3B9-13493-08688

2 vaccinations 6 coded responses 15 check-ins 6 free-text entries 3 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 532 / WI
Registered: 2021-03-10

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

2021-03-08
Dose 1 — Moderna
2021-03-10
Registered in v-safe
2021-03-10
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-03-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness

Adult check-in
2021-03-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-15
Health check-in — day 7, dose 1
Feeling: Fair · Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to work

Adult check-in
2021-03-22
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-02
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-05
Dose 2 — Moderna
2021-04-19
Survey response — day 14, dose 2
MedDRA: Cough, Myalgia, Oropharyngeal pain, Respiratory tract congestion — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities

Free text: Mild Sore throat, coughing, congestion and muscle avhes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-26
Survey response — day 21, dose 2
MedDRA: Cough, Fatigue, Medical counselling, Pain, SARS-CoV-2 test negative — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: From April 15-26 with symptoms still present, I believe I had the flu. Bad cough the entire time but lessened since Saturday the 24. Achiness and fatigue the whole time. · Healthcare visit (other): I went to a drive thru covid testing center just to be sure I didnt have that virus- it was negative.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-26
Report sent to call center — day 21, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-03
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-05-10
Survey response — day 35, dose 2
MedDRA: Arthralgia, Fatigue, Medical counselling — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Fatigue, leg and arm joint pain · Healthcare visit (other): Phone call for script

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-10
Report sent to call center — day 35, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-17
Survey response — day 42, dose 2
MedDRA: Arthralgia, Ligament sprain — Feeling: Poor · Be unable to work

Free text: Twisted my left knee on Saturday which caused severe pain. Possible soft tissue damage but ortho doc appointment is Wednesday

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-03
Call 1 — Requested Callback
2021-06-07
Call successful
Participant prefers to complete VAERS report online
2021-06-08
Callback requested for
02:00PM ET
2021-07-08
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-04
Survey response — 6 months, dose 2
MedDRA: Dyspnoea — Feeling: Good

Free text: A little short of breath. I

MedDRA releases: 2024-11 · check-in free text available
2022-04-06
Survey response — 12 months, dose 2
MedDRA: Arthralgia, Fatigue, Lung disorder — 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

Free text: Fatigue, increase in lung issues, left knee pain

MedDRA releases: 2024-11 · check-in free text available
2022-04-06
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

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-04-07
Call 1 — Requested Callback
2022-04-07
Callback requested for
12:30PM ET
2022-04-07
Call successful
Participant prefers to complete VAERS report online

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-08	Moderna
2	2021-04-05	Moderna

Call center

3 call center cases

3 successful

See the call center timeline

Free text

Release 7 — day 14, dose 2

2021-04-19

Symptoms: Mild Sore throat, coughing, congestion and muscle avhes

Release 8 — day 21, dose 2

2021-04-26

Symptoms: From April 15-26 with symptoms still present, I believe I had the flu. Bad cough the entire time but lessened since Saturday the 24. Achiness and fatigue the whole time.

Healthcare visit (other): I went to a drive thru covid testing center just to be sure I didnt have that virus- it was negative.

Release 8 — day 35, dose 2

2021-05-10

Symptoms: Fatigue, leg and arm joint pain

Healthcare visit (other): Phone call for script

Release 8 — day 42, dose 2

2021-05-17

Symptoms: Twisted my left knee on Saturday which caused severe pain. Possible soft tissue damage but ortho doc appointment is Wednesday

Release 10 — 6 months, dose 2

2021-10-04

Symptoms: A little short of breath. I

Release 11 — 12 months, dose 2

2022-04-06

Symptoms: Fatigue, increase in lung issues, left knee pain

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	Medical counselling	✓	✓	✓
HCVO	SARS-CoV-2 test negative	✓	✓	✓
SD	Arthralgia	✓	✓	✓
SD	Cough	✓	✓	✓
SD	Dyspnoea	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Ligament sprain	✓	✓	✓
SD	Lung disorder	·	·	✓
SD	Myalgia	✓	✓	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Respiratory tract congestion	✓	✓	✓

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