29C-11915-89652

4 vaccinations 13 coded responses 41 check-ins 12 free-text entries 6 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 378 / TN
Registered: 2021-02-17

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

2021-02-17
Registered in v-safe
2021-02-17
Dose 1 — Moderna
2021-02-17
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-02-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-20
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-02-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-24
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-03
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-11
Survey response — day 21, dose 1
MedDRA: Abnormal dreams, Fatigue — Feeling: Good

Free text: FATIGUE, so very tired. Thought fatigue resolved but after keeping sleep/activity log, it really hasn't.DREAMS, unusual,fequent and vivid. Nothing scary or unpleasant. Some nights it seens like one very long dream orher nights it's numerous dreams

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-17
Dose 2 — Moderna
2021-03-17
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-18
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-19
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-20
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-21
Survey response — days 1–6 daily, dose 2
MedDRA: Abnormal dreams — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Dreams

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-22
Survey response — days 1–6 daily, dose 2
MedDRA: Unevaluable event — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Dreams

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-23
Survey response — days 1–6 daily, dose 2
MedDRA: Abnormal dreams — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Dreams

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-27
Survey response — day 7, dose 2
MedDRA: Abnormal dreams — Feeling: Fair · Fatigue or tiredness

Free text: Vivid dreams

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-03
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-09
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-16
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-21
Survey response — day 35, dose 2
MedDRA: Abnormal dreams, Fatigue — Feeling: Good

Free text: Fatigue & vivid dreamsNot new, ongoing problem since vaccinated

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-18
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-15
Survey response — 6 months, dose 2
MedDRA: Blood thyroid stimulating hormone increased, Fatigue — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Thyroid labs drawn June 2021 four x higher than June 2020. Synthroid dosage increased. Prior to vax had been on same Synthroid dose 8 years.Fatigue began after vax & hasnt resolved.

MedDRA releases: 2024-11 · check-in free text available
2021-09-15
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-09-17
Call 1 — Left Voicemail
2021-10-27
Dose 3 — Moderna
2021-10-28
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-10-30
Survey response — days 1–6 daily, dose 3
MedDRA: Abnormal dreams — Feeling: Fair · Site: Pain · Fatigue or tiredness

Free text: Unusual dreams, not scary

MedDRA releases: 2024-11 · check-in free text available
2021-10-31
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Chills, Fatigue or tiredness

Adult check-in
2021-11-01
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-02
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-11-03
Health check-in — day 7, dose 3
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-11-10
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-17
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-24
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-02
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-10
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-28
Survey response — 3 months, dose 3
MedDRA: Office visit, Thyroid disorder — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: My thyroid is a mess...lab values & rx med dose consistent for 9 yrs...post vax labs 4 x higher than usual, increased rx med, lab values slowly improved, not quite back to my usual...then booster....start all over again, labs & rx meds. · Healthcare visit (other): Multiple trips to dr/lab

MedDRA releases: 2024-11 · check-in free text available
2022-01-28
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

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-02-02
Call 1 — Left Voicemail
2022-04-29
Survey response — 6 months, dose 3
MedDRA: Condition aggravated, Pre-existing disease — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Thyroid levels out of whack. Same dose of med for almost 7 years UNTIL covid vaccine(s).

MedDRA releases: 2024-11 · check-in free text available
2022-04-29
Report sent to call center — 6 months, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-05-03
Dose 4 — Moderna
2022-05-03
Call 1 — Left Voicemail
2022-05-19
Survey response — day 14, dose 4
MedDRA: Blood thyroid stimulating hormone abnormal, Pre-existing disease — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Fluctuating thyroid levels & frequent changes tto thyroid med since 1st vaccine. Prior to vaccine, stable thyroid level & med dose approx 9 yrs.

MedDRA releases: 2024-11 · check-in free text available
2022-05-19
Report sent to call center — day 14, dose 4
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-05-20
Call 1 — Left Voicemail
2022-05-24
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-11-03
Survey response — 6 months, dose 4
MedDRA: Blood thyroid stimulating hormone decreased, Vaccine positive rechallenge — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Low TSH lab level...has happened with each booster...has never got back to my normal baseline

MedDRA releases: 2024-11 · check-in free text available
2022-11-03
Report sent to call center — 6 months, dose 4
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-11-04
Call 2 — Left Voicemail
2022-11-04
Call 2 — Left Voicemail
2022-11-04
Call 2 — Left Voicemail
2022-11-04
Call 2 — Left Voicemail
2022-11-04
Call 1 — Left Voicemail
2023-05-03
Survey response — 12 months, dose 4
MedDRA: Condition aggravated, Laboratory test abnormal, Office visit, Pre-existing disease — Feeling: Good · Get care from a doctor or other healthcare professional

MedDRA releases: 2024-11
2023-05-03
Report sent to call center — 12 months, dose 4
Get care from a doctor or other healthcare professional

1 call case(s)
2023-05-04
Call successful
Does not wish to fill out VAERS report
2023-05-04
Call successful
Does not wish to fill out VAERS report
2023-05-04
Call successful
Does not wish to fill out VAERS report
2023-05-04
Call successful
Does not wish to fill out VAERS report
2023-05-04
Call successful
Does not wish to fill out VAERS report
2023-05-04
Call successful
Does not wish to fill out VAERS report

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-17	Moderna
2	2021-03-17	Moderna
3	2021-10-27	Moderna	No
4	2022-05-03	Moderna	No

Call center

6 call center cases

6 successful

See the call center timeline

Free text

Release 5 — day 21, dose 1

2021-03-11

Symptoms: FATIGUE, so very tired. Thought fatigue resolved but after keeping sleep/activity log, it really hasn't.DREAMS, unusual,fequent and vivid. Nothing scary or unpleasant. Some nights it seens like one very long dream orher nights it's numerous dreams

Release 6 — days 1–6 daily, dose 2

2021-03-21

Systemic reaction (other): Dreams

2021-03-22

Systemic reaction (other): Dreams

2021-03-23

Systemic reaction (other): Dreams

Release 6 — day 7, dose 2

2021-03-27

Systemic reaction (other): Vivid dreams

Release 7 — day 35, dose 2

2021-04-21

Symptoms: Fatigue & vivid dreamsNot new, ongoing problem since vaccinated

Release 9 — 6 months, dose 2

2021-09-15

Symptoms: Thyroid labs drawn June 2021 four x higher than June 2020. Synthroid dosage increased. Prior to vax had been on same Synthroid dose 8 years.Fatigue began after vax & hasnt resolved.

Release 10 — days 1–6 daily, dose 3

2021-10-30

Systemic reaction (other): Unusual dreams, not scary

Release 11 — 3 months, dose 3

2022-01-28

Symptoms: My thyroid is a mess...lab values & rx med dose consistent for 9 yrs...post vax labs 4 x higher than usual, increased rx med, lab values slowly improved, not quite back to my usual...then booster....start all over again, labs & rx meds.

Healthcare visit (other): Multiple trips to dr/lab

Release 11 — 6 months, dose 3

2022-04-29

Symptoms: Thyroid levels out of whack. Same dose of med for almost 7 years UNTIL covid vaccine(s).

Release 11 — day 14, dose 4

2022-05-19

Symptoms: Fluctuating thyroid levels & frequent changes tto thyroid med since 1st vaccine. Prior to vaccine, stable thyroid level & med dose approx 9 yrs.

Release 12 — 6 months, dose 4

2022-11-03

Symptoms: Low TSH lab level...has happened with each booster...has never got back to my normal baseline

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	Abnormal dreams	✓	✓	✓
SD	Blood thyroid stimulating hormone abnormal	·	·	✓
SD	Blood thyroid stimulating hormone decreased	·	·	✓
SD	Blood thyroid stimulating hormone increased	·	·	✓
SD	Condition aggravated	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Laboratory test abnormal	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Thyroid disorder	·	·	✓
SD	Vaccine positive rechallenge	·	·	✓
SRO	Abnormal dreams	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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