4FA-31036-81396

2 vaccinations 13 coded responses 23 check-ins 13 free-text entries 2 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 775 / TX
Registered: 2021-12-29

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

2021-12-28
Dose 1 — Moderna
2021-12-29
Registered in v-safe
2021-12-29
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Rash, not including the immediate area around the injection site

Adult check-in
2021-12-31
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Rash, not including the immediate area around the injection site

Adult check-in
2022-01-01
Survey response — days 1–6 daily, dose 1
MedDRA: Unevaluable event — Feeling: Fair · Headache, Muscle or body aches

Free text: Throat

MedDRA releases: 2024-11 · check-in free text available
2022-01-02
Survey response — days 1–6 daily, dose 1
MedDRA: Paranasal sinus hypersecretion, Sinus congestion — Feeling: Poor · Headache

Free text: Runny congested sinuses

MedDRA releases: 2024-11 · check-in free text available
2022-01-03
Survey response — days 1–6 daily, dose 1
MedDRA: Respiratory tract congestion, SARS-CoV-2 test, Unevaluable event — Feeling: Poor · Headache, Fatigue or tiredness · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Systemic reaction (other): Congestion, throat · Healthcare visit (other): Went to get covid test

MedDRA releases: 2024-11 · check-in free text available
2022-01-03
Report sent to call center — days 1–6 daily, dose 1
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-01-04
Survey response — day 7, dose 1
MedDRA: Respiratory tract congestion — Feeling: Fair · Headache, Muscle or body aches

Free text: Congestion

MedDRA releases: 2024-11 · check-in free text available
2022-01-04
Call successful
Participant prefers to complete VAERS report online
2022-01-11
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2022-01-18
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2022-01-25
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2022-01-28
Dose 2 — Moderna
2022-01-28
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Muscle or body aches

Adult check-in
2022-01-29
Survey response — days 1–6 daily, dose 2
MedDRA: Malaise, Self-medication — Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Muscle or body aches

Free text: Feel like crap, taking tylenol every 6 hrs to feel better

MedDRA releases: 2024-11 · check-in free text available
2022-01-30
Survey response — days 1–6 daily, dose 2
MedDRA: Adverse reaction, Self-medication — Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Muscle or body aches, Rash, not including the immediate area around the injection site

Free text: Its mild because ive been taking tylenol and benadryl round the clock otherwise id be feeling like crap.

MedDRA releases: 2024-11 · check-in free text available
2022-01-31
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Self-medication — Feeling: Poor · Site: Pain · Fever · Headache, 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: Feeling worse today the 3rd day. Feel kinda lightheaded etc. Been taking tylenol and benadryl every 6 hrs for 2 days now. No wonder so many are not wanting to get the 3rd shot. Many have said how bad this vaccine makes them feel. For days not just 1

MedDRA releases: 2024-11 · check-in free text available
2022-02-01
Survey response — days 1–6 daily, dose 2
MedDRA: Malaise — Feeling: Fair · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Again day 4 feel like crap. Had to cancel an appointment because i didbt feel well enough to go. No wonder msny are not wanting to get the booster or trust this vaccine . Ive never felt bad for 4 days with other "vaccines

MedDRA releases: 2024-11 · check-in free text available
2022-02-02
Survey response — days 1–6 daily, dose 2
MedDRA: Feeling abnormal, Rash, Self-medication — Feeling: Poor · Fever · Headache, 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: Rash came back last night. Took benadryl. Woke up rash mostly gone. Generally feel not good. 5th day!!!!!

MedDRA releases: 2024-11 · check-in free text available
2022-02-03
Survey response — days 1–6 daily, dose 2
MedDRA: Malaise — Feeling: Poor · Fever · Chills, Headache, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: Day 6 still feel like crap. Great vaccine. Womt be taking booster

MedDRA releases: 2024-11 · check-in free text available
2022-02-04
Survey response — day 7, dose 2
MedDRA: Condition aggravated, Frustration tolerance decreased, Pharyngeal disorder, Pre-existing disease — Feeling: Poor · Headache, 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: Throat issues since first day. Like the long covid ive had for 6 months. Should have never gotten this vaccine. Has made my issues worse. Put that in your data, report. Yeah right. Very frustrating.

MedDRA releases: 2024-11 · check-in free text available
2022-02-11
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2022-02-18
Survey response — day 21, dose 2
MedDRA: Myalgia, Office visit, Pharyngeal inflammation — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Body/muscle aches. Throat inflammation · Healthcare visit (other): Ent dr.

MedDRA releases: 2024-11 · check-in free text available
2022-02-18
Report sent to call center — day 21, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2022-02-21
Call 1 — Could Not Reach Participant
2022-02-25
Survey response — day 28, dose 2
MedDRA: Adverse drug reaction, Office visit, Pain, Pharyngeal disorder — Feeling: Poor · Be unable to do your normal daily activities

Free text: Severe body aches. Throat issies. Trying various meds that i apparantly am reacting to . Was doing better until i took 2nd vaccine. 2 Drs warned me not to take it. Wish id of listened to them both. But then again was afraid of getting covid.

MedDRA releases: 2024-11 · check-in free text available
2022-02-25
Call 2 — Could Not Reach Participant
2022-03-04
Health check-in — day 35, dose 2
Feeling: Poor

Adult check-in
2022-03-11
Health check-in — day 42, dose 2
Feeling: Poor

Adult check-in
2022-04-29
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-12-28	Moderna	No
2	2022-01-28	Moderna	No

Call center

2 call center cases

1 successful · 1 unsuccessful

See the call center timeline

Free text

Release 10 — days 1–6 daily, dose 1

2022-01-01

Systemic reaction (other): Throat

2022-01-02

Systemic reaction (other): Runny congested sinuses

2022-01-03

Systemic reaction (other): Congestion, throat

Healthcare visit (other): Went to get covid test

Release 10 — day 7, dose 1

2022-01-04

Systemic reaction (other): Congestion

Release 11 — days 1–6 daily, dose 2

2022-01-29

Systemic reaction (other): Feel like crap, taking tylenol every 6 hrs to feel better

2022-01-30

Systemic reaction (other): Its mild because ive been taking tylenol and benadryl round the clock otherwise id be feeling like crap.

2022-01-31

Systemic reaction (other): Feeling worse today the 3rd day. Feel kinda lightheaded etc. Been taking tylenol and benadryl every 6 hrs for 2 days now. No wonder so many are not wanting to get the 3rd shot. Many have said how bad this vaccine makes them feel. For days not just 1 cut off by CDC

2022-02-01

Systemic reaction (other): Again day 4 feel like crap. Had to cancel an appointment because i didbt feel well enough to go. No wonder msny are not wanting to get the booster or trust this vaccine . Ive never felt bad for 4 days with other "vaccines

2022-02-02

Systemic reaction (other): Rash came back last night. Took benadryl. Woke up rash mostly gone. Generally feel not good. 5th day!!!!!

2022-02-03

Systemic reaction (other): Day 6 still feel like crap. Great vaccine. Womt be taking booster

Release 11 — day 7, dose 2

2022-02-04

Systemic reaction (other): Throat issues since first day. Like the long covid ive had for 6 months. Should have never gotten this vaccine. Has made my issues worse. Put that in your data, report. Yeah right. Very frustrating.

Release 11 — day 21, dose 2

2022-02-18

Symptoms: Body/muscle aches. Throat inflammation

Healthcare visit (other): Ent dr.

Release 11 — day 28, dose 2

2022-02-25

Symptoms: Severe body aches. Throat issies. Trying various meds that i apparantly am reacting to . Was doing better until i took 2nd vaccine. 2 Drs warned me not to take it. Wish id of listened to them both. But then again was afraid of getting covid.

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	·	·	✓
HCVO	SARS-CoV-2 test	·	·	✓
SD	Adverse drug reaction	·	·	✓
SD	Myalgia	·	·	✓
SD	Office visit	·	·	✓
SD	Pain	·	·	✓
SD	Pharyngeal disorder	·	·	✓
SD	Pharyngeal inflammation	·	·	✓
SRO	Adverse reaction	·	·	✓
SRO	Condition aggravated	·	·	✓
SRO	Dizziness	·	·	✓
SRO	Feeling abnormal	·	·	✓
SRO	Frustration tolerance decreased	·	·	✓
SRO	Malaise	·	·	✓
SRO	Paranasal sinus hypersecretion	·	·	✓
SRO	Pharyngeal disorder	·	·	✓
SRO	Pre-existing disease	·	·	✓
SRO	Rash	·	·	✓
SRO	Respiratory tract congestion	·	·	✓
SRO	Self-medication	·	·	✓
SRO	Sinus congestion	·	·	✓
SRO	Unevaluable event	·	·	✓

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