2BX-95402-26731

4 vaccinations 10 coded responses 32 check-ins 10 free-text entries 4 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 640 / MO
Registered: 2021-02-18

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

2021-02-18
Registered in v-safe
2021-02-18
Dose 1 — Moderna
2021-02-18
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-02-19
Survey response — days 1–6 daily, dose 1
MedDRA: Burning sensation, Pain — Feeling: Fair · Site: Pain, Swelling · Muscle or body aches

Free text: Last night it felt like fire going up my spine. I laid flat on my back, felt better, pain this am, but my pain meds and movement seem to have worked it out.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-20
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Muscle or body aches

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 · None

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 — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-25
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-04
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-11
Survey response — day 21, dose 1
MedDRA: Dizziness, Hypertension — Feeling: Fair · Be unable to do your normal daily activities

Free text: Dizzy, feeling faint. Bp been high but not today. Don't think it has to do with vaccine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-17
Dose 2 — Moderna
2021-03-25
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-31
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-07
Survey response — day 21, dose 2
MedDRA: Office visit, Pruritus — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Recurring episodes of intense itching. Still trying to figure out if there is another cause. · Healthcare visit (other): Primary care physician

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-07
Report sent to call center — day 21, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-14
Survey response — day 28, dose 2
MedDRA: Decreased appetite, Fatigue — Feeling: Fair · Be unable to do your normal daily activities

Free text: Fatigue and loss of appetite.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-28
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-16
Survey response — 3 months, dose 2
MedDRA: Asthenia, Cough, Depression, Increased bronchial secretion — Feeling: Poor · 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: Cough and mucus, lack of energy, depression

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-16
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)
2021-06-18
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2021-09-15
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-03
Dose 3 — Moderna
2022-03-17
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-05-16
Dose 4 — Pfizer-BioNTech
2022-05-18
Survey response — days 1–6 daily, dose 4
MedDRA: Chest pain — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Chest pain

MedDRA releases: 2024-11 · check-in free text available
2022-05-19
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-05-20
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-05-21
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-05-22
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-05-23
Health check-in — day 7, dose 4
Feeling: Good · Headache

Adult check-in
2022-05-30
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-06-06
Survey response — day 21, dose 4
MedDRA: Abdominal pain, Headache — Feeling: Fair

Free text: Headaches and abdominal pain

MedDRA releases: 2024-11 · check-in free text available
2022-06-13
Health check-in — day 28, dose 4
Feeling: Fair

Adult check-in
2022-06-20
Survey response — day 35, dose 4
MedDRA: Ear pain, Furuncle, Oropharyngeal pain, Sinus pain, Staphylococcal infection — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Staph infection with boils, sore throat, and sinus, ear pain.

MedDRA releases: 2024-11 · check-in free text available
2022-06-20
Report sent to call center — day 35, dose 4
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-06-21
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-06-27
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-08-15
Survey response — 3 months, dose 4
MedDRA: Arthralgia, Joint swelling, Musculoskeletal pain, Pain, Pain in extremity, Paranasal sinus hyposecretion, Physiotherapy, Swelling — Feeling: Fair · Be unable to work or attend school, 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: Two continuing and worsening issues I thought were separate and would go away. 1) very dry sinuses with a small bump on side of test that remains painful. 2) knee on right leg is constantly swelling up and painful from buttocks to knee. · Healthcare visit (other): Physical therapy

MedDRA releases: 2024-11 · check-in free text available
2022-08-15
Report sent to call center — 3 months, dose 4
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-08-16
Call successful
Participant prefers to complete VAERS report online
2022-11-14
Survey response — 6 months, dose 4
MedDRA: Malaise, Sinus disorder — Feeling: Good

Free text: I was a bit ill the first couple of days and sinuses have been giving me trouble.

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-18	Moderna
2	2021-03-17	Moderna
3	2021-11-03	Moderna	No
4	2022-05-16	Pfizer-BioNTech	No

Call center

4 call center cases

4 successful

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-19

Systemic reaction (other): Last night it felt like fire going up my spine. I laid flat on my back, felt better, pain this am, but my pain meds and movement seem to have worked it out.

Release 5 — day 21, dose 1

2021-03-11

Symptoms: Dizzy, feeling faint. Bp been high but not today. Don't think it has to do with vaccine.

Release 7 — day 21, dose 2

2021-04-07

Symptoms: Recurring episodes of intense itching. Still trying to figure out if there is another cause.

Healthcare visit (other): Primary care physician

Release 7 — day 28, dose 2

2021-04-14

Symptoms: Fatigue and loss of appetite.

Release 9 — 3 months, dose 2

2021-06-16

Symptoms: Cough and mucus, lack of energy, depression

Release 11 — days 1–6 daily, dose 4

2022-05-18

Systemic reaction (other): Chest pain

Release 11 — day 21, dose 4

2022-06-06

Symptoms: Headaches and abdominal pain

Release 12 — day 35, dose 4

2022-06-20

Symptoms: Staph infection with boils, sore throat, and sinus, ear pain.

Release 12 — 3 months, dose 4

2022-08-15

Symptoms: Two continuing and worsening issues I thought were separate and would go away. 1) very dry sinuses with a small bump on side of test that remains painful. 2) knee on right leg is constantly swelling up and painful from buttocks to knee.

Healthcare visit (other): Physical therapy

Release 12 — 6 months, dose 4

2022-11-14

Symptoms: I was a bit ill the first couple of days and sinuses have been giving me trouble.

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	✓	✓	✓
HCVO	Physiotherapy	·	·	✓
SD	Abdominal pain	·	·	✓
SD	Arthralgia	·	·	✓
SD	Asthenia	✓	✓	✓
SD	Cough	✓	✓	✓
SD	Decreased appetite	✓	✓	✓
SD	Depression	✓	✓	✓
SD	Dizziness	✓	✓	✓
SD	Ear pain	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Furuncle	·	·	✓
SD	Headache	·	·	✓
SD	Hypertension	✓	✓	✓
SD	Increased bronchial secretion	✓	✓	✓
SD	Joint swelling	·	·	✓
SD	Malaise	·	·	✓
SD	Musculoskeletal pain	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pain	·	·	✓
SD	Pain in extremity	·	·	✓
SD	Paranasal sinus hyposecretion	·	·	✓
SD	Pruritus	✓	✓	✓
SD	Sinus disorder	·	·	✓
SD	Sinus pain	·	·	✓
SD	Staphylococcal infection	·	·	✓
SD	Swelling	·	·	✓
SRO	Burning sensation	✓	✓	✓
SRO	Chest pain	·	·	✓
SRO	Pain	✓	✓	✓

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