49V-63608-34108

5 vaccinations 11 coded responses 35 check-ins 11 free-text entries 2 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 084 / NJ
Registered: 2021-02-05

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

2021-02-05
Registered in v-safe
2021-02-05
Dose 1 — Moderna
2021-02-05
Survey response — day 0, dose 1
MedDRA: Pain in extremity — Feeling: Fair · Headache

Free text: Sore arm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-06
Survey response — days 1–6 daily, dose 1
MedDRA: Dyspnoea — Feeling: Poor · Be unable to do your normal daily activities

Free text: Trouble breathing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-07
Survey response — days 1–6 daily, dose 1
MedDRA: Hyperventilation — Feeling: Fair · Headache

Free text: Breathing is better but still heavy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-08
Survey response — days 1–6 daily, dose 1
MedDRA: Dyspnoea — Feeling: Fair · Muscle or body aches

Free text: Still feel labored breathing

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

Free text: Breathing is better

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-10
Survey response — days 1–6 daily, dose 1
MedDRA: Dyspnoea — Feeling: Good · Site: Itching

Free text: Slight breathing issues

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
2021-02-26
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-05
Dose 2 — Moderna
2021-03-05
Health check-in — day 0, dose 2
Feeling: Fair · Site: Itching · Headache, Fatigue or tiredness

Adult check-in
2021-03-06
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work

Adult check-in
2021-03-07
Survey response — days 1–6 daily, dose 2
MedDRA: Ear discomfort — Feeling: Poor · Site: Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work

Free text: Burning in ears

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-08
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Chills, Headache, Muscle or body aches

Adult check-in
2021-03-09
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Muscle or body aches, Nausea

Adult check-in
2021-03-10
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-12
Health check-in — day 7, dose 2
Feeling: Good · Muscle or body aches

Adult check-in
2021-03-19
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-26
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-02
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-09
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-16
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-05
Survey response — 3 months, dose 2
MedDRA: Office visit, Reactive airways dysfunction syndrome — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Reactive airway problems · Healthcare visit (other): Pulmonologist

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-05
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-09-03
Survey response — 6 months, dose 2
MedDRA: Asthma, Pre-existing disease, Respiratory disorder — Feeling: Fair

Free text: Respiratory issues asthma . I am amino compromised ( celiac disease and uc ) when can I get booster ?

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-09-28
Dose 3 — Moderna
2021-10-28
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-02
Health check-in — day 35, dose 3
Feeling: Fair

Adult check-in
2021-11-09
Survey response — day 42, dose 3
MedDRA: Asthma, Dyspnoea, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Asthma trouble breathing more than usual · Healthcare visit (other): Visit pulmonologist

MedDRA releases: 2024-11 · check-in free text available
2021-11-09
Report sent to call center — day 42, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2021-11-10
Call successful
Participant prefers to complete VAERS report online
2021-12-28
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-05-12
Dose 4 — Moderna
2022-05-15
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Headache, Joint pains

Adult check-in
2022-05-18
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Headache, Joint pains

Adult check-in
2022-05-21
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-06-04
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-06-11
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-06-24
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-10-01
Dose 5 — Pfizer-BioNTech
2022-10-09
Health check-in — day 7, dose 5
Feeling: Good · None

Adult check-in
2022-10-15
Survey response — day 14, dose 5
MedDRA: Asthma, Bone pain, Dyspnoea, Malaise, Nausea, Pyrexia — Feeling: Fair

Free text: I was sick for 4 days trouble breathing - have asthma . Nausea aching bones and fever

MedDRA releases: 2024-11 · check-in free text available
2022-10-22
Health check-in — day 21, dose 5
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-05	Moderna
2	2021-03-05	Moderna
3	2021-09-28	Moderna	No
4	2022-05-12	Moderna	No
5	2022-10-01	Pfizer-BioNTech	No

Call center

2 call center cases

2 successful

See the call center timeline

Free text

Release 3 — day 0, dose 1

2021-02-05

Systemic reaction (other): Sore arm

Release 3 — days 1–6 daily, dose 1

2021-02-06

Systemic reaction (other): Trouble breathing

2021-02-07

Systemic reaction (other): Breathing is better but still heavy

2021-02-08

Systemic reaction (other): Still feel labored breathing

2021-02-09

Systemic reaction (other): Breathing is better

Release 4 — days 1–6 daily, dose 1

2021-02-10

Systemic reaction (other): Slight breathing issues

Release 5 — days 1–6 daily, dose 2

2021-03-07

Systemic reaction (other): Burning in ears

Release 8 — 3 months, dose 2

2021-06-05

Symptoms: Reactive airway problems

Healthcare visit (other): Pulmonologist

Release 9 — 6 months, dose 2

2021-09-03

Symptoms: Respiratory issues asthma . I am amino compromised ( celiac disease and uc ) when can I get booster ?

Release 10 — day 42, dose 3

2021-11-09

Symptoms: Asthma trouble breathing more than usual

Healthcare visit (other): Visit pulmonologist

Release 12 — day 14, dose 5

2022-10-15

Symptoms: I was sick for 4 days trouble breathing - have asthma . Nausea aching bones and fever

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	✓	✓	✓
SD	Asthma	✓	·	✓
SD	Bone pain	·	·	✓
SD	Dyspnoea	·	·	✓
SD	Malaise	·	·	✓
SD	Nausea	·	·	✓
SD	Pre-existing disease	✓	·	✓
SD	Pyrexia	·	·	✓
SD	Reactive airways dysfunction syndrome	✓	✓	✓
SD	Respiratory disorder	✓	·	✓
SRO	Adverse reaction	✓	✓	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Ear discomfort	✓	✓	✓
SRO	Hyperventilation	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓

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