6BD-23775-81376

2 vaccinations 6 coded responses 23 check-ins 6 free-text entries 2 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 871 / NM
Registered: 2021-02-13

Relationship: Self
Race: American Indian or Alaska Native
Ethnicity: Not Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-02-13
Registered in v-safe
2021-02-13
Dose 1 — Moderna
2021-02-13
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-14
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness — Feeling: Fair · Site: Pain · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Dizzy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-15
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-16
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches

Adult check-in
2021-02-17
Survey response — days 1–6 daily, dose 1
MedDRA: Oral herpes, Paraesthesia — Feeling: Fair · Site: Pain · Muscle or body aches, Nausea

Free text: Cold sore development and face felt itchy. And tingly

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Chills

Adult check-in
2021-02-20
Survey response — day 7, dose 1
MedDRA: Nasal congestion, Oropharyngeal pain, Paranasal sinus hypersecretion — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Sore throat. Sinuses draining. Stuffy nose

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-27
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-06
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-13
Dose 2 — Moderna
2021-03-13
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain, Redness · Joint pains, Muscle or body aches

Adult check-in
2021-03-15
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-18
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-19
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-20
Health check-in — day 7, dose 2
Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-27
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-03
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-10
Survey response — day 28, dose 2
MedDRA: Chills, Oropharyngeal pain, Pain — Feeling: Fair

Free text: Sore throat. Body aches. Chills

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-17
Survey response — day 35, dose 2
MedDRA: Headache, Nasopharyngitis, Nausea, Oropharyngeal pain, Pain, Sneezing, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Sore throat. Nausea. Body aches. Sneezing. Headache. I got tested. Its not corona. Just a cold · Healthcare visit (other): Tested for covid

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-17
Report sent to call center — day 35, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-24
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-12
Survey response — 3 months, dose 2
MedDRA: Chills, Migraine, Nasopharyngitis, Oropharyngeal pain, Pain, Pre-existing disease, Pyrexia, SARS-CoV-2 test negative — 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 · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: Entire body aches to the bone. Migraines got worse. And longer. Longest was 8days. I had chills fever. Sore throat . Was tested 4 times. It was negative for covid. This cold lasted 8 days also

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-12
Report sent to call center — 3 months, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

1 call case(s)
2021-06-18
Call successful
Does not wish to fill out VAERS report
2021-09-11
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-03-13
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-13	Moderna
2	2021-03-13	Moderna

Call center

2 call center cases

2 successful

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-14

Systemic reaction (other): Dizzy

2021-02-17

Systemic reaction (other): Cold sore development and face felt itchy. And tingly

Release 4 — day 7, dose 1

2021-02-20

Systemic reaction (other): Sore throat. Sinuses draining. Stuffy nose

Release 7 — day 28, dose 2

2021-04-10

Symptoms: Sore throat. Body aches. Chills

Release 7 — day 35, dose 2

2021-04-17

Symptoms: Sore throat. Nausea. Body aches. Sneezing. Headache. I got tested. Its not corona. Just a cold

Healthcare visit (other): Tested for covid

Release 9 — 3 months, dose 2

2021-06-12

Symptoms: Entire body aches to the bone. Migraines got worse. And longer. Longest was 8days. I had chills fever. Sore throat . Was tested 4 times. It was negative for covid. This cold lasted 8 days also

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	Unevaluable event	✓	✓	✓
SD	Chills	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Migraine	✓	✓	✓
SD	Nasopharyngitis	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Pyrexia	✓	✓	✓
SD	SARS-CoV-2 test negative	✓	✓	✓
SD	Sneezing	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Nasal congestion	✓	✓	✓
SRO	Oral herpes	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Paraesthesia	✓	✓	✓
SRO	Paranasal sinus hypersecretion	✓	✓	✓

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