2UR-16252-22496

5 vaccinations 12 coded responses 36 check-ins 11 free-text entries 5 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 972 / OR
Registered: 2021-03-24

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

2021-03-24
Registered in v-safe
2021-03-24
Dose 1 — Moderna
2021-03-24
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-03-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-29
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-31
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-07
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-14
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-21
Dose 2 — Moderna
2021-04-21
Health check-in — day 0, dose 2
Feeling: Fair · Headache

Adult check-in
2021-04-22
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to work

Adult check-in
2021-04-23
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-24
Survey response — days 1–6 daily, dose 2
MedDRA: Poor quality sleep — Feeling: Good

Free text: I forgot to mention that the first night I slept quite badly.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-25
Survey response — days 1–6 daily, dose 2
MedDRA: Inflammation — Feeling: Fair · Site: Pain · Be unable to do your normal daily activities

Free text: Unusually inflamed plantar fasciitis

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-27
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to work

Free text: Wooziness. Could be allergies...

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-28
Health check-in — day 7, dose 2
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-05-05
Survey response — day 14, dose 2
MedDRA: Condition aggravated, Pre-existing disease — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: My chronic pain/fatigue flared way up this last week.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-12
Survey response — day 21, dose 2
MedDRA: Acupuncture, Massage, Pain, Pre-existing disease — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Chronic pain flareup worsened over the weekend. Worst flareup Ive had in years, and began right after my second vaccine. · Healthcare visit (other): Acupuncture and massage

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-12
Report sent to call center — day 21, dose 2
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)
2021-05-19
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-05-26
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-06-02
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-07-22
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-20
Survey response — 6 months, dose 2
MedDRA: Pain — 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: Return of systemic pain

MedDRA releases: 2024-11 · check-in free text available
2021-10-20
Report sent to call center — 6 months, dose 2
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)
2021-10-21
Call 1 — Left Voicemail
2021-11-19
Dose 3 — Moderna
2022-04-22
Survey response — 12 months, dose 2
MedDRA: Hypersensitivity, Pre-existing disease — Feeling: Fair · 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, Outpatient clinic or urgent care clinic visit

Free text: Horrendous allergies, worst I've ever had. Apparently allergens are really high in my area this year, though.

MedDRA releases: 2024-11 · check-in free text available
2022-04-22
Report sent to call center — 12 months, dose 2
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 · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-04-25
Call 1 — Left Voicemail
2022-05-22
Dose 4 — Moderna
2022-09-27
Dose 5 — Moderna
2022-09-28
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2022-09-29
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-09-30
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Fatigue or tiredness, Diarrhea, Abdominal pain

Adult check-in
2022-10-02
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-10-03
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Muscle or body aches

Adult check-in
2022-10-04
Health check-in — day 7, dose 5
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-10-11
Survey response — day 14, dose 5
MedDRA: Dizziness, Fatigue, Pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Aches, fatigue, wooziness. So hard to say if there are other causes, though.

MedDRA releases: 2024-11 · check-in free text available
2022-10-20
Health check-in — day 21, dose 5
Feeling: Fair

Adult check-in
2022-10-25
Survey response — day 28, dose 5
MedDRA: Condition aggravated, Fatigue, Nasopharyngitis, Pain, Pre-existing disease, SARS-CoV-2 test negative — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: A bad cold=main thing rt now (Covid tests neg.) Continued tendency toward aches & fatigue. I have fibromyalgia, & never sure what will set it off. I had flu shot, Cov booster, and a colonoscopy all around the same time. Been flared up ever since.

MedDRA releases: 2024-11 · check-in free text available
2022-11-01
Survey response — day 35, dose 5
MedDRA: Viral infection — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Same as last week. Around 10/20 I came down with a nasty virus. Tested three times at home and it was always negative.

MedDRA releases: 2024-11 · check-in free text available
2022-11-08
Health check-in — day 42, dose 5
Feeling: Fair

Adult check-in
2022-12-27
Survey response — 3 months, dose 5
MedDRA: Thyroid disorder — Feeling: Good · 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: Thyroid issues

MedDRA releases: 2024-11 · check-in free text available
2022-12-27
Report sent to call center — 3 months, dose 5
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)
2022-12-28
Call 1 — Left Voicemail
2022-12-28
Call 2 — Left Voicemail
2022-12-28
Call 2 — Left Voicemail
2022-12-28
Call 1 — Left Voicemail
2023-04-01
Survey response — 6 months, dose 5
MedDRA: Fatigue, Pyrexia, Respiratory tract congestion, SARS-CoV-2 test negative, Viral infection — 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 · Outpatient clinic or urgent care clinic visit

MedDRA releases: 2024-11
2023-04-01
Report sent to call center — 6 months, dose 5
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)
2023-04-04
Call successful
Participant prefers to complete VAERS report online
2023-04-04
Call successful
Participant prefers to complete VAERS report online
2023-04-04
Call successful
Participant prefers to complete VAERS report online
2023-04-04
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2023-04-04
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-24	Moderna
2	2021-04-21	Moderna
3	2021-11-19	Moderna	No
4	2022-05-22	Moderna	No
5	2022-09-27	Moderna	No

Call center

5 call center cases

5 successful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 7 — days 1–6 daily, dose 2

2021-04-24

Systemic reaction (other): I forgot to mention that the first night I slept quite badly.

2021-04-25

Systemic reaction (other): Unusually inflamed plantar fasciitis

Release 8 — days 1–6 daily, dose 2

2021-04-27

Systemic reaction (other): Wooziness. Could be allergies...

Release 8 — day 14, dose 2

2021-05-05

Symptoms: My chronic pain/fatigue flared way up this last week.

Release 8 — day 21, dose 2

2021-05-12

Symptoms: Chronic pain flareup worsened over the weekend. Worst flareup Ive had in years, and began right after my second vaccine.

Healthcare visit (other): Acupuncture and massage

Release 10 — 6 months, dose 2

2021-10-20

Symptoms: Return of systemic pain

Release 11 — 12 months, dose 2

2022-04-22

Symptoms: Horrendous allergies, worst I've ever had. Apparently allergens are really high in my area this year, though.

Release 12 — day 14, dose 5

2022-10-11

Symptoms: Aches, fatigue, wooziness. So hard to say if there are other causes, though.

Release 12 — day 28, dose 5

2022-10-25

Symptoms: A bad cold=main thing rt now (Covid tests neg.) Continued tendency toward aches & fatigue. I have fibromyalgia, & never sure what will set it off. I had flu shot, Cov booster, and a colonoscopy all around the same time. Been flared up ever since.

Release 12 — day 35, dose 5

2022-11-01

Symptoms: Same as last week. Around 10/20 I came down with a nasty virus. Tested three times at home and it was always negative.

Release 12 — 3 months, dose 5

2022-12-27

Symptoms: Thyroid issues

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	Acupuncture	✓	✓	✓
HCVO	Massage	✓	✓	✓
SD	Condition aggravated	✓	✓	✓
SD	Dizziness	·	·	✓
SD	Fatigue	·	·	✓
SD	Hypersensitivity	·	·	✓
SD	Nasopharyngitis	·	·	✓
SD	Pain	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Pyrexia	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	Thyroid disorder	·	·	✓
SD	Viral infection	·	·	✓
SRO	Dizziness	✓	✓	✓
SRO	Inflammation	✓	✓	✓
SRO	Poor quality sleep	✓	✓	✓

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