2QR-27303-94130

3 vaccinations 8 coded responses 25 check-ins 8 free-text entries 2 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 982 / WA
Registered: 2021-01-25

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

2021-01-25
Registered in v-safe
2021-01-25
Dose 1 — Moderna
2021-01-25
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-01-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-29
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-31
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-01
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-08
Survey response — day 14, dose 1
MedDRA: Arthritis, Injection site pain, Peripheral swelling, Rash — Feeling: Fair · Be unable to do your normal daily activities

Free text: Swollen, inflamed upper arm (on the arm where injected) with rash moving up the arm over a period of 3 days. Achy sore muscles in the upper arm. Whole body joint inflammation (shoulders, neck, upper back, low back) these same days (9-12 days aftersho

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-15
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-22
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-02-24
Dose 2 — Moderna
2021-02-24
Health check-in — day 0, dose 2
Feeling: Good · Site: Itching · None

Adult check-in
2021-02-25
Survey response — days 1–6 daily, dose 2
MedDRA: Adverse reaction — Feeling: Poor · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: Very sudden onset at 23 hours after injection

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-27
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Redness, Swelling · Chills, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-02-28
Survey response — days 1–6 daily, dose 2
MedDRA: Feeling abnormal, Irritability — Feeling: Poor · Site: Swelling, Itching · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Serious brain fog for 3 days . Extreme irratability and I am a patient special ed preschool teacher

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-01
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Itching · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-03-02
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Itching · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-03
Health check-in — day 7, dose 2
Feeling: Fair · Headache, Joint pains, Muscle or body aches

Adult check-in
2021-03-14
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-17
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-25
Survey response — day 28, dose 2
MedDRA: Arthritis, Fatigue — Feeling: Good · Be unable to do your normal daily activities

Free text: Re-occurring fatigueJoint inflammation

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Survey response — day 35, dose 2
MedDRA: Fatigue, Insomnia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Fatigue, insomnia

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

Free text: Inflammatiion inflammation...InsomniaFatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-26
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-26
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2021-12-09
Dose 3 — Moderna
2022-02-26
Survey response — 12 months, dose 2
MedDRA: Balance disorder, COVID-19, Dyspnoea exertional, Exercise tolerance decreased, Fatigue, Oxygen saturation decreased, Palpitations, Pre-existing disease — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: Dec 9th Booster reaction- shortness of breath and unable to exercize.... Got covid Jan.5th Being treated for long covid. Current symptoms- shortness of breath with walking or talking, low oxygen levels, ongoing fatigue, racing heart, lack of balance,

MedDRA releases: 2024-11 · check-in free text available
2022-02-26
Report sent to call center — 12 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-03-22
Call 1 — Left Voicemail
2022-06-11
Survey response — 6 months, dose 3
MedDRA: Fatigue, Impaired healing, Inflammation, Joint injury — 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

Free text: Onset of ongoing, per asive inflammation. Knee injury (muscles)that is healing extremely slowly with severe inflammation appearing AFTER 24 hours. Flare-up of fatigue since injury

MedDRA releases: 2024-11 · check-in free text available
2022-06-11
Report sent to call center — 6 months, dose 3
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-06-13
Call 1 — Left Voicemail
2022-06-13
Call successful
Reported to VAERS voluntarily prior to GDIT contact

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-25	Moderna
2	2021-02-24	Moderna
3	2021-12-09	Moderna	No

Call center

2 call center cases

2 successful

VAERS report filed, before or during a call: 1

See the call center timeline

Free text

Release 3 — day 14, dose 1

2021-02-08

Symptoms: Swollen, inflamed upper arm (on the arm where injected) with rash moving up the arm over a period of 3 days. Achy sore muscles in the upper arm. Whole body joint inflammation (shoulders, neck, upper back, low back) these same days (9-12 days aftersho cut off by CDC

Release 4 — days 1–6 daily, dose 2

2021-02-25

Systemic reaction (other): Very sudden onset at 23 hours after injection

2021-02-28

Systemic reaction (other): Serious brain fog for 3 days . Extreme irratability and I am a patient special ed preschool teacher

Release 6 — day 28, dose 2

2021-03-25

Symptoms: Re-occurring fatigueJoint inflammation

Release 6 — day 35, dose 2

2021-04-02

Symptoms: Fatigue, insomnia

Release 7 — day 42, dose 2

2021-04-11

Symptoms: Inflammatiion inflammation...InsomniaFatigue

Release 11 — 12 months, dose 2

2022-02-26

Symptoms: Dec 9th Booster reaction- shortness of breath and unable to exercize.... Got covid Jan.5th Being treated for long covid. Current symptoms- shortness of breath with walking or talking, low oxygen levels, ongoing fatigue, racing heart, lack of balance, cut off by CDC

Release 12 — 6 months, dose 3

2022-06-11

Symptoms: Onset of ongoing, per asive inflammation. Knee injury (muscles)that is healing extremely slowly with severe inflammation appearing AFTER 24 hours. Flare-up of fatigue since injury

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	Arthritis	✓	✓	✓
SD	Balance disorder	·	·	✓
SD	COVID-19	·	·	✓
SD	Dyspnoea exertional	·	·	✓
SD	Exercise tolerance decreased	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Impaired healing	·	·	✓
SD	Inflammation	✓	✓	✓
SD	Injection site pain	✓	✓	✓
SD	Insomnia	✓	✓	✓
SD	Joint injury	·	·	✓
SD	Oxygen saturation decreased	·	·	✓
SD	Palpitations	·	·	✓
SD	Peripheral swelling	✓	✓	✓
SD	Pre-existing disease	·	·	✓
SD	Rash	✓	✓	✓
SRO	Adverse reaction	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Irritability	✓	✓	✓

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