3NP-65132-11349

4 vaccinations 12 coded responses 30 check-ins 12 free-text entries 2 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 773 / TX
Registered: 2021-07-05

Relationship: Self
Race: White
Ethnicity: Hispanic or Latino

Timeline

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

2021-07-01
Dose 1 — Moderna
2021-07-05
Registered in v-safe
2021-07-05
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness, Abdominal pain

Adult check-in
2021-07-06
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Muscle or body aches, Fatigue or tiredness, Abdominal pain

Adult check-in
2021-07-07
Survey response — days 1–6 daily, dose 1
MedDRA: Pruritus — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: Body itchingmild

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-08
Survey response — day 7, dose 1
MedDRA: Aphthous ulcer — Feeling: Fair · Nausea, Diarrhea · Be unable to do your normal daily activities

Free text: Cankor sore on tongue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-15
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-07-22
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-07-29
Dose 2 — Moderna
2021-07-29
Health check-in — day 0, dose 2
Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-07-30
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-07-31
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-08-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-08-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-08-03
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain

Adult check-in
2021-08-04
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Joint pains, Muscle or body aches

Adult check-in
2021-08-05
Health check-in — day 7, dose 2
Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-08-12
Survey response — day 14, dose 2
MedDRA: Abdominal pain, Diarrhoea — Feeling: Good

Free text: I had some abdominal pain for several days with diarrhea once.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-19
Survey response — day 21, dose 2
MedDRA: Abdominal pain, Fatigue — Feeling: Poor · Be unable to do your normal daily activities

Free text: Ongoing abdominal cramps and fatigue.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-27
Survey response — day 28, dose 2
MedDRA: Abdominal pain, Myalgia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Widespread muscle pain and abdominal cramps

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-09-02
Survey response — day 35, dose 2
MedDRA: Abdominal pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Abdominal cramps ongoing since 2nd vaccine and somewhat stronger today.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-09-09
Survey response — day 42, dose 2
MedDRA: Abdominal pain, Nausea, Pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Continuing abdominal cramps, nausea and body pain

MedDRA releases: 2024-11 · check-in free text available
2021-10-29
Survey response — 3 months, dose 2
MedDRA: Arthralgia, Myalgia — Feeling: Fair · 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: Widespread joint and muscle pain

MedDRA releases: 2024-11 · check-in free text available
2021-10-29
Report sent to call center — 3 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-11-02
Call 1 — Left Voicemail
2021-11-02
Call successful
Participant prefers to complete VAERS report online
2021-12-03
Dose 3 — Moderna
2022-01-27
Survey response — 6 months, dose 2
MedDRA: Oropharyngeal pain, Throat irritation — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Sore/irritated throat

MedDRA releases: 2024-11 · check-in free text available
2022-01-27
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-01-28
Call 1 — Left Voicemail
2022-01-28
Call successful
Participant prefers to complete VAERS report online
2022-04-28
Dose 4 — Moderna
2022-05-03
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Headache, Fatigue or tiredness, Abdominal pain

Adult check-in
2022-05-12
Survey response — day 14, dose 4
MedDRA: Frequent bowel movements — Feeling: Fair · Be unable to do your normal daily activities

Free text: Multiple bowel movements per day and late into evening

MedDRA releases: 2024-11 · check-in free text available
2022-05-20
Health check-in — day 21, dose 4
Feeling: Fair

Adult check-in
2022-05-26
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-06-02
Survey response — day 35, dose 4
MedDRA: Diarrhoea — Feeling: Good

Free text: Diarrhea

MedDRA releases: 2024-11 · check-in free text available
2022-06-09
Health check-in — day 42, dose 4
Feeling: Fair

Adult check-in
2022-07-30
Survey response — 3 months, dose 4
MedDRA: Adverse drug reaction — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Reactions from Reclast infusion 7/25/22

MedDRA releases: 2024-11 · check-in free text available
2022-10-29
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in
2023-04-28
Health check-in — 12 months, dose 4
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-07-01	Moderna	No
2	2021-07-29	Moderna	No
3	2021-12-03	Moderna	No
4	2022-04-28	Moderna	No

Call center

2 call center cases

2 successful

See the call center timeline

Free text

Release 9 — days 1–6 daily, dose 1

2021-07-07

Systemic reaction (other): Body itchingmild

Release 9 — day 7, dose 1

2021-07-08

Systemic reaction (other): Cankor sore on tongue

Release 9 — day 14, dose 2

2021-08-12

Symptoms: I had some abdominal pain for several days with diarrhea once.

Release 9 — day 21, dose 2

2021-08-19

Symptoms: Ongoing abdominal cramps and fatigue.

Release 9 — day 28, dose 2

2021-08-27

Symptoms: Widespread muscle pain and abdominal cramps

Release 9 — day 35, dose 2

2021-09-02

Symptoms: Abdominal cramps ongoing since 2nd vaccine and somewhat stronger today.

Release 9 — day 42, dose 2

2021-09-09

Symptoms: Continuing abdominal cramps, nausea and body pain

Release 10 — 3 months, dose 2

2021-10-29

Symptoms: Widespread joint and muscle pain

Release 11 — 6 months, dose 2

2022-01-27

Symptoms: Sore/irritated throat

Release 11 — day 14, dose 4

2022-05-12

Symptoms: Multiple bowel movements per day and late into evening

Release 11 — day 35, dose 4

2022-06-02

Symptoms: Diarrhea

Release 12 — 3 months, dose 4

2022-07-30

Symptoms: Reactions from Reclast infusion 7/25/22

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 pain	✓	·	✓
SD	Adverse drug reaction	·	·	✓
SD	Arthralgia	·	·	✓
SD	Diarrhoea	✓	·	✓
SD	Fatigue	✓	·	✓
SD	Frequent bowel movements	·	·	✓
SD	Myalgia	✓	·	✓
SD	Nausea	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pain	·	·	✓
SD	Throat irritation	·	·	✓
SRO	Aphthous ulcer	✓	✓	✓
SRO	Pruritus	✓	✓	✓

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