2EN-20738-81499

2 vaccinations 8 coded responses 19 check-ins 8 free-text entries 2 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 802 / CO
Registered: 2021-02-07

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

2021-02-06
Dose 1 — Moderna
2021-02-07
Registered in v-safe
2021-02-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-13
Health check-in — day 7, dose 1
Feeling: Good · Site: Itching · None

Adult check-in
2021-02-21
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-28
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-06
Dose 2 — Moderna
2021-03-06
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness

Adult check-in
2021-03-07
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Joint pains, Fatigue or tiredness

Adult check-in
2021-03-08
Survey response — days 1–6 daily, dose 2
MedDRA: Upper respiratory tract congestion — Feeling: Good · Site: Pain, Itching · Chills, Muscle or body aches, Fatigue or tiredness

Free text: Upper airway congestion

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-09
Survey response — days 1–6 daily, dose 2
MedDRA: Fatigue — Feeling: Fair · Site: Itching · Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: After having a normal day at the studio I came home at 1300 and was so exhausted I had to go to bed

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-12
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-14
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-20
Survey response — day 14, dose 2
MedDRA: Abdominal pain, Diverticulitis, Emergency care — Feeling: Fair · Be unable to do your normal daily activities

Free text: Probably not related but had horrible abdominal cramps on Wednesday, went to ED, they thought it was diverticulitis.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-28
Health check-in — day 21, dose 2
Feeling: Good

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

Adult check-in
2021-04-11
Survey response — day 35, dose 2
MedDRA: Abdominal pain upper — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Stomach pains on LLQ, probably diverticula.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-11
Report sent to call center — day 35, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-18
Survey response — day 42, dose 2
MedDRA: Abdominal pain lower, Pre-existing disease — Feeling: Good

Free text: Ive had to go back on a soft diet due to diverticula, and LLQ pain a week ago.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-05
Survey response — 3 months, dose 2
MedDRA: Colitis ischaemic, Gastrointestinal pain — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Ischaemic colitis and some gut infection

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

1 call case(s)
2021-09-04
Survey response — 6 months, dose 2
MedDRA: Cough, Fatigue, Night sweats, Pyrexia, Upper respiratory tract congestion — Feeling: Good · Be unable to do your normal daily activities

Free text: Fever, cough, night sweats, upper airway congestion, fatigue

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-12-20
Call 1 — Left Voicemail
2021-12-29
Call successful
Does not wish to fill out VAERS report
2022-03-07
Survey response — 12 months, dose 2
MedDRA: Colitis microscopic — Feeling: Good · Be unable to work or attend school

Free text: I've been diagnosed with microscopic collagenous colitis

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-06	Moderna
2	2021-03-06	Moderna

Call center

2 call center cases

2 successful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 2

2021-03-08

Systemic reaction (other): Upper airway congestion

2021-03-09

Systemic reaction (other): After having a normal day at the studio I came home at 1300 and was so exhausted I had to go to bed

Release 6 — day 14, dose 2

2021-03-20

Symptoms: Probably not related but had horrible abdominal cramps on Wednesday, went to ED, they thought it was diverticulitis.

Release 7 — day 35, dose 2

2021-04-11

Symptoms: Stomach pains on LLQ, probably diverticula.

Release 7 — day 42, dose 2

2021-04-18

Symptoms: Ive had to go back on a soft diet due to diverticula, and LLQ pain a week ago.

Release 8 — 3 months, dose 2

2021-06-05

Symptoms: Ischaemic colitis and some gut infection

Release 9 — 6 months, dose 2

2021-09-04

Symptoms: Fever, cough, night sweats, upper airway congestion, fatigue

Release 11 — 12 months, dose 2

2022-03-07

Symptoms: I've been diagnosed with microscopic collagenous colitis

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	Abdominal pain	✓	✓	✓
SD	Abdominal pain lower	·	·	✓
SD	Abdominal pain upper	✓	✓	✓
SD	Colitis ischaemic	✓	✓	✓
SD	Colitis microscopic	·	·	✓
SD	Cough	✓	·	✓
SD	Diverticulitis	✓	✓	✓
SD	Emergency care	✓	✓	✓
SD	Fatigue	✓	·	✓
SD	Gastrointestinal pain	✓	✓	✓
SD	Night sweats	✓	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Pyrexia	✓	·	✓
SD	Upper respiratory tract congestion	✓	·	✓
SRO	Fatigue	✓	✓	✓
SRO	Upper respiratory tract congestion	✓	✓	✓

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