69M-72330-18069

4 vaccinations 14 coded responses 41 check-ins 14 free-text entries 1 call case

Sex: Female
Age at first dose: 36-40
ZIP prefix: 813 / CO
Registered: 2021-03-20

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

2021-03-20
Registered in v-safe
2021-03-20
Dose 1 — Moderna
2021-03-20
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-03-21
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache

Adult check-in
2021-03-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-23
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · None

Adult check-in
2021-03-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-27
Survey response — day 7, dose 1
MedDRA: Lymph node pain — Feeling: Fair

Free text: Painful lymph node in armpit of the arm injection was in

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-03
Survey response — day 14, dose 1
MedDRA: Immunisation reaction, Lymph node pain, Lymphadenopathy, Pain, Pruritus, Urticaria — Feeling: Good

Free text: I got COVID arm a week after the vaccine. Itchy sore welt on the arm and swollen sore lymph nodes in that arm pit. Most of the issue went away after a couple of days, leaving just a mild itch for a couple more days.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-10
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-17
Health check-in — day 28, dose 1
Feeling: Fair

Adult check-in
2021-04-24
Dose 2 — Moderna
2021-04-24
Survey response — day 0, dose 2
MedDRA: Respiratory tract congestion — Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness

Free text: Congestion

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-25
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-26
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Itching · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-27
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-04-28
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-04-29
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-04-30
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-05-01
Health check-in — day 7, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-05-08
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-05-15
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-05-22
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-29
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-05
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-24
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-10-23
Survey response — 6 months, dose 2
MedDRA: Arthralgia, Condition aggravated, Hyperhidrosis, Pain, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities

Free text: Blood sugar issues have gotten worse than they have been in years. Excessive sweating. Joint/body aches

MedDRA releases: 2024-11 · check-in free text available
2021-11-19
Dose 3 — Moderna
2022-04-25
Survey response — 12 months, dose 2
MedDRA: Adverse reaction, Dizziness, Fatigue, Orthostatic hypertension, Pre-existing disease — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Investigating whether I have POTS. Have always had low BP, but worse issues since sometime last year. Checking pulse with pulse ox - it's shooting up when I stand up, often by 30 to 40 BPM. Often dizzy, extra fatigued. Some other issues.

MedDRA releases: 2024-11 · check-in free text available
2022-05-20
Health check-in — 6 months, dose 3
Feeling: Fair

Adult check-in
2022-09-17
Dose 4 — Moderna
2022-09-18
Survey response — days 1–6 daily, dose 4
MedDRA: Heart rate increased, Temperature regulation disorder — Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: High pulse, temperature regulation issues

MedDRA releases: 2024-11 · check-in free text available
2022-09-19
Survey response — days 1–6 daily, dose 4
MedDRA: Paranasal sinus hypersecretion — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Sinus drainage

MedDRA releases: 2024-11 · check-in free text available
2022-09-20
Survey response — days 1–6 daily, dose 4
MedDRA: Chest discomfort, Pulse abnormal — Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Chest discomfort and pounding pulse

MedDRA releases: 2024-11 · check-in free text available
2022-09-21
Survey response — days 1–6 daily, dose 4
MedDRA: Palpitations — Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Heart racing

MedDRA releases: 2024-11 · check-in free text available
2022-09-22
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-09-24
Health check-in — day 7, dose 4
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-10-01
Health check-in — day 14, dose 4
Feeling: Fair

Adult check-in
2022-10-08
Survey response — day 21, dose 4
MedDRA: Reaction to previous exposure to any vaccine, Vision blurred — Feeling: Fair · Be unable to do your normal daily activities

Free text: Am having issues with vision focus since the booster. checked my personal notes from prior booster and experienced similar that lasted for a good while, so believe it is related to the shot. (I also had an eye exam 2mo after 1st booster.)

MedDRA releases: 2024-11 · check-in free text available
2022-10-15
Survey response — day 28, dose 4
MedDRA: Dyspnoea, Fatigue — Feeling: Poor · Be unable to do your normal daily activities

Free text: Having worse fatigue and shortness of breath this week.

MedDRA releases: 2024-11 · check-in free text available
2022-10-22
Survey response — day 35, dose 4
MedDRA: Chest discomfort, Chest pain, Dyspnoea — Feeling: Fair · Be unable to do your normal daily activities

Free text: Have had increased chest discomfort/pain and shortness of breath for the past week.

MedDRA releases: 2024-11 · check-in free text available
2022-10-31
Survey response — day 42, dose 4
MedDRA: Chest discomfort, Dyspnoea — Feeling: Fair · Be unable to do your normal daily activities

Free text: More frequent shortness of breath and chest discomfort

MedDRA releases: 2024-11 · check-in free text available
2022-12-17
Survey response — 3 months, dose 4
MedDRA: Myocardial ischaemia — 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: I have a preliminary diagnosis of cardiac ischemia. Still trying to figure out why, as apparently I don't fit the profile to expect that at this age. Don't smoke, not obese, not diabetic, etc.

MedDRA releases: 2024-11 · check-in free text available
2022-12-17
Report sent to call center — 3 months, dose 4
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)
2022-12-20
Call 1 — Left Voicemail
2022-12-20
Call successful
Completed over the phone
2023-03-18
Health check-in — 6 months, dose 4
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-20	Moderna
2	2021-04-24	Moderna
3	2021-11-19	Moderna	No
4	2022-09-17	Moderna	No

Call center

1 call center case

1 successful

VAERS report filed, before or during a call: 1

See the call center timeline

Free text

Release 6 — day 7, dose 1

2021-03-27

Systemic reaction (other): Painful lymph node in armpit of the arm injection was in

Release 6 — day 14, dose 1

2021-04-03

Symptoms: I got COVID arm a week after the vaccine. Itchy sore welt on the arm and swollen sore lymph nodes in that arm pit. Most of the issue went away after a couple of days, leaving just a mild itch for a couple more days.

Release 7 — day 0, dose 2

2021-04-24

Systemic reaction (other): Congestion

Release 10 — 6 months, dose 2

2021-10-23

Symptoms: Blood sugar issues have gotten worse than they have been in years. Excessive sweating. Joint/body aches

Release 11 — 12 months, dose 2

2022-04-25

Symptoms: Investigating whether I have POTS. Have always had low BP, but worse issues since sometime last year. Checking pulse with pulse ox - it's shooting up when I stand up, often by 30 to 40 BPM. Often dizzy, extra fatigued. Some other issues.

Release 12 — days 1–6 daily, dose 4

2022-09-18

Systemic reaction (other): High pulse, temperature regulation issues

2022-09-19

Systemic reaction (other): Sinus drainage

2022-09-20

Systemic reaction (other): Chest discomfort and pounding pulse

2022-09-21

Systemic reaction (other): Heart racing

Release 12 — day 21, dose 4

2022-10-08

Symptoms: Am having issues with vision focus since the booster. checked my personal notes from prior booster and experienced similar that lasted for a good while, so believe it is related to the shot. (I also had an eye exam 2mo after 1st booster.)

Release 12 — day 28, dose 4

2022-10-15

Symptoms: Having worse fatigue and shortness of breath this week.

Release 12 — day 35, dose 4

2022-10-22

Symptoms: Have had increased chest discomfort/pain and shortness of breath for the past week.

Release 12 — day 42, dose 4

2022-10-31

Symptoms: More frequent shortness of breath and chest discomfort

Release 12 — 3 months, dose 4

2022-12-17

Symptoms: I have a preliminary diagnosis of cardiac ischemia. Still trying to figure out why, as apparently I don't fit the profile to expect that at this age. Don't smoke, not obese, not diabetic, etc.

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	Adverse reaction	·	·	✓
SD	Arthralgia	·	·	✓
SD	Chest discomfort	·	·	✓
SD	Chest pain	·	·	✓
SD	Condition aggravated	·	·	✓
SD	Dizziness	·	·	✓
SD	Dyspnoea	·	·	✓
SD	Fatigue	·	·	✓
SD	Hyperhidrosis	·	·	✓
SD	Immunisation reaction	✓	✓	✓
SD	Lymph node pain	✓	✓	✓
SD	Lymphadenopathy	✓	✓	✓
SD	Myocardial ischaemia	·	·	✓
SD	Orthostatic hypertension	·	·	✓
SD	Pain	✓	✓	✓
SD	Pre-existing disease	·	·	✓
SD	Pruritus	✓	✓	✓
SD	Reaction to previous exposure to any vaccine	·	·	✓
SD	Urticaria	✓	✓	✓
SD	Vision blurred	·	·	✓
SRO	Chest discomfort	·	·	✓
SRO	Heart rate increased	·	·	✓
SRO	Lymph node pain	✓	✓	✓
SRO	Palpitations	·	·	✓
SRO	Paranasal sinus hypersecretion	·	·	✓
SRO	Pulse abnormal	·	·	✓
SRO	Respiratory tract congestion	✓	✓	✓
SRO	Temperature regulation disorder	·	·	✓

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