2MR-14469-42293

3 vaccinations 13 coded responses 39 check-ins 13 free-text entries 4 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 735 / OK
Registered: 2020-12-29

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

2020-12-29
Registered in v-safe
2020-12-29
Dose 1 — Moderna
2020-12-29
Health check-in — day 0, dose 1
Feeling: Fair · Headache

Adult check-in
2020-12-30
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · Joint pains, Fatigue or tiredness

Adult check-in
2020-12-31
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-01
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Diarrhea

Adult check-in
2021-01-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-03
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Joint pains

Adult check-in
2021-01-04
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache

Adult check-in
2021-01-06
Health check-in — day 7, dose 1
Feeling: Fair · Headache

Adult check-in
2021-01-12
Health check-in — day 14, dose 1
Feeling: Good

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

Adult check-in
2021-01-26
Dose 2 — Moderna
2021-01-26
Survey response — day 0, dose 2
MedDRA: Oropharyngeal pain — Feeling: Fair · Site: Pain · Fatigue or tiredness

Free text: Left side of throat hurts

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-27
Survey response — days 1–6 daily, dose 2
MedDRA: Oropharyngeal pain — Feeling: Poor · Site: Pain, Redness, Swelling · Headache, Muscle or body aches, Fatigue or tiredness, Nausea

Free text: Sore throat on left side on and off

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-28
Survey response — days 1–6 daily, dose 2
MedDRA: Oropharyngeal pain — Feeling: Fair · Site: Pain, Redness, Swelling · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Slight sore throat on left side

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-29
Survey response — days 1–6 daily, dose 2
MedDRA: Oropharyngeal pain — Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Slight sore throat on left side

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-30
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-01-31
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-02-01
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-02-02
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-02-09
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-16
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-23
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-02
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-09
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-04-28
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-07-27
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-25
Dose 3 — Moderna
2021-10-25
Health check-in — day 0, dose 3
Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain

Adult check-in
2021-10-26
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-10-28
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-10-29
Survey response — days 1–6 daily, dose 3
MedDRA: Paranasal sinus hypersecretion, Throat irritation — Feeling: Fair · Site: Pain · Headache, Joint pains

Free text: scratchy throat and some drainage

MedDRA releases: 2024-11 · check-in free text available
2021-10-30
Survey response — days 1–6 daily, dose 3
MedDRA: Discharge, Throat irritation — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: scratchy throat and drainage

MedDRA releases: 2024-11 · check-in free text available
2021-10-31
Survey response — days 1–6 daily, dose 3
MedDRA: Cough, Throat irritation, Upper-airway cough syndrome — Feeling: Fair · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: scratchy throat, slight cough through the night, and drainage down throat

MedDRA releases: 2024-11 · check-in free text available
2021-11-01
Survey response — day 7, dose 3
MedDRA: Throat irritation — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: scratchy throat

MedDRA releases: 2024-11 · check-in free text available
2021-11-08
Survey response — day 14, dose 3
MedDRA: Hyperthyroidism, Hypothyroidism, Pre-existing disease — Feeling: Fair

Free text: I went from hyperthyroidism to hypothyroidism.

MedDRA releases: 2024-11 · check-in free text available
2021-11-15
Survey response — day 21, dose 3
MedDRA: Emergency care, SARS-CoV-2 test positive — Feeling: Poor · 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: Symptoms: My husband and I tested positive for COVID Wednesday, November 10, 2021. · Healthcare visit (other): Hospital Infusion

MedDRA releases: 2024-11 · check-in free text available
2021-11-15
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

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-11-16
Call successful
Does not wish to fill out VAERS report
2021-11-22
Survey response — day 28, dose 3
MedDRA: COVID-19, Urinary tract infection — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: I was diagnosed with COVID on November 10, 2021. I developed a UTI on November 21, 2021.

MedDRA releases: 2024-11 · check-in free text available
2021-11-22
Report sent to call center — day 28, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2021-11-29
Health check-in — day 35, dose 3
Feeling: Fair

Adult check-in
2021-11-29
Call 1 — Left Voicemail
2021-12-06
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2022-01-24
Survey response — 3 months, dose 3
MedDRA: COVID-19, Cystitis noninfective, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: I have been to a urologist who sent me to a physical therapist who said I have an inflammatory bladder as a result of COVID. I am taking antibiotic and Myrbetric. · Healthcare visit (other): urologist

MedDRA releases: 2024-11 · check-in free text available
2022-01-24
Report sent to call center — 3 months, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2022-01-26
Call 1 — Left Voicemail
2022-04-27
Survey response — 6 months, dose 3
MedDRA: COVID-19, Cystitis noninfective, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Inflammatory Bladder After Having COVID on November 10, 2021 · Healthcare visit (other): Urologist

MedDRA releases: 2024-11 · check-in free text available
2022-04-27
Report sent to call center — 6 months, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2022-04-28
Call 1 — Requested Callback
2022-05-25
Call 2 — Left Voicemail
2022-05-25
Callback requested for
02:15PM ET

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-29	Moderna
2	2021-01-26	Moderna
3	2021-10-25	Moderna	No

Call center

4 call center cases

1 successful · 3 unsuccessful

See the call center timeline

Free text

Release 2 — day 0, dose 2

2021-01-26

Systemic reaction (other): Left side of throat hurts

Release 2 — days 1–6 daily, dose 2

2021-01-27

Systemic reaction (other): Sore throat on left side on and off

Release 3 — days 1–6 daily, dose 2

2021-01-28

Systemic reaction (other): Slight sore throat on left side

2021-01-29

Systemic reaction (other): Slight sore throat on left side

Release 10 — days 1–6 daily, dose 3

2021-10-29

Systemic reaction (other): scratchy throat and some drainage

2021-10-30

Systemic reaction (other): scratchy throat and drainage

2021-10-31

Systemic reaction (other): scratchy throat, slight cough through the night, and drainage down throat

Release 10 — day 7, dose 3

2021-11-01

Systemic reaction (other): scratchy throat

Release 10 — day 14, dose 3

2021-11-08

Symptoms: I went from hyperthyroidism to hypothyroidism.

Release 10 — day 21, dose 3

2021-11-15

Symptoms: My husband and I tested positive for COVID Wednesday, November 10, 2021.

Healthcare visit (other): Hospital Infusion

Release 10 — day 28, dose 3

2021-11-22

Symptoms: I was diagnosed with COVID on November 10, 2021. I developed a UTI on November 21, 2021.

Release 11 — 3 months, dose 3

2022-01-24

Symptoms: I have been to a urologist who sent me to a physical therapist who said I have an inflammatory bladder as a result of COVID. I am taking antibiotic and Myrbetric.

Healthcare visit (other): urologist

Release 11 — 6 months, dose 3

2022-04-27

Symptoms: Inflammatory Bladder After Having COVID on November 10, 2021

Healthcare visit (other): Urologist

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	Emergency care	·	·	✓
HCVO	Office visit	·	·	✓
SD	COVID-19	·	·	✓
SD	Cystitis noninfective	·	·	✓
SD	Hyperthyroidism	·	·	✓
SD	Hypothyroidism	·	·	✓
SD	Office visit	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	SARS-CoV-2 test positive	·	·	✓
SD	Urinary tract infection	·	·	✓
SRO	Cough	·	·	✓
SRO	Discharge	·	·	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Paranasal sinus hypersecretion	·	·	✓
SRO	Throat irritation	·	·	✓
SRO	Upper-airway cough syndrome	·	·	✓

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