4MC-31127-98795

5 vaccinations 7 coded responses 38 check-ins 7 free-text entries 2 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 324 / FL
Registered: 2021-02-19

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

2021-01-08
Dose 1 — Moderna
2021-02-05
Dose 2 — Moderna
2021-02-19
Registered in v-safe
2021-02-19
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-26
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-05
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-12
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-19
Survey response — day 42, dose 2
MedDRA: Fatigue — Feeling: Fair · Be unable to work

Free text: Very fatigued

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-07
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-08
Survey response — 6 months, dose 2
MedDRA: Chills, Cough, Fatigue, Feeling abnormal, Headache, Infection, Pain, Rhinorrhoea — 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

Free text: This week headache(nonstop!), fatigue & aches, feeling really off.some chills,runny nose, slight cough.antigen test, negative, doctor said possible upper repiratory infection but does not feel like URI, i think breakthrough infection, headache still.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-08
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)
2021-10-02
Dose 3 — Moderna
2021-10-25
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-10-30
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-06
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-11-13
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2021-11-30
Call 2 — Requested Callback
2021-12-01
Call successful
Participant prefers to complete VAERS report online
2022-01-01
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-04-02
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-04-13
Dose 4 — Moderna
2022-04-15
Health check-in — days 1–6 daily, dose 4
Feeling: Poor · Site: Pain, Swelling · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2022-04-16
Health check-in — days 1–6 daily, dose 4
Feeling: Poor · Site: Pain, Swelling, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2022-04-18
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Itching · Fatigue or tiredness

Adult check-in
2022-04-19
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Itching · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-04-22
Health check-in — day 7, dose 4
Feeling: Good · Site: Pain, Itching · None

Adult check-in
2022-04-27
Survey response — day 14, dose 4
MedDRA: Exposure to SARS-CoV-2, Rhinorrhoea, Sneezing — Feeling: Good

Free text: Runny nose, sneezing, have had major exposure, very close contact, to someone who has now tested positive twice for Covid, I will take rapid test 2 days from now.

MedDRA releases: 2024-11 · check-in free text available
2022-05-04
Survey response — day 21, dose 4
MedDRA: Ageusia, Anosmia, Cough, Fatigue, Medical counselling, Oropharyngeal pain, Pyrexia, Rhinorrhoea, Sneezing — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Fever, runny nose, sneezing, sore throat, coughing, extreme fatigue, some loss of taste & smell, spoke w doctor's office

MedDRA releases: 2024-11 · check-in free text available
2022-05-11
Survey response — day 28, dose 4
MedDRA: Ageusia, Anosmia, Cough, Fatigue, Office visit, Rhinorrhoea, Sneezing — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Sneezing, runny nose, coughing, extreme fatigue, loss of smell & taste · Healthcare visit (other): Doctor office

MedDRA releases: 2024-11 · check-in free text available
2022-05-11
Report sent to call center — day 28, dose 4
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)
2022-05-12
Call 1 — Left Voicemail
2022-05-12
Call 1 — Left Voicemail
2022-05-18
Survey response — day 35, dose 4
MedDRA: Headache, Malaise — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Headaches now added to list of other covid symptoms

MedDRA releases: 2024-11 · check-in free text available
2022-05-19
Call successful
Participant prefers to complete VAERS report online
2022-05-28
Health check-in — day 42, dose 4
Feeling: Fair

Adult check-in
2022-07-13
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-09-27
Dose 5 — Moderna
2022-09-28
Survey response — days 1–6 daily, dose 5
MedDRA: No adverse event — Feeling: Fair · Site: Pain, Swelling · Fever · 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
2022-09-29
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Site: Pain, Swelling · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-09-30
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2022-10-01
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2022-10-02
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2022-10-03
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Fatigue or tiredness

Adult check-in
2022-10-05
Health check-in — day 7, dose 5
Feeling: Good · None

Adult check-in
2022-10-13
Health check-in — day 14, dose 5
Feeling: Good

Adult check-in
2022-10-18
Health check-in — day 21, dose 5
Feeling: Good

Adult check-in
2022-10-25
Health check-in — day 28, dose 5
Feeling: Good

Adult check-in
2022-11-02
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2022-11-08
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2022-12-27
Health check-in — 3 months, dose 5
Feeling: Good

Adult check-in
2023-03-28
Health check-in — 6 months, dose 5
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-08	Moderna
2	2021-02-05	Moderna
3	2021-10-02	Moderna	No
4	2022-04-13	Moderna	No
5	2022-09-27	Moderna	No

Call center

2 call center cases

2 successful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 6 — day 42, dose 2

2021-03-19

Symptoms: Very fatigued

Release 9 — 6 months, dose 2

2021-08-08

Symptoms: This week headache(nonstop!), fatigue & aches, feeling really off.some chills,runny nose, slight cough.antigen test, negative, doctor said possible upper repiratory infection but does not feel like URI, i think breakthrough infection, headache still. cut off by CDC

Release 11 — day 14, dose 4

2022-04-27

Symptoms: Runny nose, sneezing, have had major exposure, very close contact, to someone who has now tested positive twice for Covid, I will take rapid test 2 days from now.

Release 11 — day 21, dose 4

2022-05-04

Symptoms: Fever, runny nose, sneezing, sore throat, coughing, extreme fatigue, some loss of taste & smell, spoke w doctor's office

Release 11 — day 28, dose 4

2022-05-11

Symptoms: Sneezing, runny nose, coughing, extreme fatigue, loss of smell & taste

Healthcare visit (other): Doctor office

Release 11 — day 35, dose 4

2022-05-18

Symptoms: Headaches now added to list of other covid symptoms

Release 12 — days 1–6 daily, dose 5

2022-09-28

Systemic reaction (other): No

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	Ageusia	·	·	✓
SD	Anosmia	·	·	✓
SD	Chills	✓	·	✓
SD	Cough	✓	·	✓
SD	Exposure to SARS-CoV-2	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Feeling abnormal	✓	·	✓
SD	Headache	✓	·	✓
SD	Infection	✓	·	✓
SD	Malaise	·	·	✓
SD	Medical counselling	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pain	✓	·	✓
SD	Pyrexia	·	·	✓
SD	Rhinorrhoea	✓	·	✓
SD	Sneezing	·	·	✓
SRO	No adverse event	·	·	✓

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