5DC-58084-79899

3 vaccinations 12 coded responses 40 check-ins 12 free-text entries 2 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 236 / VA
Registered: 2021-01-31

Relationship: Self
Race: Black or African American
Ethnicity: Not Hispanic or Latino

Timeline

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

2021-01-30
Dose 1 — Moderna
2021-01-31
Registered in v-safe
2021-01-31
Survey response — days 1–6 daily, dose 1
MedDRA: Bradykinesia, Pain — Feeling: Fair · Site: Pain · Fever · Muscle or body aches, Fatigue or tiredness

Free text: The aches and pain just causes me to be slower not totally nonproductive.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-01
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to work

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

Adult check-in
2021-02-03
Survey response — days 1–6 daily, dose 1
MedDRA: Pruritus — Feeling: Good · Site: Pain

Free text: Mild Itching

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-04
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-05
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-06
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-13
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-20
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-27
Dose 2 — Moderna
2021-02-27
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-02-28
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Muscle or body aches

Adult check-in
2021-03-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Muscle or body aches

Adult check-in
2021-03-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-03
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-03-04
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-05
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-06
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-13
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-20
Survey response — day 21, dose 2
MedDRA: Asthenia, Somnolence — Feeling: Fair

Free text: Periodic loss of energy and very sleepy.

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

Free text: Periodic chills and tired

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-03
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-10
Survey response — day 42, dose 2
MedDRA: Asthenia — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Just dont feel good. Little energy.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-10
Report sent to call center — day 42, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-29
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-28
Survey response — 6 months, dose 2
MedDRA: Fatigue — Feeling: Fair · Be unable to do your normal daily activities

Free text: Im just tired.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-11-15
Dose 3 — Moderna
2021-11-15
Health check-in — day 0, dose 3
Feeling: Fair · Site: Pain, Redness · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-11-16
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-11-17
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-11-18
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Muscle or body aches

Adult check-in
2021-11-19
Survey response — days 1–6 daily, dose 3
MedDRA: Tenderness — Feeling: Good

Free text: Tenderness in the armpit where I received the shot.

MedDRA releases: 2024-11 · check-in free text available
2021-11-20
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-21
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-22
Health check-in — day 7, dose 3
Feeling: Fair · Site: Pain · Muscle or body aches

Adult check-in
2021-11-29
Survey response — day 14, dose 3
MedDRA: Back pain, Neck pain — Feeling: Fair

Free text: Back neck pain, soreness. Not certain what's causing it.

MedDRA releases: 2024-11 · check-in free text available
2021-12-06
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-12-13
Survey response — day 28, dose 3
MedDRA: Asthenia, Fatigue — Feeling: Good

Free text: Tiredness and lack of energy.

MedDRA releases: 2024-11 · check-in free text available
2021-12-20
Health check-in — day 35, dose 3
Feeling: Fair

Adult check-in
2021-12-27
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2022-02-14
Survey response — 3 months, dose 3
MedDRA: Alopecia, Pain — Feeling: Fair

Free text: Hair shedding and body aches.

MedDRA releases: 2024-11 · check-in free text available
2022-02-18
Call 1 — Left Voicemail
2022-02-21
Call 2 — Left Voicemail
2022-02-25
Call successful
Completed over the phone
2022-05-16
Survey response — 6 months, dose 3
MedDRA: Eye irritation, Pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: My eyes are not the same. They both feel irritated with the right eye being worse. My entire body is aches daily.

MedDRA releases: 2024-11 · check-in free text available
2022-11-15
Survey response — 12 months, dose 3
MedDRA: Fatigue, Pain — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Aches and tirednes

MedDRA releases: 2024-11 · check-in free text available
2022-11-15
Report sent to call center — 12 months, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-11-16
Call 1 — Could Not Reach Participant
2022-11-21
Call 2 — Could Not Reach Participant

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-30	Moderna
2	2021-02-27	Moderna
3	2021-11-15	Moderna	No

Call center

2 call center cases

1 successful · 1 unsuccessful

VAERS report filed, before or during a call: 1

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 3 — days 1–6 daily, dose 1

2021-01-31

Systemic reaction (other): The aches and pain just causes me to be slower not totally nonproductive.

2021-02-03

Systemic reaction (other): Mild Itching

Release 6 — day 21, dose 2

2021-03-20

Symptoms: Periodic loss of energy and very sleepy.

Release 6 — day 28, dose 2

2021-03-27

Symptoms: Periodic chills and tired

Release 7 — day 42, dose 2

2021-04-10

Symptoms: Just dont feel good. Little energy.

Release 9 — 6 months, dose 2

2021-08-28

Symptoms: Im just tired.

Release 10 — days 1–6 daily, dose 3

2021-11-19

Systemic reaction (other): Tenderness in the armpit where I received the shot.

Release 10 — day 14, dose 3

2021-11-29

Symptoms: Back neck pain, soreness. Not certain what's causing it.

Release 10 — day 28, dose 3

2021-12-13

Symptoms: Tiredness and lack of energy.

Release 11 — 3 months, dose 3

2022-02-14

Symptoms: Hair shedding and body aches.

Release 11 — 6 months, dose 3

2022-05-16

Symptoms: My eyes are not the same. They both feel irritated with the right eye being worse. My entire body is aches daily.

Release 12 — 12 months, dose 3

2022-11-15

Symptoms: Aches and tirednes

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	Alopecia	·	·	✓
SD	Asthenia	✓	✓	✓
SD	Back pain	·	·	✓
SD	Chills	✓	✓	✓
SD	Eye irritation	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Neck pain	·	·	✓
SD	Pain	·	·	✓
SD	Somnolence	✓	✓	✓
SRO	Bradykinesia	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pruritus	✓	✓	✓
SRO	Tenderness	·	·	✓

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