3LF-31316-50277

2 vaccinations 7 coded responses 26 check-ins 7 free-text entries 4 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 786 / TX
Registered: 2021-03-16

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

2021-03-16
Registered in v-safe
2021-03-16
Dose 1 — Moderna
2021-03-16
Health check-in — day 0, dose 1
Feeling: Fair · Headache

Adult check-in
2021-03-17
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-18
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Headache, Nausea, Vomiting · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-03-19
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache · Be unable to do your normal daily activities

Adult check-in
2021-03-20
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-23
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-30
Survey response — day 14, dose 1
MedDRA: Cough, Sinus congestion, Wheezing — 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: Sinus congestion, cough, wheezing.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-30
Report sent to call center — day 14, 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)
2021-04-06
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-13
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-04-14
Dose 2 — Moderna
2021-04-14
Health check-in — day 0, dose 2
Feeling: Poor · Site: Pain · Headache · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-15
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness, Itching · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-16
Survey response — days 1–6 daily, dose 2
MedDRA: Condition aggravated, Injection site pain, Mobility decreased, Pre-existing disease — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: I have a prexisting nerve issue in my left wrist. Since the 2nd shot it has been super flared up and I have had limited use of my left hand/forearm. This is outside of the usual shot injection site pain.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-17
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Redness, Itching · Headache, Joint pains · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-18
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness, Itching · Headache, Joint pains · Be unable to work

Adult check-in
2021-04-19
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Itching · None

Adult check-in
2021-04-20
Survey response — days 1–6 daily, dose 2
MedDRA: Condition aggravated, Pre-existing disease — Feeling: Good · Site: Redness, Itching

Free text: My nerve flare up in injection arm has completely subsided. Thought it would be good to know it lasted 5/6 days

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
Health check-in — day 7, dose 2
Feeling: Good · Site: Itching · None

Adult check-in
2021-04-28
Survey response — day 14, dose 2
MedDRA: Nasopharyngitis — Feeling: Fair · Be unable to do your normal daily activities

Free text: Cold symptoms

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-05
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-12
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-19
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-05-26
Survey response — day 42, dose 2
MedDRA: Fatigue — 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: General fatigue.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-26
Report sent to call center — day 42, 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)
2021-07-15
Survey response — 3 months, dose 2
MedDRA: Fatigue, Somnolence — Feeling: Good · Be unable to work or attend school, 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: Terrible fatigue. Unable to stay awake.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-15
Report sent to call center — 3 months, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

1 call case(s)
2021-07-22
Call successful
Participant prefers to complete VAERS report online
2021-10-14
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2022-04-15
Survey response — 12 months, dose 2
MedDRA: Influenza, Office visit, Sinusitis, Tooth extraction, Tooth infection — Feeling: Good · Be unable to work or attend school, 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: Pulled tooth due to infection. Sinus infectiotion likely caused by the flu · Healthcare visit (other): Dental

MedDRA releases: 2024-11 · check-in free text available
2022-04-15
Report sent to call center — 12 months, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-04-19
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-16	Moderna
2	2021-04-14	Moderna

Call center

4 call center cases

3 successful · 1 unsuccessful

See the call center timeline

Free text

Release 6 — day 14, dose 1

2021-03-30

Symptoms: Sinus congestion, cough, wheezing.

Release 7 — days 1–6 daily, dose 2

2021-04-16

Systemic reaction (other): I have a prexisting nerve issue in my left wrist. Since the 2nd shot it has been super flared up and I have had limited use of my left hand/forearm. This is outside of the usual shot injection site pain.

2021-04-20

Systemic reaction (other): My nerve flare up in injection arm has completely subsided. Thought it would be good to know it lasted 5/6 days

Release 8 — day 14, dose 2

2021-04-28

Symptoms: Cold symptoms

Release 8 — day 42, dose 2

2021-05-26

Symptoms: General fatigue.

Release 9 — 3 months, dose 2

2021-07-15

Symptoms: Terrible fatigue. Unable to stay awake.

Release 11 — 12 months, dose 2

2022-04-15

Symptoms: Pulled tooth due to infection. Sinus infectiotion likely caused by the flu

Healthcare visit (other): Dental

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	·	·	✓
SD	Cough	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Influenza	·	·	✓
SD	Nasopharyngitis	✓	✓	✓
SD	Sinus congestion	✓	✓	✓
SD	Sinusitis	·	·	✓
SD	Somnolence	✓	·	✓
SD	Tooth extraction	·	·	✓
SD	Tooth infection	·	·	✓
SD	Wheezing	✓	✓	✓
SRO	Condition aggravated	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Mobility decreased	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓

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