5BG-21795-34578

5 vaccinations 16 coded responses 54 check-ins 16 free-text entries 3 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 466 / IN
Registered: 2021-02-19

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

2021-02-19
Registered in v-safe
2021-02-19
Dose 1 — Moderna
2021-02-19
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-02-20
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Redness · Headache, Fatigue or tiredness, Nausea

Adult check-in
2021-02-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fever · Headache, Nausea

Adult check-in
2021-02-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-02-23
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Diarrhea, Abdominal pain

Adult check-in
2021-02-24
Survey response — days 1–6 daily, dose 1
MedDRA: Unevaluable event — Feeling: Fair · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: The temp I reported of 99.2 is a 2 degree elevation for me since I am always a 97.2.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-25
Survey response — days 1–6 daily, dose 1
MedDRA: Asthenia, Hyperhidrosis — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Sweaty, weak

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-26
Health check-in — day 7, dose 1
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-05
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-12
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-19
Dose 2 — Moderna
2021-03-19
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-03-20
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling · None

Adult check-in
2021-03-21
Survey response — days 1–6 daily, dose 2
MedDRA: Hyperhidrosis, Tremor — Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Nausea · Be unable to do your normal daily activities

Free text: Sweating and quivering

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-22
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling · Headache, Fatigue or tiredness, Nausea

Adult check-in
2021-03-23
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness

Adult check-in
2021-03-24
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling · None

Adult check-in
2021-03-25
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-26
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-02
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-09
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-16
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-23
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-30
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-18
Survey response — 3 months, dose 2
MedDRA: Medical counselling, Urinary tract infection — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Urinary tract infection · Healthcare visit (other): Phone call to office followed by lab tests, return call to change antibiotic.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-18
Report sent to call center — 3 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-24
Call 1 — Left Voicemail
2021-09-17
Survey response — 6 months, dose 2
MedDRA: Fungal foot infection, Office visit, Tinea pedis — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Fungus on toes and athlete's foot · Healthcare visit (other): Office visit

MedDRA releases: 2024-11 · check-in free text available
2021-09-17
Report sent to call center — 6 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-11-17
Dose 3 — Moderna
2021-11-17
Health check-in — day 0, dose 3
Feeling: Fair · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-11-18
Survey response — days 1–6 daily, dose 3
MedDRA: Decreased appetite — Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Lack of appetite

MedDRA releases: 2024-11 · check-in free text available
2021-11-19
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-11-20
Survey response — days 1–6 daily, dose 3
MedDRA: Oropharyngeal pain, Sinus congestion — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Cold? Sinus congestion, sore throat

MedDRA releases: 2024-11 · check-in free text available
2021-11-21
Survey response — days 1–6 daily, dose 3
MedDRA: Oropharyngeal pain, Respiratory tract congestion — Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Free text: Sore throat, head congestion,

MedDRA releases: 2024-11 · check-in free text available
2021-11-22
Survey response — days 1–6 daily, dose 3
MedDRA: Cough, Laryngitis, Oropharyngeal pain, Respiratory tract congestion — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Sore throat, laryngitis, congestion, cough,

MedDRA releases: 2024-11 · check-in free text available
2021-11-23
Survey response — days 1–6 daily, dose 3
MedDRA: Cough, Laryngitis, Oropharyngeal pain, Respiratory tract congestion — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Free text: Congestion, sore throat, cough, laryngitis

MedDRA releases: 2024-11 · check-in free text available
2021-11-24
Survey response — day 7, dose 3
MedDRA: Respiratory tract congestion — Feeling: Fair · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Free text: Head congestion, chest congestion,

MedDRA releases: 2024-11 · check-in free text available
2021-12-01
Survey response — day 14, dose 3
MedDRA: Cough, Headache, Pain, Respiratory tract congestion, SARS-CoV-2 test positive, Urinary tract infection — Feeling: Fair · Be unable to do your normal daily activities

Free text: UTI, head congestion, cough, headache, achy, tested positive for covid on Fri, Nov 26, 2021.

MedDRA releases: 2024-11 · check-in free text available
2021-12-08
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2021-12-15
Health check-in — day 28, dose 3
Feeling: Fair

Adult check-in
2021-12-22
Survey response — day 35, dose 3
MedDRA: Asthenia, Headache, Office visit, Pyrexia, Tremor, Urinary tract infection — Feeling: Poor · 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: Urgent care on Sunday, high fevers. I couldn't get a urine sample without waiting to drink a lot of water. Headache, weak and shakey; injection of Rocephin, on 10 days of cephalexin for projected uti. treated for uti in Nov.. maybe need longer course

MedDRA releases: 2024-11 · check-in free text available
2021-12-22
Report sent to call center — day 35, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-12-23
Call successful
Does not wish to fill out VAERS report
2021-12-29
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2022-02-16
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-05-18
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-08-05
Dose 4 — Moderna
2022-10-28
Dose 5 — Moderna
2022-10-29
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2022-10-30
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Site: Pain · None

Adult check-in
2022-10-31
Health check-in — days 1–6 daily, dose 5
Feeling: Good · None

Adult check-in
2022-11-01
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Site: Pain · None

Adult check-in
2022-11-02
Survey response — days 1–6 daily, dose 5
MedDRA: Cough, Respiratory tract congestion — Feeling: Good

Free text: Congestion and cough...mild

MedDRA releases: 2024-11 · check-in free text available
2022-11-03
Survey response — days 1–6 daily, dose 5
MedDRA: Adverse reaction, SARS-CoV-2 test negative — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: These symptoms were yesterday afternoon ( much worse) and today they are present to a lesser degree. I took a covid test, negative.

MedDRA releases: 2024-11 · check-in free text available
2022-11-04
Health check-in — day 7, dose 5
Feeling: Good · Fatigue or tiredness

Adult check-in
2022-11-11
Health check-in — day 14, dose 5
Feeling: Good

Adult check-in
2022-11-18
Health check-in — day 21, dose 5
Feeling: Good

Adult check-in
2022-11-25
Health check-in — day 28, dose 5
Feeling: Good

Adult check-in
2022-12-02
Survey response — day 35, dose 5
MedDRA: Cough, Fatigue, Headache, Nasal congestion, Nasopharyngitis, Periorbital swelling — Feeling: Poor · Be unable to do your normal daily activities

Free text: Cough, nasal congestion,headache, exhaustion, puffiness under eyes Terrible Cold

MedDRA releases: 2024-11 · check-in free text available
2022-12-09
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2023-01-27
Health check-in — 3 months, dose 5
Feeling: Good

Adult check-in
2023-04-28
Health check-in — 6 months, dose 5
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-19	Moderna
2	2021-03-19	Moderna
3	2021-11-17	Moderna	No
4	2022-08-05	Moderna	No
5	2022-10-28	Moderna	No

Call center

3 call center cases

3 successful

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-24

Systemic reaction (other): The temp I reported of 99.2 is a 2 degree elevation for me since I am always a 97.2.

2021-02-25

Systemic reaction (other): Sweaty, weak

Release 6 — days 1–6 daily, dose 2

2021-03-21

Systemic reaction (other): Sweating and quivering

Release 9 — 3 months, dose 2

2021-06-18

Symptoms: Urinary tract infection

Healthcare visit (other): Phone call to office followed by lab tests, return call to change antibiotic.

Release 9 — 6 months, dose 2

2021-09-17

Symptoms: Fungus on toes and athlete's foot

Healthcare visit (other): Office visit

Release 10 — days 1–6 daily, dose 3

2021-11-18

Systemic reaction (other): Lack of appetite

2021-11-20

Systemic reaction (other): Cold? Sinus congestion, sore throat

2021-11-21

Systemic reaction (other): Sore throat, head congestion,

2021-11-22

Systemic reaction (other): Sore throat, laryngitis, congestion, cough,

2021-11-23

Systemic reaction (other): Congestion, sore throat, cough, laryngitis

Release 10 — day 7, dose 3

2021-11-24

Systemic reaction (other): Head congestion, chest congestion,

Release 10 — day 14, dose 3

2021-12-01

Symptoms: UTI, head congestion, cough, headache, achy, tested positive for covid on Fri, Nov 26, 2021.

Release 10 — day 35, dose 3

2021-12-22

Symptoms: Urgent care on Sunday, high fevers. I couldn't get a urine sample without waiting to drink a lot of water. Headache, weak and shakey; injection of Rocephin, on 10 days of cephalexin for projected uti. treated for uti in Nov.. maybe need longer course cut off by CDC

Release 12 — days 1–6 daily, dose 5

2022-11-02

Systemic reaction (other): Congestion and cough...mild

2022-11-03

Systemic reaction (other): These symptoms were yesterday afternoon ( much worse) and today they are present to a lesser degree. I took a covid test, negative.

Release 12 — day 35, dose 5

2022-12-02

Symptoms: Cough, nasal congestion,headache, exhaustion, puffiness under eyes Terrible Cold

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	Medical counselling	✓	✓	✓
HCVO	Office visit	·	·	✓
SD	Asthenia	·	·	✓
SD	Cough	·	·	✓
SD	Fatigue	·	·	✓
SD	Fungal foot infection	·	·	✓
SD	Headache	·	·	✓
SD	Nasal congestion	·	·	✓
SD	Nasopharyngitis	·	·	✓
SD	Office visit	·	·	✓
SD	Pain	·	·	✓
SD	Periorbital swelling	·	·	✓
SD	Pyrexia	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	SARS-CoV-2 test positive	·	·	✓
SD	Tinea pedis	·	·	✓
SD	Tremor	·	·	✓
SD	Urinary tract infection	✓	✓	✓
SRO	Adverse reaction	·	·	✓
SRO	Asthenia	✓	✓	✓
SRO	Cough	·	·	✓
SRO	Decreased appetite	·	·	✓
SRO	Hyperhidrosis	✓	✓	✓
SRO	Laryngitis	·	·	✓
SRO	Oropharyngeal pain	·	·	✓
SRO	Respiratory tract congestion	·	·	✓
SRO	SARS-CoV-2 test negative	·	·	✓
SRO	Sinus congestion	·	·	✓
SRO	Tremor	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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