4XG-21154-52430

2 vaccinations 10 coded responses 14 check-ins 10 free-text entries 5 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 027 / MA
Registered: 2020-12-30

Relationship: Self
Race: White
Ethnicity: N/A

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2020-12-29
Dose 1 — Moderna
2020-12-30
Registered in v-safe
2020-12-30
Survey response — days 1–6 daily, dose 1
MedDRA: Ear pain, Pain in extremity, Rhinorrhoea — Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Runny nose Ear ache, calf pain bilateral

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-30
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-01
Survey response — days 1–6 daily, dose 1
MedDRA: Fatigue, Mobility decreased, Nausea — Feeling: Poor · Fever · Chills, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Severe exhaustion I can't move off my couch and nausea didn't come to the second day.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-01
Report sent to call center — days 1–6 daily, dose 1
Be unable to work · Be unable to do your normal daily activities

1 call case(s)
2021-01-02
Survey response — days 1–6 daily, dose 1
MedDRA: Crying, Fatigue, Pre-existing disease — Feeling: Fair · Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Really really Fatigue and Weepy, I have Rhumatoid in Humira and plaquenel

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-02
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-03
Survey response — days 1–6 daily, dose 1
MedDRA: Fatigue — Feeling: Fair · Headache, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: I am exhausted not a normal tired. Didn't take my humira otherwise improving

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-03
Report sent to call center — days 1–6 daily, dose 1
Be unable to work · Be unable to do your normal daily activities

1 call case(s)
2021-01-05
Survey response — day 7, dose 1
MedDRA: Adverse reaction — Feeling: Fair · Fatigue or tiredness

Free text: Improving today

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-12
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-19
Survey response — day 21, dose 1
MedDRA: Headache, Nausea, Pain, Pyrexia, Rhinorrhoea, SARS-CoV-2 test — Feeling: Poor · 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 of 100.4 body aches runny nose headsAche, nausea really bad nausea · Healthcare visit (other): Covid test

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-19
Report sent to call center — day 21, dose 1
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)
2021-02-03
Dose 2 — Moderna
2021-02-03
Survey response — day 0, dose 2
MedDRA: Immediate post-injection reaction, Self-medication, Throat irritation — Feeling: Good · Site: Itching

Free text: Immediately after injection very very itchy throat I stopped in the bay home and got benedryl!

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-04
Survey response — days 1–6 daily, dose 2
MedDRA: Oropharyngeal pain — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches

Free text: Sore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-05
Survey response — days 1–6 daily, dose 2
MedDRA: Unevaluable event — Feeling: Fair · Site: Swelling · Fever · Headache, Joint pains, Muscle or body aches

Free text: No improving

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-06
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fever · Headache, Fatigue or tiredness

Adult check-in
2021-02-09
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Joint pains

Adult check-in
2021-02-10
Survey response — day 7, dose 2
MedDRA: Pain in jaw — Feeling: Fair · Headache, Joint pains

Free text: Jaw ache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-28
Call 1 — Left Voicemail
2021-05-05
Call successful
Participant prefers to complete VAERS report online
2021-08-04
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-29	Moderna
2	2021-02-03	Moderna

Call center

5 call center cases

1 successful · 4 priority 2/3 (triaged and no follow up)

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 1 — days 1–6 daily, dose 1

2020-12-30

Systemic reaction (other): Runny nose Ear ache, calf pain bilateral

2021-01-01

Systemic reaction (other): Severe exhaustion I can't move off my couch and nausea didn't come to the second day.

2021-01-02

Systemic reaction (other): Really really Fatigue and Weepy, I have Rhumatoid in Humira and plaquenel

2021-01-03

Systemic reaction (other): I am exhausted not a normal tired. Didn't take my humira otherwise improving

Release 1 — day 7, dose 1

2021-01-05

Systemic reaction (other): Improving today

Release 2 — day 21, dose 1

2021-01-19

Symptoms: Fever of 100.4 body aches runny nose headsAche, nausea really bad nausea

Healthcare visit (other): Covid test

Release 3 — day 0, dose 2

2021-02-03

Systemic reaction (other): Immediately after injection very very itchy throat I stopped in the bay home and got benedryl!

Release 3 — days 1–6 daily, dose 2

2021-02-04

Systemic reaction (other): Sore throat

2021-02-05

Systemic reaction (other): No improving

Release 4 — day 7, dose 2

2021-02-10

Systemic reaction (other): Jaw ache

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	SARS-CoV-2 test	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Pyrexia	✓	✓	✓
SD	Rhinorrhoea	✓	✓	✓
SRO	Adverse reaction	✓	✓	✓
SRO	Crying	✓	✓	✓
SRO	Ear pain	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Immediate post-injection reaction	✓	✓	✓
SRO	Mobility decreased	✓	✓	✓
SRO	Nausea	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Pain in jaw	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Rhinorrhoea	✓	✓	✓
SRO	Self-medication	✓	✓	✓
SRO	Throat irritation	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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