48R-37207-30892

2 vaccinations 15 coded responses 26 check-ins 15 free-text entries 3 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 306 / GA
Registered: 2021-03-01

Relationship: Self
Race: Native Hawaiian or other Pacific Islander
Ethnicity: Not Hispanic or Latino

Timeline

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

2021-03-01
Registered in v-safe
2021-03-01
Dose 1 — Moderna
2021-03-01
Survey response — day 0, dose 1
MedDRA: Dizziness, Dyspnoea, Lip swelling, Palpitations, Swelling face, Swollen tongue — Feeling: Poor · Fever · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Dizzy, difficulty breathing, heart palpitations, face/lips and tongue swollen

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-02
Survey response — days 1–6 daily, dose 1
MedDRA: Chills, Nasopharyngitis — Feeling: Fair · Site: Swelling, Itching · Fever · Chills, Joint pains, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Free text: Feels like Im getting a cold. Chill started noontime

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-03
Survey response — days 1–6 daily, dose 1
MedDRA: Feeling abnormal, Lacrimation increased, Photophobia — Feeling: Fair · Chills, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: My eyes watering a lot and sensitive. Feeling not normal

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-04
Survey response — days 1–6 daily, dose 1
MedDRA: Headache, Lacrimation increased, Nasopharyngitis, Pruritus — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: Watery eye, itchy feeling, I got a head cold and a slight headache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-05
Survey response — days 1–6 daily, dose 1
MedDRA: Decreased appetite, Fatigue, Photophobia — Feeling: Fair · Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: So tired, eyes sensitive, less appetite

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-06
Survey response — days 1–6 daily, dose 1
MedDRA: No adverse event — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness · 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: None

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-06
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-07
Survey response — days 1–6 daily, dose 1
MedDRA: No adverse event — Feeling: Good · Headache

Free text: None

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-08
Survey response — day 7, dose 1
MedDRA: Unevaluable event — Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Appt with family doctor 03/10/21

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-08
Report sent to call center — day 7, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-15
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-22
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-29
Dose 2 — Moderna
2021-03-29
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-03-30
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Swelling, Itching · Headache, Fatigue or tiredness

Adult check-in
2021-03-31
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-01
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

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

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

Adult check-in
2021-04-05
Health check-in — day 7, dose 2
Feeling: Fair · Chills, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-12
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-19
Survey response — day 21, dose 2
MedDRA: Fatigue, Insomnia — Feeling: Fair · Be unable to do your normal daily activities

Free text: I got fatigue and insomnia every day.Im a very active person (doing 150-200 minutes a week exercise) After getting the vaccine I couldnt get my normal self.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-26
Survey response — day 28, dose 2
MedDRA: Fatigue, Insomnia, Pain, Pain in extremity — Feeling: Fair

Free text: Always tired and got insomnia, once in a while my arms throbbing with pain. Hard to finish the 30 minutes exercise everyday, thats very unusual for I am an active person

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-03
Survey response — day 35, dose 2
MedDRA: Arthralgia, Exercise tolerance decreased, Fatigue — Feeling: Fair · Be unable to do your normal daily activities

Free text: Joints pain and tiredness; this is new to me. Couldnt finish 1/2 hr exercise on the treadmill. Before I walked 45 minutes - 5 days a week. Something is not right.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-10
Survey response — day 42, dose 2
MedDRA: Arthralgia, Fatigue — Feeling: Good

Free text: Joint pain and tiredness Cant finish regular 30 minutes exercise a day

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-28
Survey response — 3 months, dose 2
MedDRA: Chills, Cough, Fatigue, Somnolence — Feeling: Fair · Be unable to do your normal daily activities

Free text: Experiencing dry cough especially at night. Once in a while I got chills. Gets tired easily and taking long naps (2-3 hrs). Im a very active person (I volunteer & teach dancing) before the vaccination, my normal self is not there. Very disappointe

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-09-27
Survey response — 6 months, dose 2
MedDRA: Fatigue, SARS-CoV-2 test negative — Feeling: Fair · Be unable to do your normal daily activities

Free text: I just recovered from 3 weeks of fatigue. Negative result from COVID test last month.

MedDRA releases: 2024-11 · check-in free text available
2022-01-23
Call 1 — Left Voicemail
2022-01-24
Call successful
Does not wish to fill out VAERS report
2022-03-31
Survey response — 12 months, dose 2
MedDRA: Bronchitis — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Diagnosed Bronchitis 3/10/22 Start feeling much better 3/30/22

MedDRA releases: 2024-11 · check-in free text available
2022-03-31
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)
2022-04-04
Call 1 — Left Voicemail
2022-04-19
Call 2 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-01	Moderna
2	2021-03-29	Moderna

Call center

3 call center cases

3 successful

VAERS report filed, before or during a call: 1

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 4 — day 0, dose 1

2021-03-01

Systemic reaction (other): Dizzy, difficulty breathing, heart palpitations, face/lips and tongue swollen

Release 4 — days 1–6 daily, dose 1

2021-03-02

Systemic reaction (other): Feels like Im getting a cold. Chill started noontime

Release 5 — days 1–6 daily, dose 1

2021-03-03

Systemic reaction (other): My eyes watering a lot and sensitive. Feeling not normal

2021-03-04

Systemic reaction (other): Watery eye, itchy feeling, I got a head cold and a slight headache

2021-03-05

Systemic reaction (other): So tired, eyes sensitive, less appetite

2021-03-06

Systemic reaction (other): None

2021-03-07

Systemic reaction (other): None

Release 5 — day 7, dose 1

2021-03-08

Healthcare visit (other): Appt with family doctor 03/10/21

Release 7 — day 21, dose 2

2021-04-19

Symptoms: I got fatigue and insomnia every day.Im a very active person (doing 150-200 minutes a week exercise) After getting the vaccine I couldnt get my normal self.

Release 8 — day 28, dose 2

2021-04-26

Symptoms: Always tired and got insomnia, once in a while my arms throbbing with pain. Hard to finish the 30 minutes exercise everyday, thats very unusual for I am an active person

Release 8 — day 35, dose 2

2021-05-03

Symptoms: Joints pain and tiredness; this is new to me. Couldnt finish 1/2 hr exercise on the treadmill. Before I walked 45 minutes - 5 days a week. Something is not right.

Release 8 — day 42, dose 2

2021-05-10

Symptoms: Joint pain and tiredness Cant finish regular 30 minutes exercise a day

Release 9 — 3 months, dose 2

2021-06-28

Symptoms: Experiencing dry cough especially at night. Once in a while I got chills. Gets tired easily and taking long naps (2-3 hrs). Im a very active person (I volunteer & teach dancing) before the vaccination, my normal self is not there. Very disappointe

Release 9 — 6 months, dose 2

2021-09-27

Symptoms: I just recovered from 3 weeks of fatigue. Negative result from COVID test last month.

Release 11 — 12 months, dose 2

2022-03-31

Symptoms: Diagnosed Bronchitis 3/10/22 Start feeling much better 3/30/22

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	Unevaluable event	✓	✓	✓
SD	Arthralgia	✓	✓	✓
SD	Bronchitis	·	·	✓
SD	Chills	✓	✓	✓
SD	Cough	✓	✓	✓
SD	Exercise tolerance decreased	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Insomnia	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	Somnolence	✓	✓	✓
SRO	Chills	✓	✓	✓
SRO	Decreased appetite	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Lacrimation increased	✓	✓	✓
SRO	Lip swelling	✓	✓	✓
SRO	Nasopharyngitis	✓	✓	✓
SRO	No adverse event	✓	✓	✓
SRO	Palpitations	✓	✓	✓
SRO	Photophobia	✓	✓	✓
SRO	Pruritus	✓	✓	✓
SRO	Swelling face	✓	✓	✓
SRO	Swollen tongue	✓	✓	✓

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