2FN-29363-37524

6 vaccinations 28 coded responses 64 check-ins 24 free-text entries 3 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 370 / TN
Registered: 2021-02-04

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

2021-02-04
Registered in v-safe
2021-02-04
Dose 1 — Moderna
2021-02-04
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-02-05
Survey response — days 1–6 daily, dose 1
MedDRA: Arthralgia, Migraine, Self-medication — Feeling: Fair · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness

Free text: Shoulder pain and migraine headache, but I get those so not surprised. I have Imitrex I take and it took care of it. Glad I had the medication.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Chills, Fatigue or tiredness

Adult check-in
2021-02-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
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
2021-02-11
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-18
Survey response — day 14, dose 1
MedDRA: Erythema, Pain in extremity, Peripheral swelling, Pruritus — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Almost entire left upper arm swelling, itchiness, pain, redness that started on day 9. Still have. Started small then spread.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-18
Report sent to call center — day 14, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-25
Survey response — day 21, dose 1
MedDRA: Immunisation reaction, Malaise, Pain, Pruritus — Feeling: Poor

Free text: For 4 days, have had overall body aches, have not felt well on and off and have been having continued itching on left arm that I got the Covid Arm in for 9 days that just cleared last Sunday.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-03
Dose 2 — Moderna
2021-03-04
Survey response — days 1–6 daily, dose 2
MedDRA: Decreased appetite — 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: No appetite,

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-05
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-03-06
Survey response — days 1–6 daily, dose 2
MedDRA: Headache, Hyperhidrosis, Nausea, Self-medication — Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: More episodic sweating last evening after check in and once today. Nausea and headaches i medicate.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-07
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-08
Survey response — days 1–6 daily, dose 2
MedDRA: Nausea — Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Free text: Medicated nausea with Zofran

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: Nausea — Feeling: Good · Muscle or body aches, Fatigue or tiredness, Nausea

Free text: Nausea is medicated with Zofran and therefore mild otherwise it would be moderate

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-10
Survey response — day 7, dose 2
MedDRA: Headache — Feeling: Good · Headache, Fatigue or tiredness

Free text: Headache medicated with Imitrex

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-17
Survey response — day 14, dose 2
MedDRA: Fatigue, Nausea — Feeling: Fair · Be unable to do your normal daily activities

Free text: A few days extremely tired and had to go to bed. Some days also have nausea and Zofran doesn't necessarily take care of. Never know how I am going to feel on any particular day, but overall symptoms decreasing.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-24
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-31
Survey response — day 28, dose 2
MedDRA: Fatigue — Feeling: Good

Free text: It has been almost 2 months since my 1st vaccine. I was tired everyday for over 6 weeks, and usually worse when evening started and then it started letting up. It comes and goes now, but I still have it on and off. Never know.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-09
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-15
Survey response — day 42, dose 2
MedDRA: Fatigue, Malaise, Nausea, Nuchal rigidity, Pain, Unevaluable event, Urinary tract disorder — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Symptoms: Have not felt well. Have a number of on and off symptoms - body aches, tiredness, nausea, urinary symptoms. Seeing PCP tomorrow. · Healthcare visit (other): Have tomorrow.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
Report sent to call center — day 42, dose 2
Get care from a doctor or other healthcare professional

no matching call case
2021-06-02
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-06
Call 1 — Left Voicemail
2021-09-01
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-23
Dose 3 — Moderna
2021-10-23
Survey response — day 0, dose 3
MedDRA: Unevaluable event — Feeling: Good · Headache, Fatigue or tiredness

Free text: Kind of early to report. Just had vaccine 1 1/2 hours ago.

MedDRA releases: 2024-11 · check-in free text available
2021-10-24
Survey response — days 1–6 daily, dose 3
MedDRA: Asthenia, Dehydration, Hyperhidrosis — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Dehydrated, weakness on standing, some sweating

MedDRA releases: 2024-11 · check-in free text available
2021-10-25
Survey response — days 1–6 daily, dose 3
MedDRA: Arthralgia, Chills — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: My normal body temperature is 97. Yesterday I did not indicate the my chills were mild and also I had joint pain and it was mild.

MedDRA releases: 2024-11 · check-in free text available
2021-10-26
Survey response — days 1–6 daily, dose 3
MedDRA: Dry mouth — Feeling: Fair · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain

Free text: My normal temperature is 97.0. Dry mouth.

MedDRA releases: 2024-11 · check-in free text available
2021-10-27
Survey response — days 1–6 daily, dose 3
MedDRA: Dry mouth, Unevaluable event — Feeling: Good · Site: Pain · Fever · Nausea

Free text: My normal temperature is 97. Dry mouth.

MedDRA releases: 2024-11 · check-in free text available
2021-10-28
Survey response — days 1–6 daily, dose 3
MedDRA: Dry mouth — Feeling: Good · Fever · Nausea

Free text: Normal temperature is 97. Dry mouth.

MedDRA releases: 2024-11 · check-in free text available
2021-10-30
Survey response — day 7, dose 3
MedDRA: Body temperature decreased — Feeling: Good · Fever · Chills, Headache

Free text: Normal temperature is 97. Yesterday had little fever too, but only about 97.6. I forgot to mark it.

MedDRA releases: 2024-11 · check-in free text available
2021-11-06
Survey response — day 14, dose 3
MedDRA: Body temperature decreased, Chills, Fatigue, Feeling cold — Feeling: Good

Free text: I have had some chills during the last week with a fever of 98.4 or so since last check in. My normal temp. is 97. However, I felt fine, I was just really cold even with the heat up. Had mild fatigue on and off with that. Think those sxs are gone

MedDRA releases: 2024-11 · check-in free text available
2021-11-13
Survey response — day 21, dose 3
MedDRA: Body temperature decreased, Headache, Insomnia, Medical counselling, Migraine, Nausea — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Start 11/6 w/ increasingly bad headaches and nausea that culminated on 11/10 with insomnia in the early a.m. and then severe migraine, severe nausea & temp. 98.1. Took a lot of meds to get migraine and nausea under control. Mild headache 11/11. · Healthcare visit (other): Phone

MedDRA releases: 2024-11 · check-in free text available
2021-11-13
Report sent to call center — day 21, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-11-15
Call successful
Reported to VAERS voluntarily prior to GDIT contact
2021-12-04
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-22
Survey response — 3 months, dose 3
MedDRA: Gastrointestinal disorder, Oesophagitis — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Esophagitis of some kind that effected my stomach and digestive system. It now appears to be clearing up.

MedDRA releases: 2024-11 · check-in free text available
2022-01-22
Report sent to call center — 3 months, dose 3
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-01-24
Call 1 — Left Voicemail
2022-01-25
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-04-07
Dose 4 — Moderna
2022-04-07
Survey response — day 0, dose 4
MedDRA: Unevaluable event — Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Normal temperature is 97.0

MedDRA releases: 2024-11 · check-in free text available
2022-04-08
Survey response — days 1–6 daily, dose 4
MedDRA: Body temperature decreased, Insomnia — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Was not able to sleep last night. Normal temperature is 97.0.

MedDRA releases: 2024-11 · check-in free text available
2022-04-10
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-04-11
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-04-13
Health check-in — days 1–6 daily, dose 4
Feeling: Poor · Nausea

Adult check-in
2022-04-14
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-04-21
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-04-28
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-05-05
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-05-12
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-05-19
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-07-07
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-09-21
Dose 5 — Moderna
2022-09-21
Health check-in — day 0, dose 5
Feeling: Fair · Site: Pain, Itching · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-09-22
Health check-in — days 1–6 daily, dose 5
Feeling: Poor · Site: Pain · Fever · Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2022-09-23
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Site: Pain · None

Adult check-in
2022-09-24
Health check-in — days 1–6 daily, dose 5
Feeling: Good · None

Adult check-in
2022-10-05
Survey response — day 14, dose 5
MedDRA: Fatigue — Feeling: Good · Be unable to do your normal daily activities

Free text: Really tired for the entire day 6 days ago.

MedDRA releases: 2024-11 · check-in free text available
2022-10-13
Health check-in — day 21, dose 5
Feeling: Good

Adult check-in
2023-03-22
Health check-in — 6 months, dose 5
Feeling: Good

Adult check-in
2023-04-21
Dose 6 — Moderna
2023-04-21
Survey response — day 0, dose 6
MedDRA: No adverse event — Feeling: Good

MedDRA releases: 2024-11
2023-04-22
Health check-in — days 1–6 daily, dose 6
Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2023-04-23
Survey response — days 1–6 daily, dose 6
MedDRA: Injection site warmth — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

MedDRA releases: 2024-11
2023-04-24
Survey response — days 1–6 daily, dose 6
MedDRA: Injection site warmth — Feeling: Fair · Site: Pain, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

MedDRA releases: 2024-11
2023-04-25
Health check-in — days 1–6 daily, dose 6
Feeling: Good · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2023-04-26
Health check-in — days 1–6 daily, dose 6
Feeling: Good · Headache, Muscle or body aches

Adult check-in
2023-04-28
Health check-in — day 7, dose 6
Feeling: Good · None

Adult check-in
2023-05-05
Health check-in — day 14, dose 6
Feeling: Good

Adult check-in
2023-05-12
Health check-in — day 21, dose 6
Feeling: Good

Adult check-in
2023-05-19
Health check-in — day 28, dose 6
Feeling: Good

Adult check-in
2023-05-26
Survey response — day 35, dose 6
MedDRA: Pain — Feeling: Fair · Be unable to do your normal daily activities

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-04	Moderna
2	2021-03-03	Moderna
3	2021-10-23	Moderna	No
4	2022-04-07	Moderna	No
5	2022-09-21	Moderna	No
6	2023-04-21	Moderna	No

Call center

3 call center cases

3 successful

VAERS report filed, before or during a call: 2

1 wait over 3 months for a first call

1 check-in flagged for a call with no call center case on record

See the call center timeline

Free text

Release 3 — days 1–6 daily, dose 1

2021-02-05

Systemic reaction (other): Shoulder pain and migraine headache, but I get those so not surprised. I have Imitrex I take and it took care of it. Glad I had the medication.

Release 4 — day 14, dose 1

2021-02-18

Symptoms: Almost entire left upper arm swelling, itchiness, pain, redness that started on day 9. Still have. Started small then spread.

Release 4 — day 21, dose 1

2021-02-25

Symptoms: For 4 days, have had overall body aches, have not felt well on and off and have been having continued itching on left arm that I got the Covid Arm in for 9 days that just cleared last Sunday.

Release 5 — days 1–6 daily, dose 2

2021-03-04

Systemic reaction (other): No appetite,

2021-03-06

Systemic reaction (other): More episodic sweating last evening after check in and once today. Nausea and headaches i medicate.

2021-03-08

Systemic reaction (other): Medicated nausea with Zofran

2021-03-09

Systemic reaction (other): Nausea is medicated with Zofran and therefore mild otherwise it would be moderate

Release 5 — day 7, dose 2

2021-03-10

Systemic reaction (other): Headache medicated with Imitrex

Release 5 — day 14, dose 2

2021-03-17

Symptoms: A few days extremely tired and had to go to bed. Some days also have nausea and Zofran doesn't necessarily take care of. Never know how I am going to feel on any particular day, but overall symptoms decreasing.

Release 6 — day 28, dose 2

2021-03-31

Symptoms: It has been almost 2 months since my 1st vaccine. I was tired everyday for over 6 weeks, and usually worse when evening started and then it started letting up. It comes and goes now, but I still have it on and off. Never know.

Release 7 — day 42, dose 2

2021-04-15

Symptoms: Have not felt well. Have a number of on and off symptoms - body aches, tiredness, nausea, urinary symptoms. Seeing PCP tomorrow.

Healthcare visit (other): Have tomorrow.

Release 10 — day 0, dose 3

2021-10-23

Systemic reaction (other): Kind of early to report. Just had vaccine 1 1/2 hours ago.

Release 10 — days 1–6 daily, dose 3

2021-10-24

Systemic reaction (other): Dehydrated, weakness on standing, some sweating

2021-10-25

Systemic reaction (other): My normal body temperature is 97. Yesterday I did not indicate the my chills were mild and also I had joint pain and it was mild.

2021-10-26

Systemic reaction (other): My normal temperature is 97.0. Dry mouth.

2021-10-27

Systemic reaction (other): My normal temperature is 97. Dry mouth.

2021-10-28

Systemic reaction (other): Normal temperature is 97. Dry mouth.

Release 10 — day 7, dose 3

2021-10-30

Systemic reaction (other): Normal temperature is 97. Yesterday had little fever too, but only about 97.6. I forgot to mark it.

Release 10 — day 14, dose 3

2021-11-06

Symptoms: I have had some chills during the last week with a fever of 98.4 or so since last check in. My normal temp. is 97. However, I felt fine, I was just really cold even with the heat up. Had mild fatigue on and off with that. Think those sxs are gone cut off by CDC

Release 10 — day 21, dose 3

2021-11-13

Symptoms: Start 11/6 w/ increasingly bad headaches and nausea that culminated on 11/10 with insomnia in the early a.m. and then severe migraine, severe nausea & temp. 98.1. Took a lot of meds to get migraine and nausea under control. Mild headache 11/11.

Healthcare visit (other): Phone

Release 11 — 3 months, dose 3

2022-01-22

Symptoms: Esophagitis of some kind that effected my stomach and digestive system. It now appears to be clearing up.

Release 11 — day 0, dose 4

2022-04-07

Systemic reaction (other): Normal temperature is 97.0

Release 11 — days 1–6 daily, dose 4

2022-04-08

Systemic reaction (other): Was not able to sleep last night. Normal temperature is 97.0.

Release 12 — day 14, dose 5

2022-10-05

Symptoms: Really tired for the entire day 6 days ago.

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	Medical counselling	·	·	✓
HCVO	Unevaluable event	✓	✓	✓
SD	Body temperature decreased	·	·	✓
SD	Chills	·	·	✓
SD	Erythema	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Feeling cold	·	·	✓
SD	Gastrointestinal disorder	·	·	✓
SD	Headache	·	·	✓
SD	Immunisation reaction	✓	✓	✓
SD	Insomnia	·	·	✓
SD	Malaise	✓	✓	✓
SD	Migraine	·	·	✓
SD	Nausea	✓	✓	✓
SD	Nuchal rigidity	○	✓	○
SD	Oesophagitis	·	·	✓
SD	Pain	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SD	Peripheral swelling	✓	✓	✓
SD	Pruritus	✓	✓	✓
SD	Urinary tract disorder	✓	✓	✓
SRO	Arthralgia	✓	✓	✓
SRO	Asthenia	·	·	✓
SRO	Body temperature decreased	·	·	✓
SRO	Chills	·	·	✓
SRO	Decreased appetite	✓	✓	✓
SRO	Dehydration	·	·	✓
SRO	Dry mouth	·	·	✓
SRO	Headache	✓	✓	✓
SRO	Hyperhidrosis	✓	✓	✓
SRO	Injection site warmth	·	·	✓
SRO	Insomnia	·	·	✓
SRO	Migraine	✓	✓	✓
SRO	Nausea	✓	✓	✓
SRO	No adverse event	·	·	✓
SRO	Self-medication	✓	✓	✓
SRO	Unevaluable event	·	·	✓

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