34A-61074-42983

5 vaccinations 12 coded responses 51 check-ins 12 free-text entries 3 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 356 / AL
Registered: 2021-02-10

Relationship: Self
Race: Black or African American
Ethnicity: Not Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-02-08
Dose 1 — Moderna
2021-02-10
Registered in v-safe
2021-02-10
Survey response — days 1–6 daily, dose 1
MedDRA: Pruritus — Feeling: Fair · Site: Pain, Redness, Swelling · Chills, Headache, Muscle or body aches, Fatigue or tiredness

Free text: itching

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-11
Survey response — days 1–6 daily, dose 1
MedDRA: Pruritus, Rash — Feeling: Fair · Site: Pain · Chills, Muscle or body aches, Fatigue or tiredness, Diarrhea

Free text: Last night itching and rash all over, gone this morning

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-12
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fever · Chills, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site

Adult check-in
2021-02-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Chills, Muscle or body aches

Adult check-in
2021-02-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Muscle or body aches

Adult check-in
2021-02-15
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-22
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-01
Survey response — day 21, dose 1
MedDRA: Erythema, Pruritus, Pyrexia, Rhinorrhoea — Feeling: Good

Free text: Itching/redness, feverish and runny nose

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-08
Dose 2 — Moderna
2021-03-08
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain, Redness · Fever · Headache, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-03-09
Survey response — days 1–6 daily, dose 2
MedDRA: Pruritus — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Itching all over my body

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-10
Survey response — days 1–6 daily, dose 2
MedDRA: Unevaluable event — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: I will be going to Dr. 3/11/2021

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-11
Survey response — days 1–6 daily, dose 2
MedDRA: Office visit — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Joint pains, Muscle or body aches, Rash, not including the immediate area around the injection site · Get care from a doctor or other healthcare professional

Free text: Primary Care Doctor

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-11
Report sent to call center — days 1–6 daily, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-12
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Joint pains, Muscle or body aches, Rash, not including the immediate area around the injection site

Adult check-in
2021-03-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Itching · Chills, Muscle or body aches, Rash, not including the immediate area around the injection site

Adult check-in
2021-03-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Itching · Chills, Joint pains, Muscle or body aches, Rash, not including the immediate area around the injection site

Adult check-in
2021-03-15
Health check-in — day 7, dose 2
Feeling: Good · Site: Pain, Itching · Muscle or body aches, Rash, not including the immediate area around the injection site

Adult check-in
2021-03-22
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-29
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-05
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-12
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-19
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-07
Survey response — 3 months, dose 2
MedDRA: Dizziness, Nausea, Office visit, Palpitations, Vomiting — Feeling: Good · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Heart Palpitations, Dizzy, Nausea, & Vomiting sometimes. My Dr. is having test done to see why. · Healthcare visit (other): Primary Dr.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-07
Report sent to call center — 3 months, 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)
2021-06-18
Call 1 — Left Voicemail
2021-06-18
Call successful
Participant prefers to complete VAERS report online
2021-06-18
Call successful
Participant prefers to complete VAERS report online
2021-09-06
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-01
Dose 3 — Moderna
2021-11-01
Survey response — day 0, dose 3
MedDRA: Dizziness — Feeling: Good · Site: Pain

Free text: light headed

MedDRA releases: 2024-11 · check-in free text available
2021-11-02
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site

Adult check-in
2021-11-03
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site

Adult check-in
2021-11-04
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Chills, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site

Adult check-in
2021-11-05
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Redness, Swelling, Itching · Chills, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site

Adult check-in
2021-11-07
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Itching · Fever · Chills, Fatigue or tiredness, Rash, not including the immediate area around the injection site

Adult check-in
2021-11-08
Health check-in — day 7, dose 3
Feeling: Good · Site: Itching · Fatigue or tiredness, Rash, not including the immediate area around the injection site

Adult check-in
2021-11-15
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-22
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-29
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-06
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-13
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-31
Survey response — 3 months, dose 3
MedDRA: Malaise — Feeling: Good

Free text: May have been exposed to Covid at School on Jan. 13, 2022 by a sick child, and a few days later I had mild symptoms.

MedDRA releases: 2024-11 · check-in free text available
2022-05-02
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-08-09
Dose 4 — Moderna
2022-10-21
Dose 5 — Moderna
2022-10-22
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-10-23
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Site: Pain, Redness, Swelling · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-10-24
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness, Abdominal pain

Adult check-in
2022-10-25
Survey response — days 1–6 daily, dose 5
MedDRA: Pain — Feeling: Good · Muscle or body aches, Fatigue or tiredness, Abdominal pain

Free text: Sharp pain on lower left area sometimes

MedDRA releases: 2024-11 · check-in free text available
2022-10-26
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Muscle or body aches, Fatigue or tiredness, Abdominal pain

Adult check-in
2022-10-27
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Muscle or body aches

Adult check-in
2022-10-28
Health check-in — day 7, dose 5
Feeling: Good · None

Adult check-in
2022-11-04
Survey response — day 14, dose 5
MedDRA: Diarrhoea, Headache, Pyrexia, Rash — Feeling: Fair · Be unable to do your normal daily activities

Free text: Fever, headaches, rash and diarrhea sometimes.

MedDRA releases: 2024-11 · check-in free text available
2022-11-12
Survey response — day 21, dose 5
MedDRA: Office visit, Rash — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Rash under both armpits · Healthcare visit (other): Primary doctor

MedDRA releases: 2024-11 · check-in free text available
2022-11-12
Report sent to call center — day 21, dose 5
Get care from a doctor or other healthcare professional

1 call case(s)
2022-11-15
Call 1 — Left Voicemail
2022-11-15
Call successful
Completed over the phone
2022-11-18
Health check-in — day 28, dose 5
Feeling: Good

Adult check-in
2022-11-26
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2022-12-02
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2023-01-20
Health check-in — 3 months, dose 5
Feeling: Good

Adult check-in
2023-04-21
Health check-in — 6 months, dose 5
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-08	Moderna
2	2021-03-08	Moderna
3	2021-11-01	Moderna	No
4	2022-08-09	Moderna	No
5	2022-10-21	Moderna	No

Call center

3 call center cases

3 successful

VAERS report filed, before or during a call: 1

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-10

Systemic reaction (other): itching

2021-02-11

Systemic reaction (other): Last night itching and rash all over, gone this morning

Release 4 — day 21, dose 1

2021-03-01

Symptoms: Itching/redness, feverish and runny nose

Release 5 — days 1–6 daily, dose 2

2021-03-09

Systemic reaction (other): Itching all over my body

2021-03-10

Systemic reaction (other): I will be going to Dr. 3/11/2021

2021-03-11

Healthcare visit (other): Primary Care Doctor

Release 8 — 3 months, dose 2

2021-06-07

Symptoms: Heart Palpitations, Dizzy, Nausea, & Vomiting sometimes. My Dr. is having test done to see why.

Healthcare visit (other): Primary Dr.

Release 10 — day 0, dose 3

2021-11-01

Systemic reaction (other): light headed

Release 11 — 3 months, dose 3

2022-01-31

Symptoms: May have been exposed to Covid at School on Jan. 13, 2022 by a sick child, and a few days later I had mild symptoms.

Release 12 — days 1–6 daily, dose 5

2022-10-25

Systemic reaction (other): Sharp pain on lower left area sometimes

Release 12 — day 14, dose 5

2022-11-04

Symptoms: Fever, headaches, rash and diarrhea sometimes.

Release 12 — day 21, dose 5

2022-11-12

Symptoms: Rash under both armpits

Healthcare visit (other): Primary doctor

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	Diarrhoea	·	·	✓
SD	Dizziness	✓	✓	✓
SD	Erythema	✓	✓	✓
SD	Headache	·	·	✓
SD	Malaise	·	·	✓
SD	Nausea	✓	✓	✓
SD	Palpitations	✓	✓	✓
SD	Pruritus	✓	✓	✓
SD	Pyrexia	✓	✓	✓
SD	Rash	·	·	✓
SD	Rhinorrhoea	✓	✓	✓
SD	Vomiting	✓	✓	✓
SRO	Dizziness	·	·	✓
SRO	Pain	·	·	✓
SRO	Pruritus	✓	✓	✓
SRO	Rash	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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