37W-15624-27986

2 vaccinations 7 coded responses 23 check-ins 7 free-text entries 1 call case

Sex: Female
Age at first dose: 41-45
ZIP prefix: 765 / TX
Registered: 2021-01-20

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

2021-01-19
Dose 1 — Moderna
2021-01-20
Registered in v-safe
2021-01-21
Survey response — days 1–6 daily, dose 1
MedDRA: Irritability — Feeling: Fair · Site: Pain, Itching · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Irritability

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-22
Survey response — days 1–6 daily, dose 1
MedDRA: Nightmare — Feeling: Good · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Fluke? Last 3 days have had nightmares

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-01-24
Survey response — days 1–6 daily, dose 1
MedDRA: Insomnia, Sleep deficit — Feeling: Good · Fatigue or tiredness

Free text: Have not been able to sleep more then 3-4 hours.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-25
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea

Adult check-in
2021-01-26
Health check-in — day 7, dose 1
Feeling: Fair · Headache, Fatigue or tiredness

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

Adult check-in
2021-02-11
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-16
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-02-23
Health check-in — day 35, dose 1
Feeling: Good

Adult check-in
2021-02-25
Dose 2 — Moderna
2021-02-25
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-02-26
Survey response — days 1–6 daily, dose 2
MedDRA: Back pain, Pain — Feeling: Poor · Site: Pain, Redness · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: Body aches made my normal back pain 100 times worse

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-27
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-02-28
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Swelling, Itching · Fatigue or tiredness

Adult check-in
2021-03-03
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Fatigue or tiredness

Adult check-in
2021-03-04
Health check-in — day 7, dose 2
Feeling: Fair · Site: Pain, Itching · Headache, Fatigue or tiredness

Adult check-in
2021-03-11
Survey response — day 14, dose 2
MedDRA: Cough, Dysphonia, Oropharyngeal pain, Throat irritation — Feeling: Fair · Be unable to do your normal daily activities

Free text: Probably allergy related, sore throat, hoarse voice, violent coughing fits causing raw throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-20
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-26
Survey response — day 28, dose 2
MedDRA: Back pain, Pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Lower back pain after nerve block done. It is very achy this time compared to no pain before. Probably not vaccine or anything covid related.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-01
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-08
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-08-26
Survey response — 6 months, dose 2
MedDRA: Anosmia, Decreased appetite, Fatigue, Nausea — Feeling: Poor · 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

Free text: Loss of smell, loss of appetite, nausea, fatigue

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-26
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

1 call case(s)
2021-12-06
Call successful
Does not wish to fill out VAERS report

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-19	Moderna
2	2021-02-25	Moderna

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-21

Systemic reaction (other): Irritability

2021-01-22

Systemic reaction (other): Fluke? Last 3 days have had nightmares

2021-01-24

Systemic reaction (other): Have not been able to sleep more then 3-4 hours.

Release 4 — days 1–6 daily, dose 2

2021-02-26

Systemic reaction (other): Body aches made my normal back pain 100 times worse

Release 5 — day 14, dose 2

2021-03-11

Symptoms: Probably allergy related, sore throat, hoarse voice, violent coughing fits causing raw throat

Release 6 — day 28, dose 2

2021-03-26

Symptoms: Lower back pain after nerve block done. It is very achy this time compared to no pain before. Probably not vaccine or anything covid related.

Release 9 — 6 months, dose 2

2021-08-26

Symptoms: Loss of smell, loss of appetite, nausea, fatigue

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
SD	Anosmia	✓	·	✓
SD	Back pain	✓	✓	✓
SD	Cough	✓	✓	✓
SD	Decreased appetite	✓	·	✓
SD	Dysphonia	✓	✓	✓
SD	Fatigue	✓	·	✓
SD	Nausea	✓	·	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Throat irritation	✓	✓	✓
SRO	Back pain	✓	✓	✓
SRO	Insomnia	✓	✓	✓
SRO	Irritability	✓	✓	✓
SRO	Nightmare	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Sleep deficit	✓	✓	✓

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