2B9-76804-92909

3 vaccinations 19 coded responses 35 check-ins 19 free-text entries 4 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 342 / FL
Registered: 2021-02-25

Relationship: Self
Race: Asian
Ethnicity: Not Hispanic or Latino

Timeline

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

2021-02-24
Dose 1 — Moderna
2021-02-25
Registered in v-safe
2021-02-25
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Muscle or body aches

Adult check-in
2021-02-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Joint pains

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

Adult check-in
2021-03-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Muscle or body aches

Adult check-in
2021-03-03
Survey response — day 7, dose 1
MedDRA: Productive cough — Feeling: Good

Free text: Phlegm mot due to vaccine probably allergies

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-10
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-17
Survey response — day 21, dose 1
MedDRA: Chills — Feeling: Good · Be unable to do your normal daily activities

Free text: Chills one day but no fever;

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-24
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-03-25
Dose 2 — Moderna
2021-03-25
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-26
Survey response — days 1–6 daily, dose 2
MedDRA: Peripheral swelling — Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Arm swollen but not rec

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-27
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Fall — Feeling: Good · Site: Pain

Free text: Dizziness which caused me to fall in bed

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-28
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fever · Chills, Muscle or body aches

Adult check-in
2021-03-29
Survey response — days 1–6 daily, dose 2
MedDRA: Chills, Diarrhoea — Feeling: Good · Site: Pain · Joint pains

Free text: Sometimes a chill; dont know about lose bowel movement if related

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-30
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site pain — Feeling: Good · Site: Pain

Free text: Very mild pain on injection site

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-01
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-10
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-15
Survey response — day 21, dose 2
MedDRA: Chills — Feeling: Good

Free text: Periodic chills in the afternoon

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Survey response — day 28, dose 2
MedDRA: Fatigue, Urinary tract infection — Feeling: Good · Be unable to do your normal daily activities

Free text: UTI not relayed to covid ? Tiredness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-29
Survey response — day 35, dose 2
MedDRA: Abdominal discomfort — Feeling: Good

Free text: Stomach upset due to antibiotics?

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-06
Survey response — day 42, dose 2
MedDRA: Urinary tract infection — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: UTI on antibiotics; titednesx

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-06
Report sent to call center — day 42, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-26
Survey response — 3 months, dose 2
MedDRA: Cataract operation, Urinary tract infection — Feeling: Fair · 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: UTI; cataract surgery; now biopsy of uterus

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-26
Report sent to call center — 3 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-30
Call 1 — Left Voicemail
2021-09-23
Survey response — 6 months, dose 2
MedDRA: Cataract operation, Exposure to SARS-CoV-2, Lens capsulotomy, SARS-CoV-2 test — 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: Due to cataract surgery on both eyes in June. Follow up visits to doctors then had follow up Yag laser on both eyes on Aug. 25. Had covid test as was exposed to one who tested positive and died.

MedDRA releases: 2024-11 · check-in free text available
2021-09-23
Report sent to call center — 6 months, dose 2
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)
2021-09-26
Call 1 — Left Voicemail
2021-09-28
Call 2 — Requested Callback
2021-09-28
Callback requested for
02:00PM ET
2021-09-28
Call successful
Does not wish to fill out VAERS report
2021-10-27
Dose 3 — Moderna
2021-10-30
Survey response — days 1–6 daily, dose 3
MedDRA: Pyrexia — Feeling: Fair · Site: Itching · Muscle or body aches · Be unable to do your normal daily activities

Free text: Fever on Thursday the 28th

MedDRA releases: 2024-11 · check-in free text available
2021-11-01
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Fatigue or tiredness

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

Adult check-in
2021-11-03
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-11-11
Survey response — day 14, dose 3
MedDRA: Night sweats, Oropharyngeal pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Sore throat and sweaty last night

MedDRA releases: 2024-11 · check-in free text available
2021-11-17
Survey response — day 21, dose 3
MedDRA: Fatigue — Feeling: Fair · Be unable to do your normal daily activities

Free text: Fatigue

MedDRA releases: 2024-11 · check-in free text available
2021-11-24
Survey response — day 28, dose 3
MedDRA: Uterine dilation and curettage — Feeling: Fair · Be unable to do your normal daily activities

Free text: Had d and c with biopsy

MedDRA releases: 2024-11 · check-in free text available
2021-12-02
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-09
Survey response — day 42, dose 3
MedDRA: Urinary tract infection — Feeling: Fair · Be unable to do your normal daily activities

Free text: Urinate yract infection

MedDRA releases: 2024-11 · check-in free text available
2022-01-27
Survey response — 3 months, dose 3
MedDRA: Cough, Fatigue, Oropharyngeal pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Fatigue; slight sore throat; intermittent coughing

MedDRA releases: 2024-11 · check-in free text available
2022-04-27
Survey response — 6 months, dose 3
MedDRA: Pre-existing disease, Rash — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Awaiting to get rid of allergy rashes to get my second booster shot. Had to cancel

MedDRA releases: 2024-11 · check-in free text available
2022-04-27
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)
2022-05-02
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-24	Moderna
2	2021-03-25	Moderna
3	2021-10-27	Moderna	No

Call center

4 call center cases

3 successful · 1 unsuccessful

See the call center timeline

Free text

Release 5 — day 7, dose 1

2021-03-03

Systemic reaction (other): Phlegm mot due to vaccine probably allergies

Release 5 — day 21, dose 1

2021-03-17

Symptoms: Chills one day but no fever;

Release 6 — days 1–6 daily, dose 2

2021-03-26

Systemic reaction (other): Arm swollen but not rec

2021-03-27

Systemic reaction (other): Dizziness which caused me to fall in bed

2021-03-29

Systemic reaction (other): Sometimes a chill; dont know about lose bowel movement if related

2021-03-30

Systemic reaction (other): Very mild pain on injection site

Release 7 — day 21, dose 2

2021-04-15

Symptoms: Periodic chills in the afternoon

Release 7 — day 28, dose 2

2021-04-22

Symptoms: UTI not relayed to covid ? Tiredness

Release 8 — day 35, dose 2

2021-04-29

Symptoms: Stomach upset due to antibiotics?

Release 8 — day 42, dose 2

2021-05-06

Symptoms: UTI on antibiotics; titednesx

Release 9 — 3 months, dose 2

2021-06-26

Symptoms: UTI; cataract surgery; now biopsy of uterus

Release 9 — 6 months, dose 2

2021-09-23

Symptoms: Due to cataract surgery on both eyes in June. Follow up visits to doctors then had follow up Yag laser on both eyes on Aug. 25. Had covid test as was exposed to one who tested positive and died.

Release 10 — days 1–6 daily, dose 3

2021-10-30

Systemic reaction (other): Fever on Thursday the 28th

Release 10 — day 14, dose 3

2021-11-11

Symptoms: Sore throat and sweaty last night

Release 10 — day 21, dose 3

2021-11-17

Symptoms: Fatigue

Release 10 — day 28, dose 3

2021-11-24

Symptoms: Had d and c with biopsy

Release 10 — day 42, dose 3

2021-12-09

Symptoms: Urinate yract infection

Release 11 — 3 months, dose 3

2022-01-27

Symptoms: Fatigue; slight sore throat; intermittent coughing

Release 11 — 6 months, dose 3

2022-04-27

Symptoms: Awaiting to get rid of allergy rashes to get my second booster shot. Had to cancel

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 discomfort	✓	✓	✓
SD	Cataract operation	✓	✓	✓
SD	Chills	✓	✓	✓
SD	Cough	·	·	✓
SD	Exposure to SARS-CoV-2	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Lens capsulotomy	·	·	✓
SD	Night sweats	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Rash	·	·	✓
SD	SARS-CoV-2 test	·	·	✓
SD	Urinary tract infection	✓	✓	✓
SD	Uterine dilation and curettage	·	·	✓
SRO	Chills	✓	✓	✓
SRO	Diarrhoea	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Fall	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Peripheral swelling	✓	✓	✓
SRO	Productive cough	✓	✓	✓
SRO	Pyrexia	·	·	✓

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