3XS-39238-91967

4 vaccinations 7 coded responses 27 check-ins 6 free-text entries 4 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 774 / TX
Registered: 2021-01-19

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

2021-01-19
Registered in v-safe
2021-01-19
Dose 1 — Moderna
2021-01-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-01-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-26
Health check-in — day 7, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-02
Survey response — day 14, dose 1
MedDRA: Contusion, Rash, Rash papular, Skin warm — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Day 8 horrific rash started on injection arm. Raised hot to touch and painful. Day 10 went to work urgent care. Today is Day 14 and arm has now turned into a giant purple bruise

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-02
Report sent to call center — day 14, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-09
Survey response — day 21, dose 1
MedDRA: Contusion, Fatigue, Headache, Immunisation reaction — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Still dealing with COVID Arm bruises and fatigue and headaches

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-09
Report sent to call center — day 21, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-16
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-02-23
Health check-in — day 35, dose 1
Feeling: Good

Adult check-in
2021-02-26
Dose 2 — Moderna
2021-02-26
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-27
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-02-28
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Itching · Abdominal pain

Adult check-in
2021-03-03
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache, Diarrhea

Adult check-in
2021-03-04
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-05
Health check-in — day 7, dose 2
Feeling: Good · Abdominal pain

Adult check-in
2021-03-12
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-19
Survey response — day 21, dose 2
MedDRA: Abdominal distension, Abdominal pain upper, Dyspepsia, Gastrointestinal sounds abnormal — Feeling: Fair · Be unable to do your normal daily activities

Free text: Stomach pains, bloating, indigestion, lots of stomach noise

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-18
Call 1 — Left Voicemail
2021-06-18
Call 1 — Left Voicemail
2021-08-27
Survey response — 6 months, dose 2
MedDRA: Injection site hypoaesthesia, Injection site reaction, Neuralgia — Feeling: Good

Free text: Nerve pain/numbness in shot injection site

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-11-19
Dose 3 — Moderna
2022-02-27
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-09-30
Dose 4 — Moderna
2022-10-18
Survey response — day 14, dose 4
MedDRA: Upper respiratory tract 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: Severe upper respiratory infection after last booster

MedDRA releases: 2024-11 · check-in free text available
2022-10-18
Report sent to call center — day 14, dose 4
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)
2022-10-19
Call 2 — Left Voicemail
2022-10-19
Call 2 — Left Voicemail
2022-10-19
Call 1 — Requested Callback
2022-10-19
Callback requested for
11:15AM ET
2022-10-19
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-10-19
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-10-19
Call successful
Completed over the phone
2022-10-22
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-10-30
Survey response — day 28, dose 4
MedDRA: Cough — Feeling: Fair

Free text: Continuing dry hacking cough

MedDRA releases: 2024-11 · check-in free text available
2022-11-04
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-11-11
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2023-04-01
Survey response — 6 months, dose 4
MedDRA: COVID-19 — 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, Outpatient clinic or urgent care clinic visit

MedDRA releases: 2024-11
2023-04-01
Report sent to call center — 6 months, dose 4
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 · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2023-04-04
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-19	Moderna
2	2021-02-26	Moderna
3	2021-11-19	Moderna	No
4	2022-09-30	Moderna	No

Call center

4 call center cases

3 successful · 1 unsuccessful

VAERS report filed, before or during a call: 2

2 waits over 3 months for a first call

See the call center timeline

Free text

Release 3 — day 14, dose 1

2021-02-02

Symptoms: Day 8 horrific rash started on injection arm. Raised hot to touch and painful. Day 10 went to work urgent care. Today is Day 14 and arm has now turned into a giant purple bruise

Release 3 — day 21, dose 1

2021-02-09

Symptoms: Still dealing with COVID Arm bruises and fatigue and headaches

Release 5 — day 21, dose 2

2021-03-19

Symptoms: Stomach pains, bloating, indigestion, lots of stomach noise

Release 9 — 6 months, dose 2

2021-08-27

Symptoms: Nerve pain/numbness in shot injection site

Release 12 — day 14, dose 4

2022-10-18

Symptoms: Severe upper respiratory infection after last booster

Release 12 — day 28, dose 4

2022-10-30

Symptoms: Continuing dry hacking cough

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 distension	✓	✓	✓
SD	Abdominal pain upper	✓	✓	✓
SD	Contusion	✓	✓	✓
SD	Cough	·	·	✓
SD	COVID-19	·	·	✓
SD	Dyspepsia	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Gastrointestinal sounds abnormal	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Immunisation reaction	✓	✓	✓
SD	Injection site hypoaesthesia	✓	·	✓
SD	Injection site reaction	✓	·	✓
SD	Neuralgia	✓	·	✓
SD	Rash	✓	✓	✓
SD	Rash papular	✓	✓	✓
SD	Skin warm	✓	✓	✓
SD	Upper respiratory tract infection	·	·	✓

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