47N-14899-61849

4 vaccinations 12 coded responses 20 check-ins 12 free-text entries 5 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 024 / MA
Registered: 2021-03-04

Relationship: Self
Race: Black or African American
Ethnicity: Not Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-02-22
Dose 1 — Moderna
2021-03-04
Registered in v-safe
2021-03-04
Health check-in — day 7, dose 1
Feeling: Good · Site: Itching · None

Adult check-in
2021-03-09
Survey response — day 14, dose 1
MedDRA: Cough — Feeling: Good

Free text: Dry cough

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-15
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-22
Dose 2 — Moderna
2021-03-23
Survey response — days 1–6 daily, dose 2
MedDRA: Depression — Feeling: Fair · Site: Pain, Redness, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Increased depression

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-24
Survey response — days 1–6 daily, dose 2
MedDRA: Hyperhidrosis — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Free text: Bouts of sweating

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-27
Survey response — days 1–6 daily, dose 2
MedDRA: Hot flush, Hyperhidrosis — Feeling: Good · Headache, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Free text: Sudden Hot flashes where my head breaks out full of sweat.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-31
Health check-in — day 7, dose 2
Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-05
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-12
Survey response — day 21, dose 2
MedDRA: Arthralgia, Fatigue — Feeling: Fair · Be unable to do your normal daily activities

Free text: Extreme tiredness, needing to take naps or rest & lots of joint pain.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-19
Survey response — day 28, dose 2
MedDRA: Dizziness, Injection site pain, Pain, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities

Free text: Dizziness on 1 occasion. Waking up with throbbing pain in injection arm several different nights; unusually bad arthritis & Fibromyalgia throughout the body.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-26
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-05-03
Survey response — day 42, dose 2
MedDRA: Depression, Fatigue, Fibromyalgia, Pre-existing disease — Feeling: Fair · Be unable to work, 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: Terrible fatigue, painful Fibromyalgia & new arthritis areas. Continuing depression.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-03
Report sent to call center — day 42, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-21
Survey response — 3 months, dose 2
MedDRA: Depression, Fatigue, Herpes zoster, Rash — Feeling: Fair · 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: Increased fatigue, increased clinical depression. Throbbing in the area I once had shingles, appearance of small rash of tiny bumps on left shoulder & right elbow at different times.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-21
Report sent to call center — 3 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-25
Call 1 — Left Voicemail
2021-06-28
Call successful
Participant prefers to complete VAERS report online
2021-09-22
Survey response — 6 months, dose 2
MedDRA: Cough, Ear congestion, Lymph node pain, Lymphadenopathy, Pharyngeal swelling, Sinus headache — Feeling: Good · Be unable to do your normal daily activities

Free text: Swelling of throat, achey swollen lymph gland, dry cough, sinus headache & stuffy ears.

MedDRA releases: 2024-11 · check-in free text available
2021-11-12
Dose 3 — Moderna
2022-03-22
Survey response — 12 months, dose 2
MedDRA: Breast pain, Injection site pain, Pain, Pain in extremity — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Intermitten throbbing pain at injection site & down along the side of my breast. Then it changed to going down the inside of the injection arm to my palm; finally for one night there was trobbing pain down the inside of both arms + my right leg.

MedDRA releases: 2024-11 · check-in free text available
2022-03-22
Report sent to call center — 12 months, dose 2
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-03-23
Call successful
Participant prefers to complete VAERS report online
2022-04-04
Dose 4 — Moderna
2022-05-11
Survey response — day 35, dose 4
MedDRA: Asthenia, Cough, Depression, Pain — Feeling: Poor · 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: Aches & pains, no energy, more depression, coughing fits.

MedDRA releases: 2024-11 · check-in free text available
2022-05-11
Report sent to call center — day 35, 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

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-05-12
Call 1 — Left Voicemail
2022-05-12
Call 1 — Left Voicemail
2022-05-12
Callback requested for
05:00PM ET
2022-05-19
Survey response — day 42, dose 4
MedDRA: Fatigue — Feeling: Fair · 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

Free text: Greater exhaustion.

MedDRA releases: 2024-11 · check-in free text available
2022-05-19
Report sent to call center — day 42, 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)
2022-05-20
Call 1 — Left Voicemail
2022-07-04
Health check-in — 3 months, dose 4
Feeling: Poor

Adult check-in
2022-10-03
Health check-in — 6 months, dose 4
Feeling: Fair

Adult check-in
2023-04-06
Health check-in — 12 months, dose 4
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-22	Moderna
2	2021-03-22	Moderna
3	2021-11-12	Moderna	No
4	2022-04-04	Moderna	No

Call center

5 call center cases

2 successful · 3 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 5 — day 14, dose 1

2021-03-09

Symptoms: Dry cough

Release 6 — days 1–6 daily, dose 2

2021-03-23

Systemic reaction (other): Increased depression

2021-03-24

Systemic reaction (other): Bouts of sweating

2021-03-27

Systemic reaction (other): Sudden Hot flashes where my head breaks out full of sweat.

Release 7 — day 21, dose 2

2021-04-12

Symptoms: Extreme tiredness, needing to take naps or rest & lots of joint pain.

Release 7 — day 28, dose 2

2021-04-19

Symptoms: Dizziness on 1 occasion. Waking up with throbbing pain in injection arm several different nights; unusually bad arthritis & Fibromyalgia throughout the body.

Release 8 — day 42, dose 2

2021-05-03

Symptoms: Terrible fatigue, painful Fibromyalgia & new arthritis areas. Continuing depression.

Release 9 — 3 months, dose 2

2021-06-21

Symptoms: Increased fatigue, increased clinical depression. Throbbing in the area I once had shingles, appearance of small rash of tiny bumps on left shoulder & right elbow at different times.

Release 9 — 6 months, dose 2

2021-09-22

Symptoms: Swelling of throat, achey swollen lymph gland, dry cough, sinus headache & stuffy ears.

Release 11 — 12 months, dose 2

2022-03-22

Symptoms: Intermitten throbbing pain at injection site & down along the side of my breast. Then it changed to going down the inside of the injection arm to my palm; finally for one night there was trobbing pain down the inside of both arms + my right leg.

Release 11 — day 35, dose 4

2022-05-11

Symptoms: Aches & pains, no energy, more depression, coughing fits.

Release 11 — day 42, dose 4

2022-05-19

Symptoms: Greater exhaustion.

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	Arthralgia	✓	✓	✓
SD	Asthenia	·	·	✓
SD	Breast pain	·	·	✓
SD	Cough	✓	✓	✓
SD	Depression	✓	✓	✓
SD	Dizziness	✓	✓	✓
SD	Ear congestion	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Fibromyalgia	✓	✓	✓
SD	Herpes zoster	✓	✓	✓
SD	Injection site pain	✓	✓	✓
SD	Lymph node pain	·	·	✓
SD	Lymphadenopathy	·	·	✓
SD	Pain	✓	✓	✓
SD	Pain in extremity	·	·	✓
SD	Pharyngeal swelling	·	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Rash	✓	✓	✓
SD	Sinus headache	·	·	✓
SRO	Depression	✓	✓	✓
SRO	Hot flush	✓	✓	✓
SRO	Hyperhidrosis	✓	✓	✓

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