3QZ-89122-63671

5 vaccinations 14 coded responses 41 check-ins 14 free-text entries 1 call case

Sex: Female
Age at first dose: 61-65
ZIP prefix: 040 / ME
Registered: 2021-03-08

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

2021-03-05
Dose 1 — Moderna
2021-03-08
Registered in v-safe
2021-03-08
Survey response — days 1–6 daily, dose 1
MedDRA: Vertigo — Feeling: Fair · Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Vertigo

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-09
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness, Medical counselling, Vertigo, Visual impairment — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Lightheaded and had vertigo yesterday and a visual disturbance in one eye · Healthcare visit (other): Doctors office

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-09
Report sent to call center — days 1–6 daily, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-10
Survey response — days 1–6 daily, dose 1
MedDRA: Vertigo — Feeling: Good

Free text: Had vertigo again last night

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-14
Survey response — day 7, dose 1
MedDRA: Dizziness — Feeling: Fair · Fatigue or tiredness

Free text: Slight lightheaded feeling

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-19
Survey response — day 14, dose 1
MedDRA: Chills, Fatigue, Hypersomnia — Feeling: Good · Be unable to do your normal daily activities

Free text: Ive had 12 days of being tired and on the 3/17th I had chills, mild fever of 99.1 (the previous day my temperature was 96.7) extreme fatigue. After 11 hours of sleep I feel much better.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-01
Dose 2 — Moderna
2021-04-01
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain, Swelling · None

Adult check-in
2021-04-02
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-04
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness · Fatigue or tiredness

Adult check-in
2021-04-05
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Chills

Adult check-in
2021-04-06
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-08
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-15
Survey response — day 14, dose 2
MedDRA: Fatigue — Feeling: Fair

Free text: Fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-01
Survey response — day 28, dose 2
MedDRA: Headache — Feeling: Good

Free text: Headaches yesterday and today

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-08
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-13
Survey response — day 42, dose 2
MedDRA: Pre-existing disease, Sinus congestion — Feeling: Good

Free text: Sinus congestion/ probably seasonal

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-01
Survey response — 3 months, dose 2
MedDRA: Fatigue, Headache, Migraine — Feeling: Good

Free text: Optical migraine , a week of extreme fatigue, a few days of headaches

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-10-02
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-31
Dose 3 — Moderna
2021-11-01
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-11-02
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness

Adult check-in
2021-11-03
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Swelling, Itching · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-05
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-11-09
Health check-in — day 7, dose 3
Feeling: Good · Joint pains

Adult check-in
2021-11-15
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-21
Survey response — day 21, dose 3
MedDRA: Arthralgia — Feeling: Good

Free text: Achy joints

MedDRA releases: 2024-11 · check-in free text available
2021-11-28
Call successful
Participant prefers to complete VAERS report online
2021-11-30
Survey response — day 28, dose 3
MedDRA: Lethargy, Sinus congestion, Sneezing — Feeling: Fair

Free text: Lethargy, sinus congestion, sneezing

MedDRA releases: 2024-11 · check-in free text available
2021-12-07
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-13
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-31
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-04-01
Dose 4 — Moderna
2022-04-21
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-05-09
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-07-03
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-09-13
Dose 5 — Pfizer-BioNTech
Co-administered: Flu
2022-09-16
Survey response — days 1–6 daily, dose 5
MedDRA: Arthralgia, Injection site pain, Injection site pruritus, Injection site swelling, Joint stiffness — Feeling: Good · Site: Swelling, Itching

Free text: Yesterday I had very achy stiff joints, And the injection site had swelling itching and pain

MedDRA releases: 2024-11 · check-in free text available
2022-09-17
Health check-in — days 1–6 daily, dose 5
Feeling: Good · None

Adult check-in
2022-09-19
Survey response — days 1–6 daily, dose 5
MedDRA: Sneezing — Feeling: Fair · Fatigue or tiredness

Free text: Sneezy

MedDRA releases: 2024-11 · check-in free text available
2022-09-22
Health check-in — day 7, dose 5
Feeling: Fair · Fatigue or tiredness

Adult check-in
2022-10-06
Survey response — day 21, dose 5
MedDRA: Pain, Rhinorrhoea, Sneezing — Feeling: Fair · Be unable to do your normal daily activities

Free text: Rainy nose, sneezing, aches

MedDRA releases: 2024-11 · check-in free text available
2022-10-13
Health check-in — day 28, dose 5
Feeling: Good

Adult check-in
2023-03-14
Health check-in — 6 months, dose 5
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-05	Moderna
2	2021-04-01	Moderna
3	2021-10-31	Moderna	No
4	2022-04-01	Moderna	No
5	2022-09-13	Pfizer-BioNTech	Flu

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-08

Systemic reaction (other): Vertigo

2021-03-09

Systemic reaction (other): Lightheaded and had vertigo yesterday and a visual disturbance in one eye

Healthcare visit (other): Doctors office

2021-03-10

Systemic reaction (other): Had vertigo again last night

Release 5 — day 7, dose 1

2021-03-14

Systemic reaction (other): Slight lightheaded feeling

Release 6 — day 14, dose 1

2021-03-19

Symptoms: Ive had 12 days of being tired and on the 3/17th I had chills, mild fever of 99.1 (the previous day my temperature was 96.7) extreme fatigue. After 11 hours of sleep I feel much better.

Release 7 — day 14, dose 2

2021-04-15

Symptoms: Fatigue

Release 8 — day 28, dose 2

2021-05-01

Symptoms: Headaches yesterday and today

Release 8 — day 42, dose 2

2021-05-13

Symptoms: Sinus congestion/ probably seasonal

Release 9 — 3 months, dose 2

2021-07-01

Symptoms: Optical migraine , a week of extreme fatigue, a few days of headaches

Release 10 — day 21, dose 3

2021-11-21

Symptoms: Achy joints

Release 10 — day 28, dose 3

2021-11-30

Symptoms: Lethargy, sinus congestion, sneezing

Release 12 — days 1–6 daily, dose 5

2022-09-16

Systemic reaction (other): Yesterday I had very achy stiff joints, And the injection site had swelling itching and pain

2022-09-19

Systemic reaction (other): Sneezy

Release 12 — day 21, dose 5

2022-10-06

Symptoms: Rainy nose, sneezing, aches

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	Medical counselling	✓	✓	✓
SD	Arthralgia	·	·	✓
SD	Chills	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Hypersomnia	✓	✓	✓
SD	Lethargy	·	·	✓
SD	Migraine	✓	✓	✓
SD	Pain	·	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Rhinorrhoea	·	·	✓
SD	Sinus congestion	✓	✓	✓
SD	Sneezing	·	·	✓
SRO	Arthralgia	·	·	✓
SRO	Dizziness	✓	✓	✓
SRO	Injection site pain	·	·	✓
SRO	Injection site pruritus	·	·	✓
SRO	Injection site swelling	·	·	✓
SRO	Joint stiffness	·	·	✓
SRO	Sneezing	·	·	✓
SRO	Vertigo	✓	✓	✓
SRO	Visual impairment	✓	✓	✓

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