3LC-24982-52573

2 vaccinations 15 coded responses 25 check-ins 15 free-text entries 3 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 935 / CA
Registered: 2020-12-28

Relationship: Self
Race: American Indian or Alaska Native
Ethnicity: Not Hispanic or Latino

Timeline

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

2020-12-28
Registered in v-safe
2020-12-28
Dose 1 — Moderna
2020-12-28
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2020-12-29
Survey response — days 1–6 daily, dose 1
MedDRA: Sleep disorder — Feeling: Fair · Site: Pain · Fatigue or tiredness

Free text: I kept waking up last nite every hour

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-30
Survey response — days 1–6 daily, dose 1
MedDRA: Amnesia, Asthenia, Confusional state, Office visit, Oropharyngeal pain — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness · Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Possible facial paralysis, weakness and memory loss with confusion. Sore Throat. · Healthcare visit (other): Nurse Visit (b)(6) seen by PA

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
Get care from a doctor or other healthcare professional

1 call case(s)
2021-01-01
Survey response — days 1–6 daily, dose 1
MedDRA: Fatigue, Rhinorrhoea — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Runny nose and feeling really tired . Do you respond to or comments

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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)
2021-01-02
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fever · Chills, Fatigue or tiredness

Adult check-in
2021-01-03
Survey response — days 1–6 daily, dose 1
MedDRA: Eye irritation, Fatigue, Oropharyngeal pain, Rhinorrhoea — Feeling: Fair

Free text: Runny nose , eyes burn . Sore throat very tired

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-04
Survey response — day 7, dose 1
MedDRA: Eye irritation, Rhinorrhoea — Feeling: Fair · Fatigue or tiredness

Free text: Runny nose , eyes burning

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-11
Survey response — day 14, dose 1
MedDRA: Headache — Feeling: Fair

Free text: Headaches

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-19
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-01-21
Call successful
Participant prefers to complete VAERS report online
2021-01-25
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-01-29
Dose 2 — Moderna
2021-01-29
Survey response — day 0, dose 2
MedDRA: Dysphagia, Self-medication — Feeling: Fair · Site: Swelling, Itching

Free text: I have to keep swallowing over an hour after getting vaccine. It could because I took a Benadryl after vaccine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-30
Survey response — days 1–6 daily, dose 2
MedDRA: Fatigue — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Nausea · Be unable to do your normal daily activities

Free text: Very tired

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-31
Survey response — days 1–6 daily, dose 2
MedDRA: Ageusia, Anosmia, Asthenia, Nasal congestion, Rhinorrhoea — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Stuffy nose and runny nose, weak loss of taste and smell

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-01
Survey response — days 1–6 daily, dose 2
MedDRA: Oropharyngeal pain, Pharyngeal swelling — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Chills, Headache, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: Sore throat and throat feels swollen

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-02
Survey response — days 1–6 daily, dose 2
MedDRA: Adverse reaction, Impaired work ability — Feeling: Poor · Site: Redness, Swelling, Itching · Chills, Headache, Joint pains, Fatigue or tiredness, Nausea · Be unable to work

Free text: Its strange should I be feeling this way since last Friday when I got my vaccine I already missed 2 days of work

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-03
Survey response — days 1–6 daily, dose 2
MedDRA: Asthenia, Dyspnoea, Nasal congestion, Rhinorrhoea — Feeling: Poor · Site: Redness, Itching · Chills, Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Sob, weak, stuffy and runny nose

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-04
Survey response — days 1–6 daily, dose 2
MedDRA: Depression, Feeling abnormal — Feeling: Fair · Chills, Headache, Fatigue or tiredness

Free text: Still not feeling like myself , a little depressed. Depression happened with the 1st vaccine also

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-05
Health check-in — day 7, dose 2
Feeling: Fair · Chills, Headache

Adult check-in
2021-02-12
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-19
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-02-26
Survey response — day 28, dose 2
MedDRA: Fatigue — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Really tired since vaccines

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-26
Report sent to call center — day 28, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-05
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-12
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-04-30
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-07-30
Survey response — 6 months, dose 2
MedDRA: Chest pain, Headache — Feeling: Poor

Free text: Headaches , Hurting chest

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-16
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-28	Moderna
2	2021-01-29	Moderna

Call center

3 call center cases

2 successful · 1 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 1 — days 1–6 daily, dose 1

2020-12-29

Systemic reaction (other): I kept waking up last nite every hour

2020-12-30

Systemic reaction (other): Possible facial paralysis, weakness and memory loss with confusion. Sore Throat.

Healthcare visit (other): Nurse Visit (b)(6) seen by PA

redacted (b)(6)

2021-01-01

Systemic reaction (other): Runny nose and feeling really tired . Do you respond to or comments

2021-01-03

Systemic reaction (other): Runny nose , eyes burn . Sore throat very tired

Release 1 — day 7, dose 1

2021-01-04

Systemic reaction (other): Runny nose , eyes burning

Release 1 — day 14, dose 1

2021-01-11

Symptoms: Headaches

Release 3 — day 0, dose 2

2021-01-29

Systemic reaction (other): I have to keep swallowing over an hour after getting vaccine. It could because I took a Benadryl after vaccine

Release 3 — days 1–6 daily, dose 2

2021-01-30

Systemic reaction (other): Very tired

2021-01-31

Systemic reaction (other): Stuffy nose and runny nose, weak loss of taste and smell

2021-02-01

Systemic reaction (other): Sore throat and throat feels swollen

2021-02-02

Systemic reaction (other): Its strange should I be feeling this way since last Friday when I got my vaccine I already missed 2 days of work

2021-02-03

Systemic reaction (other): Sob, weak, stuffy and runny nose

2021-02-04

Systemic reaction (other): Still not feeling like myself , a little depressed. Depression happened with the 1st vaccine also

Release 4 — day 28, dose 2

2021-02-26

Symptoms: Really tired since vaccines

Release 9 — 6 months, dose 2

2021-07-30

Symptoms: Headaches , Hurting chest

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	Specialist consultation	○	○	○
SD	Chest pain	✓	·	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SRO	Adverse reaction	✓	✓	✓
SRO	Ageusia	✓	✓	✓
SRO	Amnesia	✓	✓	✓
SRO	Anosmia	✓	✓	✓
SRO	Asthenia	✓	✓	✓
SRO	Confusional state	✓	✓	✓
SRO	Depression	✓	✓	✓
SRO	Dysphagia	✓	✓	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Eye irritation	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Impaired work ability	✓	✓	✓
SRO	Nasal congestion	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Pharyngeal swelling	✓	✓	✓
SRO	Rhinorrhoea	✓	✓	✓
SRO	Self-medication	✓	✓	✓
SRO	Sleep disorder	✓	✓	✓

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