62A-24205-52387

4 vaccinations 8 coded responses 35 check-ins 6 free-text entries 3 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 781 / TX
Registered: 2021-02-03

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

2021-02-03
Registered in v-safe
2021-02-03
Dose 1 — Moderna
2021-02-03
Health check-in — day 0, dose 1
Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Fatigue or tiredness, Nausea

Adult check-in
2021-02-04
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-02-05
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-06
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-02-07
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fever · Headache

Adult check-in
2021-02-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-02-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-02-10
Health check-in — day 7, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-17
Survey response — day 14, dose 1
MedDRA: Arthralgia, Asthenia, Vaccination site movement impairment, Vaccination site pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: The arm that was vaccinated has gotten really sore again. Same place. Between the injection site and my elbow. Lost somr strength in it as well as some pain.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-24
Health check-in — day 21, dose 1
Feeling: Good

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

Adult check-in
2021-03-04
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-03-05
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-03-06
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-03-07
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-03-09
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-03-10
Health check-in — day 7, dose 2
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-03-17
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-03-24
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-31
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-07
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-14
Survey response — day 42, dose 2
MedDRA: Diarrhoea — Feeling: Good

Free text: Since the second vaccine I have experienced bouts of diarrhea.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-02
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-01
Survey response — 6 months, dose 2
MedDRA: Asthma, Office visit, Respiratory disorder — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Breathing issue. Asthma · Healthcare visit (other): Asthma specialist and GP

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-09-01
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-09-03
Call 1 — Could Not Reach Participant
2021-09-09
Call 2 — Could Not Reach Participant
2021-10-30
Dose 3 — Moderna
2022-03-03
Survey response — 12 months, dose 2
MedDRA: Asthma, Office visit, Respiratory disorder — Feeling: Fair · 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: Symptoms: Had an acute asthma attack in July and now have breathing issues. · Healthcare visit (other): Asthma specialist

MedDRA releases: 2024-11 · check-in free text available
2022-03-03
Report sent to call center — 12 months, dose 2
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)
2022-03-04
Call successful
Participant prefers to complete VAERS report online
2022-10-22
Dose 4 — Moderna
2022-10-27
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Swelling, Itching · Headache, Fatigue or tiredness, Diarrhea

Adult check-in
2022-10-28
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Swelling, Itching · Headache, Fatigue or tiredness

Adult check-in
2022-10-29
Health check-in — day 7, dose 4
Feeling: Fair · Site: Itching · Headache, Fatigue or tiredness

Adult check-in
2022-11-05
Health check-in — day 14, dose 4
Feeling: Fair

Adult check-in
2022-11-12
Survey response — day 21, dose 4
MedDRA: Fatigue, Hypotension — Feeling: Fair · Be unable to do your normal daily activities

Free text: low blood pressure amd fatigue

MedDRA releases: 2024-11 · check-in free text available
2022-11-19
Health check-in — day 28, dose 4
Feeling: Fair

Adult check-in
2022-11-26
Survey response — day 35, dose 4
MedDRA: Headache, Respiratory tract congestion — Feeling: Fair

Free text: Headache and head congestion.

MedDRA releases: 2024-11 · check-in free text available
2022-12-03
Health check-in — day 42, dose 4
Feeling: Fair

Adult check-in
2023-01-22
Survey response — 3 months, dose 4
MedDRA: Cough, Fatigue, Office visit, Sinus congestion — Feeling: Fair · Get care from a doctor or other healthcare professional

MedDRA releases: 2024-11
2023-01-22
Report sent to call center — 3 months, dose 4
Get care from a doctor or other healthcare professional

1 call case(s)
2023-01-23
Call successful
Participant prefers to complete VAERS report online
2023-04-24
Survey response — 6 months, dose 4
MedDRA: Alopecia, COVID-19 — Feeling: Fair

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-03	Moderna
2	2021-03-03	Moderna
3	2021-10-30	Moderna	No
4	2022-10-22	Moderna	No

Call center

3 call center cases

3 successful

See the call center timeline

Free text

Release 4 — day 14, dose 1

2021-02-17

Symptoms: The arm that was vaccinated has gotten really sore again. Same place. Between the injection site and my elbow. Lost somr strength in it as well as some pain.

Release 7 — day 42, dose 2

2021-04-14

Symptoms: Since the second vaccine I have experienced bouts of diarrhea.

Release 9 — 6 months, dose 2

2021-09-01

Symptoms: Breathing issue. Asthma

Healthcare visit (other): Asthma specialist and GP

Release 11 — 12 months, dose 2

2022-03-03

Symptoms: Had an acute asthma attack in July and now have breathing issues.

Healthcare visit (other): Asthma specialist

Release 12 — day 21, dose 4

2022-11-12

Symptoms: low blood pressure amd fatigue

Release 12 — day 35, dose 4

2022-11-26

Symptoms: Headache and head congestion.

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	Alopecia	·	·	✓
SD	Arthralgia	✓	·	✓
SD	Asthenia	✓	·	✓
SD	Asthma	✓	·	✓
SD	Cough	·	·	✓
SD	COVID-19	·	·	✓
SD	Diarrhoea	✓	✓	✓
SD	Fatigue	·	·	✓
SD	Headache	·	·	✓
SD	Hypotension	·	·	✓
SD	Respiratory disorder	✓	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	Sinus congestion	·	·	✓
SD	Vaccination site movement impairment	○	✓	○
SD	Vaccination site pain	✓	✓	✓

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