2YE-69704-14868

2 vaccinations 5 coded responses 22 check-ins 5 free-text entries 2 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 740 / OK
Registered: 2021-01-30

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

2021-01-29
Dose 1 — Moderna
2021-01-30
Registered in v-safe
2021-01-30
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Redness · Joint pains, Muscle or body aches, Abdominal pain

Adult check-in
2021-01-31
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Redness · Fatigue or tiredness

Adult check-in
2021-02-01
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Redness · None

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

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

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

Adult check-in
2021-02-05
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-12
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-19
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-27
Dose 2 — Moderna
2021-03-02
Survey response — days 1–6 daily, dose 2
MedDRA: No adverse event — Feeling: Fair · Site: Pain · Fever · Fatigue or tiredness

Free text: No

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-03
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-04
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-05
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-03-06
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-13
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-20
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-27
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-05
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-12
Survey response — day 42, dose 2
MedDRA: Fatigue, Feeling abnormal, Headache, Mobility decreased, Sluggishness — Feeling: Good · Be unable to do your normal daily activities

Free text: Body very sluggish and head aching and unable to move because I felt bad all over my body. Only lasted twenty four hours . But a lot of fatigue.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-29
Survey response — 3 months, dose 2
MedDRA: Blood pressure increased, Chest pain, Dyspnoea, Hospitalisation — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Hospitalization

Free text: Symptoms: Unexplained spike in blood pressure and had a sharp pain in chest . Wento hospitol for three days kept having blood pressure issue finally calmed down now more than usual fatigue issues and sudden breathing issues but numbers of all this are ok today · Healthcare visit (other): A unexplained spike of blood pressure and chest pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-29
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)
2021-08-28
Survey response — 6 months, dose 2
MedDRA: Blood pressure inadequately controlled, Blood pressure increased, Constipation, Skin discolouration — Feeling: Fair · Be unable to do your normal daily activities

Free text: Constipation very bad and a spot on face needing boost and blood pressure spike but controlled now

MedDRA releases: 2021-09,2024-11 · check-in free text available
2022-02-15
Call successful
Does not wish to fill out VAERS report
2022-03-01
Survey response — 12 months, dose 2
MedDRA: Ear infection, Gingivitis, Lip infection, Lymph gland infection, Pharyngitis — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Infection in my ears and throat and nose lymph nodes and gums and lips.

MedDRA releases: 2024-11 · check-in free text available
2022-03-01
Report sent to call center — 12 months, dose 2
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-03-04
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-29	Moderna
2	2021-02-27	Moderna

Call center

2 call center cases

2 successful

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 2

2021-03-02

Systemic reaction (other): No

Release 7 — day 42, dose 2

2021-04-12

Symptoms: Body very sluggish and head aching and unable to move because I felt bad all over my body. Only lasted twenty four hours . But a lot of fatigue.

Release 8 — 3 months, dose 2

2021-05-29

Symptoms: Unexplained spike in blood pressure and had a sharp pain in chest . Wento hospitol for three days kept having blood pressure issue finally calmed down now more than usual fatigue issues and sudden breathing issues but numbers of all this are ok today cut off by CDC

Healthcare visit (other): A unexplained spike of blood pressure and chest pain

Release 9 — 6 months, dose 2

2021-08-28

Symptoms: Constipation very bad and a spot on face needing boost and blood pressure spike but controlled now

Release 11 — 12 months, dose 2

2022-03-01

Symptoms: Infection in my ears and throat and nose lymph nodes and gums and lips.

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	Blood pressure increased	✓	✓	✓
HCVO	Chest pain	✓	✓	✓
SD	Blood pressure inadequately controlled	✓	·	✓
SD	Blood pressure increased	✓	✓	✓
SD	Chest pain	✓	✓	✓
SD	Constipation	✓	·	✓
SD	Dyspnoea	✓	✓	✓
SD	Ear infection	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Feeling abnormal	✓	✓	✓
SD	Gingivitis	·	·	✓
SD	Headache	✓	✓	✓
SD	Hospitalisation	✓	✓	✓
SD	Lip infection	·	·	✓
SD	Lymph gland infection	·	·	✓
SD	Mobility decreased	✓	✓	✓
SD	Pharyngitis	·	·	✓
SD	Skin discolouration	✓	·	✓
SD	Sluggishness	✓	✓	✓
SRO	No adverse event	✓	✓	✓

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