65N-46177-17637

2 vaccinations 4 coded responses 20 check-ins 4 free-text entries 1 call case

Sex: Female
Age at first dose: 51-55
ZIP prefix: 687 / NE
Registered: 2021-03-26

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

2021-03-22
Dose 1 — Moderna
2021-03-26
Registered in v-safe
2021-03-26
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · None · Be unable to do your normal daily activities

Adult check-in
2021-03-27
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-28
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work

Adult check-in
2021-03-29
Health check-in — day 7, dose 1
Feeling: Fair · Site: Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-05
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-12
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-21
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-04-26
Health check-in — day 35, dose 1
Feeling: Good

Adult check-in
2021-05-13
Dose 2 — Moderna
2021-05-13
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-05-14
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 · Be unable to do your normal daily activities

Adult check-in
2021-05-15
Survey response — days 1–6 daily, dose 2
MedDRA: Unevaluable event — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: I had an antibody test done after the 1st dose, I didnt really need the 2nd my doctors said so you need to figure out what to do about just 1 dose being enough for some mine was already abnormally high

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-16
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-05-18
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-05-19
Survey response — days 1–6 daily, dose 2
MedDRA: Throat tightness — Feeling: Fair · Site: Pain, Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: My throat feels funny today almost like Im getting congested

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-20
Survey response — day 7, dose 2
MedDRA: Respiratory tract infection — Feeling: Fair · Site: Pain, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, 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: I as well have a respiratory infection now so I dont know what symptoms are from what now

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-20
Report sent to call center — day 7, 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)
2021-05-27
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-06-03
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-06-12
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-08-12
Survey response — 3 months, dose 2
MedDRA: Gastric disorder, Headache, Malaise, Muscle spasms, Muscle twitching, Pain, Painful respiration, Vomiting — Feeling: Fair · Be unable to do your normal daily activities

Free text: Nerves twitching and cramping, pain with breathing, had to have heart cath, headaches body aches, muscle cramping. Throwing up, stomach.I did not need the 2nd shot I had a lot of antibodies already so the shots especially the 2nd really made me sick

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-11-11
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2022-04-28
Call successful
Participant prefers to complete VAERS report online

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-22	Moderna
2	2021-05-13	Moderna

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 8 — days 1–6 daily, dose 2

2021-05-15

Systemic reaction (other): I had an antibody test done after the 1st dose, I didnt really need the 2nd my doctors said so you need to figure out what to do about just 1 dose being enough for some mine was already abnormally high

2021-05-19

Systemic reaction (other): My throat feels funny today almost like Im getting congested

Release 8 — day 7, dose 2

2021-05-20

Systemic reaction (other): I as well have a respiratory infection now so I dont know what symptoms are from what now

Release 9 — 3 months, dose 2

2021-08-12

Symptoms: Nerves twitching and cramping, pain with breathing, had to have heart cath, headaches body aches, muscle cramping. Throwing up, stomach.I did not need the 2nd shot I had a lot of antibodies already so the shots especially the 2nd really made me sick cut off by CDC

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	Gastric disorder	✓	·	✓
SD	Headache	✓	·	✓
SD	Malaise	✓	·	✓
SD	Muscle spasms	✓	·	✓
SD	Muscle twitching	✓	·	✓
SD	Pain	✓	·	✓
SD	Painful respiration	✓	·	✓
SD	Vomiting	✓	·	✓
SRO	Respiratory tract infection	✓	✓	✓
SRO	Throat tightness	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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