2JV-26948-69570

3 vaccinations 8 coded responses 22 check-ins 8 free-text entries 1 call case

Sex: Female
Age at first dose: 56-60
ZIP prefix: 920 / CA
Registered: 2021-03-29

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

2021-03-29
Registered in v-safe
2021-03-29
Dose 1 — Moderna
2021-03-29
Health check-in — day 0, dose 1
Feeling: Good · Headache

Adult check-in
2021-03-30
Survey response — days 1–6 daily, dose 1
MedDRA: Hot flush, Insomnia — Feeling: Good · Headache, Fatigue or tiredness

Free text: A few Hot flashes overnight but no fever. Didnt sleep well overnight

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-01
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-04-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-05
Health check-in — day 7, dose 1
Feeling: Good · Site: Itching · Diarrhea, Abdominal pain

Adult check-in
2021-04-12
Survey response — day 14, dose 1
MedDRA: Headache, Immunisation reaction, Pruritus, Self-medication — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: My covid arm got worse. Treated with Benedryl, Advil & ice & calamine lotion. Only slight itch now. Had headaches

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-12
Report sent to call center — day 14, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-19
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-26
Dose 2 — Moderna
2021-04-26
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-04-27
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-28
Survey response — days 1–6 daily, dose 2
MedDRA: Ageusia, Hyperhidrosis, Night sweats — Feeling: Fair · Fever · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: No taste, sweated through PJs overnight

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-29
Survey response — days 1–6 daily, dose 2
MedDRA: Ageusia, Body temperature decreased, Chills, Fatigue, Hypersomnia — Feeling: Fair · Fever · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Exhausted. No taste. Sleeping a lot. Chills diminishing but very low body temp this am

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-30
Survey response — days 1–6 daily, dose 2
MedDRA: Ageusia — Feeling: Fair · Headache, Fatigue or tiredness

Free text: Still no taste

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-05-03
Health check-in — day 7, dose 2
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-05-12
Survey response — day 14, dose 2
MedDRA: Fatigue, Night sweats — Feeling: Good

Free text: Night sweats. Still very tired

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-12-01
Dose 3 — Moderna
2021-12-02
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Fever · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-12-03
Survey response — days 1–6 daily, dose 3
MedDRA: Body temperature decreased, Night sweats, Pyrexia — Feeling: Fair · Fever · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Temp is low now but I spiked a fever overnight and sweated through my pjs. Temp 97.1 in am. 98.1 now

MedDRA releases: 2024-11 · check-in free text available
2021-12-04
Survey response — days 1–6 daily, dose 3
MedDRA: Body temperature decreased, Feeling cold — Feeling: Fair · Headache

Free text: Lower than normal temp which makes me feel cold but no chills.

MedDRA releases: 2024-11 · check-in free text available
2021-12-06
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-12-08
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2022-01-14
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-02-18
Call successful
Does not wish to fill out VAERS report
2022-03-02
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-29	Moderna
2	2021-04-26	Moderna
3	2021-12-01	Moderna	No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-30

Systemic reaction (other): A few Hot flashes overnight but no fever. Didnt sleep well overnight

Release 7 — day 14, dose 1

2021-04-12

Symptoms: My covid arm got worse. Treated with Benedryl, Advil & ice & calamine lotion. Only slight itch now. Had headaches

Release 8 — days 1–6 daily, dose 2

2021-04-28

Systemic reaction (other): No taste, sweated through PJs overnight

2021-04-29

Systemic reaction (other): Exhausted. No taste. Sleeping a lot. Chills diminishing but very low body temp this am

2021-04-30

Systemic reaction (other): Still no taste

Release 8 — day 14, dose 2

2021-05-12

Symptoms: Night sweats. Still very tired

Release 10 — days 1–6 daily, dose 3

2021-12-03

Systemic reaction (other): Temp is low now but I spiked a fever overnight and sweated through my pjs. Temp 97.1 in am. 98.1 now

2021-12-04

Systemic reaction (other): Lower than normal temp which makes me feel cold but no chills.

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	Headache	✓	✓	✓
SD	Immunisation reaction	✓	✓	✓
SD	Night sweats	✓	✓	✓
SD	Pruritus	✓	✓	✓
SD	Self-medication	✓	✓	✓
SRO	Ageusia	✓	✓	✓
SRO	Body temperature decreased	✓	✓	✓
SRO	Chills	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Feeling cold	·	·	✓
SRO	Hot flush	✓	✓	✓
SRO	Hyperhidrosis	✓	✓	✓
SRO	Hypersomnia	✓	✓	✓
SRO	Insomnia	✓	✓	✓
SRO	Night sweats	✓	✓	✓
SRO	Pyrexia	·	·	✓

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