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38U-14341-11586

3 vaccinations 9 coded responses 24 check-ins 8 free-text entries 2 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
299 / SC
Registered
2021-03-21
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-16
    Dose 1 — Moderna
  2. 2021-03-16
    Dose 2 — Moderna
  3. 2021-03-21
    Registered in v-safe
  4. 2021-03-21
    Survey response — days 1–6 daily, dose 2
    MedDRA: No adverse event — Feeling: Good · Diarrhea
    Free text: No
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-03-22
    Survey response — days 1–6 daily, dose 2
    MedDRA: Abdominal discomfort — Feeling: Fair · Diarrhea
    Free text: These check ins are a little late for me. I had the severe reaction for 48 hours after the second shot. It slowly got better for the next 2 days the abdominal distress is still there but I feel it should be fine by tonight. It was worse than having covid 19 February 2020!
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-03-24
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  7. 2021-03-30
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  8. 2021-04-06
    Survey response — day 21, dose 2
    MedDRA: Fatigue, Taste disorder — Feeling: Fair
    Free text: My tastebuds are off again like when I a had covid last February 2020. I also feel fatigued again.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-04-13
    Survey response — day 28, dose 2
    MedDRA: Fatigue, Medical counselling — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: Fatigue in the afternoon. Unusual for me. I called my dr. for a thyroid test . She said it was from the covid vaccine. Since I had covid , the vaccine hit me hard and it will take a month or more to feel normal!
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-04-13
    Report sent to call center — day 28, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  11. 2021-04-21
    Health check-in — day 35, dose 2
    Feeling: Fair
    Adult check-in
  12. 2021-04-27
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-06-15
    Survey response — 3 months, dose 2
    MedDRA: Arthralgia, Laboratory test, Pain — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Arthritic type pain in various parts of my body. More frequent aches and pains. I had an inflammatory and C-reactive protein blood work to check those issues but the test was negative.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-09-14
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  15. 2022-01-10
    Dose 3 — Moderna
  16. 2022-01-12
    Survey response — days 1–6 daily, dose 3
    MedDRA: Chills, Headache, Nausea, Pain, Pyrexia — Feeling: Fair · Site: Pain, Swelling
    Free text: I had fever , chills, headache, bodyaches and nausea space for 36 hours after the shot. I would consider these symptoms extreme. I have never in my 70 years had a reaction to a vaccine of any kind. This vaccine reaction makes me think I should never
    MedDRA releases: 2024-11 · check-in free text available
  17. 2022-01-13
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · None
    Adult check-in
  18. 2022-01-14
    Survey response — days 1–6 daily, dose 3
    MedDRA: Dizziness — Feeling: Fair · Site: Pain
    Free text: Dizzy
    MedDRA releases: 2024-11 · check-in free text available
  19. 2022-01-15
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  20. 2022-01-16
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Headache
    Adult check-in
  21. 2022-01-17
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  22. 2022-01-24
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  23. 2022-02-01
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  24. 2022-02-07
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  25. 2022-02-14
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  26. 2022-02-21
    Survey response — day 42, dose 3
    MedDRA: Fatigue, Reaction to previous exposure to any vaccine — Feeling: Good
    Free text: I have fatigue in the afternoon as I did with the 2nd vaccination .
    MedDRA releases: 2024-11 · check-in free text available
  27. 2022-03-30
    Call successful
    Participant prefers to complete VAERS report online
  28. 2022-04-11
    Health check-in — 3 months, dose 3
    Feeling: Fair
    Adult check-in
  29. 2022-07-11
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  30. 2023-01-10
    Survey response — 12 months, dose 3
    MedDRA: Bronchitis, COVID-19 — 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
    MedDRA releases: 2024-11
  31. 2023-01-10
    Report sent to call center — 12 months, 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)
  32. 2023-01-11
    Call successful
    Participant prefers to complete VAERS report online

Vaccinations

DoseDateManufacturerCo-administered
12021-02-16Moderna
22021-03-16Moderna
32022-01-10Moderna No

Call center

2 call center cases

2 successful

See the call center timeline

Free text

Release 6 — days 1–6 daily, dose 2

2021-03-21

Systemic reaction (other): No

2021-03-22

Systemic reaction (other): These check ins are a little late for me. I had the severe reaction for 48 hours after the second shot. It slowly got better for the next 2 days the abdominal distress is still there but I feel it should be fine by tonight. It was worse than having covid 19 February 2020!

Release 7 — day 21, dose 2

2021-04-06

Symptoms: My tastebuds are off again like when I a had covid last February 2020. I also feel fatigued again.

Release 7 — day 28, dose 2

2021-04-13

Symptoms: Fatigue in the afternoon. Unusual for me. I called my dr. for a thyroid test . She said it was from the covid vaccine. Since I had covid , the vaccine hit me hard and it will take a month or more to feel normal!

Release 9 — 3 months, dose 2

2021-06-15

Symptoms: Arthritic type pain in various parts of my body. More frequent aches and pains. I had an inflammatory and C-reactive protein blood work to check those issues but the test was negative.

Release 10 — days 1–6 daily, dose 3

2022-01-12

Systemic reaction (other): I had fever , chills, headache, bodyaches and nausea space for 36 hours after the shot. I would consider these symptoms extreme. I have never in my 70 years had a reaction to a vaccine of any kind. This vaccine reaction makes me think I should never cut off by CDC

2022-01-14

Systemic reaction (other): Dizzy

Release 11 — day 42, dose 3

2022-02-21

Symptoms: I have fatigue in the afternoon as I did with the 2nd vaccination .

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

FieldPreferred term2021-092023-042024-11
SDArthralgia · · ✓
SDBronchitis · · ✓
SDCOVID-19 · · ✓
SDFatigue ✓ ✓ ✓
SDLaboratory test ✓ ✓ ○
SDMedical counselling ✓ ✓ ✓
SDPain ✓ ✓ ✓
SDReaction to previous exposure to any vaccine · · ✓
SDTaste disorder ✓ ✓ ✓
SROAbdominal discomfort ✓ ✓ ✓
SROChills · · ✓
SRODizziness · · ✓
SROHeadache · · ✓
SRONausea · · ✓
SRONo adverse event ✓ ✓ ✓
SROPain · · ✓
SROPyrexia · · ✓

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