395-25924-99927

3 vaccinations 4 coded responses 16 check-ins 3 free-text entries 3 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 305 / GA
Registered: 2021-03-21

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

2021-02-18
Dose 1 — Moderna
2021-03-18
Dose 2 — Moderna
2021-03-21
Registered in v-safe
2021-03-21
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-22
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness · Headache, Muscle or body aches

Adult check-in
2021-03-23
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Itching · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-24
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness · Fatigue or tiredness

Adult check-in
2021-03-25
Health check-in — day 7, dose 2
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-04-01
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-08
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-17
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-22
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-29
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-17
Survey response — 3 months, dose 2
MedDRA: Cough, Dyspnoea, Wheezing — Feeling: Good · Be unable to do your normal daily activities

Free text: Short of breath, cough, wheezing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-09-16
Survey response — 6 months, dose 2
MedDRA: Abdominal pain upper, Anaphylactic reaction, Gastroenteritis viral, Headache, Malaise, Pyrexia, Rash, Rash erythematous, Throat tightness — Feeling: Good · 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: Red rash all over trunk down to thighs and into armpit areas. This came 5 days after an anaphylactic reaction to something where my throat almost closed up. This was preceded by a stomach virus with severe pains, headaches and malaise. Felt feverish.

MedDRA releases: 2024-11 · check-in free text available
2021-09-16
Report sent to call center — 6 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-09-18
Call 1 — Left Voicemail
2021-09-23
Call 2 — Requested Callback
2022-01-25
Dose 3 — Pfizer-BioNTech
2022-03-18
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-04-29
Survey response — 3 months, dose 3
MedDRA: Bronchitis, Emergency care, Office visit, Oxygen saturation abnormal, Respiratory arrest, SARS-CoV-2 test negative — 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 · Emergency room or emergency department visit

Free text: Symptoms: Bronchitis 12-31-21, went to ER because in the middle of the night I couldn't breathe. O2 was 88! They prescribed steroids and zpak which kicked it good within 2 weeks I was a new person. Covid tested negative. · Healthcare visit (other): Then PC following 3 days later, they gave me more steroids

MedDRA releases: 2024-11 · check-in free text available
2022-04-29
Report sent to call center — 3 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

Emergency room or emergency department visit · 1 call case(s)
2022-05-02
Call 1 — Left Voicemail
2022-07-27
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2023-01-25
Survey response — 12 months, dose 3
MedDRA: COVID-19, Chills, Cough, Night sweats, Oropharyngeal pain, Pyrexia, Wheezing — 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 · Outpatient clinic or urgent care clinic visit

MedDRA releases: 2024-11
2023-01-25
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)
2023-01-26
Call successful
Participant prefers to complete VAERS report online
2023-01-26
Call successful
Participant prefers to complete VAERS report online
2023-01-26
Call successful
Participant prefers to complete VAERS report online

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-18	Moderna
2	2021-03-18	Moderna
3	2022-01-25	Pfizer-BioNTech	No

Call center

3 call center cases

3 successful

See the call center timeline

Free text

Release 9 — 3 months, dose 2

2021-06-17

Symptoms: Short of breath, cough, wheezing

Release 9 — 6 months, dose 2

2021-09-16

Symptoms: Red rash all over trunk down to thighs and into armpit areas. This came 5 days after an anaphylactic reaction to something where my throat almost closed up. This was preceded by a stomach virus with severe pains, headaches and malaise. Felt feverish. cut off by CDC

Release 11 — 3 months, dose 3

2022-04-29

Symptoms: Bronchitis 12-31-21, went to ER because in the middle of the night I couldn't breathe. O2 was 88! They prescribed steroids and zpak which kicked it good within 2 weeks I was a new person. Covid tested negative.

Healthcare visit (other): Then PC following 3 days later, they gave me more steroids

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	Office visit	·	·	✓
SD	Abdominal pain upper	·	·	✓
SD	Anaphylactic reaction	·	·	✓
SD	Bronchitis	·	·	✓
SD	Chills	·	·	✓
SD	Cough	✓	✓	✓
SD	COVID-19	·	·	✓
SD	Dyspnoea	✓	✓	✓
SD	Emergency care	·	·	✓
SD	Gastroenteritis viral	·	·	✓
SD	Headache	·	·	✓
SD	Malaise	·	·	✓
SD	Night sweats	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Oxygen saturation abnormal	·	·	✓
SD	Pyrexia	·	·	✓
SD	Rash	·	·	✓
SD	Rash erythematous	·	·	✓
SD	Respiratory arrest	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	Throat tightness	·	·	✓
SD	Wheezing	✓	✓	✓

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