6 — day 14, dose 2

2021-03-26

Symptoms: I tested positive for covid-19

Healthcare visit (other): X-ray at hospital

Release 6 — day 21, dose 2

2021-04-02

Symptoms: Trouble breathing, cough, fevers, chills, Headaches

Release 7 — day 28, dose 2

2021-04-09

Symptoms: Breathing, cough and my lungs hurting. Headaches

Release 7 — day 35, dose 2

2021-04-16

Symptoms: Fatigue, headache, chest pains, breathing issues

Release 11 — 12 months, dose 2

2022-03-12

Symptoms: Tinnitus, gallbladder surgery, joints and bone pain

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	X-ray	✓	✓	✓
SD	Arthralgia	·	·	✓
SD	Asthenia	✓	✓	✓
SD	Bone pain	·	·	✓
SD	Chest pain	✓	✓	✓
SD	Chills	✓	✓	✓
SD	Cough	✓	✓	✓
SD	Dyspnoea	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Gallbladder operation	·	·	✓
SD	Headache	✓	✓	✓
SD	Injection site pruritus	✓	✓	✓
SD	Injection site reaction	✓	✓	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Pain of skin	✓	✓	✓
SD	Pulmonary pain	✓	✓	✓
SD	Pyrexia	✓	✓	✓
SD	Respiratory disorder	✓	✓	✓
SD	SARS-CoV-2 test positive	✓	✓	✓
SD	Sensitive skin	✓	✓	✓
SD	Sluggishness	✓	✓	✓
SD	Tinnitus	·	·	✓
SRO	Injection site bruising	✓	✓	✓

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