4LF-24532-93738

2 vaccinations 8 coded responses 21 check-ins 8 free-text entries 4 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 300 / GA
Registered: 2021-01-21

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

2021-01-21
Registered in v-safe
2021-01-21
Dose 1 — Moderna
2021-01-22
Survey response — days 1–6 daily, dose 1
MedDRA: Oxygen saturation decreased — Feeling: Good · Site: Pain · Headache, Fatigue or tiredness

Free text: Oxygen level was low 90-95

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-23
Survey response — days 1–6 daily, dose 1
MedDRA: Oxygen saturation decreased — Feeling: Good · Fatigue or tiredness

Free text: Oxygen level slightly low

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-28
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-04
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-12
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-18
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-02-23
Dose 2 — Moderna
2021-02-25
Survey response — days 1–6 daily, dose 2
MedDRA: Office visit — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Dr Office

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-25
Report sent to call center — days 1–6 daily, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-26
Survey response — days 1–6 daily, dose 2
MedDRA: Cellulitis, Office visit — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Cellulitis · Healthcare visit (other): Dr

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-26
Report sent to call center — days 1–6 daily, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-27
Survey response — days 1–6 daily, dose 2
MedDRA: Cellulitis — Feeling: Fair · Site: Redness · Fatigue or tiredness

Free text: Cellulitis

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-28
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness · Fatigue or tiredness

Adult check-in
2021-03-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness · Fatigue or tiredness

Adult check-in
2021-03-02
Health check-in — day 7, dose 2
Feeling: Good · Site: Redness · Fatigue or tiredness

Adult check-in
2021-03-09
Survey response — day 14, dose 2
MedDRA: Headache, Office visit, Pyrexia, SARS-CoV-2 test, Sinusitis — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Symptoms: Fever. Headache. Sinus infection. · Healthcare visit (other): Dr office outside COVID test

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-09
Report sent to call center — day 14, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-16
Survey response — day 21, dose 2
MedDRA: Arthritis, Ear infection, Pyrexia, Sinusitis, Temporomandibular joint syndrome, Vertigo — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities

Free text: Fever. Sinusitis. Double Ear infection. TMJ joint inflamed. Vertigo

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-23
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-30
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-06
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-08-25
Survey response — 6 months, dose 2
MedDRA: Blood calcium decreased, Blood electrolytes decreased, Blood sodium decreased, Brain stent insertion, Cerebrovascular accident, Fatigue, Hypertension, Intracranial aneurysm, Medical counselling, Procedural complication — Feeling: Fair · 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, Hospitalization

Free text: Symptoms: Brain aneurism - procedure to put in 2 stints. Stroke during the procedure. High blood pressure. Low calcium sodium - electrolytes. Fatigue. Start to feel better then something else continues to happen. · Healthcare visit (other): Home healthcare

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-25
Report sent to call center — 6 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)
2021-08-27
Call successful
Participant prefers to complete VAERS report online

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-21	Moderna
2	2021-02-23	Moderna

Call center

4 call center cases

4 successful

See the call center timeline

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-22

Systemic reaction (other): Oxygen level was low 90-95

2021-01-23

Systemic reaction (other): Oxygen level slightly low

Release 4 — days 1–6 daily, dose 2

2021-02-25

Healthcare visit (other): Dr Office

2021-02-26

Systemic reaction (other): Cellulitis

Healthcare visit (other): Dr

2021-02-27

Systemic reaction (other): Cellulitis

Release 5 — day 14, dose 2

2021-03-09

Symptoms: Fever. Headache. Sinus infection.

Healthcare visit (other): Dr office outside COVID test

Release 5 — day 21, dose 2

2021-03-16

Symptoms: Fever. Sinusitis. Double Ear infection. TMJ joint inflamed. Vertigo

Release 9 — 6 months, dose 2

2021-08-25

Symptoms: Brain aneurism - procedure to put in 2 stints. Stroke during the procedure. High blood pressure. Low calcium sodium - electrolytes. Fatigue. Start to feel better then something else continues to happen.

Healthcare visit (other): Home healthcare

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	Medical counselling	✓	·	✓
HCVO	Office visit	✓	✓	✓
HCVO	SARS-CoV-2 test	✓	✓	✓
SD	Arthritis	✓	·	✓
SD	Blood calcium decreased	✓	·	✓
SD	Blood electrolytes decreased	✓	·	✓
SD	Blood sodium decreased	✓	·	✓
SD	Brain stent insertion	✓	·	✓
SD	Cerebrovascular accident	✓	·	✓
SD	Ear infection	✓	✓	✓
SD	Fatigue	✓	·	✓
SD	Headache	✓	✓	✓
SD	Hypertension	✓	·	✓
SD	Intracranial aneurysm	✓	·	✓
SD	Procedural complication	✓	·	✓
SD	Pyrexia	✓	✓	✓
SD	Sinusitis	✓	✓	✓
SD	Temporomandibular joint syndrome	○	✓	○
SD	Vertigo	✓	·	✓
SRO	Cellulitis	✓	✓	✓
SRO	Oxygen saturation decreased	✓	✓	✓

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