63C-27265-80131

3 vaccinations 13 coded responses 37 check-ins 13 free-text entries 2 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 441 / OH
Registered: 2021-02-07

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

2021-02-06
Dose 1 — Moderna
2021-02-07
Registered in v-safe
2021-02-07
Survey response — days 1–6 daily, dose 1
MedDRA: Heart rate increased, Hypertension — 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

Free text: Hbp. Rapid heartbeat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-08
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Itching · Joint pains

Adult check-in
2021-02-09
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness — Feeling: Good · Site: Swelling, Itching · Fatigue or tiredness

Free text: Very slight dizziness in the am.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-10
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Swelling, Itching · Headache, Muscle or body aches

Adult check-in
2021-02-11
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Swelling · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-13
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-20
Survey response — day 14, dose 1
MedDRA: Dizziness, Joint swelling, Peripheral swelling — Feeling: Good

Free text: Swelling in legs and ankles. Occasional am very slight dizziness.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-27
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-03-06
Dose 2 — Moderna
2021-03-06
Survey response — day 0, dose 2
MedDRA: Chest discomfort, Dizziness — Feeling: Good

Free text: Very slight dizziness/slight chest discomfort

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-07
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Fair · Site: Pain, Swelling · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain

Free text: Axlite dizziness.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-08
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Redness, Swelling, Itching · Fatigue or tiredness

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

Adult check-in
2021-03-10
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Fatigue or tiredness, Nausea

Adult check-in
2021-03-11
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-12
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-13
Health check-in — day 7, dose 2
Feeling: Fair · Fatigue or tiredness, Nausea

Adult check-in
2021-03-20
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-03-27
Survey response — day 21, dose 2
MedDRA: Headache, Nausea — Feeling: Fair

Free text: Headache, some nausea

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

Free text: Swelling legs, ankles and feet. Small headache.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-10
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-04-17
Survey response — day 42, dose 2
MedDRA: Arthralgia, Brain fog, Fatigue, Headache, Pain in extremity, Peripheral swelling — Feeling: Fair · Be unable to do your normal daily activities

Free text: Extreme tiredness. Headache. Pain and swelling in legs and feet. Aching joints. Brain haze.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-07
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-09-04
Survey response — 6 months, dose 2
MedDRA: Heart rate increased — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Heart rate still too fast at times. On medication.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-09-04
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-09-12
Call 1 — Could Not Reach Participant
2021-09-16
Call 2 — Could Not Reach Participant
2021-11-20
Dose 3 — Moderna
2021-11-21
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea

Adult check-in
2021-11-22
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-11-24
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Fatigue or tiredness, Diarrhea

Adult check-in
2021-11-25
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-26
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Headache, Muscle or body aches

Adult check-in
2021-11-27
Survey response — day 7, dose 3
MedDRA: Balance disorder, Chest pain — Feeling: Fair · Fatigue or tiredness

Free text: A little chest pain. A little off balance.

MedDRA releases: 2024-11 · check-in free text available
2021-12-04
Survey response — day 14, dose 3
MedDRA: Blood pressure increased — Feeling: Fair

Free text: BP seems to be higher since vaccine.

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

Adult check-in
2021-12-18
Health check-in — day 28, dose 3
Feeling: Fair

Adult check-in
2021-12-25
Survey response — day 35, dose 3
MedDRA: Dizziness — Feeling: Fair

Free text: Some dizziness.

MedDRA releases: 2024-11 · check-in free text available
2022-01-01
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2022-02-19
Survey response — 3 months, dose 3
MedDRA: Dizziness, Fatigue — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: More tiredness and dizziness sometimes.

MedDRA releases: 2024-11 · check-in free text available
2022-02-19
Report sent to call center — 3 months, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-02-21
Call successful
Participant prefers to complete VAERS report online
2022-05-21
Health check-in — 6 months, dose 3
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-06	Moderna
2	2021-03-06	Moderna
3	2021-11-20	Moderna	No

Call center

2 call center cases

2 successful

See the call center timeline

Free text

Release 3 — days 1–6 daily, dose 1

2021-02-07

Systemic reaction (other): Hbp. Rapid heartbeat

2021-02-09

Systemic reaction (other): Very slight dizziness in the am.

Release 4 — day 14, dose 1

2021-02-20

Symptoms: Swelling in legs and ankles. Occasional am very slight dizziness.

Release 5 — day 0, dose 2

2021-03-06

Systemic reaction (other): Very slight dizziness/slight chest discomfort

Release 5 — days 1–6 daily, dose 2

2021-03-07

Systemic reaction (other): Axlite dizziness.

Release 6 — day 21, dose 2

2021-03-27

Symptoms: Headache, some nausea

Release 6 — day 28, dose 2

2021-04-03

Symptoms: Swelling legs, ankles and feet. Small headache.

Release 7 — day 42, dose 2

2021-04-17

Symptoms: Extreme tiredness. Headache. Pain and swelling in legs and feet. Aching joints. Brain haze.

Release 9 — 6 months, dose 2

2021-09-04

Symptoms: Heart rate still too fast at times. On medication.

Release 10 — day 7, dose 3

2021-11-27

Systemic reaction (other): A little chest pain. A little off balance.

Release 10 — day 14, dose 3

2021-12-04

Symptoms: BP seems to be higher since vaccine.

Release 10 — day 35, dose 3

2021-12-25

Symptoms: Some dizziness.

Release 11 — 3 months, dose 3

2022-02-19

Symptoms: More tiredness and dizziness sometimes.

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	Blood pressure increased	·	·	✓
SD	Brain fog	✓	✓	✓
SD	Dizziness	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Heart rate increased	✓	·	✓
SD	Joint swelling	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SD	Peripheral swelling	✓	✓	✓
SRO	Balance disorder	·	·	✓
SRO	Chest discomfort	✓	✓	✓
SRO	Chest pain	·	·	✓
SRO	Dizziness	✓	✓	✓
SRO	Heart rate increased	✓	✓	✓
SRO	Hypertension	✓	✓	✓

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