6BZ-26554-99380

2 vaccinations 8 coded responses 24 check-ins 8 free-text entries 3 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 981 / WA
Registered: 2021-02-12

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

2021-02-12
Registered in v-safe
2021-02-12
Dose 1 — Moderna
2021-02-12
Survey response — day 0, dose 1
MedDRA: Depression, Malaise — Feeling: Fair · Site: Redness, Swelling · Headache, Muscle or body aches, Fatigue or tiredness, Nausea

Free text: Feeling blah, little depressed

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-13
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-14
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-02-15
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Itching · Fatigue or tiredness

Adult check-in
2021-02-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Itching · None

Adult check-in
2021-02-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-19
Health check-in — day 7, dose 1
Feeling: Good · Diarrhea

Adult check-in
2021-02-26
Survey response — day 14, dose 1
MedDRA: Pain — Feeling: Good · Be unable to do your normal daily activities

Free text: Pain and ache all over, esp when exercising the last few days.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-05
Survey response — day 21, dose 1
MedDRA: Pain in extremity — Feeling: Good

Free text: Arms hurt/ache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-12
Dose 2 — Moderna
2021-03-12
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-13
Survey response — days 1–6 daily, dose 2
MedDRA: Pain — Feeling: Poor · Site: Pain, Swelling · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: Very sharp pains throughout body

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-14
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-15
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-03-16
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Itching · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-18
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Itching · Muscle or body aches

Adult check-in
2021-03-19
Health check-in — day 7, dose 2
Feeling: Good · Site: Pain, Itching · Muscle or body aches

Adult check-in
2021-03-26
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-04-02
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-09
Survey response — day 28, dose 2
MedDRA: Dizziness, Vertigo — Feeling: Fair · Be unable to do your normal daily activities

Free text: Monday I woke up with vertigo so bad I was frozen in place until my husband helped me go to the bathroom. My blood pressure machine said 187 over something hi. It finally dropped but dizziness persisted all day.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
Survey response — day 35, dose 2
MedDRA: Dizziness, Feeling abnormal, Medical counselling, Unevaluable event — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Symptoms: Very dizzy and head fees weird. Getting mri next week, dr feels I maybe having tias · Healthcare visit (other): Will get mri and heart monitor ing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
Report sent to call center — day 35, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-23
Survey response — day 42, dose 2
MedDRA: Dizziness, Magnetic resonance imaging — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Symptoms: Dizziness · Healthcare visit (other): MRI

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-23
Report sent to call center — day 42, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-09-17
Survey response — 6 months, dose 2
MedDRA: Dizziness — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Dizzy

MedDRA releases: 2024-11 · check-in free text available
2021-09-17
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-09-21
Call successful
Participant prefers to complete VAERS report online

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-12	Moderna
2	2021-03-12	Moderna

Call center

3 call center cases

3 successful

See the call center timeline

Free text

Release 4 — day 0, dose 1

2021-02-12

Systemic reaction (other): Feeling blah, little depressed

Release 4 — day 14, dose 1

2021-02-26

Symptoms: Pain and ache all over, esp when exercising the last few days.

Release 5 — day 21, dose 1

2021-03-05

Symptoms: Arms hurt/ache

Release 5 — days 1–6 daily, dose 2

2021-03-13

Systemic reaction (other): Very sharp pains throughout body

Release 7 — day 28, dose 2

2021-04-09

Symptoms: Monday I woke up with vertigo so bad I was frozen in place until my husband helped me go to the bathroom. My blood pressure machine said 187 over something hi. It finally dropped but dizziness persisted all day.

Release 7 — day 35, dose 2

2021-04-16

Symptoms: Very dizzy and head fees weird. Getting mri next week, dr feels I maybe having tias

Healthcare visit (other): Will get mri and heart monitor ing

Release 7 — day 42, dose 2

2021-04-23

Symptoms: Dizziness

Healthcare visit (other): MRI

Release 9 — 6 months, dose 2

2021-09-17

Symptoms: Dizzy

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	Magnetic resonance imaging	✓	✓	✓
HCVO	Unevaluable event	✓	✓	✓
SD	Dizziness	✓	✓	✓
SD	Feeling abnormal	✓	✓	✓
SD	Medical counselling	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SD	Vertigo	✓	✓	✓
SRO	Depression	✓	✓	✓
SRO	Malaise	✓	✓	✓
SRO	Pain	✓	✓	✓

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