2F8-33801-94986

3 vaccinations 6 coded responses 27 check-ins 6 free-text entries 4 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 731 / OK
Registered: 2021-01-22

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

2021-01-22
Registered in v-safe
2021-01-22
Dose 1 — Moderna
2021-01-22
Survey response — day 0, dose 1
MedDRA: Dysgeusia, Ear discomfort — Feeling: Good

Free text: Tin taste in mouth with feeling all the way to ears

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-29
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-05
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-12
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-19
Dose 2 — Moderna
2021-02-19
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-02-20
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-02-21
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site warmth — Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Arm hot at injection site and registered 99.9 on thermometer probe

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-22
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness · Headache, Fatigue or tiredness

Adult check-in
2021-02-23
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-24
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-25
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-26
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-05
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-12
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-19
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-26
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-02
Survey response — day 42, dose 2
MedDRA: Dyspnoea — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Have had shortness of breath issues

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Report sent to call center — day 42, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-21
Survey response — 3 months, dose 2
MedDRA: Arthritis, Condition aggravated, Office visit, Pre-existing disease — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Psoriasis has worsened and arthritis in hands has rapidly worsened. · Healthcare visit (other): Discussed with physician during office visit for other problems

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-21
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-14
Call 1 — Left Voicemail
2021-08-10
Call 2 — Left Voicemail
2021-08-10
Call successful
Other
2021-08-20
Survey response — 6 months, dose 2
MedDRA: Arthritis, Pre-existing disease, Psoriatic arthropathy — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Worsening arthritis - been diagnosed with psoriatic arthritis.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-20
Report sent to call center — 6 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-25
Call 1 — Left Voicemail
2021-08-27
Dose 3 — Moderna
2021-11-26
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-08-27
Survey response — 12 months, dose 3
MedDRA: Ankle operation, Back pain, Post procedural complication, Psoriatic arthropathy — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit, Hospitalization

Free text: Psoriatic arthritis began within week or two of first vaccine. Worsening psoriatic arthritis, back pain, and having trouble with ankle surgery recovery. No plans for any future Covid vaccine!!!

MedDRA releases: 2024-11 · check-in free text available
2022-08-27
Report sent to call center — 12 months, dose 3
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · Hospitalization · 1 call case(s)
2022-08-29
Call successful
Reported to VAERS voluntarily prior to GDIT contact
2022-08-29
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-22	Moderna
2	2021-02-19	Moderna
3	2021-08-27	Moderna	No

Call center

4 call center cases

4 successful

VAERS report filed, before or during a call: 1

See the call center timeline

Free text

Release 2 — day 0, dose 1

2021-01-22

Systemic reaction (other): Tin taste in mouth with feeling all the way to ears

Release 4 — days 1–6 daily, dose 2

2021-02-21

Systemic reaction (other): Arm hot at injection site and registered 99.9 on thermometer probe

Release 6 — day 42, dose 2

2021-04-02

Symptoms: Have had shortness of breath issues

Release 8 — 3 months, dose 2

2021-05-21

Symptoms: Psoriasis has worsened and arthritis in hands has rapidly worsened.

Healthcare visit (other): Discussed with physician during office visit for other problems

Release 9 — 6 months, dose 2

2021-08-20

Symptoms: Worsening arthritis - been diagnosed with psoriatic arthritis.

Release 12 — 12 months, dose 3

2022-08-27

Symptoms: Psoriatic arthritis began within week or two of first vaccine. Worsening psoriatic arthritis, back pain, and having trouble with ankle surgery recovery. No plans for any future Covid vaccine!!!

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	✓	✓	✓
SD	Ankle operation	·	·	✓
SD	Arthritis	✓	✓	✓
SD	Back pain	·	·	✓
SD	Condition aggravated	✓	✓	✓
SD	Dyspnoea	✓	✓	✓
SD	Post procedural complication	·	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Psoriatic arthropathy	✓	·	✓
SRO	Dysgeusia	✓	✓	✓
SRO	Ear discomfort	✓	✓	✓
SRO	Injection site warmth	✓	✓	✓

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