38W-26216-56255

3 vaccinations 9 coded responses 19 check-ins 9 free-text entries 7 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 333 / FL
Registered: 2021-02-12

Relationship: Self
Race: Other
Ethnicity: Hispanic or Latino

Timeline

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

2021-02-12
Registered in v-safe
2021-02-12
Dose 1 — Moderna
2021-02-12
Health check-in — day 0, dose 1
Feeling: Fair · Site: Pain, Swelling · Headache

Adult check-in
2021-02-13
Survey response — days 1–6 daily, dose 1
MedDRA: Unevaluable event — Feeling: Poor · Site: Pain, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Labwork

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-13
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-14
Survey response — days 1–6 daily, dose 1
MedDRA: Malaise, Rash, Rash pruritic, Respiratory rate increased — Feeling: Poor · Site: Swelling · Fever · Chills, Muscle or body aches, Fatigue or tiredness, Diarrhea, Rash, not including the immediate area around the injection site

Free text: The rash burns and itches a Lot. respiration rate has increased per my Whoop band that monitors my fitness. I usually am at 85% recovery and my body is at 7%. I do not feel well at all.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-15
Survey response — days 1–6 daily, dose 1
MedDRA: Fatigue, Malaise, Rash, Respiratory disorder, Self-medication — Feeling: Fair · Site: Swelling · Fever · Chills, Muscle or body aches, Fatigue or tiredness, Diarrhea, Rash, not including the immediate area around the injection site · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Systemic reaction (other): Respiratory strain, esp at night during sleep · Healthcare visit (other): My rash is painful and not going away w Benadryl or Calamine lotion, although it helps w these two products. My doctor recommended that I do not get the 2nd shot. I feel extremely tired and although I feel better than yesterday I do not feel well at all.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-15
Report sent to call center — days 1–6 daily, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-16
Survey response — days 1–6 daily, dose 1
MedDRA: Unevaluable event — Feeling: Fair · Fatigue or tiredness, Rash, not including the immediate area around the injection site · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Mar 3 appt with Immunologist

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-16
Report sent to call center — days 1–6 daily, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-17
Survey response — days 1–6 daily, dose 1
MedDRA: Rash — Feeling: Fair · Fatigue or tiredness, Rash, not including the immediate area around the injection site

Free text: Rash is healing.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-18
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-02-28
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-03-07
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-03-12
Dose 2 — Moderna
2021-03-12
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain, Swelling · None

Adult check-in
2021-03-13
Survey response — days 1–6 daily, dose 2
MedDRA: Chest discomfort, Headache, Immediate post-injection reaction, Office visit, Pain, Self-medication — Feeling: Poor · Site: Pain, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): My allergist placed me on Prednisone 30 mg and Famotidine 20 mg 3 days prior to 2nd injection. Then I was to take the same day of plus Claritin to counteract my alletgic reaction. About an hour after injection I experienced tightness thru my chest and a sensation in my back on left side (dull and throbbing). This persisted for about 2 hrs and then became intermittent. This morning my therapist said my chest was very tight and suggested I rest. · Healthcare visit (other): Saw my massage therapist to help with pain and headaches

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-13
Report sent to call center — days 1–6 daily, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-26
Survey response — day 14, dose 2
MedDRA: Injection site reaction, Office visit, Self-medication, Urticaria — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Hive reaction appeared a few days ago on my chest. Ive continued to take Claritin per my doctors orders. I see her for a follow up. This only happens w the injections. not sure if its a coincidence or related to injections but Im mana · Healthcare visit (other): I have a scheduled appt to see allergist

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
Report sent to call center — day 14, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-02
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-25
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-08-02
Call 3 — Left Voicemail
2021-08-20
Call X — Left Voicemail
2021-08-25
Callback requested for
6:00PM ET
2021-12-29
Dose 3 — Moderna
2022-03-12
Survey response — 12 months, dose 2
MedDRA: Pharyngeal operation, Pharyngeal swelling, Surgery, Tonsillectomy, Upper airway obstruction — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, 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: Symptoms: Throat swelling to point of respiration obstruction. Required surgery and removal of tonsils. · Healthcare visit (other): Surgery

MedDRA releases: 2024-11 · check-in free text available
2022-03-12
Report sent to call center — 12 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

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-03-14
Call successful
Participant prefers to complete VAERS report online
2022-03-30
Health check-in — 3 months, dose 3
Feeling: Fair

Adult check-in
2022-06-29
Survey response — 6 months, dose 3
MedDRA: COVID-19, Herpes zoster — 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 · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: COVID-19 and Shingles

MedDRA releases: 2024-11 · check-in free text available
2022-06-29
Report sent to call center — 6 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

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-06-30
Call 1 — Left Voicemail
2022-06-30
Call 1 — Left Voicemail
2022-06-30
Call 1 — Left Voicemail
2022-06-30
Call 1 — Left Voicemail
2022-06-30
Call 1 — Left Voicemail
2022-06-30
Call 1 — Left Voicemail
2022-06-30
Call 1 — Left Voicemail
2022-07-05
Call 2 — Left Voicemail
2022-07-05
Call 2 — Left Voicemail
2022-07-05
Call 2 — Left Voicemail
2022-07-05
Call 2 — Left Voicemail
2022-07-05
Call 2 — Left Voicemail
2022-07-05
Call 2 — Left Voicemail
2022-07-05
Call 2 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-12	Moderna
2	2021-03-12	Moderna
3	2021-12-29	Moderna	No

Call center

7 call center cases

6 successful · 1 unsuccessful

6 waits over 3 months for a first call

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-13

Healthcare visit (other): Labwork

2021-02-14

Systemic reaction (other): The rash burns and itches a Lot. respiration rate has increased per my Whoop band that monitors my fitness. I usually am at 85% recovery and my body is at 7%. I do not feel well at all.

2021-02-15

Systemic reaction (other): Respiratory strain, esp at night during sleep

Healthcare visit (other): My rash is painful and not going away w Benadryl or Calamine lotion, although it helps w these two products. My doctor recommended that I do not get the 2nd shot. I feel extremely tired and although I feel better than yesterday I do not feel well at all.

2021-02-16

Healthcare visit (other): Mar 3 appt with Immunologist

2021-02-17

Systemic reaction (other): Rash is healing.

Release 5 — days 1–6 daily, dose 2

2021-03-13

Systemic reaction (other): My allergist placed me on Prednisone 30 mg and Famotidine 20 mg 3 days prior to 2nd injection. Then I was to take the same day of plus Claritin to counteract my alletgic reaction. About an hour after injection I experienced tightness thru my chest and a sensation in my back on left side (dull and throbbing). This persisted for about 2 hrs and then became intermittent. This morning my therapist said my chest was very tight and suggested I rest.

Healthcare visit (other): Saw my massage therapist to help with pain and headaches

Release 6 — day 14, dose 2

2021-03-26

Symptoms: Hive reaction appeared a few days ago on my chest. Ive continued to take Claritin per my doctors orders. I see her for a follow up. This only happens w the injections. not sure if its a coincidence or related to injections but Im mana

Healthcare visit (other): I have a scheduled appt to see allergist

Release 11 — 12 months, dose 2

2022-03-12

Symptoms: Throat swelling to point of respiration obstruction. Required surgery and removal of tonsils.

Healthcare visit (other): Surgery

Release 12 — 6 months, dose 3

2022-06-29

Symptoms: COVID-19 and Shingles

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	Fatigue	✓	✓	✓
HCVO	Headache	✓	✓	✓
HCVO	Malaise	✓	✓	✓
HCVO	Office visit	✓	✓	✓
HCVO	Pain	✓	✓	✓
HCVO	Rash	✓	✓	✓
HCVO	Self-medication	✓	✓	✓
HCVO	Surgery	·	·	✓
HCVO	Unevaluable event	✓	✓	✓
SD	COVID-19	·	·	✓
SD	Herpes zoster	·	·	✓
SD	Injection site reaction	✓	✓	✓
SD	Pharyngeal operation	·	·	✓
SD	Pharyngeal swelling	·	·	✓
SD	Self-medication	✓	✓	✓
SD	Tonsillectomy	·	·	✓
SD	Upper airway obstruction	·	·	✓
SD	Urticaria	✓	✓	✓
SRO	Chest discomfort	✓	✓	✓
SRO	Immediate post-injection reaction	✓	✓	✓
SRO	Malaise	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Rash	✓	✓	✓
SRO	Rash pruritic	✓	✓	✓
SRO	Respiratory disorder	✓	✓	✓
SRO	Respiratory rate increased	✓	✓	✓
SRO	Self-medication	✓	✓	✓

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