5XR-57633-67076

2 vaccinations 14 coded responses 27 check-ins 14 free-text entries 5 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 981 / WA
Registered: 2021-01-03

Relationship: Self
Race: N/A
Ethnicity: Hispanic or Latino

Timeline

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

2021-01-03
Registered in v-safe
2021-01-03
Dose 1 — Moderna
2021-01-03
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-01-04
Survey response — days 1–6 daily, dose 1
MedDRA: Increased appetite, Thirst — Feeling: Good

Free text: Hunger and thirst more than usual

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-05
Survey response — days 1–6 daily, dose 1
MedDRA: Thirst — Feeling: Poor · Site: Pain · Headache, Fatigue or tiredness, Nausea, Diarrhea · Be unable to work

Free text: Thirsty

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-05
Report sent to call center — days 1–6 daily, dose 1
Be unable to work

1 call case(s)
2021-01-06
Survey response — days 1–6 daily, dose 1
MedDRA: Thirst — Feeling: Fair · Headache, Nausea

Free text: Thirsty

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-07
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache

Adult check-in
2021-01-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-10
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-17
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-24
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-01-31
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-02-01
Dose 2 — Moderna
2021-02-01
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-02-02
Survey response — days 1–6 daily, dose 2
MedDRA: Nightmare, Thirst — Feeling: Poor · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Thirst and nightmares

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-03
Survey response — days 1–6 daily, dose 2
MedDRA: Nightmare, Thirst — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Nausea · Be unable to do your normal daily activities

Free text: Thirst nightmares when sleeping

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-04
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Feeling abnormal, Thirst — Feeling: Poor · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Thirsty dizzy. Foggy headed

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-05
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Feeling abnormal — Feeling: Poor · Site: Pain, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: Dizzy foggy headed

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-06
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-07
Survey response — days 1–6 daily, dose 2
MedDRA: Fatigue, Feeling abnormal, Pain in extremity — Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Free text: Foggy head . exhausted. Pain in arm comes and goes not constant

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-08
Health check-in — day 7, dose 2
Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-02-15
Health check-in — day 14, dose 2
Feeling: Poor

Adult check-in
2021-02-22
Survey response — day 21, dose 2
MedDRA: Arthralgia, Fatigue, Headache, Medical counselling, Palpitations, Telemedicine — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Extreme fatigue Racing heartHeadache joint pain · Healthcare visit (other): Employee health and nurse call

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-22
Report sent to call center — day 21, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-01
Survey response — day 28, dose 2
MedDRA: Arthralgia, Dyspnoea, Fatigue, Headache, Office visit — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Headache. Joint pain. Fatigue.Sob. Got a covid swab to rule out covid · Healthcare visit (other): Emplyee health

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-01
Report sent to call center — day 28, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-08
Survey response — day 35, dose 2
MedDRA: Arthralgia, Headache, Myalgia — Feeling: Poor · Be unable to do your normal daily activities

Free text: Headache muscle ache. Joint pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-15
Survey response — day 42, dose 2
MedDRA: Arthralgia, Fatigue, Headache — Feeling: Poor · Be unable to do your normal daily activities

Free text: Continued fatige headache joint ache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-03
Survey response — 3 months, dose 2
MedDRA: Dizziness, Dyspnoea, Fatigue, Headache — 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: Fatigue. Sob headache.dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-03
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)
2021-06-08
Call 1 — Left Voicemail
2021-08-05
Survey response — 6 months, dose 2
MedDRA: Anxiety — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Feelings of anxiety and worry are new

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-05
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-13
Call successful
Participant prefers to complete VAERS report online
2022-02-01
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-03	Moderna
2	2021-02-01	Moderna

Call center

5 call center cases

1 successful · 3 unsuccessful · 1 priority 2/3 (triaged and no follow up)

See the call center timeline

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-04

Systemic reaction (other): Hunger and thirst more than usual

2021-01-05

Systemic reaction (other): Thirsty

2021-01-06

Systemic reaction (other): Thirsty

Release 3 — days 1–6 daily, dose 2

2021-02-02

Systemic reaction (other): Thirst and nightmares

2021-02-03

Systemic reaction (other): Thirst nightmares when sleeping

2021-02-04

Systemic reaction (other): Thirsty dizzy. Foggy headed

2021-02-05

Systemic reaction (other): Dizzy foggy headed

2021-02-07

Systemic reaction (other): Foggy head . exhausted. Pain in arm comes and goes not constant

Release 4 — day 21, dose 2

2021-02-22

Symptoms: Extreme fatigue Racing heartHeadache joint pain

Healthcare visit (other): Employee health and nurse call

Release 4 — day 28, dose 2

2021-03-01

Symptoms: Headache. Joint pain. Fatigue.Sob. Got a covid swab to rule out covid

Healthcare visit (other): Emplyee health

Release 5 — day 35, dose 2

2021-03-08

Symptoms: Headache muscle ache. Joint pain

Release 5 — day 42, dose 2

2021-03-15

Symptoms: Continued fatige headache joint ache

Release 8 — 3 months, dose 2

2021-05-03

Symptoms: Fatigue. Sob headache.dizziness

Release 9 — 6 months, dose 2

2021-08-05

Symptoms: Feelings of anxiety and worry are new

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	✓	✓	✓
HCVO	Telemedicine	✓	✓	✓
SD	Anxiety	✓	·	✓
SD	Arthralgia	✓	✓	✓
SD	Dizziness	✓	✓	✓
SD	Dyspnoea	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Myalgia	✓	✓	✓
SD	Palpitations	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Increased appetite	✓	✓	✓
SRO	Nightmare	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Thirst	✓	✓	✓

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