29F-95567-54194

2 vaccinations 6 coded responses 25 check-ins 6 free-text entries 4 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 435 / OH
Registered: 2020-12-31

Relationship: Self
Race: White
Ethnicity: Hispanic or Latino

Timeline

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

2020-12-31
Registered in v-safe
2020-12-31
Dose 1 — Moderna
2020-12-31
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain, Swelling · None

Adult check-in
2021-01-01
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work

Adult check-in
2021-01-01
Report sent to call center — days 1–6 daily, dose 1
Be unable to work

1 call case(s)
2021-01-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Redness, Swelling · None

Adult check-in
2021-01-03
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Swelling, Itching · Fatigue or tiredness, Nausea

Adult check-in
2021-01-04
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work

Adult check-in
2021-01-04
Report sent to call center — days 1–6 daily, dose 1
Be unable to work

1 call case(s)
2021-01-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-07
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-14
Survey response — day 14, dose 1
MedDRA: Injection site induration, Injection site joint erythema, Injection site pruritus, Tenderness — Feeling: Good

Free text: Day 8 after shot I woke up with large itchy red spot on arm where shot was given. It became indurated and sore. Went away in approximately 3 days. I developed axillary tenderness for several days as well.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-21
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-01-28
Dose 2 — Moderna
2021-01-28
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2021-01-29
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 · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-01-30
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body aches, Nausea

Adult check-in
2021-01-31
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling · None

Adult check-in
2021-02-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Abdominal pain

Adult check-in
2021-02-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Diarrhea

Adult check-in
2021-02-03
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-02-04
Health check-in — day 7, dose 2
Feeling: Fair · Fatigue or tiredness, Diarrhea

Adult check-in
2021-02-11
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-18
Survey response — day 21, dose 2
MedDRA: Pruritus — Feeling: Good

Free text: Itching on legs and then entire body. Ended up with steroid shot when antihistamine not enough.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-25
Survey response — day 28, dose 2
MedDRA: Fatigue — Feeling: Fair

Free text: Extremely fatigued

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-04
Survey response — day 35, dose 2
MedDRA: Fatigue, Impaired work ability — Feeling: Fair · Be unable to work

Free text: Still with severe fatigue. This has not improved since vaccine. Called off of work twice in last 3 weeks.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-11
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-04-29
Survey response — 3 months, dose 2
MedDRA: Palpitations, Pre-existing disease, Reaction to previous exposure to any vaccine — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Worsening palpitations now daily. Started after first shot

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-29
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-07
Call 1 — Left Voicemail
2021-08-03
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-02-03
Survey response — 12 months, dose 2
MedDRA: COVID-19, Respiratory symptom, SARS-CoV-2 test negative, SARS-CoV-2 test positive — Feeling: Poor · 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

Free text: COVID URI sx and positive tests twice. Once 12/24 and again 1/25 with resolution of symptoms in between and tests turned negative in between.

MedDRA releases: 2024-11 · check-in free text available
2022-02-03
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 · 1 call case(s)
2022-02-07
Call successful
Participant prefers to complete VAERS report online

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-31	Moderna
2	2021-01-28	Moderna

Call center

4 call center cases

2 successful · 2 priority 2/3 (triaged and no follow up)

See the call center timeline

Free text

Release 2 — day 14, dose 1

2021-01-14

Symptoms: Day 8 after shot I woke up with large itchy red spot on arm where shot was given. It became indurated and sore. Went away in approximately 3 days. I developed axillary tenderness for several days as well.

Release 4 — day 21, dose 2

2021-02-18

Symptoms: Itching on legs and then entire body. Ended up with steroid shot when antihistamine not enough.

Release 4 — day 28, dose 2

2021-02-25

Symptoms: Extremely fatigued

Release 5 — day 35, dose 2

2021-03-04

Symptoms: Still with severe fatigue. This has not improved since vaccine. Called off of work twice in last 3 weeks.

Release 8 — 3 months, dose 2

2021-04-29

Symptoms: Worsening palpitations now daily. Started after first shot

Release 11 — 12 months, dose 2

2022-02-03

Symptoms: COVID URI sx and positive tests twice. Once 12/24 and again 1/25 with resolution of symptoms in between and tests turned negative in between.

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	COVID-19	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Impaired work ability	✓	✓	✓
SD	Injection site induration	✓	✓	✓
SD	Injection site joint erythema	✓	✓	✓
SD	Injection site pruritus	✓	✓	✓
SD	Palpitations	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Pruritus	✓	✓	✓
SD	Reaction to previous exposure to any vaccine	✓	✓	✓
SD	Respiratory symptom	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	SARS-CoV-2 test positive	·	·	✓
SD	Tenderness	✓	✓	✓

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