2EM-21782-21431

4 vaccinations 9 coded responses 53 check-ins 9 free-text entries 2 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 930 / CA
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 · Site: Itching · None

Adult check-in
2021-02-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling · None

Adult check-in
2021-02-20
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Redness, Swelling · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Redness, Swelling · None

Adult check-in
2021-02-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Redness · 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 · Site: Redness · None

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

Adult check-in
2021-03-04
Survey response — day 14, dose 1
MedDRA: Injection site pruritus, Rash — Feeling: Good

Free text: Rash near right shoulder rash Andrea itching on left arm, near vaccination site. They showed up about 2 weeks after shot.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-11
Survey response — day 21, dose 1
MedDRA: Fatigue, Rash, Somnolence — Feeling: Good · Be unable to do your normal daily activities

Free text: Very sleepy on Saturday, very tired for a few days. My rash moved to the opposite arm.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-17
Dose 2 — Moderna
2021-03-17
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-18
Survey response — days 1–6 daily, dose 2
MedDRA: Chills, Mobility decreased, Pain, Skin warm — 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: Severe chills at 2am. Im too much pain to get out of bed to check temperature, but skin hot. Im staying in bed and napping today. Chills milder at 4 pm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-19
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

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

Adult check-in
2021-03-21
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Muscle or body aches

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

Adult check-in
2021-03-23
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Rash, not including the immediate area around the injection site

Adult check-in
2021-03-24
Health check-in — day 7, dose 2
Feeling: Good · Fatigue or tiredness

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

Adult check-in
2021-04-07
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-14
Health check-in — day 28, dose 2
Feeling: Good

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

Adult check-in
2021-09-15
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-25
Dose 3 — Moderna
2021-10-26
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain, Redness, Swelling · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-10-27
Survey response — days 1–6 daily, dose 3
MedDRA: Headache — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Had a headache late last night. I feel I need to take it easy today.

MedDRA releases: 2024-11 · check-in free text available
2021-10-28
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · None

Adult check-in
2021-10-29
Survey response — days 1–6 daily, dose 3
MedDRA: Bacterial infection, Office visit — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Doctor said I hot a bacterial infection from the injection

MedDRA releases: 2024-11 · check-in free text available
2021-10-29
Report sent to call center — days 1–6 daily, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-10-30
Survey response — days 1–6 daily, dose 3
MedDRA: Bacterial infection, Headache, Injection site infection, Medical counselling — Feeling: Poor · Site: Redness, Swelling · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: I got treatment for a bacterial infection from injection site. Began taking Cephalexin and Loratadine yesterday afternoon. Pharmacy said they shouldn't cause headache

MedDRA releases: 2024-11 · check-in free text available
2021-10-31
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fatigue or tiredness

Adult check-in
2021-11-01
Health check-in — day 7, dose 3
Feeling: Good · Site: Redness, Swelling, Itching · Fatigue or tiredness

Adult check-in
2021-11-01
Call 1 — Left Voicemail
2021-11-02
Call 2 — Left Voicemail
2021-11-02
Call successful
Reported to VAERS voluntarily prior to GDIT contact
2021-11-08
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-15
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-22
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-29
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-06
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-24
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-04-25
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-07-12
Dose 4 — Moderna
2022-07-13
Survey response — days 1–6 daily, dose 4
MedDRA: Nocturia, Urine output increased — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: I urinated every two hours last night. A lot of volume.

MedDRA releases: 2024-11 · check-in free text available
2022-07-14
Health check-in — days 1–6 daily, dose 4
Feeling: Poor · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-07-15
Health check-in — days 1–6 daily, dose 4
Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Headache, Fatigue or tiredness · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Adult check-in
2022-07-15
Report sent to call center — days 1–6 daily, dose 4
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-07-16
Survey response — days 1–6 daily, dose 4
MedDRA: Arthralgia, Neuralgia, Somnolence — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Nerve pain on outside of my left foot, left knee hurts, want to sleep/rest

MedDRA releases: 2024-11 · check-in free text available
2022-07-17
Survey response — days 1–6 daily, dose 4
MedDRA: Fatigue — Feeling: Fair · Site: Redness, Itching · Fatigue or tiredness

Free text: It's very hot and I went out so the tiredness may be from the hot weather

MedDRA releases: 2024-11 · check-in free text available
2022-07-18
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Itching · None

Adult check-in
2022-07-18
Call 1 — Left Voicemail
2022-07-18
Call successful
Does not wish to fill out VAERS report
2022-07-19
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-07-26
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-08-02
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-08-09
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-08-16
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-08-23
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-10-11
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2023-01-10
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-18	Moderna
2	2021-03-17	Moderna
3	2021-10-25	Moderna	No
4	2022-07-12	Moderna	No

Call center

2 call center cases

2 successful

VAERS report filed, before or during a call: 1

See the call center timeline

Free text

Release 5 — day 14, dose 1

2021-03-04

Symptoms: Rash near right shoulder rash Andrea itching on left arm, near vaccination site. They showed up about 2 weeks after shot.

Release 5 — day 21, dose 1

2021-03-11

Symptoms: Very sleepy on Saturday, very tired for a few days. My rash moved to the opposite arm.

Release 5 — days 1–6 daily, dose 2

2021-03-18

Systemic reaction (other): Severe chills at 2am. Im too much pain to get out of bed to check temperature, but skin hot. Im staying in bed and napping today. Chills milder at 4 pm

Release 10 — days 1–6 daily, dose 3

2021-10-27

Systemic reaction (other): Had a headache late last night. I feel I need to take it easy today.

2021-10-29

Systemic reaction (other): Doctor said I hot a bacterial infection from the injection

2021-10-30

Systemic reaction (other): I got treatment for a bacterial infection from injection site. Began taking Cephalexin and Loratadine yesterday afternoon. Pharmacy said they shouldn't cause headache

Release 12 — days 1–6 daily, dose 4

2022-07-13

Systemic reaction (other): I urinated every two hours last night. A lot of volume.

2022-07-16

Systemic reaction (other): Nerve pain on outside of my left foot, left knee hurts, want to sleep/rest

2022-07-17

Systemic reaction (other): It's very hot and I went out so the tiredness may be from the hot weather

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	Fatigue	✓	✓	✓
SD	Injection site pruritus	✓	✓	✓
SD	Rash	✓	✓	✓
SD	Somnolence	✓	✓	✓
SRO	Arthralgia	·	·	✓
SRO	Bacterial infection	·	·	✓
SRO	Chills	✓	✓	✓
SRO	Fatigue	·	·	✓
SRO	Headache	·	·	✓
SRO	Injection site infection	·	·	✓
SRO	Medical counselling	·	·	✓
SRO	Mobility decreased	✓	✓	✓
SRO	Neuralgia	·	·	✓
SRO	Nocturia	·	·	✓
SRO	Office visit	·	·	✓
SRO	Pain	✓	✓	✓
SRO	Skin warm	✓	✓	✓
SRO	Somnolence	·	·	✓
SRO	Urine output increased	·	·	✓

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