2TP-16992-13022

4 vaccinations 12 coded responses 32 check-ins 12 free-text entries 1 call case

Sex: Female
Age at first dose: 66+
ZIP prefix: 064 / CT
Registered: 2021-03-01

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

2021-02-26
Dose 1 — Moderna
2021-03-01
Registered in v-safe
2021-03-01
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Redness, Swelling · Fatigue or tiredness

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

Adult check-in
2021-03-03
Survey response — days 1–6 daily, dose 1
MedDRA: Heart rate increased — Feeling: Good

Free text: Heart beat higher than normal. Not overly concerned but watching carefully.

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 — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-12
Survey response — day 14, dose 1
MedDRA: Erythema, Fatigue, Heart rate increased, Pruritus, Rash — Feeling: Fair

Free text: Large red, itchy rash just below injection site, approx 2.5 x 6 since Monday. Also, today I'm feeling tired & have slightly elevated heart rate but no fever.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-19
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-26
Dose 2 — Moderna
2021-03-26
Survey response — day 0, dose 2
MedDRA: Heart rate increased — Feeling: Good · Headache, Fatigue or tiredness

Free text: Elevated heart rate.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-27
Survey response — days 1–6 daily, dose 2
MedDRA: Heart rate increased — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Rapid heartbeat.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-28
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Itching · Fever · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-29
Survey response — days 1–6 daily, dose 2
MedDRA: Asthenia, Cold sweat, Dizziness — Feeling: Fair · Site: Pain, Swelling, Itching · Fever · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Woke up clammy, weak & light-headed all day.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-30
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Fair · Fever · Headache, Fatigue or tiredness

Free text: light-headed

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: Redness, Itching · Fever · Headache, Fatigue or tiredness

Adult check-in
2021-04-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness, Itching · Fever · Headache, Fatigue or tiredness

Adult check-in
2021-04-02
Health check-in — day 7, dose 2
Feeling: Good · Site: Redness, Itching · Fever · Headache, Fatigue or tiredness

Adult check-in
2021-04-09
Survey response — day 14, dose 2
MedDRA: Rash, Rash pruritic — Feeling: Good

Free text: Extremely itchy rash on stomach started on day 10 thry day 13 but is much better.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-17
Survey response — day 21, dose 2
MedDRA: Dizziness, Fatigue, Headache, Loss of personal independence in daily activities, Pruritus — Feeling: Fair

Free text: Itchy body, dizzy with a dull headache. Also, persistant weariness requiring rest between usual daily activities.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-24
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-05
Survey response — day 35, dose 2
MedDRA: Erythema, Paraesthesia — Feeling: Good

Free text: Redness of the feet, all the way to the ankles. Tingling in early AM before rising. Have noticed it before but thought it might be athlete's foot. Doctor did bloodwork but reason found.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-09
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-29
Survey response — 3 months, dose 2
MedDRA: Erythema, Medical counselling — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Very red feet, especially toes. · Healthcare visit (other): Visited Primary Care Provider.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-29
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-02
Call successful
Participant prefers to complete VAERS report online
2021-09-29
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-12-17
Dose 3 — Moderna
2022-03-26
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-05-17
Dose 4 — Moderna
2022-05-18
Survey response — days 1–6 daily, dose 4
MedDRA: Asthenia — Feeling: Fair · Site: Pain, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: Weakness

MedDRA releases: 2024-11 · check-in free text available
2022-05-19
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Swelling, Itching · Fever · Headache, Rash, not including the immediate area around the injection site

Adult check-in
2022-05-22
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Itching · Fever · Fatigue or tiredness, Rash, not including the immediate area around the injection site

Adult check-in
2022-05-26
Health check-in — day 7, dose 4
Feeling: Good · Fever · Headache, Fatigue or tiredness

Adult check-in
2022-05-31
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-06-07
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-06-30
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-08-16
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-11-15
Survey response — 6 months, dose 4
MedDRA: COVID-19, Feeling cold, Headache, Nasopharyngitis, Pyrexia, Respiratory tract congestion, Rhinorrhoea, Throat irritation — Feeling: Fair

Free text: Really bad head cold turned out to be covid. Felt cold, had headache, low grade fever, runny nose, nasal drainage, scratchy throat, chest congestion.

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-26	Moderna
2	2021-03-26	Moderna
3	2021-12-17	Moderna	No
4	2022-05-17	Moderna	No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 1

2021-03-03

Systemic reaction (other): Heart beat higher than normal. Not overly concerned but watching carefully.

Release 5 — day 14, dose 1

2021-03-12

Symptoms: Large red, itchy rash just below injection site, approx 2.5 x 6 since Monday. Also, today I'm feeling tired & have slightly elevated heart rate but no fever.

Release 6 — day 0, dose 2

2021-03-26

Systemic reaction (other): Elevated heart rate.

Release 6 — days 1–6 daily, dose 2

2021-03-27

Systemic reaction (other): Rapid heartbeat.

2021-03-29

Systemic reaction (other): Woke up clammy, weak & light-headed all day.

2021-03-30

Systemic reaction (other): light-headed

Release 7 — day 14, dose 2

2021-04-09

Symptoms: Extremely itchy rash on stomach started on day 10 thry day 13 but is much better.

Release 7 — day 21, dose 2

2021-04-17

Symptoms: Itchy body, dizzy with a dull headache. Also, persistant weariness requiring rest between usual daily activities.

Release 8 — day 35, dose 2

2021-05-05

Symptoms: Redness of the feet, all the way to the ankles. Tingling in early AM before rising. Have noticed it before but thought it might be athlete's foot. Doctor did bloodwork but reason found.

Release 9 — 3 months, dose 2

2021-06-29

Symptoms: Very red feet, especially toes.

Healthcare visit (other): Visited Primary Care Provider.

Release 11 — days 1–6 daily, dose 4

2022-05-18

Systemic reaction (other): Weakness

Release 12 — 6 months, dose 4

2022-11-15

Symptoms: Really bad head cold turned out to be covid. Felt cold, had headache, low grade fever, runny nose, nasal drainage, scratchy throat, chest congestion.

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 counselling	✓	✓	✓
SD	COVID-19	·	·	✓
SD	Dizziness	✓	✓	✓
SD	Erythema	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Feeling cold	·	·	✓
SD	Headache	✓	✓	✓
SD	Heart rate increased	✓	✓	✓
SD	Loss of personal independence in daily activities	✓	✓	✓
SD	Nasopharyngitis	·	·	✓
SD	Paraesthesia	✓	✓	✓
SD	Pruritus	✓	✓	✓
SD	Pyrexia	·	·	✓
SD	Rash	✓	✓	✓
SD	Rash pruritic	✓	✓	✓
SD	Respiratory tract congestion	·	·	✓
SD	Rhinorrhoea	·	·	✓
SD	Throat irritation	·	·	✓
SRO	Asthenia	✓	✓	✓
SRO	Cold sweat	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Heart rate increased	✓	✓	✓

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