4HE-11566-46095

4 vaccinations 13 coded responses 27 check-ins 13 free-text entries 3 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 105 / NY
Registered: 2021-03-22

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

2021-03-22
Registered in v-safe
2021-03-22
Dose 1 — Moderna
2021-03-22
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-03-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Swelling · Fatigue or tiredness

Adult check-in
2021-03-25
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness, Diarrhea

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

Adult check-in
2021-03-27
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-07
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-04-12
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-04-19
Dose 2 — Moderna
2021-04-19
Health check-in — day 0, dose 2
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-04-20
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · Joint pains, Fatigue or tiredness

Adult check-in
2021-04-21
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Joint pains, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-04-22
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-23
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Poor · Site: Pain, Redness, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Feel very out of it, weak and dizzy at times.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-24
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-25
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-26
Health check-in — day 7, dose 2
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-05-03
Survey response — day 14, dose 2
MedDRA: Arthralgia, Fibromyalgia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Increased pain; arthritic and fibromyalgia.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-10
Survey response — day 21, dose 2
MedDRA: Fibromyalgia, Pain in extremity, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities

Free text: Worsening fibromyalgia and orthopedic pain.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-17
Survey response — day 28, dose 2
MedDRA: Gait disturbance, Joint stiffness, Pain — Feeling: Good · Be unable to do your normal daily activities

Free text: Pain, joint stiffness and sometimes swaying to one side when I am walking.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-24
Survey response — day 35, dose 2
MedDRA: Pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-31
Survey response — day 42, dose 2
MedDRA: Arthralgia, Arthritis, Bone marrow disorder, Bone marrow oedema, Borrelia test positive, Lyme disease, Pain, Vitamin D deficiency — Feeling: Fair · Be unable to do your normal daily activities

Free text: Pain and joint inflamation, bone marrow edema in my spine, vitamin D deficiency and positive lymes disease test ( test being redone because 1st part was positive and 2nd part eqivical.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-19
Survey response — 3 months, dose 2
MedDRA: Abdominal discomfort, Fatigue, Gastrooesophageal reflux disease, Office visit, Pain, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Fatigue, stomach upset,exacerbation of acid reflux, pain · Healthcare visit (other): Doctors office visit

MedDRA releases: 2024-11 · check-in free text available
2021-07-19
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)
2021-07-26
Call 1 — Left Voicemail
2021-10-18
Survey response — 6 months, dose 2
MedDRA: Abdominal operation, Infection, Wound — Feeling: Fair · Get care from a doctor or other healthcare professional · Hospitalization

Free text: Infection requiring abdominal surgery. Currently healing a open wound. Taking antibiotics.

MedDRA releases: 2024-11 · check-in free text available
2021-10-18
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

Hospitalization · 1 call case(s)
2021-10-19
Call 1 — Left Voicemail
2021-10-19
Call successful
Completed over the phone
2021-11-03
Dose 3 — Moderna
2022-04-06
Dose 4 — Moderna
2022-04-24
Survey response — 12 months, dose 2
MedDRA: Anaemia, Fatigue, Gastrointestinal disorder — Feeling: Fair · Be unable to do your normal daily activities

Free text: Anemia, fatigue and digestive issues. I received my 2nd Moderna booster. I don't believe that my health conditions are COVID related.

MedDRA releases: 2024-11 · check-in free text available
2022-05-01
Survey response — day 21, dose 4
MedDRA: Headache, Nasal congestion, Pre-existing disease, Respiratory tract congestion — Feeling: Fair · Be unable to do your normal daily activities

Free text: Nasal & head congestion and headaches which I believe is being caused by my allergies.

MedDRA releases: 2024-11 · check-in free text available
2022-05-06
Survey response — day 28, dose 4
MedDRA: Arthralgia, Myalgia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Muscular and arthritic pain which I believe is not related to my covid 2nd booster.

MedDRA releases: 2024-11 · check-in free text available
2022-05-18
Survey response — day 42, dose 4
MedDRA: Anxiety, Disturbance in attention, Fatigue, Irritability, Pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Increased pain, fatigue, irritability, inability to focus and anxiety.

MedDRA releases: 2024-11 · check-in free text available
2022-10-05
Survey response — 6 months, dose 4
MedDRA: Ageusia, Back pain, Cough, Fatigue, Pelvic pain, Pyrexia, Respiratory tract congestion — Feeling: Fair · 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: Back pain, pelvic pain, no sense of taste, congestion, coughing, fever and fatigue

MedDRA releases: 2024-11 · check-in free text available
2022-10-05
Report sent to call center — 6 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)
2022-10-06
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-22	Moderna
2	2021-04-19	Moderna
3	2021-11-03	Moderna	No
4	2022-04-06	Moderna	No

Call center

3 call center cases

2 successful · 1 unsuccessful

VAERS report filed, before or during a call: 2

See the call center timeline

Free text

Release 7 — days 1–6 daily, dose 2

2021-04-23

Systemic reaction (other): Feel very out of it, weak and dizzy at times.

Release 8 — day 14, dose 2

2021-05-03

Symptoms: Increased pain; arthritic and fibromyalgia.

Release 8 — day 21, dose 2

2021-05-10

Symptoms: Worsening fibromyalgia and orthopedic pain.

Release 8 — day 28, dose 2

2021-05-17

Symptoms: Pain, joint stiffness and sometimes swaying to one side when I am walking.

Release 8 — day 35, dose 2

2021-05-24

Symptoms: Pain

Release 8 — day 42, dose 2

2021-05-31

Symptoms: Pain and joint inflamation, bone marrow edema in my spine, vitamin D deficiency and positive lymes disease test ( test being redone because 1st part was positive and 2nd part eqivical.

Release 9 — 3 months, dose 2

2021-07-19

Symptoms: Fatigue, stomach upset,exacerbation of acid reflux, pain

Healthcare visit (other): Doctors office visit

Release 10 — 6 months, dose 2

2021-10-18

Symptoms: Infection requiring abdominal surgery. Currently healing a open wound. Taking antibiotics.

Release 11 — 12 months, dose 2

2022-04-24

Symptoms: Anemia, fatigue and digestive issues. I received my 2nd Moderna booster. I don't believe that my health conditions are COVID related.

Release 11 — day 21, dose 4

2022-05-01

Symptoms: Nasal & head congestion and headaches which I believe is being caused by my allergies.

Release 11 — day 28, dose 4

2022-05-06

Symptoms: Muscular and arthritic pain which I believe is not related to my covid 2nd booster.

Release 11 — day 42, dose 4

2022-05-18

Symptoms: Increased pain, fatigue, irritability, inability to focus and anxiety.

Release 12 — 6 months, dose 4

2022-10-05

Symptoms: Back pain, pelvic pain, no sense of taste, congestion, coughing, fever and fatigue

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	Abdominal discomfort	·	·	✓
SD	Abdominal operation	·	·	✓
SD	Ageusia	·	·	✓
SD	Anaemia	·	·	✓
SD	Anxiety	·	·	✓
SD	Arthralgia	✓	✓	✓
SD	Arthritis	✓	✓	✓
SD	Back pain	·	·	✓
SD	Bone marrow disorder	○	✓	○
SD	Bone marrow oedema	✓	·	✓
SD	Borrelia test positive	✓	·	✓
SD	Cough	·	·	✓
SD	Disturbance in attention	·	·	✓
SD	Fatigue	·	·	✓
SD	Fibromyalgia	✓	✓	✓
SD	Gait disturbance	✓	✓	✓
SD	Gastrointestinal disorder	·	·	✓
SD	Gastrooesophageal reflux disease	·	·	✓
SD	Headache	·	·	✓
SD	Infection	·	·	✓
SD	Irritability	·	·	✓
SD	Joint stiffness	✓	✓	✓
SD	Lyme disease	○	✓	○
SD	Myalgia	·	·	✓
SD	Nasal congestion	·	·	✓
SD	Pain	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SD	Pelvic pain	·	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Pyrexia	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	Vitamin D deficiency	✓	✓	✓
SD	Wound	·	·	✓
SRO	Dizziness	✓	✓	✓

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