69D-32813-35619

3 vaccinations 11 coded responses 33 check-ins 11 free-text entries 2 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 302 / GA
Registered: 2021-01-18

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

2021-01-18
Registered in v-safe
2021-01-18
Dose 1 — Moderna
2021-01-18
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-01-19
Survey response — days 1–6 daily, dose 1
MedDRA: Abdominal discomfort — Feeling: Fair · Site: Pain · Fever · Fatigue or tiredness

Free text: Upset stomach

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-22
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-01-23
Survey response — days 1–6 daily, dose 1
MedDRA: Pre-existing disease — Feeling: Fair · Fatigue or tiredness

Free text: Hyperthyroid

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-24
Survey response — days 1–6 daily, dose 1
MedDRA: Pruritus — Feeling: Fair · Fatigue or tiredness

Free text: Skin itches: stomach and hands

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-25
Health check-in — day 7, dose 1
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-02-03
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-02-10
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-15
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-02-19
Dose 2 — Moderna
2021-02-22
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-23
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-24
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Joint pains, Muscle or body aches

Adult check-in
2021-02-26
Health check-in — day 7, dose 2
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-05
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-03-12
Survey response — day 21, dose 2
MedDRA: Pain in extremity — Feeling: Fair · Be unable to do your normal daily activities

Free text: Leg pain from thigh to heel

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-19
Survey response — day 28, dose 2
MedDRA: Glucose tolerance impaired, Glycosylated haemoglobin increased — Feeling: Fair

Free text: My HBa1C suddenly went to 5.7 which is impaired glucose tolerant. Ive never had an issue with glucose or diabetes. Additionally my husband, took both Moderna shots at the same time as me (he didnt register for vsafe) also had a spike in his A1

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
Survey response — day 35, dose 2
MedDRA: Blood glucose abnormal, Medical counselling — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: My Hba1c went from normal to 5.7 (impaired glucose tolerance). Never had a problem before. · Healthcare visit (other): Visit to endocrinologist

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
Report sent to call center — day 35, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-03
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-21
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-20
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-28
Dose 3 — Moderna
2021-10-31
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-01
Survey response — days 1–6 daily, dose 3
MedDRA: Decreased appetite — Feeling: Good · Headache

Free text: Waning appetite

MedDRA releases: 2024-11 · check-in free text available
2021-11-02
Survey response — days 1–6 daily, dose 3
MedDRA: Headache — Feeling: Good · Headache

Free text: I keep feeling this little, short pains on the right side of my head??

MedDRA releases: 2024-11 · check-in free text available
2021-11-03
Survey response — days 1–6 daily, dose 3
MedDRA: Unevaluable event — Feeling: Good · Headache, Fatigue or tiredness

Free text: Little twinges of pain on right side of head?

MedDRA releases: 2024-11 · check-in free text available
2021-11-06
Health check-in — day 7, dose 3
Feeling: Good · Headache

Adult check-in
2021-11-11
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-18
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-27
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-02
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-10
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-14
Call 1 — Left Voicemail
2022-01-17
Call 2 — Left Voicemail
2022-01-17
Callback requested for
04:00PM ET
2022-01-17
Call successful
Participant prefers to complete VAERS report online
2022-01-27
Survey response — 3 months, dose 3
MedDRA: Tremor — Feeling: Fair

Free text: Hands shake terribly

MedDRA releases: 2024-11 · check-in free text available
2022-04-28
Survey response — 6 months, dose 3
MedDRA: Ear infection, Paranasal sinus hypersecretion — 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 · Outpatient clinic or urgent care clinic visit

Free text: Sinus drainage. Ear infection

MedDRA releases: 2024-11 · check-in free text available
2022-04-28
Report sent to call center — 6 months, dose 3
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-04-29
Call successful
Participant prefers to complete VAERS report online
2022-10-28
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-18	Moderna
2	2021-02-19	Moderna
3	2021-10-28	Moderna	No

Call center

2 call center cases

2 successful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-19

Systemic reaction (other): Upset stomach

2021-01-23

Systemic reaction (other): Hyperthyroid

2021-01-24

Systemic reaction (other): Skin itches: stomach and hands

Release 5 — day 21, dose 2

2021-03-12

Symptoms: Leg pain from thigh to heel

Release 5 — day 28, dose 2

2021-03-19

Symptoms: My HBa1C suddenly went to 5.7 which is impaired glucose tolerant. Ive never had an issue with glucose or diabetes. Additionally my husband, took both Moderna shots at the same time as me (he didnt register for vsafe) also had a spike in his A1

Release 6 — day 35, dose 2

2021-03-26

Symptoms: My Hba1c went from normal to 5.7 (impaired glucose tolerance). Never had a problem before.

Healthcare visit (other): Visit to endocrinologist

Release 10 — days 1–6 daily, dose 3

2021-11-01

Systemic reaction (other): Waning appetite

2021-11-02

Systemic reaction (other): I keep feeling this little, short pains on the right side of my head??

2021-11-03

Systemic reaction (other): Little twinges of pain on right side of head?

Release 11 — 3 months, dose 3

2022-01-27

Symptoms: Hands shake terribly

Release 11 — 6 months, dose 3

2022-04-28

Symptoms: Sinus drainage. Ear infection

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	✓	✓	✓
SD	Blood glucose abnormal	✓	✓	✓
SD	Ear infection	·	·	✓
SD	Glucose tolerance impaired	✓	✓	✓
SD	Glycosylated haemoglobin increased	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SD	Paranasal sinus hypersecretion	·	·	✓
SD	Tremor	·	·	✓
SRO	Abdominal discomfort	✓	✓	✓
SRO	Decreased appetite	·	·	✓
SRO	Headache	·	·	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Pruritus	✓	✓	✓
SRO	Unevaluable event	·	·	✓

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