3GY-11982-35615

4 vaccinations 7 coded responses 27 check-ins 6 free-text entries 1 call case

Sex: Female
Age at first dose: 61-65
ZIP prefix: 347 / FL
Registered: 2021-03-20

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

2021-03-19
Dose 1 — Moderna
2021-03-20
Registered in v-safe
2021-03-20
Survey response — days 1–6 daily, dose 1
MedDRA: Fatigue, Injection site discomfort, Pain — Feeling: Fair · Site: Pain

Free text: A little tired- pushed through it throughout the day. I feel better tonight than I did this morning- so still a tiny bit tired -"Pain" at injection sight was more of a sore muscle and an awareness when I used that arm rather than pain..

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-22
Survey response — days 1–6 daily, dose 1
MedDRA: Fatigue, Hypersomnia — Feeling: Good

Free text: A little tired in the last day or so slept later than usual. Related to vaccine i dont know however trying to be informative

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-23
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site pruritus — Feeling: Good · Site: Itching

Free text: Occasionally an itch at the injection site- not a problem- however i want to be accurate for your data

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-26
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-02
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-09
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-16
Dose 2 — Moderna
2021-04-16
Survey response — day 0, dose 2
MedDRA: Feeling hot, Feeling jittery, Injection site pain, Injection site warmth — Feeling: Good · Site: Pain · Fatigue or tiredness

Free text: Mild awareness of soreness and warmth at injection site. My left outer ear is warmer than my right ear- lhad eft arm injection. Slightly jittery for the few hours after however rushing to get to my class lasted for about 4 hours after injection. However has subsided now 5 - 6 hours after.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-17
Survey response — days 1–6 daily, dose 2
MedDRA: Decreased appetite, Feeling abnormal, Headache, Malaise, Pain in extremity, Self-medication — Feeling: Fair · Site: Pain · Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Painful arm- tylenol helped a lot! Slept for a 3 hour nap. Very unusual for me to not feel well. Loss of appetite. Mild headache foggy feeling.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-19
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-20
Survey response — days 1–6 daily, dose 2
MedDRA: Decreased appetite, Fatigue, Feeling abnormal — Feeling: Good

Free text: Great today- the day after really tired- 2nd day a little brain foggy- 3rd day a little tired- 4th day after- normal. Slight loss of appetite since mentioning only to be helpful

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-22
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-23
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-05-02
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-07
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-14
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-22
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-28
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-16
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-15
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-01-22
Dose 3 — Moderna
2022-04-16
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-04-22
Dose 4 — Moderna
Co-administered: Pneumonia:Shingles
2022-07-22
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-10-21
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in
2023-04-22
Survey response — 12 months, dose 4
MedDRA: Asthenia, COVID-19, Candida infection, Fatigue, SARS-CoV-2 test negative — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

MedDRA releases: 2024-11
2023-04-22
Report sent to call center — 12 months, dose 4
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2023-04-24
Call 1 — Left Voicemail
2023-05-04
Call 2 — Left Voicemail
2023-05-09
Call successful
Completed over the phone

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-19	Moderna
2	2021-04-16	Moderna
3	2022-01-22	Moderna	No
4	2022-04-22	Moderna	Pneumonia:Shingles

Call center

1 call center case

1 successful

VAERS report filed, before or during a call: 1

See the call center timeline

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-20

Systemic reaction (other): A little tired- pushed through it throughout the day. I feel better tonight than I did this morning- so still a tiny bit tired -"Pain" at injection sight was more of a sore muscle and an awareness when I used that arm rather than pain..

2021-03-22

Systemic reaction (other): A little tired in the last day or so slept later than usual. Related to vaccine i dont know however trying to be informative

2021-03-23

Systemic reaction (other): Occasionally an itch at the injection site- not a problem- however i want to be accurate for your data

Release 7 — day 0, dose 2

2021-04-16

Systemic reaction (other): Mild awareness of soreness and warmth at injection site. My left outer ear is warmer than my right ear- lhad eft arm injection. Slightly jittery for the few hours after however rushing to get to my class lasted for about 4 hours after injection. However has subsided now 5 - 6 hours after.

Release 7 — days 1–6 daily, dose 2

2021-04-17

Systemic reaction (other): Painful arm- tylenol helped a lot! Slept for a 3 hour nap. Very unusual for me to not feel well. Loss of appetite. Mild headache foggy feeling.

2021-04-20

Systemic reaction (other): Great today- the day after really tired- 2nd day a little brain foggy- 3rd day a little tired- 4th day after- normal. Slight loss of appetite since mentioning only to be helpful

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	Asthenia	·	·	✓
SD	Candida infection	·	·	✓
SD	COVID-19	·	·	✓
SD	Fatigue	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SRO	Decreased appetite	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Feeling hot	✓	✓	✓
SRO	Feeling jittery	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Hypersomnia	✓	✓	✓
SRO	Injection site discomfort	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Injection site pruritus	✓	✓	✓
SRO	Injection site warmth	✓	✓	✓
SRO	Malaise	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Self-medication	✓	✓	✓

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