2ML-27120-15970

6 vaccinations 13 coded responses 49 check-ins 11 free-text entries 3 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 245 / VA
Registered: 2021-02-15

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

2021-02-15
Registered in v-safe
2021-02-15
Dose 1 — Moderna
2021-02-15
Survey response — day 0, dose 1
MedDRA: Paraesthesia oral, Throat tightness — Feeling: Fair

Free text: Tongue & lip tingling tightening throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2021-02-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2021-02-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Muscle or body aches

Adult check-in
2021-02-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-20
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-22
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-01
Survey response — day 14, dose 1
MedDRA: Chills, Diarrhoea, Fatigue, Injection site erythema, Injection site pruritus, Nausea, Paraesthesia — Feeling: Fair

Free text: Nauseau /diarrhea & red & itchy at injection site last Tues. On Wed, body chills, arms & legs felt tingly & overall tired. Energy is still low.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-08
Survey response — day 21, dose 1
MedDRA: Feeling abnormal, Insomnia, Office visit, Pain in extremity, Paraesthesia — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Continuing tingly sensations in arms and legs, body soreness that moves from area to area, brain fog, feet soles and palms hurt. Difficult sleep. Feel like I did when diagnosed with Lyme Disease. GP is filing reaction reaction report with CDC. · Healthcare visit (other): I visited my GPs office today.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-08
Report sent to call center — day 21, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-15
Survey response — day 28, dose 1
MedDRA: Fatigue, Feeling abnormal, Head discomfort, Throat irritation, Tinnitus — Feeling: Poor · Be unable to do your normal daily activities

Free text: Extreme head pressure & buzzing. Some scratchy throat & fatigue. Feeling out of it.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-18
Dose 2 — Moderna
2021-03-22
Survey response — days 1–6 daily, dose 2
MedDRA: Disorientation, Dizziness, Headache — Feeling: Fair · Site: Redness · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Headache is of the woozy disorienting type.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-23
Survey response — days 1–6 daily, dose 2
MedDRA: Feeling abnormal — Feeling: Fair · Site: Redness · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Brain fog cleared up

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-24
Survey response — days 1–6 daily, dose 2
MedDRA: Feeling abnormal — Feeling: Fair · Site: Redness · Fatigue or tiredness

Free text: Head feeling a bit foggy.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-25
Health check-in — day 7, dose 2
Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-05
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-08
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-15
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-22
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-29
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-17
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-17
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2021-10-24
Dose 3 — Moderna
2021-10-28
Survey response — days 1–6 daily, dose 3
MedDRA: Lymphadenopathy — Feeling: Fair · Site: Redness, Swelling, Itching · Fatigue or tiredness

Free text: Swollen glands under arm

MedDRA releases: 2024-11 · check-in free text available
2021-10-29
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Redness · Fatigue or tiredness

Adult check-in
2021-10-30
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-31
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-11-07
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-14
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-21
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-28
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-05
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-23
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-02-25
Call successful
Does not wish to fill out VAERS report
2022-04-03
Dose 4 — Moderna
2022-04-18
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-04-28
Survey response — day 21, dose 4
MedDRA: Malaise, Nasopharyngitis, SARS-CoV-2 test negative, Sinus congestion — Feeling: Poor · Be unable to do your normal daily activities

Free text: It appears I have a cold with swollen sinuses and general malaise. Pollen has been bad for me! Home COVID test came back negative.

MedDRA releases: 2024-11 · check-in free text available
2022-05-01
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-05-08
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-05-15
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-07-03
Survey response — 3 months, dose 4
MedDRA: Sinusitis — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Sinus infection

MedDRA releases: 2024-11 · check-in free text available
2022-07-03
Report sent to call center — 3 months, dose 4
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-07-06
Call 1 — Left Voicemail
2022-07-06
Call 1 — Left Voicemail
2022-09-10
Dose 5 — Moderna
2022-10-02
Survey response — 6 months, dose 4
MedDRA: Gastrointestinal disorder, Pre-existing disease — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Intestinal issues due to egg allergy.

MedDRA releases: 2024-11 · check-in free text available
2022-10-02
Report sent to call center — 6 months, dose 4
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-10-03
Call 2 — Left Voicemail
2022-10-03
Call 1 — Left Voicemail
2022-10-08
Health check-in — day 28, dose 5
Feeling: Good

Adult check-in
2022-10-15
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2022-10-22
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2023-03-11
Survey response — 6 months, dose 5
MedDRA: Headache — Feeling: Fair · Be unable to do your normal daily activities

MedDRA releases: 2024-11
2023-04-30
Dose 6 — Pfizer-BioNTech
2023-05-08
Health check-in — day 7, dose 6
Feeling: Good · None

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

Adult check-in
2023-05-22
Health check-in — day 21, dose 6
Feeling: Good

Adult check-in
2023-05-28
Survey response — day 28, dose 6
MedDRA: Adverse reaction, Respiratory disorder — Feeling: Fair · Be unable to do your normal daily activities

MedDRA releases: 2024-11
2023-06-04
Health check-in — day 35, dose 6
Feeling: Fair

Adult check-in
2023-06-11
Health check-in — day 42, dose 6
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-15	Moderna
2	2021-03-18	Moderna
3	2021-10-24	Moderna	No
4	2022-04-03	Moderna	No
5	2022-09-10	Moderna	No
6	2023-04-30	Pfizer-BioNTech	No

Call center

3 call center cases

1 successful · 2 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 4 — day 0, dose 1

2021-02-15

Systemic reaction (other): Tongue & lip tingling tightening throat

Release 4 — day 14, dose 1

2021-03-01

Symptoms: Nauseau /diarrhea & red & itchy at injection site last Tues. On Wed, body chills, arms & legs felt tingly & overall tired. Energy is still low.

Release 5 — day 21, dose 1

2021-03-08

Symptoms: Continuing tingly sensations in arms and legs, body soreness that moves from area to area, brain fog, feet soles and palms hurt. Difficult sleep. Feel like I did when diagnosed with Lyme Disease. GP is filing reaction reaction report with CDC.

Healthcare visit (other): I visited my GPs office today.

Release 5 — day 28, dose 1

2021-03-15

Symptoms: Extreme head pressure & buzzing. Some scratchy throat & fatigue. Feeling out of it.

Release 6 — days 1–6 daily, dose 2

2021-03-22

Systemic reaction (other): Headache is of the woozy disorienting type.

2021-03-23

Systemic reaction (other): Brain fog cleared up

2021-03-24

Systemic reaction (other): Head feeling a bit foggy.

Release 10 — days 1–6 daily, dose 3

2021-10-28

Systemic reaction (other): Swollen glands under arm

Release 11 — day 21, dose 4

2022-04-28

Symptoms: It appears I have a cold with swollen sinuses and general malaise. Pollen has been bad for me! Home COVID test came back negative.

Release 12 — 3 months, dose 4

2022-07-03

Symptoms: Sinus infection

Release 12 — 6 months, dose 4

2022-10-02

Symptoms: Intestinal issues due to egg allergy.

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	Adverse reaction	·	·	✓
SD	Chills	✓	✓	✓
SD	Diarrhoea	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Feeling abnormal	✓	✓	✓
SD	Gastrointestinal disorder	·	·	✓
SD	Head discomfort	✓	✓	✓
SD	Headache	·	·	✓
SD	Injection site erythema	✓	✓	✓
SD	Injection site pruritus	✓	✓	✓
SD	Insomnia	✓	✓	✓
SD	Malaise	·	·	✓
SD	Nasopharyngitis	·	·	✓
SD	Nausea	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SD	Paraesthesia	✓	✓	✓
SD	Pre-existing disease	·	·	✓
SD	Respiratory disorder	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	Sinus congestion	·	·	✓
SD	Sinusitis	·	·	✓
SD	Throat irritation	✓	✓	✓
SD	Tinnitus	·	·	✓
SRO	Disorientation	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Lymphadenopathy	·	·	✓
SRO	Paraesthesia oral	✓	✓	✓
SRO	Throat tightness	✓	✓	✓

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