4QB-26459-21730

4 vaccinations 9 coded responses 33 check-ins 8 free-text entries 1 call case

Sex: Female
Age at first dose: 66+
ZIP prefix: 945 / CA
Registered: 2021-02-09

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

2021-02-06
Dose 1 — Moderna
2021-02-09
Registered in v-safe
2021-02-09
Survey response — days 1–6 daily, dose 1
MedDRA: Fatigue, Headache, Myalgia — Feeling: Good · Fatigue or tiredness

Free text: I had a slight headache and muscle aches 29 hours after the injection and was a little tired for two days

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-13
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-20
Survey response — day 14, dose 1
MedDRA: Pre-existing disease — Feeling: Good

Free text: My hands are arthritic in the morning. My second vaccination is scheduled 40 days after the first one

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-27
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-06
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-03-10
Dose 2 — Moderna
2021-03-13
Survey response — days 1–6 daily, dose 2
MedDRA: Chills, Fatigue, Headache, Nausea, Nightmare, Pyrexia, Thirst — Feeling: Fair · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: On 10th day of 2nd injection had nausea fatigue headache culls fever nightmares extreme thirst

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-14
Survey response — days 1–6 daily, dose 2
MedDRA: Malaise — Feeling: Good

Free text: I appreciate the mfg and distribution of the vaccine ever after getting sick from it

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-17
Health check-in — day 7, dose 2
Feeling: Good · Muscle or body aches

Adult check-in
2021-03-24
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-31
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-07
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-14
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-04-21
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-06-09
Survey response — 3 months, dose 2
MedDRA: Arthralgia, Basal cell carcinoma, Fatigue, Plantar fasciitis — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Joint pains. Planter fasciitis. Two basal cells. Tiredness

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

1 call case(s)
2021-09-08
Survey response — 6 months, dose 2
MedDRA: Pain, Palpitations, Pyrexia — Feeling: Good · Be unable to do your normal daily activities

Free text: I got the annual senior flu shot and had low fever aches and pains and racing heart that lasted four hours during the night. Ok mid day following previous days shot.

MedDRA releases: 2024-11 · check-in free text available
2021-11-18
Call successful
Does not wish to fill out VAERS report
2021-12-03
Dose 3 — Moderna
2022-10-03
Dose 4 — Moderna
2022-10-04
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-10-06
Survey response — days 1–6 daily, dose 4
MedDRA: Fungal infection, Migraine — Feeling: Fair · Headache

Free text: Yeast infection, migraine

MedDRA releases: 2024-11 · check-in free text available
2022-10-07
Survey response — days 1–6 daily, dose 4
MedDRA: Paranasal sinus discomfort — Feeling: Fair · Headache, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Free text: Sinus pressure

MedDRA releases: 2024-11 · check-in free text available
2022-10-08
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2022-10-09
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-10-10
Health check-in — day 7, dose 4
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2022-10-17
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-10-24
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-10-31
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-11-07
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-11-14
Health check-in — day 42, dose 4
Feeling: Fair

Adult check-in
2023-01-02
Survey response — 3 months, dose 4
MedDRA: SARS-CoV-2 test positive — Feeling: Fair · Be unable to do your normal daily activities

MedDRA releases: 2024-11
2023-04-03
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-06	Moderna
2	2021-03-10	Moderna
3	2021-12-03	Moderna	No
4	2022-10-03	Moderna	No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 3 — days 1–6 daily, dose 1

2021-02-09

Systemic reaction (other): I had a slight headache and muscle aches 29 hours after the injection and was a little tired for two days

Release 4 — day 14, dose 1

2021-02-20

Symptoms: My hands are arthritic in the morning. My second vaccination is scheduled 40 days after the first one

Release 5 — days 1–6 daily, dose 2

2021-03-13

Systemic reaction (other): On 10th day of 2nd injection had nausea fatigue headache culls fever nightmares extreme thirst

2021-03-14

Systemic reaction (other): I appreciate the mfg and distribution of the vaccine ever after getting sick from it

Release 9 — 3 months, dose 2

2021-06-09

Symptoms: Joint pains. Planter fasciitis. Two basal cells. Tiredness

Release 9 — 6 months, dose 2

2021-09-08

Symptoms: I got the annual senior flu shot and had low fever aches and pains and racing heart that lasted four hours during the night. Ok mid day following previous days shot.

Release 12 — days 1–6 daily, dose 4

2022-10-06

Systemic reaction (other): Yeast infection, migraine

2022-10-07

Systemic reaction (other): Sinus pressure

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
SD	Arthralgia	✓	✓	✓
SD	Basal cell carcinoma	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Pain	·	·	✓
SD	Palpitations	·	·	✓
SD	Plantar fasciitis	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Pyrexia	·	·	✓
SD	SARS-CoV-2 test positive	·	·	✓
SRO	Chills	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Fungal infection	·	·	✓
SRO	Headache	✓	✓	✓
SRO	Malaise	✓	✓	✓
SRO	Migraine	·	·	✓
SRO	Myalgia	✓	✓	✓
SRO	Nausea	✓	✓	✓
SRO	Nightmare	✓	✓	✓
SRO	Paranasal sinus discomfort	·	·	✓
SRO	Pyrexia	✓	✓	✓
SRO	Thirst	✓	✓	✓

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