2MH-92815-61635

2 vaccinations 12 coded responses 23 check-ins 12 free-text entries 3 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 973 / OR
Registered: 2021-08-12

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

2021-08-12
Registered in v-safe
2021-08-12
Dose 1 — Moderna
2021-08-12
Health check-in — day 0, dose 1
Feeling: Good · Fatigue or tiredness, Nausea

Adult check-in
2021-08-13
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling, Itching · Fever · Headache, Joint pains, Fatigue or tiredness, Nausea, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Adult check-in
2021-08-14
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Fatigue or tiredness, Nausea, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Adult check-in
2021-08-15
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness, Nausea, Abdominal pain, Rash, not including the immediate area around the injection site

Adult check-in
2021-08-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache, Joint pains, Rash, not including the immediate area around the injection site

Adult check-in
2021-08-17
Survey response — days 1–6 daily, dose 1
MedDRA: Peripheral coldness, Pruritus — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site

Free text: Itching in my legs and cold feet

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-18
Survey response — days 1–6 daily, dose 1
MedDRA: Burning sensation, Irritability, Peripheral coldness, Rash pruritic, Self-medication — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site

Free text: Besides the cold feet and itchy burny rash if I don't take Zyrtec twice a day, I'm very very irritable

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-19
Health check-in — day 7, dose 1
Feeling: Good · Fatigue or tiredness, Diarrhea, Rash, not including the immediate area around the injection site

Adult check-in
2021-08-26
Survey response — day 14, dose 1
MedDRA: Back pain, Chest pain, Cough, Dyspnoea, Medical counselling — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Chest pain into my back and dry cough with shortness of breath · Healthcare visit (other): Phone call With OnCall doc

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-26
Report sent to call center — day 14, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-09-01
Call 1 — Left Voicemail
2021-09-02
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-09-09
Dose 2 — Moderna
2021-09-09
Health check-in — day 0, dose 2
Feeling: Fair · Headache, Fatigue or tiredness, Diarrhea, Rash, not including the immediate area around the injection site

Adult check-in
2021-09-10
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia, Back pain, Headache, Immediate post-injection reaction, Neck pain, Pain, Pain in extremity, Rash, Self-medication — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: The rash showed up within an hour of the shot, the headache that has been so bad I couldn't lay my head down is finally starting to respond to medicine, I've also had shooting pains in my low back neck knees and fingers and ankles. +More

MedDRA releases: 2024-11 · check-in free text available
2021-09-11
Survey response — days 1–6 daily, dose 2
MedDRA: Immunisation reaction — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: Covid arm started last night

MedDRA releases: 2024-11 · check-in free text available
2021-09-12
Survey response — days 1–6 daily, dose 2
MedDRA: Tremor — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain

Free text: I've had 3 episodes of my right hand trembling like parkinson's only last a few minutes

MedDRA releases: 2024-11 · check-in free text available
2021-09-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness, Swelling · Fatigue or tiredness, Nausea, Abdominal pain

Adult check-in
2021-09-14
Survey response — days 1–6 daily, dose 2
MedDRA: Chest pain, Cough, Unevaluable event — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: I run subnormal on temp 97.1. I have a dry cough and chest pain

MedDRA releases: 2024-11 · check-in free text available
2021-09-15
Survey response — days 1–6 daily, dose 2
MedDRA: Chest discomfort, Cough — Feeling: Poor · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Chest pressure and dry cough didn't call Dr cause when this happened last time they weren't concerned

MedDRA releases: 2024-11 · check-in free text available
2021-09-16
Survey response — day 7, dose 2
MedDRA: Cough, Dyspnoea — Feeling: Fair · Headache · Be unable to do your normal daily activities

Free text: Dry cough, slightly short of breath

MedDRA releases: 2024-11 · check-in free text available
2021-09-23
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-09-30
Survey response — day 21, dose 2
MedDRA: Blood pressure abnormal, Dizziness, Fatigue, Oxygen saturation abnormal, Palpitations — 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 · Telehealth, virtual health, or email health consultation, Emergency room or emergency department visit

Free text: I had trouble keeping my oxygen and blood pressure level, extreme exhaustion and light headedness as well as palpitations

MedDRA releases: 2024-11 · check-in free text available
2021-09-30
Report sent to call center — day 21, 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

Telehealth, virtual health, or email health consultation · Emergency room or emergency department visit · 1 call case(s)
2021-10-01
Call successful
Participant prefers to complete VAERS report online
2021-10-07
Survey response — day 28, dose 2
MedDRA: Palpitations — Feeling: Poor · Be unable to do your normal daily activities

Free text: I can't exert myself or get stressed at all or I have palpitations, I'm getting a wearable heart monitor tomorrow

MedDRA releases: 2024-11 · check-in free text available
2021-10-14
Survey response — day 35, dose 2
MedDRA: Depression — Feeling: Poor · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Severe depression

MedDRA releases: 2024-11 · check-in free text available
2021-10-14
Report sent to call center — day 35, dose 2
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2021-10-15
Call 1 — Could Not Reach Participant
2021-10-21
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-10-25
Call 2 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-08-12	Moderna	No
2	2021-09-09	Moderna	No

Call center

3 call center cases

2 successful · 1 unsuccessful

See the call center timeline

Free text

Release 9 — days 1–6 daily, dose 1

2021-08-17

Systemic reaction (other): Itching in my legs and cold feet

2021-08-18

Systemic reaction (other): Besides the cold feet and itchy burny rash if I don't take Zyrtec twice a day, I'm very very irritable

Release 9 — day 14, dose 1

2021-08-26

Symptoms: Chest pain into my back and dry cough with shortness of breath

Healthcare visit (other): Phone call With OnCall doc

Release 9 — days 1–6 daily, dose 2

2021-09-10

Systemic reaction (other): The rash showed up within an hour of the shot, the headache that has been so bad I couldn't lay my head down is finally starting to respond to medicine, I've also had shooting pains in my low back neck knees and fingers and ankles. +More

2021-09-11

Systemic reaction (other): Covid arm started last night

2021-09-12

Systemic reaction (other): I've had 3 episodes of my right hand trembling like parkinson's only last a few minutes

2021-09-14

Systemic reaction (other): I run subnormal on temp 97.1. I have a dry cough and chest pain

2021-09-15

Systemic reaction (other): Chest pressure and dry cough didn't call Dr cause when this happened last time they weren't concerned

Release 9 — day 7, dose 2

2021-09-16

Systemic reaction (other): Dry cough, slightly short of breath

Release 9 — day 21, dose 2

2021-09-30

Symptoms: I had trouble keeping my oxygen and blood pressure level, extreme exhaustion and light headedness as well as palpitations

Release 10 — day 28, dose 2

2021-10-07

Symptoms: I can't exert myself or get stressed at all or I have palpitations, I'm getting a wearable heart monitor tomorrow

Release 10 — day 35, dose 2

2021-10-14

Symptoms: Severe depression

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	✓	·	✓
SD	Back pain	✓	·	✓
SD	Blood pressure abnormal	·	·	✓
SD	Chest pain	✓	·	✓
SD	Cough	✓	·	✓
SD	Depression	·	·	✓
SD	Dizziness	·	·	✓
SD	Dyspnoea	✓	·	✓
SD	Fatigue	·	·	✓
SD	Oxygen saturation abnormal	·	·	✓
SD	Palpitations	·	·	✓
SRO	Arthralgia	·	·	✓
SRO	Back pain	·	·	✓
SRO	Burning sensation	✓	·	✓
SRO	Chest discomfort	·	·	✓
SRO	Chest pain	·	·	✓
SRO	Cough	·	·	✓
SRO	Dyspnoea	·	·	✓
SRO	Headache	·	·	✓
SRO	Immediate post-injection reaction	·	·	✓
SRO	Immunisation reaction	·	·	✓
SRO	Irritability	✓	·	✓
SRO	Neck pain	·	·	✓
SRO	Pain	·	·	✓
SRO	Pain in extremity	·	·	✓
SRO	Peripheral coldness	✓	·	✓
SRO	Pruritus	✓	·	✓
SRO	Rash	·	·	✓
SRO	Rash pruritic	✓	·	✓
SRO	Self-medication	✓	·	✓
SRO	Tremor	·	·	✓
SRO	Unevaluable event	·	·	✓

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