2BH-10266-74949

3 vaccinations 4 coded responses 24 check-ins 4 free-text entries 6 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 303 / GA
Registered: 2021-01-12

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

2021-01-12
Registered in v-safe
2021-01-12
Dose 1 — Moderna
2021-01-12
Health check-in — day 0, dose 1
Feeling: Poor · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-01-12
Report sent to call center — day 0, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-14
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-01-14
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-15
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-19
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-26
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-02
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-09
Dose 2 — Moderna
2021-02-10
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-11
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-12
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-18
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-02-23
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-02
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-09
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-16
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-23
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-11
Survey response — 3 months, dose 2
MedDRA: Office visit, Rash — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Rash on my torso, started about 3 weeks ago. Spreading to my back, thighs and underarms. After 3 weeks, it's starting to dry. Dermatologist took a biopsy. · Healthcare visit (other): Dermatologist in-person visit

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-11
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-16
Call 1 — Left Voicemail
2021-08-10
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-09-03
Dose 3 — Moderna
2021-12-03
Survey response — 3 months, dose 3
MedDRA: Fatigue, Herpes simplex, Office visit — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: I received my Moderna booster on 9/3/21. I have been very tired ever since. I've had my blood checked and everything is normal. I am just exhausted. Also have had a lot of herpes breakouts since getting my first vaccination. · Healthcare visit (other): I saw my internist in person

MedDRA releases: 2024-11 · check-in free text available
2021-12-03
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

1 call case(s)
2021-12-07
Call 1 — Left Voicemail
2022-03-04
Survey response — 6 months, dose 3
MedDRA: Fatigue, Office visit, Pain, Viral infection — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Symptoms: Fatigue. Achiness. Viral infections. · Healthcare visit (other): In-person visit

MedDRA releases: 2024-11 · check-in free text available
2022-03-04
Report sent to call center — 6 months, dose 3
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-03-07
Call 1 — Left Voicemail
2022-03-08
Call successful
Reported to VAERS voluntarily prior to GDIT contact
2022-03-08
Call successful
Reported to VAERS voluntarily prior to GDIT contact
2022-03-08
Call successful
Reported to VAERS voluntarily prior to GDIT contact
2022-09-05
Survey response — 12 months, dose 3
MedDRA: Fatigue, Office visit — Feeling: Poor · Get care from a doctor or other healthcare professional

Free text: Symptoms: Fatigue. Moderna booster on 9/3/2021 and have had terrible fatigue since then. I am SO tired, like a battery that's running out of steam. · Healthcare visit (other): PCP - took blood. All is normal

MedDRA releases: 2024-11 · check-in free text available
2022-09-05
Report sent to call center — 12 months, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2022-09-07
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-12	Moderna
2	2021-02-09	Moderna
3	2021-09-03	Moderna	No

Call center

6 call center cases

3 successful · 1 unsuccessful · 2 priority 2/3 (triaged and no follow up)

VAERS report filed, before or during a call: 3

See the call center timeline

Free text

Release 8 — 3 months, dose 2

2021-05-11

Symptoms: Rash on my torso, started about 3 weeks ago. Spreading to my back, thighs and underarms. After 3 weeks, it's starting to dry. Dermatologist took a biopsy.

Healthcare visit (other): Dermatologist in-person visit

Release 10 — 3 months, dose 3

2021-12-03

Symptoms: I received my Moderna booster on 9/3/21. I have been very tired ever since. I've had my blood checked and everything is normal. I am just exhausted. Also have had a lot of herpes breakouts since getting my first vaccination.

Healthcare visit (other): I saw my internist in person

Release 11 — 6 months, dose 3

2022-03-04

Symptoms: Fatigue. Achiness. Viral infections.

Healthcare visit (other): In-person visit

Release 12 — 12 months, dose 3

2022-09-05

Symptoms: Fatigue. Moderna booster on 9/3/2021 and have had terrible fatigue since then. I am SO tired, like a battery that's running out of steam.

Healthcare visit (other): PCP - took blood. All is normal

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	Fatigue	·	·	✓
SD	Herpes simplex	·	·	✓
SD	Office visit	✓	✓	✓
SD	Pain	·	·	✓
SD	Rash	✓	✓	✓
SD	Viral infection	·	·	✓

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