2CG-32397-28266

4 vaccinations 10 coded responses 32 check-ins 9 free-text entries 1 call case

Sex: Female
Age at first dose: 61-65
ZIP prefix: 323 / FL
Registered: 2021-02-15

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

2021-02-15
Registered in v-safe
2021-02-15
Dose 1 — Moderna
2021-02-15
Survey response — day 0, dose 1
MedDRA: Swelling of eyelid, Vision blurred — Feeling: Fair · Site: Pain

Free text: Vision seems blurry, possible mild swelling of eyes?

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-16
Survey response — days 1–6 daily, dose 1
MedDRA: Oropharyngeal pain, Rhinorrhoea — Feeling: Fair · Fever · Chills, Muscle or body aches, Fatigue or tiredness

Free text: Mild sore throat, slightly runny nose.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-17
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness, Dyspnoea — Feeling: Poor · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Dizziness, sob

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-18
Survey response — days 1–6 daily, dose 1
MedDRA: Cough — Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Very slight dry cough

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-20
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

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 — day 7, dose 1
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-03-01
Survey response — day 14, dose 1
MedDRA: Injection site pruritus, Vaccination site rash — Feeling: Good

Free text: Rash and itching near vaccine site. Developed about 8 daya out, I think but might not have mentioned it.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-08
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-03-16
Dose 2 — Moderna
2021-03-17
Survey response — days 1–6 daily, dose 2
MedDRA: Ear pain, Oropharyngeal pain, Sinus pain — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: Sore throat & ear and sinus pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-18
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Itching · Fever · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-19
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness, Swelling, Itching · None

Adult check-in
2021-03-20
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Itching · Fatigue or tiredness

Adult check-in
2021-03-21
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Itching · Fever · None

Adult check-in
2021-03-22
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Itching · None

Adult check-in
2021-03-23
Health check-in — day 7, dose 2
Feeling: Good · Site: Itching · None

Adult check-in
2021-03-30
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-06
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-13
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-22
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-27
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-15
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-14
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-01
Dose 3 — Moderna
2022-03-16
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-06-07
Dose 4 — Pfizer-BioNTech
2022-06-28
Survey response — day 21, dose 4
MedDRA: Asthenia, Chills, Dysphonia, Fatigue, Oropharyngeal pain, Pyrexia, Sinus pain — Feeling: Good · Be unable to do your normal daily activities

Free text: Sore throat, mild fever and chills, fatigue, sinus pain, mild hoarseness, weakness.

MedDRA releases: 2024-11 · check-in free text available
2022-07-05
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-07-12
Survey response — day 35, dose 4
MedDRA: Chills, Cough, Ear pain, Fatigue, Malaise, Oropharyngeal pain, Sinus congestion, Sinus pain — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Cough, malaise, sinus pain/congestion, sore throat, ear pain, mild chills, fatigue.

MedDRA releases: 2024-11 · check-in free text available
2022-07-19
Survey response — day 42, dose 4
MedDRA: Chills, Cough, Fatigue, Pyrexia, Respiratory tract irritation — Feeling: Good · Be unable to do your normal daily activities

Free text: Low grade fever. Chills, lung irritation and mild persistent cough, fatigue

MedDRA releases: 2024-11 · check-in free text available
2022-09-06
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-12-06
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in
2023-06-07
Survey response — 12 months, dose 4
MedDRA: Allergic respiratory symptom, Asthma, Swelling — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

MedDRA releases: 2024-11
2023-06-07
Call case (no matching report) — Successful
Does not wish to fill out VAERS report
2023-06-08
Call 1 — Left Voicemail
2023-06-08
Call successful
Does not wish to fill out VAERS report

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-15	Moderna
2	2021-03-16	Moderna
3	2021-11-01	Moderna	No
4	2022-06-07	Pfizer-BioNTech	No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 4 — day 0, dose 1

2021-02-15

Systemic reaction (other): Vision seems blurry, possible mild swelling of eyes?

Release 4 — days 1–6 daily, dose 1

2021-02-16

Systemic reaction (other): Mild sore throat, slightly runny nose.

2021-02-17

Systemic reaction (other): Dizziness, sob

2021-02-18

Systemic reaction (other): Very slight dry cough

Release 4 — day 14, dose 1

2021-03-01

Symptoms: Rash and itching near vaccine site. Developed about 8 daya out, I think but might not have mentioned it.

Release 5 — days 1–6 daily, dose 2

2021-03-17

Systemic reaction (other): Sore throat & ear and sinus pain

Release 12 — day 21, dose 4

2022-06-28

Symptoms: Sore throat, mild fever and chills, fatigue, sinus pain, mild hoarseness, weakness.

Release 12 — day 35, dose 4

2022-07-12

Symptoms: Cough, malaise, sinus pain/congestion, sore throat, ear pain, mild chills, fatigue.

Release 12 — day 42, dose 4

2022-07-19

Symptoms: Low grade fever. Chills, lung irritation and mild persistent cough, fatigue

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	Allergic respiratory symptom	·	·	✓
SD	Asthenia	·	·	✓
SD	Asthma	·	·	✓
SD	Chills	·	·	✓
SD	Cough	·	·	✓
SD	Dysphonia	·	·	✓
SD	Ear pain	·	·	✓
SD	Fatigue	·	·	✓
SD	Injection site pruritus	✓	✓	✓
SD	Malaise	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pyrexia	·	·	✓
SD	Respiratory tract irritation	·	·	✓
SD	Sinus congestion	·	·	✓
SD	Sinus pain	·	·	✓
SD	Swelling	·	·	✓
SD	Vaccination site rash	✓	✓	✓
SRO	Cough	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Ear pain	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Rhinorrhoea	✓	✓	✓
SRO	Sinus pain	✓	✓	✓
SRO	Swelling of eyelid	✓	✓	✓
SRO	Vision blurred	✓	✓	✓

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