49N-21693-78195

2 vaccinations 10 coded responses 25 check-ins 10 free-text entries 1 call case

Sex: Female
Age at first dose: 66+
ZIP prefix: 791 / TX
Registered: 2021-02-04

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

2021-02-03
Dose 1 — Moderna
2021-02-04
Registered in v-safe
2021-02-04
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-02-05
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-06
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-08
Survey response — days 1–6 daily, dose 1
MedDRA: Balance disorder, Multiple sclerosis — Feeling: Poor · Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: I have MS and 2 days after injection I have had off balance off sensation in head not exactly dizzy . I have put a call into neurologist to see if this is nerve involvement due to vaccine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-09
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fever · Chills, Nausea

Adult check-in
2021-02-10
Survey response — day 7, dose 1
MedDRA: Pruritus, Rash, Skin exfoliation — Feeling: Good

Free text: Having spots on my face itching and skin peeling using cortisone cresm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-19
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-27
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-03
Dose 2 — Moderna
2021-03-03
Health check-in — day 0, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-04
Survey response — days 1–6 daily, dose 2
MedDRA: Muscle spasms, Neuralgia — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Free text: Severe nerve pain and spasms

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-05
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Joint pains, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-03-06
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Fair · Site: Pain · Joint pains, Fatigue or tiredness

Free text: Dizxy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-07
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Joint pains

Adult check-in
2021-03-08
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-09
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-10
Health check-in — day 7, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-17
Survey response — day 14, dose 2
MedDRA: Pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Body aches

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-24
Survey response — day 21, dose 2
MedDRA: Fatigue — Feeling: Poor · Be unable to do your normal daily activities

Free text: Severe fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-31
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-04-07
Survey response — day 35, dose 2
MedDRA: Fatigue — Feeling: Fair · Be unable to do your normal daily activities

Free text: Fatigue severe

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-14
Survey response — day 42, dose 2
MedDRA: Fatigue — Feeling: Fair · Be unable to do your normal daily activities

Free text: Fatigued

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-03
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-09-01
Survey response — 6 months, dose 2
MedDRA: Diarrhoea, Nausea, Pain — Feeling: Poor · Be unable to work or attend school

Free text: Body aches now I have nausea and diarrhea

MedDRA releases: 2021-09,2024-11 · check-in free text available
2022-03-03
Survey response — 12 months, dose 2
MedDRA: Abdominal discomfort, Diarrhoea, Flatulence, Nausea, SARS-CoV-2 test — 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 · Telehealth, virtual health, or email health consultation

Free text: Nausea , Diarrhea upst stomach a lot of gas in stomach . Have 3 episodes lasting 4 days at a time . Had to have 3 Covid test cat scan and slot of labs

MedDRA releases: 2024-11 · check-in free text available
2022-03-03
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

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-03-05
Call successful
Does not wish to fill out VAERS report

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-03	Moderna
2	2021-03-03	Moderna

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 3 — days 1–6 daily, dose 1

2021-02-08

Systemic reaction (other): I have MS and 2 days after injection I have had off balance off sensation in head not exactly dizzy . I have put a call into neurologist to see if this is nerve involvement due to vaccine

Release 4 — day 7, dose 1

2021-02-10

Systemic reaction (other): Having spots on my face itching and skin peeling using cortisone cresm

Release 5 — days 1–6 daily, dose 2

2021-03-04

Systemic reaction (other): Severe nerve pain and spasms

2021-03-06

Systemic reaction (other): Dizxy

Release 5 — day 14, dose 2

2021-03-17

Symptoms: Body aches

Release 6 — day 21, dose 2

2021-03-24

Symptoms: Severe fatigue

Release 7 — day 35, dose 2

2021-04-07

Symptoms: Fatigue severe

Release 7 — day 42, dose 2

2021-04-14

Symptoms: Fatigued

Release 9 — 6 months, dose 2

2021-09-01

Symptoms: Body aches now I have nausea and diarrhea

Release 11 — 12 months, dose 2

2022-03-03

Symptoms: Nausea , Diarrhea upst stomach a lot of gas in stomach . Have 3 episodes lasting 4 days at a time . Had to have 3 Covid test cat scan and slot of labs

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	Abdominal discomfort	·	·	✓
SD	Diarrhoea	✓	·	✓
SD	Fatigue	✓	✓	✓
SD	Flatulence	·	·	✓
SD	Nausea	✓	·	✓
SD	Pain	✓	✓	✓
SD	SARS-CoV-2 test	·	·	✓
SRO	Balance disorder	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Multiple sclerosis	✓	✓	✓
SRO	Muscle spasms	✓	✓	✓
SRO	Neuralgia	✓	✓	✓
SRO	Pruritus	✓	✓	✓
SRO	Rash	✓	✓	✓
SRO	Skin exfoliation	✓	✓	✓

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