2AJ-17359-21147

2 vaccinations 10 coded responses 22 check-ins 10 free-text entries 5 call cases

Sex: Female
Age at first dose: 31-35
ZIP prefix: 850 / AZ
Registered: 2021-01-19

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

2021-01-19
Registered in v-safe
2021-01-19
Dose 1 — Moderna
2021-01-19
Survey response — day 0, dose 1
MedDRA: Condition aggravated, Pre-existing disease — Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: I do have a preexisting condition (Granulomatosis with polyangitis, renal transplant) and am on immunosuppressants.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-20
Survey response — days 1–6 daily, dose 1
MedDRA: Disturbance in attention, Feeling abnormal, Pre-existing disease — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Mental fogginess, difficulty focusing, on immune suppressants for renal transplantation and autoimmune disease (Granulomatosis with polyangitis)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-21
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting · Be unable to do your normal daily activities

Adult check-in
2021-01-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Redness, Swelling · Fatigue or tiredness, Nausea

Adult check-in
2021-01-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Redness, Swelling · Fatigue or tiredness, Nausea, Vomiting

Adult check-in
2021-01-24
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-01-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Nausea

Adult check-in
2021-01-28
Health check-in — day 7, dose 1
Feeling: Good · Site: Redness · Fatigue or tiredness, Nausea, Vomiting

Adult check-in
2021-02-02
Survey response — day 14, dose 1
MedDRA: Fatigue, Nausea, Pyrexia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Had a low grade fever and fatigue over the weekend in conjunction with existing nausea

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-09
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-02-16
Health check-in — day 28, dose 1
Feeling: Fair

Adult check-in
2021-02-19
Dose 2 — Moderna
2021-02-23
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia, Chills, Fatigue, Headache, Injection site pain, Musculoskeletal stiffness, Myalgia, Pyrexia — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: In the couple of days after second vaccine dose, experienced fever, chills, headache, extreme fatigue, muscle aches, stiffness and joint pain as well as soreness at injection site

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-25
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Redness · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-02-28
Health check-in — day 7, dose 2
Feeling: Fair · Fever · Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-03-05
Survey response — day 14, dose 2
MedDRA: Fatigue, Migraine, Pain, Pyrexia, Swelling, Vomiting — Feeling: Poor · Be unable to work, 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: Migraines, vomiting, extreme fatigue, low grade fever, achiness, swelling

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-05
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)
2021-03-12
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-03-19
Survey response — day 28, dose 2
MedDRA: Fatigue, Migraine, Nausea, Vomiting — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: Vomiting, nausea, migraine, fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
Survey response — day 35, dose 2
MedDRA: Disturbance in attention, Fatigue, Nausea, Renal impairment — 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: Extreme fatigue, difficulty focusing, nausea and declining renal function

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
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)
2021-04-02
Survey response — day 42, dose 2
MedDRA: Fatigue, Feeling abnormal, Headache, Insomnia, Pain, Renal impairment, Swelling — 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: Deteriorating renal function, headaches, body aches, extreme fatigue, swelling, brain fog, difficulty sleeping

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Report sent to call center — day 42, 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)
2021-05-23
Survey response — 3 months, dose 2
MedDRA: Anaemia, Calcium deficiency, Diarrhoea, End stage renal disease, Magnesium deficiency, Malnutrition, Nausea, Vomiting — Feeling: Fair · 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, Emergency room or emergency department visit, Hospitalization

Free text: Malnutrition, ESRD, anemia, critical calcium deficiency, critical magnesium deficiency, nausea, vomiting, diarrhea

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-23
Report sent to call center — 3 months, 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)
2021-06-21
Call successful
Does not wish to fill out VAERS report
2021-08-20
Survey response — 6 months, dose 2
MedDRA: Dialysis, End stage renal disease — Feeling: Good · 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, Emergency room or emergency department visit, Hospitalization

Free text: Symptoms: End stage renal failure · Healthcare visit (other): Dialysis

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-20
Report sent to call center — 6 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

1 call case(s)
2021-08-25
Call 1 — Left Voicemail
2022-02-21
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-19	Moderna
2	2021-02-19	Moderna

Call center

5 call center cases

4 successful · 1 unsuccessful

See the call center timeline

Free text

Release 2 — day 0, dose 1

2021-01-19

Systemic reaction (other): I do have a preexisting condition (Granulomatosis with polyangitis, renal transplant) and am on immunosuppressants.

Release 2 — days 1–6 daily, dose 1

2021-01-20

Systemic reaction (other): Mental fogginess, difficulty focusing, on immune suppressants for renal transplantation and autoimmune disease (Granulomatosis with polyangitis)

Release 3 — day 14, dose 1

2021-02-02

Symptoms: Had a low grade fever and fatigue over the weekend in conjunction with existing nausea

Release 4 — days 1–6 daily, dose 2

2021-02-23

Systemic reaction (other): In the couple of days after second vaccine dose, experienced fever, chills, headache, extreme fatigue, muscle aches, stiffness and joint pain as well as soreness at injection site

Release 5 — day 14, dose 2

2021-03-05

Symptoms: Migraines, vomiting, extreme fatigue, low grade fever, achiness, swelling

Release 5 — day 28, dose 2

2021-03-19

Symptoms: Vomiting, nausea, migraine, fatigue

Release 6 — day 35, dose 2

2021-03-26

Symptoms: Extreme fatigue, difficulty focusing, nausea and declining renal function

Release 6 — day 42, dose 2

2021-04-02

Symptoms: Deteriorating renal function, headaches, body aches, extreme fatigue, swelling, brain fog, difficulty sleeping

Release 8 — 3 months, dose 2

2021-05-23

Symptoms: Malnutrition, ESRD, anemia, critical calcium deficiency, critical magnesium deficiency, nausea, vomiting, diarrhea

Release 9 — 6 months, dose 2

2021-08-20

Symptoms: End stage renal failure

Healthcare visit (other): Dialysis

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	Dialysis	✓	·	✓
SD	Anaemia	✓	✓	✓
SD	Calcium deficiency	✓	✓	✓
SD	Diarrhoea	✓	✓	✓
SD	Disturbance in attention	✓	✓	✓
SD	End stage renal disease	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Feeling abnormal	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Insomnia	✓	✓	✓
SD	Magnesium deficiency	✓	✓	✓
SD	Malnutrition	✓	✓	✓
SD	Migraine	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Pyrexia	✓	✓	✓
SD	Renal impairment	✓	✓	✓
SD	Swelling	✓	✓	✓
SD	Vomiting	✓	✓	✓
SRO	Arthralgia	✓	✓	✓
SRO	Chills	✓	✓	✓
SRO	Condition aggravated	✓	✓	✓
SRO	Disturbance in attention	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Musculoskeletal stiffness	✓	✓	✓
SRO	Myalgia	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Pyrexia	✓	✓	✓

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