38U-32038-88101

5 vaccinations 14 coded responses 47 check-ins 14 free-text entries 5 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 871 / NM
Registered: 2021-01-11

Relationship: Self
Race: White
Ethnicity: N/A

Timeline

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

2021-01-11
Registered in v-safe
2021-01-11
Dose 1 — Moderna
2021-01-11
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-01-12
Survey response — days 1–6 daily, dose 1
MedDRA: Feeling abnormal, Sluggishness — Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Sluggishness, mentation fogginess

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-12
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Chills, Muscle or body aches, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-01-13
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-15
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-01-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-18
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-25
Survey response — day 14, dose 1
MedDRA: Headache — Feeling: Fair

Free text: Headache, which may or may not be related.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-01
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-08
Dose 2 — Moderna
2021-02-08
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-02-09
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-02-10
Survey response — days 1–6 daily, dose 2
MedDRA: Asthma, Cough — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Cough that started after the injection. I have asthma, and it seems the injection triggered it, which is often only manifested by a cough.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-11
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-12
Survey response — days 1–6 daily, dose 2
MedDRA: Cough — Feeling: Fair · Site: Redness, Swelling, Itching · Headache, Fatigue or tiredness

Free text: Still a mild cough.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Itching · Fever · Fatigue or tiredness

Adult check-in
2021-02-14
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-02-15
Health check-in — day 7, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-22
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-01
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-08
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-15
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-22
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-10
Survey response — 3 months, dose 2
MedDRA: Joint swelling, Peripheral swelling, Rash macular — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Unexplained, severe swelling of feet and ankles with bright red blotches.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-10
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-29
Call 1 — Left Voicemail
2021-06-01
Call 2 — Left Voicemail
2021-06-01
Call successful
Completed over the phone
2021-08-09
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-25
Dose 3 — Moderna
2022-02-09
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-04-07
Dose 4 — Pfizer-BioNTech
2022-04-24
Survey response — day 14, dose 4
MedDRA: Pre-existing disease — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Severe allergies

MedDRA releases: 2024-11 · check-in free text available
2022-04-24
Report sent to call center — day 14, dose 4
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-04-25
Call 1 — Requested Callback
2022-04-25
Callback requested for
07:10PM ET
2022-04-25
Call successful
Participant prefers to complete VAERS report online
2022-04-28
Survey response — day 21, dose 4
MedDRA: Adverse reaction — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Worsening allergy symptoms

MedDRA releases: 2024-11 · check-in free text available
2022-04-28
Report sent to call center — day 21, dose 4
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-04-29
Call successful
Does not wish to fill out VAERS report
2022-05-07
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-05-12
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-05-21
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-07-07
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-09-22
Dose 5 — Other-Unknown
Co-administered: Flu
2022-09-22
Survey response — day 0, dose 5
MedDRA: Unevaluable event — Feeling: Good

Free text: I only got the shot this evening. No time for anything to show up yet.

MedDRA releases: 2024-11 · check-in free text available
2022-09-23
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-09-24
Survey response — days 1–6 daily, dose 5
MedDRA: Musculoskeletal stiffness, Neck pain — Feeling: Poor · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Severe neck pain and stiffness

MedDRA releases: 2024-11 · check-in free text available
2022-09-25
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Site: Pain · Headache, Joint pains, Fatigue or tiredness

Adult check-in
2022-09-26
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness

Adult check-in
2022-09-27
Health check-in — days 1–6 daily, dose 5
Feeling: Good · None

Adult check-in
2022-09-28
Survey response — days 1–6 daily, dose 5
MedDRA: Joint swelling, Petechiae — Feeling: Fair

Free text: Petechiae in left foot/ankle, swelling in ankle much like what I had with a previous dose, just not as wide-spread and only one leg

MedDRA releases: 2024-11 · check-in free text available
2022-09-29
Survey response — day 7, dose 5
MedDRA: Adverse reaction — Feeling: Fair

Free text: Continued symptoms from yesterday

MedDRA releases: 2024-11 · check-in free text available
2022-10-06
Health check-in — day 14, dose 5
Feeling: Fair

Adult check-in
2022-10-13
Health check-in — day 21, dose 5
Feeling: Fair

Adult check-in
2022-10-20
Survey response — day 28, dose 5
MedDRA: Oedema peripheral, Petechiae — Feeling: Fair

Free text: The left ankle edema and petechiae persist.

MedDRA releases: 2024-11 · check-in free text available
2022-10-27
Survey response — day 35, dose 5
MedDRA: Petechiae — Feeling: Fair

Free text: Still have the petechiae on my left foot.

MedDRA releases: 2024-11 · check-in free text available
2022-11-03
Health check-in — day 42, dose 5
Feeling: Fair

Adult check-in
2022-12-22
Survey response — 3 months, dose 5
MedDRA: Petechiae — Feeling: Fair

Free text: Ongoing petechiae of left foot.

MedDRA releases: 2024-11 · check-in free text available
2023-03-25
Health check-in — 6 months, dose 5
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-11	Moderna
2	2021-02-08	Moderna
3	2021-10-25	Moderna	No
4	2022-04-07	Pfizer-BioNTech	No
5	2022-09-22	Other-Unknown	Flu

Call center

5 call center cases

5 successful

VAERS report filed, before or during a call: 3

See the call center timeline

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-12

Systemic reaction (other): Sluggishness, mentation fogginess

Release 2 — day 14, dose 1

2021-01-25

Symptoms: Headache, which may or may not be related.

Release 4 — days 1–6 daily, dose 2

2021-02-10

Systemic reaction (other): Cough that started after the injection. I have asthma, and it seems the injection triggered it, which is often only manifested by a cough.

2021-02-12

Systemic reaction (other): Still a mild cough.

Release 8 — 3 months, dose 2

2021-05-10

Symptoms: Unexplained, severe swelling of feet and ankles with bright red blotches.

Release 11 — day 14, dose 4

2022-04-24

Symptoms: Severe allergies

Release 11 — day 21, dose 4

2022-04-28

Symptoms: Worsening allergy symptoms

Release 12 — day 0, dose 5

2022-09-22

Systemic reaction (other): I only got the shot this evening. No time for anything to show up yet.

Release 12 — days 1–6 daily, dose 5

2022-09-24

Systemic reaction (other): Severe neck pain and stiffness

2022-09-28

Systemic reaction (other): Petechiae in left foot/ankle, swelling in ankle much like what I had with a previous dose, just not as wide-spread and only one leg

Release 12 — day 7, dose 5

2022-09-29

Systemic reaction (other): Continued symptoms from yesterday

Release 12 — day 28, dose 5

2022-10-20

Symptoms: The left ankle edema and petechiae persist.

Release 12 — day 35, dose 5

2022-10-27

Symptoms: Still have the petechiae on my left foot.

Release 12 — 3 months, dose 5

2022-12-22

Symptoms: Ongoing petechiae of left foot.

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	Adverse reaction	·	·	✓
SD	Headache	✓	✓	✓
SD	Joint swelling	✓	✓	✓
SD	Oedema peripheral	·	·	✓
SD	Peripheral swelling	✓	✓	✓
SD	Petechiae	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Rash macular	✓	✓	✓
SRO	Adverse reaction	·	·	✓
SRO	Asthma	✓	✓	✓
SRO	Cough	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Joint swelling	·	·	✓
SRO	Musculoskeletal stiffness	·	·	✓
SRO	Neck pain	·	·	✓
SRO	Petechiae	·	·	✓
SRO	Sluggishness	✓	✓	✓
SRO	Unevaluable event	·	·	✓

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