47D-32695-59803

5 vaccinations 26 coded responses 63 check-ins 25 free-text entries 1 call case

Sex: Female
Age at first dose: 61-65
ZIP prefix: 972 / OR
Registered: 2021-04-06

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

2021-04-06
Registered in v-safe
2021-04-06
Dose 1 — Moderna
2021-04-06
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-07
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-08
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-09
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-10
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Joint pains, Muscle or body aches

Adult check-in
2021-04-11
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-12
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-13
Survey response — day 7, dose 1
MedDRA: Immunisation reaction, Injection site pruritus, Injection site swelling — Feeling: Fair · Site: Redness, Swelling, Itching · Joint pains, Muscle or body aches

Free text: My arm started to itch near the injection site and the itching area swelled a little. It looks like Covid arm.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-20
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-04-27
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-05-04
Dose 2 — Moderna
2021-05-04
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches

Adult check-in
2021-05-05
Survey response — days 1–6 daily, dose 2
MedDRA: Decreased appetite, Depressed mood, Feeling abnormal, Gastrointestinal sounds abnormal — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Growling stomach; not very hungry; strange feelings, depressed.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-06
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-05-07
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-05-08
Survey response — days 1–6 daily, dose 2
MedDRA: Asthenia, Back pain, Dizziness, Pain in extremity — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Lightheadedness, achy feet, limited energy, lower back pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-09
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-05-10
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-05-11
Survey response — day 7, dose 2
MedDRA: Dysstasia, Gait disturbance, Pain in extremity — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: My feet hurt a lot when standing and walking.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-18
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-05-25
Survey response — day 21, dose 2
MedDRA: Gait disturbance, Pain in extremity — Feeling: Fair

Free text: I have very achey feet. It hurts to walk.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-01
Survey response — day 28, dose 2
MedDRA: Fatigue, Pain in extremity — Feeling: Fair

Free text: Fatigue and sore achey feet.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-08
Survey response — day 35, dose 2
MedDRA: Eye pain, Fatigue, Headache, Visual impairment — Feeling: Fair

Free text: Fatigue - very tired at times and vision problems - my eyes hurt and they get tired and I think my vision has lessened for some reason. I am going to the eye doctor on Friday to see what is wrong.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-15
Survey response — day 42, dose 2
MedDRA: Fatigue, Pain in extremity — Feeling: Fair

Free text: Just achey feet and fatigue.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-03
Survey response — 3 months, dose 2
MedDRA: Angina pectoris, Pain, Pain in extremity — Feeling: Good · Be unable to do your normal daily activities

Free text: Very sore feet. I am in the overweight category, but I just had a pneumonia vaccine and maybe that added to my very sore feet. To walk sometimes is so painful. Sometimes my heart hurts, but I that has always been an ongoing problem.

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

Adult check-in
2021-11-24
Dose 3 — Moderna
2021-11-24
Survey response — day 0, dose 3
MedDRA: Adverse reaction, Immediate post-injection reaction — Feeling: Good

Free text: Felt better 25 minutes after the 3rd shot.

MedDRA releases: 2024-11 · check-in free text available
2021-11-25
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-11-26
Survey response — days 1–6 daily, dose 3
MedDRA: Asthenia, Balance disorder, Disorientation — Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Disoriented; lack of energy; loss of balance.

MedDRA releases: 2024-11 · check-in free text available
2021-11-27
Survey response — days 1–6 daily, dose 3
MedDRA: Pain in extremity — Feeling: Fair · Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: My feet hurt a lot.

MedDRA releases: 2024-11 · check-in free text available
2021-11-28
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-11-29
Survey response — days 1–6 daily, dose 3
MedDRA: Pain in extremity — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: My feet hurt a lot.

MedDRA releases: 2024-11 · check-in free text available
2021-11-30
Survey response — days 1–6 daily, dose 3
MedDRA: Pain in extremity — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: My feet hurt.

MedDRA releases: 2024-11 · check-in free text available
2021-12-01
Health check-in — day 7, dose 3
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-12-08
Survey response — day 14, dose 3
MedDRA: Fatigue, Pain in extremity — Feeling: Fair · Be unable to do your normal daily activities

Free text: My feet hurt. Plus general fatigue.

MedDRA releases: 2024-11 · check-in free text available
2021-12-16
Survey response — day 21, dose 3
MedDRA: Bone pain — Feeling: Fair

Free text: My lower calve bones hurt close to my ankles.

MedDRA releases: 2024-11 · check-in free text available
2021-12-22
Survey response — day 28, dose 3
MedDRA: Tooth resorption — Feeling: Fair

Free text: Tooth reabsorption

MedDRA releases: 2024-11 · check-in free text available
2021-12-29
Survey response — day 35, dose 3
MedDRA: Bone pain, Tooth resorption — Feeling: Fair

Free text: Sometimes my calve bones hurt right above the ankles. I have one autoimmune tooth called reabsorption that I have to have a root canal on. Otherwise, I feel pretty good.

MedDRA releases: 2024-11 · check-in free text available
2022-01-05
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2022-02-23
Survey response — 3 months, dose 3
MedDRA: Fatigue, Pain in extremity, Tooth resorption, Weight increased — Feeling: Fair

Free text: Autoimmune tooth called resorption. Fatigue. Sore feet. Weight gain.

MedDRA releases: 2024-11 · check-in free text available
2022-04-08
Dose 4 — Moderna
2022-04-09
Survey response — days 1–6 daily, dose 4
MedDRA: Malaise — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Free text: Malaise

MedDRA releases: 2024-11 · check-in free text available
2022-04-11
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2022-04-12
Survey response — days 1–6 daily, dose 4
MedDRA: Pain in extremity — Feeling: Fair · Muscle or body aches, Fatigue or tiredness, Abdominal pain

Free text: Sore feet.

MedDRA releases: 2024-11 · check-in free text available
2022-04-14
Survey response — days 1–6 daily, dose 4
MedDRA: Brain fog, Pain in extremity — Feeling: Fair · Fatigue or tiredness

Free text: Foggy mind. Sore feet.

MedDRA releases: 2024-11 · check-in free text available
2022-04-15
Health check-in — day 7, dose 4
Feeling: Fair · Fatigue or tiredness

Adult check-in
2022-04-22
Health check-in — day 14, dose 4
Feeling: Fair

Adult check-in
2022-05-01
Health check-in — day 21, dose 4
Feeling: Fair

Adult check-in
2022-05-09
Health check-in — day 28, dose 4
Feeling: Fair

Adult check-in
2022-05-13
Survey response — day 35, dose 4
MedDRA: Fatigue — Feeling: Fair

Free text: Cognitive Fatigue.

MedDRA releases: 2024-11 · check-in free text available
2022-05-21
Health check-in — day 42, dose 4
Feeling: Fair

Adult check-in
2022-07-08
Health check-in — 3 months, dose 4
Feeling: Fair

Adult check-in
2022-10-04
Dose 5 — Pfizer-BioNTech
2022-10-07
Health check-in — 6 months, dose 4
Feeling: Fair

Adult check-in
2022-10-07
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Fatigue or tiredness

Adult check-in
2022-10-08
Survey response — days 1–6 daily, dose 5
MedDRA: Sluggishness — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Sluggish

MedDRA releases: 2024-11 · check-in free text available
2022-10-09
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Fatigue or tiredness

Adult check-in
2022-10-10
Survey response — days 1–6 daily, dose 5
MedDRA: Disorientation — Feeling: Fair · Joint pains, Fatigue or tiredness

Free text: Disoriented.

MedDRA releases: 2024-11 · check-in free text available
2022-10-11
Health check-in — day 7, dose 5
Feeling: Fair · Fatigue or tiredness

Adult check-in
2022-10-18
Health check-in — day 14, dose 5
Feeling: Fair

Adult check-in
2022-10-25
Health check-in — day 21, dose 5
Feeling: Fair

Adult check-in
2022-11-01
Health check-in — day 28, dose 5
Feeling: Fair

Adult check-in
2022-11-08
Health check-in — day 35, dose 5
Feeling: Fair

Adult check-in
2022-11-15
Health check-in — day 42, dose 5
Feeling: Fair

Adult check-in
2023-01-03
Health check-in — 3 months, dose 5
Feeling: Fair

Adult check-in
2023-04-06
Survey response — 6 months, dose 5
MedDRA: Constipation, Faecaloma, Fatigue, Iron deficiency, Ligament sprain, Weight increased — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

MedDRA releases: 2024-11
2023-04-06
Report sent to call center — 6 months, dose 5
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
2023-04-07
Call 1 — Left Voicemail
2023-04-07
Call successful
Participant prefers to complete VAERS report online

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-06	Moderna
2	2021-05-04	Moderna
3	2021-11-24	Moderna	No
4	2022-04-08	Moderna	No
5	2022-10-04	Pfizer-BioNTech	No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 7 — day 7, dose 1

2021-04-13

Systemic reaction (other): My arm started to itch near the injection site and the itching area swelled a little. It looks like Covid arm.

Release 8 — days 1–6 daily, dose 2

2021-05-05

Systemic reaction (other): Growling stomach; not very hungry; strange feelings, depressed.

2021-05-08

Systemic reaction (other): Lightheadedness, achy feet, limited energy, lower back pain

Release 8 — day 7, dose 2

2021-05-11

Systemic reaction (other): My feet hurt a lot when standing and walking.

Release 8 — day 21, dose 2

2021-05-25

Symptoms: I have very achey feet. It hurts to walk.

Release 8 — day 28, dose 2

2021-06-01

Symptoms: Fatigue and sore achey feet.

Release 8 — day 35, dose 2

2021-06-08

Symptoms: Fatigue - very tired at times and vision problems - my eyes hurt and they get tired and I think my vision has lessened for some reason. I am going to the eye doctor on Friday to see what is wrong.

Release 9 — day 42, dose 2

2021-06-15

Symptoms: Just achey feet and fatigue.

Release 9 — 3 months, dose 2

2021-08-03

Symptoms: Very sore feet. I am in the overweight category, but I just had a pneumonia vaccine and maybe that added to my very sore feet. To walk sometimes is so painful. Sometimes my heart hurts, but I that has always been an ongoing problem.

Release 10 — day 0, dose 3

2021-11-24

Systemic reaction (other): Felt better 25 minutes after the 3rd shot.

Release 10 — days 1–6 daily, dose 3

2021-11-26

Systemic reaction (other): Disoriented; lack of energy; loss of balance.

2021-11-27

Systemic reaction (other): My feet hurt a lot.

2021-11-29

Systemic reaction (other): My feet hurt a lot.

2021-11-30

Systemic reaction (other): My feet hurt.

Release 10 — day 14, dose 3

2021-12-08

Symptoms: My feet hurt. Plus general fatigue.

Release 10 — day 21, dose 3

2021-12-16

Symptoms: My lower calve bones hurt close to my ankles.

Release 10 — day 28, dose 3

2021-12-22

Symptoms: Tooth reabsorption

Release 10 — day 35, dose 3

2021-12-29

Symptoms: Sometimes my calve bones hurt right above the ankles. I have one autoimmune tooth called reabsorption that I have to have a root canal on. Otherwise, I feel pretty good.

Release 11 — 3 months, dose 3

2022-02-23

Symptoms: Autoimmune tooth called resorption. Fatigue. Sore feet. Weight gain.

Release 11 — days 1–6 daily, dose 4

2022-04-09

Systemic reaction (other): Malaise

2022-04-12

Systemic reaction (other): Sore feet.

2022-04-14

Systemic reaction (other): Foggy mind. Sore feet.

Release 11 — day 35, dose 4

2022-05-13

Symptoms: Cognitive Fatigue.

Release 12 — days 1–6 daily, dose 5

2022-10-08

Systemic reaction (other): Sluggish

2022-10-10

Systemic reaction (other): Disoriented.

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	Angina pectoris	✓	·	✓
SD	Bone pain	·	·	✓
SD	Constipation	·	·	✓
SD	Eye pain	✓	✓	✓
SD	Faecaloma	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Gait disturbance	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Iron deficiency	·	·	✓
SD	Ligament sprain	·	·	✓
SD	Pain	✓	·	✓
SD	Pain in extremity	✓	✓	✓
SD	Tooth resorption	·	·	✓
SD	Visual impairment	✓	✓	✓
SD	Weight increased	·	·	✓
SRO	Adverse reaction	·	·	✓
SRO	Asthenia	✓	✓	✓
SRO	Back pain	✓	✓	✓
SRO	Balance disorder	·	·	✓
SRO	Brain fog	·	·	✓
SRO	Decreased appetite	✓	✓	✓
SRO	Depressed mood	✓	✓	✓
SRO	Disorientation	·	·	✓
SRO	Dizziness	✓	✓	✓
SRO	Dysstasia	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Gait disturbance	✓	✓	✓
SRO	Gastrointestinal sounds abnormal	✓	✓	✓
SRO	Immediate post-injection reaction	·	·	✓
SRO	Immunisation reaction	✓	✓	✓
SRO	Injection site pruritus	✓	✓	✓
SRO	Injection site swelling	✓	✓	✓
SRO	Malaise	·	·	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Sluggishness	·	·	✓

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