2ZQ-24743-19288

2 vaccinations 7 coded responses 17 check-ins 7 free-text entries 4 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 700 / LA
Registered: 2021-01-07

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

2021-01-07
Registered in v-safe
2021-01-07
Dose 1 — Moderna
2021-01-07
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-01-08
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Chills, Muscle or body aches, Fatigue or tiredness, Diarrhea

Adult check-in
2021-01-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-14
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-21
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-04
Dose 2 — Moderna
2021-02-06
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work

Adult check-in
2021-02-07
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-02-10
Survey response — days 1–6 daily, dose 2
MedDRA: Cold sweat — Feeling: Fair · Fatigue or tiredness, Diarrhea, Abdominal pain

Free text: cold sweats

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-11
Survey response — day 7, dose 2
MedDRA: Abdominal pain upper, Hyperhidrosis — Feeling: Fair · Fatigue or tiredness, Diarrhea

Free text: Sweats and stomach ache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-18
Survey response — day 14, dose 2
MedDRA: Dizziness — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: dizziness and light headedness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-18
Report sent to call center — day 14, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-25
Survey response — day 21, dose 2
MedDRA: Chest discomfort, Dyspnoea, Fatigue, Feeling abnormal, Hypertension, Insomnia, Tachycardia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Tachycardia, shortness of breath, chest tightness, high blood pressure, insomnia, increased fatigue, feeling foggy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-04
Survey response — day 28, dose 2
MedDRA: Chest discomfort, Dyspnoea exertional, Fatigue, Tachycardia — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Continue to have severe fatigue, sib with activity, tachycardia with chest tightness.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-04
Report sent to call center — day 28, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-11
Survey response — day 35, dose 2
MedDRA: Dizziness, Dyspnoea, Fatigue, Tachycardia — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms continue SOB, tachycardia, dizziness, fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-11
Report sent to call center — day 35, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-18
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-05-08
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-08-06
Call 1 — Left Voicemail
2021-08-09
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-02-04
Survey response — 12 months, dose 2
MedDRA: Blood creatinine increased, Blood urea increased, Laboratory test abnormal, Office visit, Renal failure — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: Increased BUN and Creatinine. Renal insufficiency. Always had normal labs before this. · Healthcare visit (other): Office visit and labs

MedDRA releases: 2024-11 · check-in free text available
2022-02-04
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)
2022-02-08
Call 1 — Could Not Reach Participant
2022-02-11
Call successful
Reported to VAERS during previous contact from GDIT

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-07	Moderna
2	2021-02-04	Moderna

Call center

4 call center cases

4 successful

VAERS report filed, before or during a call: 4

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 2

2021-02-10

Systemic reaction (other): cold sweats

Release 4 — day 7, dose 2

2021-02-11

Systemic reaction (other): Sweats and stomach ache

Release 4 — day 14, dose 2

2021-02-18

Symptoms: dizziness and light headedness

Release 4 — day 21, dose 2

2021-02-25

Symptoms: Tachycardia, shortness of breath, chest tightness, high blood pressure, insomnia, increased fatigue, feeling foggy

Release 5 — day 28, dose 2

2021-03-04

Symptoms: Continue to have severe fatigue, sib with activity, tachycardia with chest tightness.

Release 5 — day 35, dose 2

2021-03-11

Symptoms: Symptoms continue SOB, tachycardia, dizziness, fatigue

Release 11 — 12 months, dose 2

2022-02-04

Symptoms: Increased BUN and Creatinine. Renal insufficiency. Always had normal labs before this.

Healthcare visit (other): Office visit and labs

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	Office visit	·	·	✓
SD	Blood creatinine increased	·	·	✓
SD	Blood urea increased	·	·	✓
SD	Chest discomfort	✓	✓	✓
SD	Dizziness	✓	✓	✓
SD	Dyspnoea	✓	✓	✓
SD	Dyspnoea exertional	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Feeling abnormal	✓	✓	✓
SD	Hypertension	✓	✓	✓
SD	Insomnia	✓	✓	✓
SD	Laboratory test abnormal	·	·	✓
SD	Renal failure	·	·	✓
SD	Tachycardia	✓	✓	✓
SRO	Abdominal pain upper	✓	✓	✓
SRO	Cold sweat	✓	✓	✓
SRO	Hyperhidrosis	✓	✓	✓

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