2L8-23271-63715

2 vaccinations 15 coded responses 22 check-ins 15 free-text entries 6 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 756 / TX
Registered: 2021-01-02

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

2021-01-02
Registered in v-safe
2021-01-02
Dose 1 — Moderna
2021-01-03
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-01-03
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-04
Survey response — days 1–6 daily, dose 1
MedDRA: Cough, Ear pain — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Cough, earache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-04
Report sent to call center — days 1–6 daily, dose 1
Be unable to work · Be unable to do your normal daily activities

1 call case(s)
2021-01-05
Survey response — days 1–6 daily, dose 1
MedDRA: Cough, Ear pain — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Fatigue or tiredness · Be unable to work, 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: Cough ear ache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-05
Report sent to call center — days 1–6 daily, dose 1
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)
2021-01-06
Survey response — days 1–6 daily, dose 1
MedDRA: Cough, Ear pain — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Cough ear ache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-06
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-07
Survey response — days 1–6 daily, dose 1
MedDRA: Cough, Ear pain — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Fatigue or tiredness

Free text: Cough ear ache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-08
Survey response — days 1–6 daily, dose 1
MedDRA: Cough — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fatigue or tiredness

Free text: Cough

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-09
Survey response — day 7, dose 1
MedDRA: Cough — Feeling: Good · Fatigue or tiredness

Free text: Cough

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-16
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-23
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-01-30
Dose 2 — Moderna
2021-01-30
Health check-in — day 0, dose 2
Feeling: Good · Site: Itching · Fatigue or tiredness

Adult check-in
2021-01-31
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work

Adult check-in
2021-02-01
Survey response — days 1–6 daily, dose 2
MedDRA: Disturbance in attention, Dry mouth, Oropharyngeal pain — Feeling: Poor · Site: Swelling, Itching · Fever · Chills, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work

Free text: Sore throat, extremely dry mouth, loss of concentration

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-02
Survey response — days 1–6 daily, dose 2
MedDRA: Cough, Decreased appetite, Disturbance in attention, Ear pain, Insomnia, Oropharyngeal pain — Feeling: Poor · Site: Swelling, Itching · Fever · Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Sore throat, ear ache, severe cough, cant concentrate, insomnia, loss of appetite,

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-03
Survey response — days 1–6 daily, dose 2
MedDRA: Cough, Decreased appetite, Disturbance in attention, Dry mouth, Oropharyngeal pain — Feeling: Fair · Site: Swelling, Itching · Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Severe cough, loss of concentration, loss of appetite, sore throat, dry mouth

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-08
Survey response — day 7, dose 2
MedDRA: Cough, Dyspnoea — Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Severe cough, shortness of breath

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-10
Call successful
Participant prefers to complete VAERS report online
2021-02-13
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-20
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-27
Survey response — day 28, dose 2
MedDRA: Cough, Dyspnoea — Feeling: Fair · Be unable to do your normal daily activities

Free text: Still coughing & having breathing issues

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-07
Survey response — day 35, dose 2
MedDRA: Cough, Dyspnoea — Feeling: Fair · Be unable to do your normal daily activities

Free text: Coughing & breathing problems

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-15
Survey response — day 42, dose 2
MedDRA: Cough, Dyspnoea — Feeling: Fair · Be unable to do your normal daily activities

Free text: Breathing problems & coughing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-02
Survey response — 6 months, dose 2
MedDRA: Bronchitis, Respiratory syncytial virus infection — 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: RSV & severe bronchitis

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-02
Report sent to call center — 6 months, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

1 call case(s)
2021-08-04
Call 1 — Could Not Reach Participant
2021-08-05
Call 2 — Could Not Reach Participant
2022-02-01
Survey response — 12 months, dose 2
MedDRA: Brain fog, Cough, Dyspnoea, Paraesthesia — Feeling: Fair · 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: Hands tingle, feet tingle, still have brain fog & cough & breathing issues

MedDRA releases: 2024-11 · check-in free text available
2022-02-01
Report sent to call center — 12 months, dose 2
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · Hospitalization · 1 call case(s)
2022-02-03
Call 1 — Could Not Reach Participant
2022-02-08
Call 2 — Could Not Reach Participant

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-02	Moderna
2	2021-01-30	Moderna

Call center

6 call center cases

4 successful · 2 unsuccessful

See the call center timeline

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-04

Systemic reaction (other): Cough, earache

2021-01-05

Systemic reaction (other): Cough ear ache

2021-01-06

Systemic reaction (other): Cough ear ache

2021-01-07

Systemic reaction (other): Cough ear ache

2021-01-08

Systemic reaction (other): Cough

Release 1 — day 7, dose 1

2021-01-09

Systemic reaction (other): Cough

Release 3 — days 1–6 daily, dose 2

2021-02-01

Systemic reaction (other): Sore throat, extremely dry mouth, loss of concentration

2021-02-02

Systemic reaction (other): Sore throat, ear ache, severe cough, cant concentrate, insomnia, loss of appetite,

2021-02-03

Systemic reaction (other): Severe cough, loss of concentration, loss of appetite, sore throat, dry mouth

Release 3 — day 7, dose 2

2021-02-08

Systemic reaction (other): Severe cough, shortness of breath

Release 4 — day 28, dose 2

2021-02-27

Symptoms: Still coughing & having breathing issues

Release 5 — day 35, dose 2

2021-03-07

Symptoms: Coughing & breathing problems

Release 5 — day 42, dose 2

2021-03-15

Symptoms: Breathing problems & coughing

Release 9 — 6 months, dose 2

2021-08-02

Symptoms: RSV & severe bronchitis

Release 11 — 12 months, dose 2

2022-02-01

Symptoms: Hands tingle, feet tingle, still have brain fog & cough & breathing issues

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	Brain fog	·	·	✓
SD	Bronchitis	✓	·	✓
SD	Cough	✓	✓	✓
SD	Dyspnoea	✓	✓	✓
SD	Paraesthesia	·	·	✓
SD	Respiratory syncytial virus infection	✓	·	✓
SRO	Cough	✓	✓	✓
SRO	Decreased appetite	✓	✓	✓
SRO	Disturbance in attention	✓	✓	✓
SRO	Dry mouth	✓	✓	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Ear pain	✓	✓	✓
SRO	Insomnia	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓

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