38J-33158-09612

3 vaccinations 9 coded responses 30 check-ins 9 free-text entries 3 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 606 / IL
Registered: 2021-04-08

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

2021-04-07
Dose 1 — Moderna
2021-04-08
Registered in v-safe
2021-04-09
Survey response — days 1–6 daily, dose 1
MedDRA: Paraesthesia — Feeling: Fair · Site: Pain, Itching

Free text: Tingling in my body

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-04-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-14
Health check-in — day 7, dose 1
Feeling: Good · None

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

Adult check-in
2021-05-05
Dose 2 — Moderna
2021-05-05
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-05-06
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-05-07
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-05-09
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Itching · None

Adult check-in
2021-05-10
Survey response — days 1–6 daily, dose 2
MedDRA: Unevaluable event — Feeling: Fair · Site: Itching · Headache, Muscle or body aches

Free text: I can feel the vaccine moving through my body. It feels similar to drinking water when you first wake up.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-11
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Itching · Headache

Adult check-in
2021-05-19
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-06-02
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-11
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-16
Survey response — day 42, dose 2
MedDRA: Musculoskeletal discomfort, Paraesthesia — Feeling: Fair

Free text: These have come and gone periodically since mu 2nd shot. I feel a tingling throughout my body especially in my groin area. Its not painful just a weird feeling.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-04
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-11-05
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-01-07
Dose 3 — Moderna
2022-01-08
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2022-01-09
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-01-10
Survey response — days 1–6 daily, dose 3
MedDRA: Asthma, Pre-existing disease — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Aggregated asthma

MedDRA releases: 2024-11 · check-in free text available
2022-01-11
Survey response — days 1–6 daily, dose 3
MedDRA: Asthma — Feeling: Fair · Site: Pain, Itching · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Asthma issues after I got booster

MedDRA releases: 2024-11 · check-in free text available
2022-01-14
Survey response — day 7, dose 3
MedDRA: Asthma, Pre-existing disease — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school

Free text: Impacted asthma

MedDRA releases: 2024-11 · check-in free text available
2022-01-21
Health check-in — day 14, dose 3
Feeling: Fair

Adult check-in
2022-01-30
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2022-02-04
Survey response — day 28, dose 3
MedDRA: Asthma, Pre-existing disease — Feeling: Fair · 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: My asthma has gotten worse. My doctor had to put me on a maintenance inhaler.

MedDRA releases: 2024-11 · check-in free text available
2022-02-04
Report sent to call center — day 28, dose 3
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)
2022-02-09
Call successful
Participant prefers to complete VAERS report online
2022-02-12
Survey response — day 35, dose 3
MedDRA: Asthma — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Asthma is getting worse

MedDRA releases: 2024-11 · check-in free text available
2022-02-12
Report sent to call center — day 35, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-02-18
Survey response — day 42, dose 3
MedDRA: Asthma, 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 · Outpatient clinic or urgent care clinic visit

Free text: Asthma is getting worse

MedDRA releases: 2024-11 · check-in free text available
2022-02-18
Report sent to call center — day 42, dose 3
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)
2022-03-24
Call 1 — Requested Callback
2022-03-29
Call 2 — Left Voicemail
2022-03-29
Callback requested for
10:00AM ET
2022-04-13
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-07	Moderna
2	2021-05-05	Moderna
3	2022-01-07	Moderna	No

Call center

3 call center cases

1 successful · 2 unsuccessful

See the call center timeline

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-09

Systemic reaction (other): Tingling in my body

Release 8 — days 1–6 daily, dose 2

2021-05-10

Systemic reaction (other): I can feel the vaccine moving through my body. It feels similar to drinking water when you first wake up.

Release 9 — day 42, dose 2

2021-06-16

Symptoms: These have come and gone periodically since mu 2nd shot. I feel a tingling throughout my body especially in my groin area. Its not painful just a weird feeling.

Release 10 — days 1–6 daily, dose 3

2022-01-10

Systemic reaction (other): Aggregated asthma

2022-01-11

Systemic reaction (other): Asthma issues after I got booster

Release 10 — day 7, dose 3

2022-01-14

Systemic reaction (other): Impacted asthma

Release 11 — day 28, dose 3

2022-02-04

Symptoms: My asthma has gotten worse. My doctor had to put me on a maintenance inhaler.

Release 11 — day 35, dose 3

2022-02-12

Symptoms: Asthma is getting worse

Release 11 — day 42, dose 3

2022-02-18

Symptoms: Asthma is getting worse

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	Asthma	·	·	✓
SD	Musculoskeletal discomfort	✓	✓	✓
SD	Paraesthesia	✓	✓	✓
SD	Pre-existing disease	·	·	✓
SRO	Asthma	·	·	✓
SRO	Paraesthesia	✓	✓	✓
SRO	Pre-existing disease	·	·	✓
SRO	Unevaluable event	✓	✓	✓

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