59V-18260-94559

3 vaccinations 7 coded responses 39 check-ins 7 free-text entries 1 call case

Sex: Female
Age at first dose: 66+
ZIP prefix: 190 / PA
Registered: 2021-03-09

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

2021-03-09
Registered in v-safe
2021-03-09
Dose 1 — Moderna
2021-03-09
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-03-10
Survey response — days 1–6 daily, dose 1
MedDRA: Headache — Feeling: Good

Free text: Very slight headache and unsettled sleep last night -

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Rash, not including the immediate area around the injection site

Adult check-in
2021-03-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-16
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-23
Survey response — day 14, dose 1
MedDRA: Injection site erythema, Injection site induration, Injection site pain, Injection site swelling, Injection site warmth — Feeling: Good · Be unable to do your normal daily activities

Free text: The day of my 1st dose Moderna I experienced slight soreness @ injection site nothing else THEN 8 days after my injection -swollen, sore, red circle hard bump radiating heat, & painful x 3-4 days @ injection site. No fever. No headache. No nausea.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-30
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-06
Dose 2 — Moderna
2021-04-06
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-04-07
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling, Itching · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-08
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-09
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-10
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-11
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-12
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-13
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-22
Survey response — day 14, dose 2
MedDRA: Burning sensation, Dyspepsia, Self-medication — Feeling: Fair · 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: Increased burping and (hope) heartburn (and not heart attack!!) x 3-5 days. Today finally called and Waiting for Dr to return call to get assessment. Taking OTC antacid tablets which do seem to alleviate sx.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Report sent to call center — day 14, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-27
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-04
Survey response — day 28, dose 2
MedDRA: Ear pain, Fatigue, Lymphadenopathy — Feeling: Good · Be unable to do your normal daily activities

Free text: Yesterday - swollen lymph node in neck/throat and earache - never get earaches ... Felt very tired all day.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-11
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-18
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-06
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-05
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-20
Dose 3 — Moderna
2021-11-21
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-11-22
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-11-23
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-24
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-26
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-27
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-12-04
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-12-11
Survey response — day 21, dose 3
MedDRA: Cough, Pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Cough and Achy

MedDRA releases: 2024-11 · check-in free text available
2021-12-18
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-26
Survey response — day 35, dose 3
MedDRA: Chest discomfort, Cough, Feeling abnormal, Feeling hot, Pain, SARS-CoV-2 test negative — Feeling: Good · Be unable to do your normal daily activities

Free text: Achy and feverish but no fever. Neg At Home Covid antigen test. Sometimes cough and tightness in chest feeling - all off and on this past week.

MedDRA releases: 2024-11 · check-in free text available
2022-01-01
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-02-20
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-04-03
Call successful
Does not wish to fill out VAERS report
2022-05-21
Survey response — 6 months, dose 3
MedDRA: Adverse reaction — Feeling: Good · Be unable to do your normal daily activities

Free text: Not wearing @ work husband brought home so I also caught a nasty -he did 2 @home & 1 PCR Covid tests -all negative: cough, fever, achy, lethargy, sneezing=nasal congestion, headache =bad symptoms lasted 2wks -I recover /he taking antibiotic

MedDRA releases: 2024-11 · check-in free text available
2022-11-20
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-09	Moderna
2	2021-04-06	Moderna
3	2021-11-20	Moderna	No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-10

Systemic reaction (other): Very slight headache and unsettled sleep last night -

Release 6 — day 14, dose 1

2021-03-23

Symptoms: The day of my 1st dose Moderna I experienced slight soreness @ injection site nothing else THEN 8 days after my injection -swollen, sore, red circle hard bump radiating heat, & painful x 3-4 days @ injection site. No fever. No headache. No nausea. cut off by CDC

Release 7 — day 14, dose 2

2021-04-22

Symptoms: Increased burping and (hope) heartburn (and not heart attack!!) x 3-5 days. Today finally called and Waiting for Dr to return call to get assessment. Taking OTC antacid tablets which do seem to alleviate sx.

Release 8 — day 28, dose 2

2021-05-04

Symptoms: Yesterday - swollen lymph node in neck/throat and earache - never get earaches ... Felt very tired all day.

Release 10 — day 21, dose 3

2021-12-11

Symptoms: Cough and Achy

Release 10 — day 35, dose 3

2021-12-26

Symptoms: Achy and feverish but no fever. Neg At Home Covid antigen test. Sometimes cough and tightness in chest feeling - all off and on this past week.

Release 11 — 6 months, dose 3

2022-05-21

Symptoms: Not wearing @ work husband brought home so I also caught a nasty -he did 2 @home & 1 PCR Covid tests -all negative: cough, fever, achy, lethargy, sneezing=nasal congestion, headache =bad symptoms lasted 2wks -I recover /he taking antibiotic

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	Adverse reaction	·	·	✓
SD	Burning sensation	✓	✓	✓
SD	Chest discomfort	·	·	✓
SD	Cough	·	·	✓
SD	Dyspepsia	✓	✓	✓
SD	Ear pain	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Feeling abnormal	·	·	✓
SD	Feeling hot	·	·	✓
SD	Injection site erythema	✓	✓	✓
SD	Injection site induration	✓	✓	✓
SD	Injection site pain	✓	✓	✓
SD	Injection site swelling	✓	✓	✓
SD	Injection site warmth	✓	✓	✓
SD	Lymphadenopathy	✓	✓	✓
SD	Pain	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	Self-medication	✓	✓	✓
SRO	Headache	✓	✓	✓

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