448-22276-39438

2 vaccinations 8 coded responses 25 check-ins 8 free-text entries 1 call case

Sex: Female
Age at first dose: 56-60
ZIP prefix: 501 / IA
Registered: 2021-01-25

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

2021-01-25
Registered in v-safe
2021-01-25
Dose 1 — Moderna
2021-01-25
Survey response — day 0, dose 1
MedDRA: Dizziness — Feeling: Good · Fatigue or tiredness

Free text: Lightheaded, woozy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-26
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness, Immediate post-injection reaction — Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Lightheaded ness form yesterday is gone (it started about 5 hours after the shot and lasted about 4 hours)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-29
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-30
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-31
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-01
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-10
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-15
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-22
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-02-25
Dose 2 — Moderna
2021-02-26
Survey response — days 1–6 daily, dose 2
MedDRA: Pain in extremity — Feeling: Fair · Site: Pain · Fever · Chills, Muscle or body aches · Be unable to do your normal daily activities

Free text: Arm pain from injection

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-27
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

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

Adult check-in
2021-03-01
Survey response — days 1–6 daily, dose 2
MedDRA: Pyrexia — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Free text: Was exposed to granddaughter with a 102 F fever 3 days ago; not sure if thats contributing to my symptoms

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-03
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-04
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-11
Survey response — day 14, dose 2
MedDRA: Fatigue — Feeling: Fair · Be unable to do your normal daily activities

Free text: Fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-18
Survey response — day 21, dose 2
MedDRA: Fatigue — Feeling: Good

Free text: Significant fatigue in the evenings this week; could be somewhat related to our change to Daylight Savings Time

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-25
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-01
Survey response — day 35, dose 2
MedDRA: Asthenia, Fatigue — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: Fatigue, weakness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-27
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2022-02-25
Survey response — 12 months, dose 2
MedDRA: Asthenia, Cough, Fatigue, Respiratory tract congestion — 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 · Outpatient clinic or urgent care clinic visit

Free text: Congestion, cough, weakness, fatigue

MedDRA releases: 2024-11 · check-in free text available
2022-02-25
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

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-03-07
Call successful
Participant prefers to complete VAERS report online

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-25	Moderna
2	2021-02-25	Moderna

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 2 — day 0, dose 1

2021-01-25

Systemic reaction (other): Lightheaded, woozy

Release 2 — days 1–6 daily, dose 1

2021-01-26

Systemic reaction (other): Lightheaded ness form yesterday is gone (it started about 5 hours after the shot and lasted about 4 hours)

Release 4 — days 1–6 daily, dose 2

2021-02-26

Systemic reaction (other): Arm pain from injection

2021-03-01

Systemic reaction (other): Was exposed to granddaughter with a 102 F fever 3 days ago; not sure if thats contributing to my symptoms

Release 5 — day 14, dose 2

2021-03-11

Symptoms: Fatigue

Release 5 — day 21, dose 2

2021-03-18

Symptoms: Significant fatigue in the evenings this week; could be somewhat related to our change to Daylight Savings Time

Release 6 — day 35, dose 2

2021-04-01

Symptoms: Fatigue, weakness

Release 11 — 12 months, dose 2

2022-02-25

Symptoms: Congestion, cough, weakness, fatigue

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	Asthenia	✓	✓	✓
SD	Cough	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Respiratory tract congestion	·	·	✓
SRO	Dizziness	✓	✓	✓
SRO	Immediate post-injection reaction	○	✓	○
SRO	Pain in extremity	✓	✓	✓
SRO	Pyrexia	✓	✓	✓

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