5E6-16144-54651

4 vaccinations 15 coded responses 48 check-ins 15 free-text entries 4 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 328 / FL
Registered: 2021-02-15

Relationship: Self
Race: White
Ethnicity: Hispanic or Latino

Timeline

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

2021-02-15
Registered in v-safe
2021-02-15
Dose 1 — Moderna
2021-02-15
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-02-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-02-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-02-18
Survey response — days 1–6 daily, dose 1
MedDRA: Somnolence — Feeling: Good

Free text: Sleepiness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-19
Survey response — days 1–6 daily, dose 1
MedDRA: Oropharyngeal pain — Feeling: Good

Free text: Sore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-20
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-22
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-01
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-08
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-15
Dose 2 — Moderna
2021-03-15
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain, Itching · Headache, Fatigue or tiredness

Adult check-in
2021-03-16
Survey response — days 1–6 daily, dose 2
MedDRA: Ear pain — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Fatigue or tiredness

Free text: Ear aches

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-17
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Fatigue or tiredness

Adult check-in
2021-03-18
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness · Headache

Adult check-in
2021-03-19
Survey response — days 1–6 daily, dose 2
MedDRA: Ear pain — Feeling: Good

Free text: Ear ache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-20
Survey response — days 1–6 daily, dose 2
MedDRA: Ear pain — Feeling: Good

Free text: Ear ache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-21
Survey response — days 1–6 daily, dose 2
MedDRA: Ear pain — Feeling: Good

Free text: Ear ache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-22
Survey response — day 7, dose 2
MedDRA: Ear pain — Feeling: Good

Free text: Ear ache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-29
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-05
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-12
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-19
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-26
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-14
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-13
Survey response — 6 months, dose 2
MedDRA: COVID-19, Emergency care, Feeling abnormal — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Was sick with covid for about 3 weeks. After a couple of days of feeling very bad went to the emergency room. They took xrays of the lungs and sent me home. Still have lingering symptoms 3 months later.

MedDRA releases: 2024-11 · check-in free text available
2021-09-13
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)
2021-09-16
Call 1 — Could Not Reach Participant
2021-09-21
Call 2 — Could Not Reach Participant
2021-10-10
Dose 3 — Moderna
2021-10-29
Survey response — day 14, dose 3
MedDRA: Fatigue, Muscular weakness — Feeling: Fair · Be unable to do your normal daily activities

Free text: Extreme tiredness and weaknesses of the legs

MedDRA releases: 2024-11 · check-in free text available
2021-10-31
Survey response — day 21, dose 3
MedDRA: Asthenia, Pain in extremity — Feeling: Fair · Be unable to work or attend school

Free text: Extreme weakness. Leg pon

MedDRA releases: 2024-11 · check-in free text available
2021-11-07
Health check-in — day 28, dose 3
Feeling: Fair

Adult check-in
2021-11-14
Health check-in — day 35, dose 3
Feeling: Fair

Adult check-in
2021-11-21
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2022-01-09
Health check-in — 3 months, dose 3
Feeling: Fair

Adult check-in
2022-04-12
Survey response — 6 months, dose 3
MedDRA: Dyspnoea, Fatigue, Office visit — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Fatigue, shortness of breath. Tiredness. · Healthcare visit (other): Went to see my primary health provider

MedDRA releases: 2024-11 · check-in free text available
2022-04-12
Report sent to call center — 6 months, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2022-04-13
Call 1 — Could Not Reach Participant
2022-04-18
Call 2 — Could Not Reach Participant
2022-04-21
Call 3 — Could Not Reach Participant
2022-05-04
Dose 4 — Moderna
2022-05-04
Health check-in — day 0, dose 4
Feeling: Fair · Site: Pain · None

Adult check-in
2022-05-05
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness

Adult check-in
2022-05-06
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · None

Adult check-in
2022-05-07
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2022-05-08
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · None

Adult check-in
2022-05-09
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-05-10
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-05-11
Health check-in — day 7, dose 4
Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-05-19
Survey response — day 14, dose 4
MedDRA: Arthralgia, Fatigue — Feeling: Good

Free text: Joint pain and fatigue

MedDRA releases: 2024-11 · check-in free text available
2022-05-25
Survey response — day 21, dose 4
MedDRA: Fatigue, Myalgia, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Fatigued musle aches. · Healthcare visit (other): Visited dr ofgice

MedDRA releases: 2024-11 · check-in free text available
2022-05-25
Report sent to call center — day 21, dose 4
Get care from a doctor or other healthcare professional

1 call case(s)
2022-05-26
Call 1 — Could Not Reach Participant
2022-06-01
Survey response — day 28, dose 4
MedDRA: Fatigue, Myalgia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Muscle aches and fatigue

MedDRA releases: 2024-11 · check-in free text available
2022-06-02
Call successful
Participant prefers to complete VAERS report online
2022-06-10
Health check-in — day 35, dose 4
Feeling: Fair

Adult check-in
2022-06-15
Health check-in — day 42, dose 4
Feeling: Fair

Adult check-in
2022-08-05
Health check-in — 3 months, dose 4
Feeling: Fair

Adult check-in
2022-11-02
Survey response — 6 months, dose 4
MedDRA: Dyspnoea, Muscular weakness, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Shortness of breath. Weakness in my legs. · Healthcare visit (other): Visited Dr 's ofgice

MedDRA releases: 2024-11 · check-in free text available
2022-11-02
Report sent to call center — 6 months, dose 4
Get care from a doctor or other healthcare professional

1 call case(s)
2022-11-03
Call 1 — Could Not Reach Participant
2022-11-08
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2023-05-04
Health check-in — 12 months, dose 4
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-15	Moderna
2	2021-03-15	Moderna
3	2021-10-10	Moderna	No
4	2022-05-04	Moderna	No

Call center

4 call center cases

4 successful

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-18

Systemic reaction (other): Sleepiness

2021-02-19

Systemic reaction (other): Sore throat

Release 5 — days 1–6 daily, dose 2

2021-03-16

Systemic reaction (other): Ear aches

2021-03-19

Systemic reaction (other): Ear ache

Release 6 — days 1–6 daily, dose 2

2021-03-20

Systemic reaction (other): Ear ache

2021-03-21

Systemic reaction (other): Ear ache

Release 6 — day 7, dose 2

2021-03-22

Systemic reaction (other): Ear ache

Release 9 — 6 months, dose 2

2021-09-13

Symptoms: Was sick with covid for about 3 weeks. After a couple of days of feeling very bad went to the emergency room. They took xrays of the lungs and sent me home. Still have lingering symptoms 3 months later.

Release 10 — day 14, dose 3

2021-10-29

Symptoms: Extreme tiredness and weaknesses of the legs

Release 10 — day 21, dose 3

2021-10-31

Symptoms: Extreme weakness. Leg pon

Release 11 — 6 months, dose 3

2022-04-12

Symptoms: Fatigue, shortness of breath. Tiredness.

Healthcare visit (other): Went to see my primary health provider

Release 11 — day 14, dose 4

2022-05-19

Symptoms: Joint pain and fatigue

Release 11 — day 21, dose 4

2022-05-25

Symptoms: Fatigued musle aches.

Healthcare visit (other): Visited dr ofgice

Release 11 — day 28, dose 4

2022-06-01

Symptoms: Muscle aches and fatigue

Release 12 — 6 months, dose 4

2022-11-02

Symptoms: Shortness of breath. Weakness in my legs.

Healthcare visit (other): Visited Dr 's ofgice

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	Office visit	·	·	✓
SD	Arthralgia	·	·	✓
SD	Asthenia	·	·	✓
SD	COVID-19	·	·	✓
SD	Dyspnoea	·	·	✓
SD	Emergency care	·	·	✓
SD	Fatigue	·	·	✓
SD	Feeling abnormal	·	·	✓
SD	Muscular weakness	·	·	✓
SD	Myalgia	·	·	✓
SD	Pain in extremity	·	·	✓
SRO	Ear pain	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Somnolence	✓	✓	✓

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