3D7-11966-28961

1 vaccination 9 coded responses 9 check-ins 9 free-text entries 3 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 054 / VT
Registered: 2021-01-15

Relationship: Self

Timeline

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

2021-01-15
Registered in v-safe
2021-01-15
Dose 1 — Moderna
2021-01-15
Survey response — day 0, dose 1
MedDRA: Heart rate increased, Medical counselling — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Rapid heart · Healthcare visit (other): Phone call to oncall doctor

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-15
Report sent to call center — day 0, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-01-17
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness, Oropharyngeal pain — Feeling: Poor · Site: Pain · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Sore throat, dizzy, light headed

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-17
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-18
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness, Oropharyngeal pain, Pre-existing disease, Unevaluable event, Vertigo — Feeling: Fair · Headache, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Throat hurts in the area of my multi nodular goiter, dizzy like vertigo off and on · Healthcare visit (other): Made appointment for 1/19 via phone to discuss

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-18
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)
2021-01-19
Survey response — days 1–6 daily, dose 1
MedDRA: Goitre, Headache, Oropharyngeal pain, Pain — Feeling: Fair

Free text: Sore throat, i have a multi nodular goiter the area hurts, Slight headache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-21
Survey response — days 1–6 daily, dose 1
MedDRA: Oropharyngeal pain, Tonsillar hypertrophy — Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Sore throat, swollen tonsils

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-24
Survey response — day 7, dose 1
MedDRA: Dizziness — Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Dizzy, light headed

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-29
Survey response — day 14, dose 1
MedDRA: Ear pain, Oropharyngeal pain, Pharyngeal swelling, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities

Free text: Still sore swollen throat and right ear ache. I have a thyroid goiter not sure if this is making it painful

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-07
Survey response — day 21, dose 1
MedDRA: Dizziness, Headache — Feeling: Fair · Be unable to do your normal daily activities

Free text: Dizzy, headache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-19
Survey response — day 35, dose 1
MedDRA: Goitre, Swelling — Feeling: Fair · Be unable to do your normal daily activities

Free text: Still swollen neck and thyroid glands

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-15
Call successful
Completed over the phone

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-15	Moderna

Call center

3 call center cases

3 successful

VAERS report filed, before or during a call: 3

See the call center timeline

Free text

Release 2 — day 0, dose 1

2021-01-15

Systemic reaction (other): Rapid heart

Healthcare visit (other): Phone call to oncall doctor

Release 2 — days 1–6 daily, dose 1

2021-01-17

Systemic reaction (other): Sore throat, dizzy, light headed

2021-01-18

Systemic reaction (other): Throat hurts in the area of my multi nodular goiter, dizzy like vertigo off and on

Healthcare visit (other): Made appointment for 1/19 via phone to discuss

2021-01-19

Systemic reaction (other): Sore throat, i have a multi nodular goiter the area hurts, Slight headache

2021-01-21

Systemic reaction (other): Sore throat, swollen tonsils

Release 2 — day 7, dose 1

2021-01-24

Systemic reaction (other): Dizzy, light headed

Release 3 — day 14, dose 1

2021-01-29

Symptoms: Still sore swollen throat and right ear ache. I have a thyroid goiter not sure if this is making it painful

Release 3 — day 21, dose 1

2021-02-07

Symptoms: Dizzy, headache

Release 4 — day 35, dose 1

2021-02-19

Symptoms: Still swollen neck and thyroid glands

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	Unevaluable event	✓	✓	✓
SD	Dizziness	✓	✓	✓
SD	Ear pain	✓	✓	✓
SD	Goitre	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Pharyngeal swelling	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Swelling	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Goitre	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Heart rate increased	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Tonsillar hypertrophy	✓	✓	✓
SRO	Vertigo	✓	✓	✓

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