2PP-12952-23671

1 vaccination 7 coded responses 15 check-ins 7 free-text entries 4 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 759 / TX
Registered: 2021-02-25

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

2021-02-25
Registered in v-safe
2021-02-25
Dose 1 — Moderna
2021-02-25
Survey response — day 0, dose 1
MedDRA: Dizziness, Medical observation — Feeling: Fair · Site: Pain, Swelling, Itching · Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Dizzy · Healthcare visit (other): Paramedics monitored until symptoms eased

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-25
Report sent to call center — day 0, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-26
Survey response — days 1–6 daily, dose 1
MedDRA: Chest pain — Feeling: Good · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Residual chest pain this am fine now

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-02-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-01
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-03
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-04
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-11
Survey response — day 14, dose 1
MedDRA: Dyspnoea, Pyrexia, Respiratory tract congestion — Feeling: Poor · Be unable to work

Free text: Congestion, fever, shortness of breath

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-18
Survey response — day 21, dose 1
MedDRA: Diarrhoea, Dyspnoea, Oropharyngeal pain, Pyrexia — Feeling: Fair · Be unable to work

Free text: Shortness of breath worsened, winded at rest. Developed low grade fever, sore throat, diarrhea

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-25
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-04-01
Health check-in — day 35, dose 1
Feeling: Good

Adult check-in
2021-04-08
Survey response — day 42, dose 1
MedDRA: Heart rate increased, Hypertension, Rash, Throat tightness — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Trip to ER for allergic reaction rash on arms, throat closing. It elevated my pulse and blood pressure and lowered my ox sat slightly

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Report sent to call center — day 42, 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)
2021-05-27
Survey response — 3 months, dose 1
MedDRA: Hypersensitivity — Feeling: Fair · Be unable to work, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Had another allergic reaction, seemingly random.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-27
Report sent to call center — 3 months, dose 1
Be unable to work · Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-26
Survey response — 6 months, dose 1
MedDRA: Pneumonia pneumococcal — Feeling: Poor · 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

Free text: Pneumococcal pneumonia

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-26
Report sent to call center — 6 months, dose 1
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)
2021-08-27
Call successful
Reported to VAERS voluntarily prior to GDIT contact

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-25	Moderna

Call center

4 call center cases

4 successful

VAERS report filed, before or during a call: 4

See the call center timeline

Free text

Release 4 — day 0, dose 1

2021-02-25

Systemic reaction (other): Dizzy

Healthcare visit (other): Paramedics monitored until symptoms eased

Release 4 — days 1–6 daily, dose 1

2021-02-26

Systemic reaction (other): Residual chest pain this am fine now

Release 5 — day 14, dose 1

2021-03-11

Symptoms: Congestion, fever, shortness of breath

Release 5 — day 21, dose 1

2021-03-18

Symptoms: Shortness of breath worsened, winded at rest. Developed low grade fever, sore throat, diarrhea

Release 7 — day 42, dose 1

2021-04-08

Symptoms: Trip to ER for allergic reaction rash on arms, throat closing. It elevated my pulse and blood pressure and lowered my ox sat slightly

Release 8 — 3 months, dose 1

2021-05-27

Symptoms: Had another allergic reaction, seemingly random.

Release 9 — 6 months, dose 1

2021-08-26

Symptoms: Pneumococcal pneumonia

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 observation	✓	✓	✓
SD	Diarrhoea	✓	✓	✓
SD	Dyspnoea	✓	✓	✓
SD	Heart rate increased	✓	✓	✓
SD	Hypersensitivity	✓	✓	✓
SD	Hypertension	✓	✓	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Pneumonia pneumococcal	✓	·	✓
SD	Pyrexia	✓	✓	✓
SD	Rash	✓	✓	✓
SD	Respiratory tract congestion	✓	✓	✓
SD	Throat tightness	✓	✓	✓
SRO	Chest pain	✓	✓	✓
SRO	Dizziness	✓	✓	✓

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