59X-75828-90320

2 vaccinations 9 coded responses 23 check-ins 9 free-text entries 2 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 978 / OR
Registered: 2021-01-30

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

2021-01-29
Dose 1 — Moderna
2021-01-30
Registered in v-safe
2021-01-30
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-01-31
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-02-01
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work

Adult check-in
2021-02-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-03
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-04
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-05
Health check-in — day 7, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-12
Survey response — day 14, dose 1
MedDRA: Chills, Diarrhoea, Insomnia, Irregular breathing, Lethargy — Feeling: Poor · Be unable to do your normal daily activities

Free text: Bad diarrhea, insomnia, lethargic, chills and breathing in lungs feels tight.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-19
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-26
Dose 2 — Moderna
2021-02-26
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-02-27
Survey response — days 1–6 daily, dose 2
MedDRA: Hypoaesthesia, Paraesthesia — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work

Free text: Face tingling and numbness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-28
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work

Adult check-in
2021-03-01
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work

Adult check-in
2021-03-02
Survey response — days 1–6 daily, dose 2
MedDRA: Ear discomfort — Feeling: Fair · Site: Pain, Swelling, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work

Free text: Popping in ears

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-03
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-04
Survey response — days 1–6 daily, dose 2
MedDRA: Anxiety — Feeling: Fair · Site: Itching · Fatigue or tiredness

Free text: Physical Anxiety for days

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-05
Survey response — day 7, dose 2
MedDRA: Anxiety, Insomnia — Feeling: Good · Muscle or body aches, Fatigue or tiredness

Free text: Anxiety and insomnia

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-12
Survey response — day 14, dose 2
MedDRA: Diarrhoea, Fatigue, Headache, Insomnia, Myalgia — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: Headaches, fatigue, major muscle soreness, run down feeling, insomnia. Diareah

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-19
Survey response — day 21, dose 2
MedDRA: Fatigue, Headache, Pain — Feeling: Poor · Be unable to work

Free text: Major headaches and fatigue, body aches

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-27
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-04-11
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-08-29
Survey response — 6 months, dose 2
MedDRA: Headache, Insomnia — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Insomnia, headaches,

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-29
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-09-03
Call 1 — Left Voicemail
2022-02-26
Survey response — 12 months, dose 2
MedDRA: COVID-19, Dizziness, Fatigue, Headache, Hypertension, Malaise, Neck pain, Nervous system disorder, Tachycardia — 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 · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: Chronic and increasing high blood pressure, neurological difficulties, headache and neck pain. Overall feeling of sickness for months. Dizziness, tachycardia and complete Fatigue. Contacted Covid assuming Delta Oct 2021 long haul to Omicron Jan 2022

MedDRA releases: 2024-11 · check-in free text available
2022-02-26
Report sent to call center — 12 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

Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
2022-03-03
Call successful
Participant prefers to complete VAERS report online

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-29	Moderna
2	2021-02-26	Moderna

Call center

2 call center cases

2 successful

See the call center timeline

Free text

Release 4 — day 14, dose 1

2021-02-12

Symptoms: Bad diarrhea, insomnia, lethargic, chills and breathing in lungs feels tight.

Release 4 — days 1–6 daily, dose 2

2021-02-27

Systemic reaction (other): Face tingling and numbness

2021-03-02

Systemic reaction (other): Popping in ears

Release 5 — days 1–6 daily, dose 2

2021-03-04

Systemic reaction (other): Physical Anxiety for days

Release 5 — day 7, dose 2

2021-03-05

Systemic reaction (other): Anxiety and insomnia

Release 5 — day 14, dose 2

2021-03-12

Symptoms: Headaches, fatigue, major muscle soreness, run down feeling, insomnia. Diareah

Release 5 — day 21, dose 2

2021-03-19

Symptoms: Major headaches and fatigue, body aches

Release 9 — 6 months, dose 2

2021-08-29

Symptoms: Insomnia, headaches,

Release 11 — 12 months, dose 2

2022-02-26

Symptoms: Chronic and increasing high blood pressure, neurological difficulties, headache and neck pain. Overall feeling of sickness for months. Dizziness, tachycardia and complete Fatigue. Contacted Covid assuming Delta Oct 2021 long haul to Omicron Jan 2022 cut off by CDC

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	Chills	✓	✓	✓
SD	COVID-19	·	·	✓
SD	Diarrhoea	✓	✓	✓
SD	Dizziness	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Hypertension	·	·	✓
SD	Insomnia	✓	✓	✓
SD	Irregular breathing	✓	✓	✓
SD	Lethargy	✓	✓	✓
SD	Malaise	·	·	✓
SD	Myalgia	✓	✓	✓
SD	Neck pain	·	·	✓
SD	Nervous system disorder	·	·	✓
SD	Pain	✓	✓	✓
SD	Tachycardia	·	·	✓
SRO	Anxiety	✓	✓	✓
SRO	Ear discomfort	✓	✓	✓
SRO	Hypoaesthesia	✓	✓	✓
SRO	Insomnia	✓	✓	✓
SRO	Paraesthesia	✓	✓	✓

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