3DP-12947-08385

1 vaccination 7 coded responses 9 check-ins 7 free-text entries 8 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 982 / WA
Registered: 2020-12-29

Relationship: Self

Timeline

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

2020-12-28
Dose 1 — Moderna
2020-12-29
Registered in v-safe
2020-12-30
Survey response — days 1–6 daily, dose 1
MedDRA: Dysgeusia — Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work

Free text: Weird mouth taste metalic

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-30
Report sent to call center — days 1–6 daily, dose 1
Be unable to work

1 call case(s)
2020-12-31
Survey response — days 1–6 daily, dose 1
MedDRA: Chest pain — Feeling: Fair · Muscle or body aches · 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: Chest pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-31
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)
2021-01-01
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Muscle or body aches · Be unable to do your normal daily activities

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

1 call case(s)
2021-01-04
Health check-in — day 7, dose 1
Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-01-04
Report sent to call center — day 7, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-11
Survey response — day 14, dose 1
MedDRA: Chest pain, Productive cough — Feeling: Poor · Be unable to do your normal daily activities

Free text: Chest painPhlegm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-11
Report sent to call center — day 14, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-18
Survey response — day 21, dose 1
MedDRA: Chest pain, Fatigue, Myalgia, Productive cough — Feeling: Good · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Chest pain, phlegm, fatigue, muscle aches

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-18
Report sent to call center — day 21, dose 1
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)
2021-01-26
Survey response — day 28, dose 1
MedDRA: Chills, Fatigue, Feeling abnormal, Myalgia, Nausea, Office visit — Feeling: Fair · Be unable to work, 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: Worsening muscle aches, worse brain fog, as well as extreme fatigue,nausea, chills. All these have been on-going symptoms for me after being positive for COVID in March of last year. I am not sure that i wall proceed with 2nd dose. · Healthcare visit (other): In clinic primary

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-26
Report sent to call center — day 28, dose 1
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)
2021-02-01
Survey response — day 35, dose 1
MedDRA: Arthralgia, Dyspnoea, Fatigue, Myalgia, Unevaluable event — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Symptoms: Severe muscle aches and joint pain, extreme fatigue, SOB · Healthcare visit (other): I was positive COVID in March of 2020, with lingering intermittent sx, aka long hauler.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-01
Report sent to call center — day 35, dose 1
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)
2021-02-08
Survey response — day 42, dose 1
MedDRA: Arthralgia, COVID-19, Condition aggravated, Headache, Myalgia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Occasional extremely painful muscle aches and joint pin as well as headaches. I was positive COVID in March of last year. I am a COVID long hauler. The vaccine made my sx worse as well i started having new sx, super intense! Therefore i have decide

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-03
Call successful
Participant prefers to complete VAERS report online

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-28	Moderna

Call center

8 call center cases

8 successful

See the call center timeline

Free text

Release 1 — days 1–6 daily, dose 1

2020-12-30

Systemic reaction (other): Weird mouth taste metalic

2020-12-31

Systemic reaction (other): Chest pain

Release 1 — day 14, dose 1

2021-01-11

Symptoms: Chest painPhlegm

Release 2 — day 21, dose 1

2021-01-18

Symptoms: Chest pain, phlegm, fatigue, muscle aches

Release 2 — day 28, dose 1

2021-01-26

Symptoms: Worsening muscle aches, worse brain fog, as well as extreme fatigue,nausea, chills. All these have been on-going symptoms for me after being positive for COVID in March of last year. I am not sure that i wall proceed with 2nd dose.

Healthcare visit (other): In clinic primary

Release 3 — day 35, dose 1

2021-02-01

Symptoms: Severe muscle aches and joint pain, extreme fatigue, SOB

Healthcare visit (other): I was positive COVID in March of 2020, with lingering intermittent sx, aka long hauler.

Release 3 — day 42, dose 1

2021-02-08

Symptoms: Occasional extremely painful muscle aches and joint pin as well as headaches. I was positive COVID in March of last year. I am a COVID long hauler. The vaccine made my sx worse as well i started having new sx, super intense! Therefore i have decide cut off by CDC

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	✓	✓	✓
HCVO	Unevaluable event	✓	✓	✓
SD	Arthralgia	✓	✓	✓
SD	Chest pain	✓	✓	✓
SD	Chills	✓	✓	✓
SD	Condition aggravated	✓	✓	✓
SD	COVID-19	✓	✓	✓
SD	Dyspnoea	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Feeling abnormal	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Myalgia	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Productive cough	✓	✓	✓
SRO	Chest pain	✓	✓	✓
SRO	Dysgeusia	✓	✓	✓

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