47C-15771-85053

5 vaccinations 24 coded responses 50 check-ins 23 free-text entries 9 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 235 / VA
Registered: 2021-02-18

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

2021-02-18
Registered in v-safe
2021-02-18
Dose 1 — Moderna
2021-02-18
Health check-in — day 0, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-19
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness, Immediate post-injection reaction, Injection site pain — Feeling: Good

Free text: Minor soreness at injection site if touched; not otherwise; dizziness for 20 seconds approximately 3 minutes after vaccination

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-20
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Itching · Fatigue or tiredness

Adult check-in
2021-02-21
Survey response — days 1–6 daily, dose 1
MedDRA: Insomnia — Feeling: Good

Free text: Trouble sleeping Through the night (moderate)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-22
Survey response — days 1–6 daily, dose 1
MedDRA: Feeling hot — Feeling: Good

Free text: Have felt hot past 3 days but no temp. Mild.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-23
Survey response — days 1–6 daily, dose 1
MedDRA: Fatigue — Feeling: Good

Free text: Feeling radically less tired today! (5 days after 1st shot) Mild

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-27
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-06
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-11
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-18
Dose 2 — Moderna
2021-03-18
Health check-in — day 0, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-19
Survey response — days 1–6 daily, dose 2
MedDRA: Cough — Feeling: Fair · Site: Pain, Itching · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Mild cough

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-20
Survey response — days 1–6 daily, dose 2
MedDRA: Cough, Respiratory tract congestion — Feeling: Good · Site: Pain

Free text: A cough/chest congestion; I suspect seasonal allergies rather than the vaccine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-21
Survey response — days 1–6 daily, dose 2
MedDRA: Cough, Pre-existing disease — Feeling: Good · Site: Pain

Free text: Cough likely just allergies; I doubt its related to vaccine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-22
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-23
Survey response — days 1–6 daily, dose 2
MedDRA: Ligament rupture, Unevaluable event — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): A likely ligament tear (no strenuous or atypical activity) · Healthcare visit (other): Went to my regular physical therapist for diagnosis but he wasnt there

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-23
Report sent to call center — days 1–6 daily, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-25
Health check-in — day 7, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-01
Survey response — day 14, dose 2
MedDRA: Cough, Fatigue — Feeling: Fair · Be unable to do your normal daily activities

Free text: Fatigue, cough

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Survey response — day 21, dose 2
MedDRA: Cough, Respiratory tract congestion — Feeling: Fair

Free text: Cough, congestion

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-17
Survey response — day 28, dose 2
MedDRA: Productive cough — Feeling: Good

Free text: Cough (productive)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-04-29
Survey response — day 42, dose 2
MedDRA: Respiratory tract infection — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Started antibiotics for an upper respiratory infection 8 days ago. I forgot to mention it on last survey.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-29
Report sent to call center — day 42, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-17
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-16
Survey response — 6 months, dose 2
MedDRA: Cough, Ligament rupture, Office visit — Feeling: Good · 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: Symptoms: Torn R ankle ligament; happened without any injury or accident. Still have the persistent cough. · Healthcare visit (other): Dr office

MedDRA releases: 2024-11 · check-in free text available
2021-09-16
Report sent to call center — 6 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-09-17
Call 2 — Left Voicemail
2021-10-27
Dose 3 — Moderna
2021-10-28
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-10-29
Survey response — days 1–6 daily, dose 3
MedDRA: Injection site pruritus — Feeling: Fair · Site: Pain

Free text: Itching at injection site. Minor.

MedDRA releases: 2024-11 · check-in free text available
2021-10-31
Survey response — days 1–6 daily, dose 3
MedDRA: Vertigo — Feeling: Good

Free text: Weird vertigo last night

MedDRA releases: 2024-11 · check-in free text available
2021-11-01
Survey response — days 1–6 daily, dose 3
MedDRA: Respiratory tract congestion — Feeling: Good · Headache

Free text: Severe congestion last night

MedDRA releases: 2024-11 · check-in free text available
2021-11-02
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-11-05
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-11-11
Survey response — day 14, dose 3
MedDRA: Joint instability — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Knee ligament instabilitylikely unrelated

MedDRA releases: 2024-11 · check-in free text available
2021-11-11
Report sent to call center — day 14, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-11-12
Call 2 — Requested Callback
2021-11-16
Call 3 — Could Not Reach Participant
2021-11-24
Survey response — day 28, dose 3
MedDRA: Ligament laxity, Physiotherapy — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Ligament laxity But I am still very glad to have had the vaccine! · Healthcare visit (other): PT

MedDRA releases: 2024-11 · check-in free text available
2021-11-24
Report sent to call center — day 28, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2021-12-01
Survey response — day 35, dose 3
MedDRA: Unevaluable event — Feeling: Poor · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: GI

MedDRA releases: 2024-11 · check-in free text available
2021-12-01
Report sent to call center — day 35, dose 3
Be unable to work or attend school · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2021-12-02
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2021-12-08
Survey response — day 42, dose 3
MedDRA: Ligament laxity, Office visit, Orthosis user, Physiotherapy, Pre-existing disease — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: Greater Ligament laxity (and a new injury) following the booster. Definitely worth noting for people with Ehlers-Danlos. I'm Still very grateful to have had the booster. · Healthcare visit (other): PT, physical medicine MD, & knee brace

MedDRA releases: 2024-11 · check-in free text available
2021-12-08
Report sent to call center — day 42, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-12-09
Call 2 — Left Voicemail
2022-01-13
Call successful
Participant prefers to complete VAERS report online
2022-04-07
Dose 4 — Moderna
2022-04-19
Survey response — day 7, dose 4
MedDRA: Office visit, SARS-CoV-2 test negative — Feeling: Fair · Fatigue or tiredness · Get care from a doctor or other healthcare professional

Free text: Office visit. I was extremely tired for the two weeks prior to the fourth vaccine. It's possible that I had Covid although by the time I took a home test, it was negative. It could've been any of 1000 other things.

MedDRA releases: 2024-11 · check-in free text available
2022-04-19
Report sent to call center — day 7, dose 4
Get care from a doctor or other healthcare professional

1 call case(s)
2022-04-21
Call 1 — Left Voicemail
2022-04-23
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-04-28
Health check-in — day 21, dose 4
Feeling: Fair

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

Adult check-in
2022-05-14
Health check-in — day 35, dose 4
Feeling: Fair

Adult check-in
2022-05-21
Survey response — day 42, dose 4
MedDRA: Neck pain, Office visit — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Almost certainly unrelated to the vaccine. Intense neck pain. Likely from a disc. · Healthcare visit (other): Office visit

MedDRA releases: 2024-11 · check-in free text available
2022-05-21
Report sent to call center — day 42, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2022-05-23
Call 1 — Left Voicemail
2022-05-23
Call 1 — Left Voicemail
2022-05-23
Call 1 — Left Voicemail
2022-05-23
Call 1 — Left Voicemail
2022-05-23
Call 1 — Left Voicemail
2022-05-23
Call 1 — Left Voicemail
2022-05-23
Call 2 — Left Voicemail
2022-05-23
Call 1 — Left Voicemail
2022-07-09
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-10-06
Health check-in — 6 months, dose 4
Feeling: Fair

Adult check-in
2022-10-11
Dose 5 — Moderna
2022-10-19
Health check-in — day 7, dose 5
Feeling: Good · Joint pains, Muscle or body aches

Adult check-in
2022-10-25
Health check-in — day 14, dose 5
Feeling: Fair

Adult check-in
2022-11-01
Survey response — day 21, dose 5
MedDRA: Headache, Pre-existing disease — Feeling: Fair

Free text: Headache; probably just allergies!

MedDRA releases: 2024-11 · check-in free text available
2022-11-08
Health check-in — day 28, dose 5
Feeling: Good

Adult check-in
2022-11-15
Health check-in — day 35, dose 5
Feeling: Fair

Adult check-in
2022-11-22
Health check-in — day 42, dose 5
Feeling: Fair

Adult check-in
2023-01-10
Survey response — 3 months, dose 5
MedDRA: Intraocular pressure increased — Feeling: Fair

MedDRA releases: 2024-11
2023-04-13
Health check-in — 6 months, dose 5
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-18	Moderna
2	2021-03-18	Moderna
3	2021-10-27	Moderna	No
4	2022-04-07	Moderna	No
5	2022-10-11	Moderna	No

Call center

9 call center cases

7 successful · 2 unsuccessful

3 waits over 3 months for a first call

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-19

Systemic reaction (other): Minor soreness at injection site if touched; not otherwise; dizziness for 20 seconds approximately 3 minutes after vaccination

2021-02-21

Systemic reaction (other): Trouble sleeping Through the night (moderate)

2021-02-22

Systemic reaction (other): Have felt hot past 3 days but no temp. Mild.

2021-02-23

Systemic reaction (other): Feeling radically less tired today! (5 days after 1st shot) Mild

Release 5 — days 1–6 daily, dose 2

2021-03-19

Systemic reaction (other): Mild cough

Release 6 — days 1–6 daily, dose 2

2021-03-20

Systemic reaction (other): A cough/chest congestion; I suspect seasonal allergies rather than the vaccine

2021-03-21

Systemic reaction (other): Cough likely just allergies; I doubt its related to vaccine.

2021-03-23

Systemic reaction (other): A likely ligament tear (no strenuous or atypical activity)

Healthcare visit (other): Went to my regular physical therapist for diagnosis but he wasnt there

Release 6 — day 14, dose 2

2021-04-01

Symptoms: Fatigue, cough

Release 7 — day 21, dose 2

2021-04-08

Symptoms: Cough, congestion

Release 7 — day 28, dose 2

2021-04-17

Symptoms: Cough (productive)

Release 8 — day 42, dose 2

2021-04-29

Symptoms: Started antibiotics for an upper respiratory infection 8 days ago. I forgot to mention it on last survey.

Release 9 — 6 months, dose 2

2021-09-16

Symptoms: Torn R ankle ligament; happened without any injury or accident. Still have the persistent cough.

Healthcare visit (other): Dr office

Release 10 — days 1–6 daily, dose 3

2021-10-29

Systemic reaction (other): Itching at injection site. Minor.

2021-10-31

Systemic reaction (other): Weird vertigo last night

2021-11-01

Systemic reaction (other): Severe congestion last night

Release 10 — day 14, dose 3

2021-11-11

Symptoms: Knee ligament instabilitylikely unrelated

Release 10 — day 28, dose 3

2021-11-24

Symptoms: Ligament laxity But I am still very glad to have had the vaccine!

Healthcare visit (other): PT

Release 10 — day 35, dose 3

2021-12-01

Symptoms: GI

Release 10 — day 42, dose 3

2021-12-08

Symptoms: Greater Ligament laxity (and a new injury) following the booster. Definitely worth noting for people with Ehlers-Danlos. I'm Still very grateful to have had the booster.

Healthcare visit (other): PT, physical medicine MD, & knee brace

Release 11 — day 7, dose 4

2022-04-19

Healthcare visit (other): Office visit. I was extremely tired for the two weeks prior to the fourth vaccine. It's possible that I had Covid although by the time I took a home test, it was negative. It could've been any of 1000 other things.

Release 11 — day 42, dose 4

2022-05-21

Symptoms: Almost certainly unrelated to the vaccine. Intense neck pain. Likely from a disc.

Healthcare visit (other): Office visit

Release 12 — day 21, dose 5

2022-11-01

Symptoms: Headache; probably just allergies!

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	Office visit	·	·	✓
HCVO	Orthosis user	·	·	✓
HCVO	Physiotherapy	·	·	✓
HCVO	SARS-CoV-2 test negative	·	·	✓
HCVO	Unevaluable event	✓	✓	✓
SD	Cough	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Headache	·	·	✓
SD	Intraocular pressure increased	·	·	✓
SD	Joint instability	·	·	✓
SD	Ligament laxity	·	·	✓
SD	Ligament rupture	·	·	✓
SD	Neck pain	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Productive cough	✓	✓	✓
SD	Respiratory tract congestion	✓	✓	✓
SD	Respiratory tract infection	✓	✓	✓
SD	Unevaluable event	·	·	✓
SRO	Cough	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Feeling hot	✓	✓	✓
SRO	Immediate post-injection reaction	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Injection site pruritus	·	·	✓
SRO	Insomnia	✓	✓	✓
SRO	Ligament rupture	✓	✓	✓
SRO	Pre-existing disease	·	·	✓
SRO	Respiratory tract congestion	✓	✓	✓
SRO	Vertigo	·	·	✓

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