3GA-24908-44621

3 vaccinations 13 coded responses 32 check-ins 13 free-text entries 9 call cases

Sex: Female
Age at first dose: 21-25
ZIP prefix: 229 / VA
Registered: 2021-01-03

Relationship: Self
Race: Other
Ethnicity: Not Hispanic or Latino

Timeline

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

2021-01-03
Registered in v-safe
2021-01-03
Dose 1 — Moderna
2021-01-03
Survey response — day 0, dose 1
MedDRA: Decreased appetite — Feeling: Fair · Site: Pain, Redness, Swelling · Fatigue or tiredness

Free text: Loss of appetite

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-05
Survey response — days 1–6 daily, dose 1
MedDRA: Decreased appetite — Feeling: Good · Site: Pain, Redness, Swelling · Fatigue or tiredness, Nausea, Diarrhea

Free text: Loss of appetite

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-10
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-17
Survey response — day 14, dose 1
MedDRA: Headache, Oropharyngeal pain — Feeling: Fair

Free text: Sore throat and headache for the past 5 days, although it may be due to the weather changes recently.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-26
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-01-31
Dose 2 — Moderna
2021-02-01
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · 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

Adult check-in
2021-02-01
Report sent to call center — days 1–6 daily, 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)
2021-02-02
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Joint pains, Muscle or body aches

Adult check-in
2021-02-03
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Swelling · Headache

Adult check-in
2021-02-04
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache

Adult check-in
2021-02-05
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Joint pains

Adult check-in
2021-02-07
Health check-in — day 7, dose 2
Feeling: Good · Joint pains

Adult check-in
2021-02-14
Survey response — day 14, dose 2
MedDRA: Influenza like illness, Vaccine positive rechallenge — Feeling: Poor · 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: Severe Flu-like symptoms, similar to those immediately following the second dose of the vaccine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-14
Report sent to call center — day 14, 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)
2021-02-21
Survey response — day 21, dose 2
MedDRA: Arthralgia — Feeling: Good

Free text: Joint pain still persistent

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-28
Survey response — day 28, dose 2
MedDRA: Influenza like illness, Skin irritation — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Frequent flare-ups around nose and cheeks since the second vaccine dose, believed to be autoimmune-related. Experienced flu-like symptoms 2 weeks following the second dose as well.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-28
Report sent to call center — day 28, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-07
Survey response — day 35, dose 2
MedDRA: Arthralgia, Food allergy, Oedema — Feeling: Fair · 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: Allergy-like symptoms to many foods, joint pain, and chronic edema.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-07
Report sent to call center — day 35, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-14
Survey response — day 42, dose 2
MedDRA: Abdominal distension, Arthralgia, Flushing, Rash — Feeling: Good · 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: Autoimmune-like symptoms similar to Lupus. Malay rash, flushing, joint pain, and bloating,

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-14
Report sent to call center — day 42, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-15
Call 1 — Left Voicemail
2021-12-11
Dose 3 — Pfizer-BioNTech
2021-12-12
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-12-13
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-12-14
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-12-15
Survey response — days 1–6 daily, dose 3
MedDRA: Generalised oedema — Feeling: Poor · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · 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, Emergency room or emergency department visit, Hospitalization

Free text: Anasarca

MedDRA releases: 2024-11 · check-in free text available
2021-12-15
Report sent to call center — days 1–6 daily, 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 · Emergency room or emergency department visit · Hospitalization · 1 call case(s)
2021-12-16
Survey response — days 1–6 daily, dose 3
MedDRA: Acute kidney injury — Feeling: Poor · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · 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, Hospitalization

Free text: Acute kidney injury

MedDRA releases: 2024-11 · check-in free text available
2021-12-16
Report sent to call center — days 1–6 daily, 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 · Hospitalization · 1 call case(s)
2021-12-17
Survey response — days 1–6 daily, dose 3
MedDRA: Acute kidney injury — Feeling: Poor · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Abdominal pain · Get care from a doctor or other healthcare professional · Hospitalization

Free text: Acute kidney injury

MedDRA releases: 2024-11 · check-in free text available
2021-12-17
Report sent to call center — days 1–6 daily, dose 3
Get care from a doctor or other healthcare professional

Hospitalization · 1 call case(s)
2021-12-17
Call successful
Participant prefers to complete VAERS report online
2021-12-18
Survey response — day 7, dose 3
MedDRA: Dyspepsia — Feeling: Fair · Nausea, Vomiting, Abdominal pain

Free text: Heartburn

MedDRA releases: 2024-11 · check-in free text available
2021-12-25
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-01-01
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-01-08
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-01-15
Survey response — day 35, dose 3
MedDRA: Aspartate aminotransferase increased — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Elevated AST level of 107

MedDRA releases: 2024-11 · check-in free text available
2022-01-15
Report sent to call center — day 35, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-01-18
Call successful
Reported to VAERS voluntarily prior to GDIT contact
2022-01-22
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-03	Moderna
2	2021-01-31	Moderna
3	2021-12-11	Pfizer-BioNTech	No

Call center

9 call center cases

9 successful

VAERS report filed, before or during a call: 1

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 1 — day 0, dose 1

2021-01-03

Systemic reaction (other): Loss of appetite

Release 1 — days 1–6 daily, dose 1

2021-01-05

Systemic reaction (other): Loss of appetite

Release 2 — day 14, dose 1

2021-01-17

Symptoms: Sore throat and headache for the past 5 days, although it may be due to the weather changes recently.

Release 4 — day 14, dose 2

2021-02-14

Symptoms: Severe Flu-like symptoms, similar to those immediately following the second dose of the vaccine

Release 4 — day 21, dose 2

2021-02-21

Symptoms: Joint pain still persistent

Release 4 — day 28, dose 2

2021-02-28

Symptoms: Frequent flare-ups around nose and cheeks since the second vaccine dose, believed to be autoimmune-related. Experienced flu-like symptoms 2 weeks following the second dose as well.

Release 5 — day 35, dose 2

2021-03-07

Symptoms: Allergy-like symptoms to many foods, joint pain, and chronic edema.

Release 5 — day 42, dose 2

2021-03-14

Symptoms: Autoimmune-like symptoms similar to Lupus. Malay rash, flushing, joint pain, and bloating,

Release 10 — days 1–6 daily, dose 3

2021-12-15

Systemic reaction (other): Anasarca

2021-12-16

Systemic reaction (other): Acute kidney injury

2021-12-17

Systemic reaction (other): Acute kidney injury

Release 10 — day 7, dose 3

2021-12-18

Systemic reaction (other): Heartburn

Release 10 — day 35, dose 3

2022-01-15

Symptoms: Elevated AST level of 107

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
SD	Abdominal distension	✓	✓	✓
SD	Arthralgia	✓	✓	✓
SD	Aspartate aminotransferase increased	·	·	✓
SD	Flushing	✓	✓	✓
SD	Food allergy	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Influenza like illness	✓	✓	✓
SD	Oedema	✓	✓	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Rash	✓	✓	✓
SD	Skin irritation	✓	✓	✓
SD	Vaccine positive rechallenge	✓	✓	✓
SRO	Acute kidney injury	·	·	✓
SRO	Decreased appetite	✓	✓	✓
SRO	Dyspepsia	·	·	✓
SRO	Generalised oedema	·	·	✓

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