3TF-26733-81086

4 vaccinations 10 coded responses 26 check-ins 10 free-text entries 1 call case

Sex: Female
Age at first dose: 66+
ZIP prefix: 974 / OR
Registered: 2021-03-25

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

2021-03-14
Dose 1 — Moderna
2021-03-25
Registered in v-safe
2021-03-25
Survey response — day 7, dose 1
MedDRA: Pre-existing disease — Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Fibromyalgia, ptsd, respiratory cough from smoking

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-28
Health check-in — day 14, dose 1
Feeling: Fair

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

Adult check-in
2021-04-11
Dose 2 — Moderna
2021-04-11
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-04-12
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Chills, Fatigue or tiredness

Adult check-in
2021-04-15
Survey response — days 1–6 daily, dose 2
MedDRA: Skin fissures — Feeling: Good · Be unable to do your normal daily activities

Free text: Fingers are suddenly cracking open

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
Survey response — days 1–6 daily, dose 2
MedDRA: Skin fissures — Feeling: Fair · Be unable to do your normal daily activities

Free text: Skin on fingers and tips suddenly cracking

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: Skin fissures — Feeling: Good · Diarrhea

Free text: Finger tips cracking open

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-20
Health check-in — day 7, dose 2
Feeling: Fair · Muscle or body aches, Fatigue or tiredness, Diarrhea

Adult check-in
2021-04-25
Survey response — day 14, dose 2
MedDRA: Decreased appetite, Dizziness, Nausea — Feeling: Fair · Be unable to do your normal daily activities

Free text: Lightheaded, dizzy, nauseous and loss of appetite.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-02
Survey response — day 21, dose 2
MedDRA: Fatigue — Feeling: Fair · Be unable to do your normal daily activities

Free text: Fatigue, daily functions harder

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-09
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-16
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-23
Health check-in — day 42, dose 2
Feeling: Poor

Adult check-in
2021-07-13
Survey response — 3 months, dose 2
MedDRA: Diarrhoea, Fatigue, Lethargy — Feeling: Fair · Be unable to do your normal daily activities

Free text: Ongoing diarrhea, lethargy, tiredness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-10-10
Survey response — 6 months, dose 2
MedDRA: Fatigue, Pain, Scleroderma, Toothache — Feeling: Poor

Free text: Tested positive for scleroderma. Toothache, Extremely tired. Achey all over

MedDRA releases: 2024-11 · check-in free text available
2021-10-13
Dose 3 — Moderna
Co-administered: Flu
2021-10-27
Health check-in — day 14, dose 3
Feeling: Fair

Adult check-in
2021-11-03
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-10
Health check-in — day 28, dose 3
Feeling: Fair

Adult check-in
2021-11-17
Health check-in — day 35, dose 3
Feeling: Fair

Adult check-in
2021-11-24
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2022-01-12
Survey response — 3 months, dose 3
MedDRA: Chillblains, Pain in extremity — Feeling: Poor · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Chilblains and foot pain

MedDRA releases: 2024-11 · check-in free text available
2022-01-12
Report sent to call center — 3 months, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-01-13
Call 1 — Left Voicemail
2022-01-14
Call successful
Participant prefers to complete VAERS report online
2022-04-14
Survey response — 6 months, dose 3
MedDRA: Balance disorder, Fatigue, Functional gastrointestinal disorder, Vision blurred — Feeling: Poor

Free text: Tiredness, blurry vision, balance issues and bowel issues

MedDRA releases: 2024-11 · check-in free text available
2022-04-27
Dose 4 — Moderna
2022-05-14
Health check-in — day 14, dose 4
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-14	Moderna
2	2021-04-11	Moderna
3	2021-10-13	Moderna	Flu
4	2022-04-27	Moderna	No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 6 — day 7, dose 1

2021-03-25

Systemic reaction (other): Fibromyalgia, ptsd, respiratory cough from smoking

Release 7 — days 1–6 daily, dose 2

2021-04-15

Systemic reaction (other): Fingers are suddenly cracking open

2021-04-16

Systemic reaction (other): Skin on fingers and tips suddenly cracking

2021-04-17

Systemic reaction (other): Finger tips cracking open

Release 7 — day 14, dose 2

2021-04-25

Symptoms: Lightheaded, dizzy, nauseous and loss of appetite.

Release 8 — day 21, dose 2

2021-05-02

Symptoms: Fatigue, daily functions harder

Release 9 — 3 months, dose 2

2021-07-13

Symptoms: Ongoing diarrhea, lethargy, tiredness

Release 10 — 6 months, dose 2

2021-10-10

Symptoms: Tested positive for scleroderma. Toothache, Extremely tired. Achey all over

Release 10 — 3 months, dose 3

2022-01-12

Symptoms: Chilblains and foot pain

Release 11 — 6 months, dose 3

2022-04-14

Symptoms: Tiredness, blurry vision, balance issues and bowel issues

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	Balance disorder	·	·	✓
SD	Chillblains	·	·	✓
SD	Decreased appetite	✓	✓	✓
SD	Diarrhoea	✓	✓	✓
SD	Dizziness	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Functional gastrointestinal disorder	·	·	✓
SD	Lethargy	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Pain	·	·	✓
SD	Pain in extremity	·	·	✓
SD	Scleroderma	·	·	✓
SD	Toothache	·	·	✓
SD	Vision blurred	·	·	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Skin fissures	✓	✓	✓

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