2E5-24123-33258

2 vaccinations 7 coded responses 23 check-ins 7 free-text entries 3 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 339 / FL
Registered: 2021-01-10

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

2021-01-07
Dose 1 — Moderna
2021-01-10
Registered in v-safe
2021-01-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Redness, Itching · None

Adult check-in
2021-01-11
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fatigue or tiredness, Diarrhea

Adult check-in
2021-01-12
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-01-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-14
Health check-in — day 7, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-01-21
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-28
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-04
Dose 2 — Moderna
2021-02-04
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain, Redness · None

Adult check-in
2021-02-05
Survey response — days 1–6 daily, dose 2
MedDRA: Chills — Feeling: Fair · Site: Pain, Redness · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Chills all night last night, gone this morning.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-06
Survey response — days 1–6 daily, dose 2
MedDRA: Pyrexia — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Free text: Slightly feverish in the night gone by morning.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-07
Survey response — days 1–6 daily, dose 2
MedDRA: Pyrexia — Feeling: Good · Muscle or body aches, Fatigue or tiredness

Free text: Fever last night. My normal is 97.6. Last night was 98.8.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-08
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-09
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-10
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-11
Survey response — day 7, dose 2
MedDRA: Balance disorder — Feeling: Good · Fatigue or tiredness

Free text: Yesterday and today Ive been a little unsteady on my feet. Not dizzy or lightheaded just a bit out of kilter. Not sure if I can attribute it to the vaccine injection.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-18
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-25
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-04
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-11
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-18
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-06
Survey response — 3 months, dose 2
MedDRA: Pre-existing disease — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: I recently had a heart stent. Not Covid related. Ive know for several years that it was coming. I also have fatty liver with fibrosis. Again, Ive known for years about the liver. Seems to be a genetic component. Both parents and 2 sibs have sim

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-06
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-05
Survey response — 6 months, dose 2
MedDRA: Coronary arterial stent insertion, Dyspnoea, Liver disorder, Office visit, Renal disorder — Feeling: Fair · Get care from a doctor or other healthcare professional · Hospitalization

Free text: Symptoms: Some shortness of breath. Also have some liver and kidney issues and in April got 2 heart stents. · Healthcare visit (other): Blood work with primary doctor

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-05
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-12
Call 1 — Left Voicemail
2021-08-12
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-02-06
Survey response — 12 months, dose 2
MedDRA: Condition aggravated, Pre-existing disease, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional · Hospitalization

Free text: Symptoms: I have had new symptoms from pre-existing issues before Covid. 2 heart stents, NAFLD and kidney issues. · Healthcare visit (other): Liver trials

MedDRA releases: 2024-11 · check-in free text available
2022-02-06
Report sent to call center — 12 months, dose 2
Get care from a doctor or other healthcare professional

Hospitalization · 1 call case(s)
2022-02-07
Call successful
Does not wish to fill out VAERS report

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-07	Moderna
2	2021-02-04	Moderna

Call center

3 call center cases

3 successful

See the call center timeline

Free text

Release 3 — days 1–6 daily, dose 2

2021-02-05

Systemic reaction (other): Chills all night last night, gone this morning.

2021-02-06

Systemic reaction (other): Slightly feverish in the night gone by morning.

2021-02-07

Systemic reaction (other): Fever last night. My normal is 97.6. Last night was 98.8.

Release 4 — day 7, dose 2

2021-02-11

Systemic reaction (other): Yesterday and today Ive been a little unsteady on my feet. Not dizzy or lightheaded just a bit out of kilter. Not sure if I can attribute it to the vaccine injection.

Release 8 — 3 months, dose 2

2021-05-06

Symptoms: I recently had a heart stent. Not Covid related. Ive know for several years that it was coming. I also have fatty liver with fibrosis. Again, Ive known for years about the liver. Seems to be a genetic component. Both parents and 2 sibs have sim

Release 9 — 6 months, dose 2

2021-08-05

Symptoms: Some shortness of breath. Also have some liver and kidney issues and in April got 2 heart stents.

Healthcare visit (other): Blood work with primary doctor

Release 11 — 12 months, dose 2

2022-02-06

Symptoms: I have had new symptoms from pre-existing issues before Covid. 2 heart stents, NAFLD and kidney issues.

Healthcare visit (other): Liver trials

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	Unevaluable event	·	·	✓
SD	Condition aggravated	·	·	✓
SD	Coronary arterial stent insertion	✓	·	✓
SD	Dyspnoea	✓	·	✓
SD	Liver disorder	✓	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Renal disorder	✓	·	✓
SRO	Balance disorder	✓	✓	✓
SRO	Chills	✓	✓	✓
SRO	Pyrexia	✓	✓	✓

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