5ME-30081-64192

2 vaccinations 6 coded responses 13 check-ins 6 free-text entries 2 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 923 / CA
Registered: 2021-04-08

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Registered dependents

TAE-11481-77008 Child or adolescent in my care · Male · 2022-06-24

G7W-22425-23210 Child or adolescent in my care · Male · 2022-06-26

Timeline

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

2021-03-22
Dose 1 — Moderna
2021-04-08
Registered in v-safe
2021-04-08
Survey response — day 14, dose 1
MedDRA: Fatigue, Productive cough, Pyrexia, Respiratory tract congestion — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: Chest congestion and mild fever on and off since first vaccine. Feelings of fatigue and lots of phlegm.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Report sent to call center — day 14, dose 1
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-12
Dose 2 — Moderna
2021-04-12
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-04-16
Survey response — days 1–6 daily, dose 2
MedDRA: Paranasal sinus discomfort, Sinus pain — Feeling: Poor · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Sinus pain, pressure

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-17
Survey response — days 1–6 daily, dose 2
MedDRA: Oesophageal pain — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Pain in esophagus

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-19
Health check-in — day 7, dose 2
Feeling: Fair · Headache, 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
2021-04-26
Survey response — day 14, dose 2
MedDRA: Arthralgia, Fatigue, Myalgia — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: I slept 18 hours a day for nearly 2 weeks i had so much fatigue and amplified pain in my muscles, my joints and hips were extremely sore and hurting

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-26
Report sent to call center — day 14, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-03
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-05-12
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-05-17
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-05-27
Survey response — day 42, dose 2
MedDRA: Fatigue, Malaise, Productive cough, Respiratory tract congestion — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities

Free text: Cough with congestion and phlegm. Sinusitis possibly? I feel horrific and need to rest much more than usual again.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-12
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-10-11
Survey response — 6 months, dose 2
MedDRA: Decreased appetite, Ear pain, Fatigue, Headache, Malaise, Productive cough, Respiratory symptom, Respiratory tract congestion, SARS-CoV-2 test negative — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Experiencing upper respiratory symptoms now, i keep testing negative for covid but still sick! It won't go away! Cough, phlegm, headaches, fatigue, loss of appetite, chest congestion, ear pain

MedDRA releases: 2024-11 · check-in free text available
2022-03-17
Call successful
Participant prefers to complete VAERS report online
2022-04-15
Health check-in — 12 months, dose 2
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-22	Moderna
2	2021-04-12	Moderna

Call center

2 call center cases

2 successful

See the call center timeline

Free text

Release 7 — day 14, dose 1

2021-04-08

Symptoms: Chest congestion and mild fever on and off since first vaccine. Feelings of fatigue and lots of phlegm.

Release 7 — days 1–6 daily, dose 2

2021-04-16

Systemic reaction (other): Sinus pain, pressure

2021-04-17

Systemic reaction (other): Pain in esophagus

Release 8 — day 14, dose 2

2021-04-26

Symptoms: I slept 18 hours a day for nearly 2 weeks i had so much fatigue and amplified pain in my muscles, my joints and hips were extremely sore and hurting

Release 8 — day 42, dose 2

2021-05-27

Symptoms: Cough with congestion and phlegm. Sinusitis possibly? I feel horrific and need to rest much more than usual again.

Release 10 — 6 months, dose 2

2021-10-11

Symptoms: Experiencing upper respiratory symptoms now, i keep testing negative for covid but still sick! It won't go away! Cough, phlegm, headaches, fatigue, loss of appetite, chest congestion, ear pain

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	Arthralgia	✓	✓	✓
SD	Decreased appetite	·	·	✓
SD	Ear pain	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Headache	·	·	✓
SD	Malaise	✓	✓	✓
SD	Myalgia	✓	✓	✓
SD	Productive cough	✓	✓	✓
SD	Pyrexia	✓	✓	✓
SD	Respiratory symptom	·	·	✓
SD	Respiratory tract congestion	✓	✓	✓
SD	SARS-CoV-2 test negative	·	·	✓
SRO	Oesophageal pain	✓	✓	✓
SRO	Paranasal sinus discomfort	✓	✓	✓
SRO	Sinus pain	✓	✓	✓

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