58V-26080-30079

4 vaccinations 7 coded responses 42 check-ins 7 free-text entries 2 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 222 / VA
Registered: 2021-03-02

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

2021-03-02
Registered in v-safe
2021-03-02
Dose 1 — Moderna
2021-03-02
Health check-in — day 0, dose 1
Feeling: Good · Fatigue or tiredness

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

Adult check-in
2021-03-04
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Redness, Swelling · None

Adult check-in
2021-03-05
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-09
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-16
Survey response — day 14, dose 1
MedDRA: Injection site erythema, Rash macular — Feeling: Good

Free text: I just realized I still have a red patch of skin at the vaccine site. Not painful or itchy. By pure chance I saw the red patch in a dressing room mirror...never had any symptoms that would have caused me to look.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-23
Survey response — day 21, dose 1
MedDRA: Mass, Vaccination site erythema — Feeling: Good

Free text: The red spot at vaccine site (appearing abt 10 days after my vaccine) got very large and red, but for past 2 days has been shrinking and is less red. Small lump went away completely. No itching or pain.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-30
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-04-02
Dose 2 — Moderna
2021-04-03
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-05
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-06
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-07
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-08
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-09
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-16
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-23
Survey response — day 21, dose 2
MedDRA: Fatigue — Feeling: Good · Be unable to work, Be unable to do your normal daily activities

Free text: Fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-30
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-07
Survey response — day 35, dose 2
MedDRA: Fatigue — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: A lot of unexplained fatigue.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-07
Report sent to call center — day 35, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-14
Survey response — day 42, dose 2
MedDRA: Fatigue — Feeling: Good · Be unable to work, Be unable to do your normal daily activities

Free text: Fatigue, sometimes significant.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-02
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-01
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-01
Dose 3 — Moderna
2021-11-01
Health check-in — day 0, dose 3
Feeling: Good · None

Adult check-in
2021-11-02
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Swelling, Itching · Headache, Fatigue or tiredness

Adult check-in
2021-11-03
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school

Adult check-in
2021-11-04
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Redness, Swelling, Itching · Fatigue or tiredness

Adult check-in
2021-11-05
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Redness, Itching · Fatigue or tiredness

Adult check-in
2021-11-06
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Redness, Itching · None

Adult check-in
2021-11-07
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Redness · None

Adult check-in
2021-11-08
Health check-in — day 7, dose 3
Feeling: Good · Site: Redness · None

Adult check-in
2021-11-15
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-23
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-29
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-06
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-15
Survey response — day 42, dose 3
MedDRA: Fatigue, Headache, Oropharyngeal pain — Feeling: Fair

Free text: Tired, headache, sore throat

MedDRA releases: 2024-11 · check-in free text available
2022-01-31
Survey response — 3 months, dose 3
MedDRA: Pyrexia — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Fever

MedDRA releases: 2024-11 · check-in free text available
2022-01-31
Report sent to call center — 3 months, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-02-01
Call successful
Does not wish to fill out VAERS report
2022-04-04
Dose 4 — Moderna
2022-05-02
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-05-20
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-07-05
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-10-04
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in
2023-04-04
Health check-in — 12 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-02	Moderna
2	2021-04-02	Moderna
3	2021-11-01	Moderna	No
4	2022-04-04	Moderna	No

Call center

2 call center cases

2 successful

See the call center timeline

Free text

Release 5 — day 14, dose 1

2021-03-16

Symptoms: I just realized I still have a red patch of skin at the vaccine site. Not painful or itchy. By pure chance I saw the red patch in a dressing room mirror...never had any symptoms that would have caused me to look.

Release 6 — day 21, dose 1

2021-03-23

Symptoms: The red spot at vaccine site (appearing abt 10 days after my vaccine) got very large and red, but for past 2 days has been shrinking and is less red. Small lump went away completely. No itching or pain.

Release 7 — day 21, dose 2

2021-04-23

Symptoms: Fatigue

Release 8 — day 35, dose 2

2021-05-07

Symptoms: A lot of unexplained fatigue.

Release 8 — day 42, dose 2

2021-05-14

Symptoms: Fatigue, sometimes significant.

Release 10 — day 42, dose 3

2021-12-15

Symptoms: Tired, headache, sore throat

Release 11 — 3 months, dose 3

2022-01-31

Symptoms: Fever

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	Fatigue	✓	✓	✓
SD	Headache	·	·	✓
SD	Injection site erythema	✓	·	✓
SD	Mass	✓	✓	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pyrexia	·	·	✓
SD	Rash macular	○	✓	○
SD	Vaccination site erythema	✓	✓	✓

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