4H5-32810-83427

4 vaccinations 22 coded responses 29 check-ins 21 free-text entries 4 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 601 / IL
Registered: 2021-03-31

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

2021-03-01
Dose 1 — Moderna
2021-03-29
Dose 2 — Moderna
2021-03-31
Registered in v-safe
2021-03-31
Survey response — days 1–6 daily, dose 2
MedDRA: Chills, Fatigue, Influenza, Nasopharyngitis, Pain, Pyrexia, Sinus disorder — Feeling: Fair · Site: Itching · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Yesterday, the day after my shot, I had a fever of 102 all day, body aches, chills, fatigue. Today I also have some sinus problems, like it started as a flu but ended up a mild cold. Today is mild, yesterday was terrible.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-01
Survey response — days 1–6 daily, dose 2
MedDRA: Nasopharyngitis, Sinus disorder — Feeling: Good · Site: Pain, Redness, Itching · Joint pains, Fatigue or tiredness

Free text: Slight sign of a head cold or sinus issue but extremely mild. Could be allergies.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-03
Survey response — days 1–6 daily, dose 2
MedDRA: Sinus disorder — Feeling: Good

Free text: Sinus issues.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-04
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Good

Free text: Some mild lightheadedness.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-28
Survey response — 3 months, dose 2
MedDRA: Neuropathy peripheral, Unevaluable event — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Neuropathy in right foot. · Healthcare visit (other): Appt is in 2 weeks.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-28
Report sent to call center — 3 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-02
Call 2 — Left Voicemail
2021-09-27
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-27
Dose 3 — Moderna
2021-10-28
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain, Redness · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-10-29
Survey response — days 1–6 daily, dose 3
MedDRA: Body temperature increased, Self-medication — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Headache, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Free text: Took Tylenol which brought fever down somewhat. Lingering a bit around 99.

MedDRA releases: 2024-11 · check-in free text available
2021-10-30
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Itching · Headache

Adult check-in
2021-10-31
Survey response — days 1–6 daily, dose 3
MedDRA: Headache, Nasopharyngitis, Pre-existing disease — Feeling: Good · Site: Redness · Headache

Free text: Headache might be from a lingering cold or auto immune issues. Very mild in the morning. Goes away during the day.

MedDRA releases: 2024-11 · check-in free text available
2021-11-11
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-18
Survey response — day 21, dose 3
MedDRA: Condition aggravated, Pre-existing disease, Sinus disorder, Vaccine positive rechallenge — Feeling: Fair

Free text: I get a sinus problem for weeks after I get the vaccine. It's not horrendous, but it lasts a while. Happened after 2nd and 3rd shots. Aggravated because I use cpap. Might be an auto immune reaction. I have Hashimotos. Goes away after a month or so.

MedDRA releases: 2024-11 · check-in free text available
2021-11-24
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-08
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-28
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-04-27
Survey response — 6 months, dose 3
MedDRA: Morton's neuralgia, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: I have been diagnosed with Morton's neuroma. It started after my second vaccine. Don't know whether it's coincidence or not. · Healthcare visit (other): Diagnostic ultrasound

MedDRA releases: 2024-11 · check-in free text available
2022-04-27
Report sent to call center — 6 months, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2022-04-28
Call 1 — Left Voicemail
2022-05-18
Dose 4 — Moderna
2022-05-18
Survey response — day 0, dose 4
MedDRA: Fatigue, Pain — Feeling: Good

Free text: Second shingles shot one month ago. Had mild symptoms, fatigue body aches the next day.

MedDRA releases: 2024-11 · check-in free text available
2022-05-19
Survey response — days 1–6 daily, dose 4
MedDRA: No adverse event — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: No

MedDRA releases: 2024-11 · check-in free text available
2022-05-20
Survey response — days 1–6 daily, dose 4
MedDRA: Nasopharyngitis, Pre-existing disease, Pyrexia, Vaccine positive rechallenge — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Yesterday after my check in was when my fever went up. It has gone down now. But I feel like I just have a sinus cold. Happens after my Covid shots. I think it's just the hit to my immune system. I am auto immune so these boosts hit hard.

MedDRA releases: 2024-11 · check-in free text available
2022-05-21
Survey response — days 1–6 daily, dose 4
MedDRA: Immunisation reaction, Pyrexia, Self-medication — Feeling: Fair · Site: Pain, Redness, Swelling, Itching

Free text: Yesterday after visage check, fever went to 100.3. Took Tylenol. Also last night took fexofenadine for sever covid arm reaction.

MedDRA releases: 2024-11 · check-in free text available
2022-05-22
Survey response — days 1–6 daily, dose 4
MedDRA: Immunisation reaction, Self-medication — Feeling: Fair · Site: Redness, Swelling, Itching

Free text: Still 3 inch diam. Covid arm. Treating with fexofenadine and topical hydracotisone cream. Mild improvement.

MedDRA releases: 2024-11 · check-in free text available
2022-05-23
Survey response — days 1–6 daily, dose 4
MedDRA: Immunisation reaction, Pruritus, Self-medication — Feeling: Fair · Site: Pain, Redness, Swelling, Itching

Free text: Still taking fexofenadine for itchy covid arm. And applying hydrocortisone cream.

MedDRA releases: 2024-11 · check-in free text available
2022-05-24
Survey response — days 1–6 daily, dose 4
MedDRA: Immunisation reaction, Rash — Feeling: Fair · Site: Redness, Itching

Free text: Still taking fexofenadine and using cortisone cream for covid arm rash. My reaction to these shots has progressively gotten worse. I'm ok, but afraid to continue vaccines.

MedDRA releases: 2024-11 · check-in free text available
2022-05-25
Survey response — day 7, dose 4
MedDRA: Unevaluable event — Feeling: Fair · Site: Redness, Itching

Free text: Stopped fexofenadine for arm because my mouth was too dry at night. Still using hydrocortisone cream.

MedDRA releases: 2024-11 · check-in free text available
2022-06-01
Survey response — day 14, dose 4
MedDRA: Condition aggravated, Immunisation reaction, Pre-existing disease, Pruritus, Reaction to previous exposure to any vaccine — Feeling: Fair

Free text: Still have a red mark on my arm from covid arm. It occasionally itches. I had to decrease my thyroid medication. This has happened before after a covid shot. Hard to stabilize my autoimmune thyroid condition. Have to monitor.

MedDRA releases: 2024-11 · check-in free text available
2022-06-10
Survey response — day 21, dose 4
MedDRA: Blood thyroid stimulating hormone increased, Dizziness, Injection site erythema, Phlebitis, Rash macular — Feeling: Fair

Free text: I have some lightheadedness. For the past few days. My thyroid TSH is too high so maybe there's a problem there. Also developed some minor phlebitis on top of left hand. Still have light red blotches where I got the shot.

MedDRA releases: 2024-11 · check-in free text available
2022-06-20
Survey response — day 28, dose 4
MedDRA: Dizziness, Headache — Feeling: Fair · Be unable to do your normal daily activities

Free text: Still having issues with lightheadedness and headaches on one side. I'm never getting another booster. I think it causes autoimmune flare up. I don't know if/when this will calm down. Neither do doctors. I function but it's terrible.

MedDRA releases: 2024-11 · check-in free text available
2022-06-22
Survey response — day 35, dose 4
MedDRA: Balance disorder, Dizziness, Headache, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: Ongoing headaches lightheadedness and disequilibrium. Scheduled physical. Not til August. · Healthcare visit (other): Scheduled complete blood work

MedDRA releases: 2024-11 · check-in free text available
2022-06-22
Report sent to call center — day 35, dose 4
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-06-23
Call 1 — Left Voicemail
2022-06-23
Call 2 — Left Voicemail
2022-06-23
Call 1 — Left Voicemail
2022-06-23
Call successful
Participant prefers to complete VAERS report online
2022-06-23
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-06-23
Call successful
Participant prefers to complete VAERS report online
2023-05-20
Survey response — 12 months, dose 4
MedDRA: Immune system disorder, Thyroid disorder, Urinary tract infection — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

MedDRA releases: 2024-11
2023-05-20
Report sent to call center — 12 months, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2023-05-23
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-01	Moderna
2	2021-03-29	Moderna
3	2021-10-27	Moderna	No
4	2022-05-18	Moderna	No

Call center

4 call center cases

3 successful · 1 unsuccessful

See the call center timeline

Free text

Release 6 — days 1–6 daily, dose 2

2021-03-31

Systemic reaction (other): Yesterday, the day after my shot, I had a fever of 102 all day, body aches, chills, fatigue. Today I also have some sinus problems, like it started as a flu but ended up a mild cold. Today is mild, yesterday was terrible.

2021-04-01

Systemic reaction (other): Slight sign of a head cold or sinus issue but extremely mild. Could be allergies.

2021-04-03

Systemic reaction (other): Sinus issues.

2021-04-04

Systemic reaction (other): Some mild lightheadedness.

Release 9 — 3 months, dose 2

2021-06-28

Symptoms: Neuropathy in right foot.

Healthcare visit (other): Appt is in 2 weeks.

Release 10 — days 1–6 daily, dose 3

2021-10-29

Systemic reaction (other): Took Tylenol which brought fever down somewhat. Lingering a bit around 99.

2021-10-31

Systemic reaction (other): Headache might be from a lingering cold or auto immune issues. Very mild in the morning. Goes away during the day.

Release 10 — day 21, dose 3

2021-11-18

Symptoms: I get a sinus problem for weeks after I get the vaccine. It's not horrendous, but it lasts a while. Happened after 2nd and 3rd shots. Aggravated because I use cpap. Might be an auto immune reaction. I have Hashimotos. Goes away after a month or so. cut off by CDC

Release 11 — 6 months, dose 3

2022-04-27

Symptoms: I have been diagnosed with Morton's neuroma. It started after my second vaccine. Don't know whether it's coincidence or not.

Healthcare visit (other): Diagnostic ultrasound

Release 11 — day 0, dose 4

2022-05-18

Systemic reaction (other): Second shingles shot one month ago. Had mild symptoms, fatigue body aches the next day.

Release 11 — days 1–6 daily, dose 4

2022-05-19

Systemic reaction (other): No

2022-05-20

Systemic reaction (other): Yesterday after my check in was when my fever went up. It has gone down now. But I feel like I just have a sinus cold. Happens after my Covid shots. I think it's just the hit to my immune system. I am auto immune so these boosts hit hard.

2022-05-21

Systemic reaction (other): Yesterday after visage check, fever went to 100.3. Took Tylenol. Also last night took fexofenadine for sever covid arm reaction.

2022-05-22

Systemic reaction (other): Still 3 inch diam. Covid arm. Treating with fexofenadine and topical hydracotisone cream. Mild improvement.

2022-05-23

Systemic reaction (other): Still taking fexofenadine for itchy covid arm. And applying hydrocortisone cream.

2022-05-24

Systemic reaction (other): Still taking fexofenadine and using cortisone cream for covid arm rash. My reaction to these shots has progressively gotten worse. I'm ok, but afraid to continue vaccines.

Release 11 — day 7, dose 4

2022-05-25

Systemic reaction (other): Stopped fexofenadine for arm because my mouth was too dry at night. Still using hydrocortisone cream.

Release 11 — day 14, dose 4

2022-06-01

Symptoms: Still have a red mark on my arm from covid arm. It occasionally itches. I had to decrease my thyroid medication. This has happened before after a covid shot. Hard to stabilize my autoimmune thyroid condition. Have to monitor.

Release 12 — day 21, dose 4

2022-06-10

Symptoms: I have some lightheadedness. For the past few days. My thyroid TSH is too high so maybe there's a problem there. Also developed some minor phlebitis on top of left hand. Still have light red blotches where I got the shot.

Release 12 — day 28, dose 4

2022-06-20

Symptoms: Still having issues with lightheadedness and headaches on one side. I'm never getting another booster. I think it causes autoimmune flare up. I don't know if/when this will calm down. Neither do doctors. I function but it's terrible.

Release 12 — day 35, dose 4

2022-06-22

Symptoms: Ongoing headaches lightheadedness and disequilibrium. Scheduled physical. Not til August.

Healthcare visit (other): Scheduled complete blood work

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	Balance disorder	·	·	✓
SD	Blood thyroid stimulating hormone increased	·	·	✓
SD	Condition aggravated	·	·	✓
SD	Dizziness	·	·	✓
SD	Headache	·	·	✓
SD	Immune system disorder	·	·	✓
SD	Immunisation reaction	·	·	✓
SD	Injection site erythema	·	·	✓
SD	Morton's neuralgia	·	·	✓
SD	Neuropathy peripheral	✓	✓	✓
SD	Phlebitis	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Pruritus	·	·	✓
SD	Rash macular	·	·	✓
SD	Reaction to previous exposure to any vaccine	·	·	✓
SD	Sinus disorder	·	·	✓
SD	Thyroid disorder	·	·	✓
SD	Urinary tract infection	·	·	✓
SD	Vaccine positive rechallenge	·	·	✓
SRO	Body temperature increased	·	·	✓
SRO	Chills	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Headache	·	·	✓
SRO	Immunisation reaction	·	·	✓
SRO	Influenza	✓	✓	✓
SRO	Nasopharyngitis	✓	✓	✓
SRO	No adverse event	·	·	✓
SRO	Pain	✓	✓	✓
SRO	Pre-existing disease	·	·	✓
SRO	Pruritus	·	·	✓
SRO	Pyrexia	✓	✓	✓
SRO	Rash	·	·	✓
SRO	Self-medication	·	·	✓
SRO	Sinus disorder	✓	✓	✓
SRO	Unevaluable event	·	·	✓
SRO	Vaccine positive rechallenge	·	·	✓

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