4DQ-33960-03410

2 vaccinations 8 coded responses 24 check-ins 8 free-text entries 5 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 810 / CO
Registered: 2021-02-19

Relationship: Self
Race: White
Ethnicity: Hispanic or Latino

Timeline

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

2021-02-18
Dose 1 — Moderna
2021-02-19
Registered in v-safe
2021-02-19
Survey response — days 1–6 daily, dose 1
MedDRA: Rash — Feeling: Good · Site: Pain, Itching · Rash, not including the immediate area around the injection site

Free text: Got a rash on my other arm after doing dishes yesterday... But it jas gone away.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-20
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-21
Survey response — days 1–6 daily, dose 1
MedDRA: Fatigue, Pain, Pre-existing disease, Pruritus — Feeling: Good · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Feel tired , body aches and itchy. May be due to my Seasonal Allergies

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-25
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-04
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-11
Survey response — day 21, dose 1
MedDRA: Chest pain, Chills, Headache — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Mild chest pain , headache and chills..May be due to my Seasonal allergies or may have pulled a muscle

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-11
Report sent to call center — day 21, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-20
Dose 2 — Moderna
2021-03-20
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-03-21
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-03-22
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work

Adult check-in
2021-03-23
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-03-24
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-25
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Itching · None

Adult check-in
2021-03-26
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-27
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-03
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-12
Survey response — day 21, dose 2
MedDRA: Fatigue — Feeling: Good

Free text: Feeling tired

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-18
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-04-24
Survey response — day 35, dose 2
MedDRA: Mood altered — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Feeling moody

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-24
Report sent to call center — day 35, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-01
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-19
Survey response — 3 months, dose 2
MedDRA: Fatigue, Vertigo — Feeling: Good · 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: Had Vertigo for a week..Get tired.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-19
Report sent to call center — 3 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

1 call case(s)
2021-06-21
Call 1 — Left Voicemail
2021-06-21
Call successful
Does not wish to fill out VAERS report
2021-09-18
Survey response — 6 months, dose 2
MedDRA: Fatigue, Impaired work ability, Migraine, Office visit, Vertigo — Feeling: Good · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: I had to go to the doctor and was out of work for a week due to Vertigo...Feel more tired than usual, get migraines.

MedDRA releases: 2024-11 · check-in free text available
2021-09-18
Report sent to call center — 6 months, dose 2
Be unable to work or attend school · Get care from a doctor or other healthcare professional

1 call case(s)
2021-09-22
Call 1 — Left Voicemail
2022-03-20
Survey response — 12 months, dose 2
MedDRA: Drooling, Headache — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Head aches and some mouth drools

MedDRA releases: 2024-11 · check-in free text available
2022-03-20
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)
2022-03-22
Call 1 — Left Voicemail
2022-03-22
Call successful
Participant prefers to complete VAERS report online

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-18	Moderna
2	2021-03-20	Moderna

Call center

5 call center cases

5 successful

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-19

Systemic reaction (other): Got a rash on my other arm after doing dishes yesterday... But it jas gone away.

2021-02-21

Systemic reaction (other): Feel tired , body aches and itchy. May be due to my Seasonal Allergies

Release 5 — day 21, dose 1

2021-03-11

Symptoms: Mild chest pain , headache and chills..May be due to my Seasonal allergies or may have pulled a muscle

Release 7 — day 21, dose 2

2021-04-12

Symptoms: Feeling tired

Release 7 — day 35, dose 2

2021-04-24

Symptoms: Feeling moody

Release 9 — 3 months, dose 2

2021-06-19

Symptoms: Had Vertigo for a week..Get tired.

Release 9 — 6 months, dose 2

2021-09-18

Symptoms: I had to go to the doctor and was out of work for a week due to Vertigo...Feel more tired than usual, get migraines.

Release 11 — 12 months, dose 2

2022-03-20

Symptoms: Head aches and some mouth drools

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	Chest pain	✓	✓	✓
SD	Chills	✓	✓	✓
SD	Drooling	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Impaired work ability	·	·	✓
SD	Migraine	·	·	✓
SD	Mood altered	✓	✓	✓
SD	Office visit	·	·	✓
SD	Vertigo	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Pruritus	✓	✓	✓
SRO	Rash	✓	✓	✓

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