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2C4-66991-31108

2 vaccinations 8 coded responses 8 check-ins 8 free-text entries 1 call case
Sex
Female
Age at first dose
56-60
ZIP prefix
330 / FL
Registered
2021-12-13
Relationship
Self
Race
N/A
Ethnicity
N/A

Timeline

  1. 2021-12-09
    Dose 1 — Moderna
  2. 2021-12-13
    Registered in v-safe
  3. 2021-12-14
    Survey response — days 1–6 daily, dose 1
    MedDRA: Decreased appetite, Dyspnoea — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting · Be unable to do your normal daily activities
    Free text: shortness of breath, loss of appetite
    MedDRA releases: 2024-11 · check-in free text available
  4. 2021-12-15
    Survey response — days 1–6 daily, dose 1
    MedDRA: Dyspnoea — Feeling: Poor · Site: Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Free text: Shortness of breath
    MedDRA releases: 2024-11 · check-in free text available
  5. 2022-01-21
    Dose 2 — Moderna
  6. 2022-01-22
    Survey response — days 1–6 daily, dose 2
    MedDRA: Asthenia, Back pain, Decreased appetite, Dizziness, Dyspnoea, Eye pain, Insomnia, Tremor — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Free text: insomnia, shortness of breath, shakey hands, dizzy, back pain, eye pain, weakness, loss of appetite.
    MedDRA releases: 2024-11 · check-in free text available
  7. 2022-01-23
    Survey response — days 1–6 daily, dose 2
    MedDRA: Decreased appetite, Dizziness, Dyspnoea, Muscular weakness, Tremor — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Free text: Shortness of breath, muscle weakness, dizzy, no appetite, have the shakes
    MedDRA releases: 2024-11 · check-in free text available
  8. 2022-01-24
    Survey response — days 1–6 daily, dose 2
    MedDRA: Back pain, Dizziness, Dyspnoea, Muscular weakness, Palpitations, Tremor — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Free text: dizzy, muscle weakness, short of breath, shaking, back pain, heart racing & palpitations
    MedDRA releases: 2024-11 · check-in free text available
  9. 2022-01-27
    Survey response — days 1–6 daily, dose 2
    MedDRA: Back pain, Decreased appetite, Dizziness, Dyspnoea, Insomnia — Feeling: Fair · Site: Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Back pain, dizzy, short of breath, still no appetite, insomnia since 1st day
    MedDRA releases: 2024-11 · check-in free text available
  10. 2022-01-28
    Survey response — day 7, dose 2
    MedDRA: Back pain, Decreased appetite, Dizziness, Insomnia — Feeling: Fair · Site: Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Still dizzy, still back pain, still insomnia and minimal appetite
    MedDRA releases: 2024-11 · check-in free text available
  11. 2022-02-04
    Survey response — day 14, dose 2
    MedDRA: Arthralgia, Dyspnoea, Fatigue, Office visit, Productive cough, Respiratory tract congestion, Visual impairment — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional
    Free text: Symptoms: Joint pain (ankles, knees, shoulders) & fatigue have gotten worse. Shortness of breath grew worse with congestion & phlegm. Doc put me on antibiotics & steroids. Unexplained vision problems. Haven't seen eye doc yet. · Healthcare visit (other): PCP & pulmonologist
    MedDRA releases: 2024-11 · check-in free text available
  12. 2022-02-04
    Report sent to call center — day 14, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  13. 2022-03-30
    Call successful
    Participant prefers to complete VAERS report online

Vaccinations

DoseDateManufacturerCo-administered
12021-12-09Moderna No
22022-01-21Moderna No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 10 — days 1–6 daily, dose 1

2021-12-14

Systemic reaction (other): shortness of breath, loss of appetite

2021-12-15

Systemic reaction (other): Shortness of breath

Release 11 — days 1–6 daily, dose 2

2022-01-22

Systemic reaction (other): insomnia, shortness of breath, shakey hands, dizzy, back pain, eye pain, weakness, loss of appetite.

2022-01-23

Systemic reaction (other): Shortness of breath, muscle weakness, dizzy, no appetite, have the shakes

2022-01-24

Systemic reaction (other): dizzy, muscle weakness, short of breath, shaking, back pain, heart racing & palpitations

2022-01-27

Systemic reaction (other): Back pain, dizzy, short of breath, still no appetite, insomnia since 1st day

Release 11 — day 7, dose 2

2022-01-28

Systemic reaction (other): Still dizzy, still back pain, still insomnia and minimal appetite

Release 11 — day 14, dose 2

2022-02-04

Symptoms: Joint pain (ankles, knees, shoulders) & fatigue have gotten worse. Shortness of breath grew worse with congestion & phlegm. Doc put me on antibiotics & steroids. Unexplained vision problems. Haven't seen eye doc yet.
Healthcare visit (other): PCP & pulmonologist

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

FieldPreferred term2021-092023-042024-11
HCVOOffice visit · · ✓
SDArthralgia · · ✓
SDDyspnoea · · ✓
SDFatigue · · ✓
SDOffice visit · · ✓
SDProductive cough · · ✓
SDRespiratory tract congestion · · ✓
SDVisual impairment · · ✓
SROAsthenia · · ✓
SROBack pain · · ✓
SRODecreased appetite · · ✓
SRODizziness · · ✓
SRODyspnoea · · ✓
SROEye pain · · ✓
SROInsomnia · · ✓
SROMuscular weakness · · ✓
SROPalpitations · · ✓
SROTremor · · ✓

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