2R3-12351-70860

4 vaccinations 9 coded responses 42 check-ins 9 free-text entries 2 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 837 / ID
Registered: 2021-02-28

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

2021-02-28
Registered in v-safe
2021-02-28
Dose 1 — Moderna
2021-02-28
Health check-in — day 0, dose 1
Feeling: Good · Site: Redness · None

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

Adult check-in
2021-03-02
Survey response — days 1–6 daily, dose 1
MedDRA: Night sweats — Feeling: Good · Site: Pain · Fever · Chills, Muscle or body aches

Free text: Nightime sweats

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-04
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-05
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-06
Survey response — days 1–6 daily, dose 1
MedDRA: Night sweats — Feeling: Good

Free text: Night sweats

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-07
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-14
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-21
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-28
Dose 2 — Moderna
2021-03-28
Health check-in — day 0, dose 2
Feeling: Good · Joint pains, Fatigue or tiredness

Adult check-in
2021-03-29
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-03-30
Survey response — days 1–6 daily, dose 2
MedDRA: Irritability — Feeling: Fair · Headache, Joint pains, Fatigue or tiredness

Free text: Irritatable

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-31
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Abdominal pain

Adult check-in
2021-04-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-03
Survey response — days 1–6 daily, dose 2
MedDRA: Headache — Feeling: Good · Headache · Be unable to do your normal daily activities

Free text: Transverse pounding headache from temple to temple during the night- drank water no relief

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-04
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-11
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-19
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-25
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-02
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-09
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-28
Survey response — 3 months, dose 2
MedDRA: Arthralgia, Joint swelling, Office visit, Pain in extremity, Peripheral swelling, Skin warm — Feeling: Good · 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: 6/22/21 feet, ankles, knees & elbows all became swollen , hot, high pain (7-8) - 4 days later most swelling has abated, but still lots of aches. Unable to put back on rings on my fingers. I saw NP @ St Lukes Capital Clinic, blood draws were taken-

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-28
Report sent to call center — 3 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-06
Call successful
Participant prefers to complete VAERS report online
2021-09-17
Dose 3 — Moderna
2021-09-26
Survey response — 6 months, dose 2
MedDRA: Chills, Headache, Immediate post-injection reaction, Pain, Paraesthesia, Thirst — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: 3rd vaccination Moderna 9/17/21- w.in 20 minutes had a searing headache, w.in 1hr was body aches, thirsty thirsty, started chills, felt like there was a buzzing surge every 10min in my body that I could hear in my head as well as physically feel 18hr

MedDRA releases: 2024-11 · check-in free text available
2021-10-27
Survey response — day 35, dose 3
MedDRA: Chills, Nausea, Pain — Feeling: Fair · Be unable to work or attend school

Free text: For 18 hrs after 3rd moderna booster zi had chills, nausea & aches

MedDRA releases: 2024-11 · check-in free text available
2021-10-29
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2021-12-17
Health check-in — 3 months, dose 3
Feeling: Fair

Adult check-in
2022-03-20
Survey response — 6 months, dose 3
MedDRA: Cold sweat, Cough, Pain, Sinus disorder — Feeling: Fair · Be unable to do your normal daily activities

Free text: Sinus issues, coughing, clammy, body aches

MedDRA releases: 2024-11 · check-in free text available
2022-05-16
Dose 4 — Moderna
2022-05-17
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school

Adult check-in
2022-05-19
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · Diarrhea, Abdominal pain

Adult check-in
2022-05-20
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-05-21
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-05-22
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-05-23
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-05-30
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-06-06
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-06-13
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-06-20
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-06-27
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-08-15
Survey response — 3 months, dose 4
MedDRA: Chills, Cough, Fatigue, Headache, Malaise, Myalgia, Rhinorrhoea, SARS-CoV-2 test positive — Feeling: Good · 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

Free text: Tested positive Covid19, was pretty ill, headache, coughing, runny nose, chills, muscle aches, fatigue.

MedDRA releases: 2024-11 · check-in free text available
2022-08-15
Report sent to call center — 3 months, dose 4
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 · 1 call case(s)
2022-08-16
Call 1 — Left Voicemail
2022-08-16
Call 1 — Left Voicemail
2022-11-14
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in
2023-05-16
Health check-in — 12 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-28	Moderna
2	2021-03-28	Moderna
3	2021-09-17	Moderna	No
4	2022-05-16	Moderna	No

Call center

2 call center cases

1 successful · 1 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 1

2021-03-02

Systemic reaction (other): Nightime sweats

Release 5 — days 1–6 daily, dose 1

2021-03-06

Systemic reaction (other): Night sweats

Release 6 — days 1–6 daily, dose 2

2021-03-30

Systemic reaction (other): Irritatable

2021-04-03

Systemic reaction (other): Transverse pounding headache from temple to temple during the night- drank water no relief

Release 9 — 3 months, dose 2

2021-06-28

Symptoms: 6/22/21 feet, ankles, knees & elbows all became swollen , hot, high pain (7-8) - 4 days later most swelling has abated, but still lots of aches. Unable to put back on rings on my fingers. I saw NP @ St Lukes Capital Clinic, blood draws were taken-

Release 9 — 6 months, dose 2

2021-09-26

Symptoms: 3rd vaccination Moderna 9/17/21- w.in 20 minutes had a searing headache, w.in 1hr was body aches, thirsty thirsty, started chills, felt like there was a buzzing surge every 10min in my body that I could hear in my head as well as physically feel 18hr cut off by CDC

Release 10 — day 35, dose 3

2021-10-27

Symptoms: For 18 hrs after 3rd moderna booster zi had chills, nausea & aches

Release 11 — 6 months, dose 3

2022-03-20

Symptoms: Sinus issues, coughing, clammy, body aches

Release 12 — 3 months, dose 4

2022-08-15

Symptoms: Tested positive Covid19, was pretty ill, headache, coughing, runny nose, chills, muscle aches, fatigue.

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	Arthralgia	✓	✓	✓
SD	Chills	·	·	✓
SD	Cold sweat	·	·	✓
SD	Cough	·	·	✓
SD	Fatigue	·	·	✓
SD	Headache	·	·	✓
SD	Immediate post-injection reaction	·	·	✓
SD	Joint swelling	✓	✓	✓
SD	Malaise	·	·	✓
SD	Myalgia	·	·	✓
SD	Nausea	·	·	✓
SD	Office visit	✓	✓	✓
SD	Pain	·	·	✓
SD	Pain in extremity	✓	✓	✓
SD	Paraesthesia	·	·	✓
SD	Peripheral swelling	✓	✓	✓
SD	Rhinorrhoea	·	·	✓
SD	SARS-CoV-2 test positive	·	·	✓
SD	Sinus disorder	·	·	✓
SD	Skin warm	✓	✓	✓
SD	Thirst	·	·	✓
SRO	Headache	✓	✓	✓
SRO	Irritability	✓	✓	✓
SRO	Night sweats	✓	✓	✓

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