6CJ-54600-81177

5 vaccinations 8 coded responses 53 check-ins 7 free-text entries 1 call case

Sex: Female
Age at first dose: 66+
ZIP prefix: 800 / CO
Registered: 2021-01-26

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

2021-01-26
Registered in v-safe
2021-01-26
Dose 1 — Moderna
2021-01-26
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · Fever · Headache

Adult check-in
2021-01-27
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-01-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2021-01-29
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-31
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-02-01
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-02
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-09
Survey response — day 14, dose 1
MedDRA: Fatigue — Feeling: Good

Free text: Mostly fatigue.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-16
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-23
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-02-26
Dose 2 — Moderna
2021-02-26
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches

Adult check-in
2021-02-27
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-02-28
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Itching · Joint pains, Muscle or body aches

Adult check-in
2021-03-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Itching · Fever · Headache, Muscle or body aches

Adult check-in
2021-03-03
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Itching · None

Adult check-in
2021-03-04
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-05
Health check-in — day 7, dose 2
Feeling: Good · Site: Itching · None

Adult check-in
2021-03-12
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-03-19
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-26
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-02
Survey response — day 35, dose 2
MedDRA: Cough, Pyrexia — Feeling: Good

Free text: A cough seems to have developed and sometimes a low grade fever.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-09
Survey response — day 42, dose 2
MedDRA: Myalgia — Feeling: Fair

Free text: Muscle pains which could be from increased activity. Especially knees and leg.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-28
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-27
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-04
Dose 3 — Moderna
2022-02-26
Survey response — 12 months, dose 2
MedDRA: Headache, Nasal congestion, Respiratory tract congestion — Feeling: Fair

Free text: Some headaches and feeling of congestion in my chest. Definitely in my nasal cavity.

MedDRA releases: 2024-11 · check-in free text available
2022-05-09
Dose 4 — Moderna
2022-05-10
Health check-in — days 1–6 daily, dose 4
Feeling: Poor · Site: Pain, Swelling · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2022-05-11
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · Fever · Headache

Adult check-in
2022-05-12
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Abdominal pain

Adult check-in
2022-05-13
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2022-05-14
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Headache, Nausea

Adult check-in
2022-05-15
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-05-16
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-05-23
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-05-30
Health check-in — day 21, dose 4
Feeling: Fair

Adult check-in
2022-06-06
Health check-in — day 28, dose 4
Feeling: Fair

Adult check-in
2022-06-13
Survey response — day 35, dose 4
MedDRA: Fatigue — Feeling: Fair

Free text: Extra fatigue.

MedDRA releases: 2024-11 · check-in free text available
2022-06-20
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-08-10
Survey response — 3 months, dose 4
MedDRA: Headache — Feeling: Fair

Free text: More frequent headaches.

MedDRA releases: 2024-11 · check-in free text available
2022-09-17
Dose 5 — Moderna
2022-09-18
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Site: Pain · Headache

Adult check-in
2022-09-19
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Joint pains

Adult check-in
2022-09-20
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Site: Pain · None

Adult check-in
2022-09-21
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Muscle or body aches

Adult check-in
2022-09-22
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Joint pains

Adult check-in
2022-09-23
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Fever · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-09-24
Health check-in — day 7, dose 5
Feeling: Good · Fever · None

Adult check-in
2022-10-01
Health check-in — day 14, dose 5
Feeling: Good

Adult check-in
2022-10-08
Health check-in — day 21, dose 5
Feeling: Good

Adult check-in
2022-10-15
Health check-in — day 28, dose 5
Feeling: Fair

Adult check-in
2022-10-22
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2022-10-29
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2022-12-17
Survey response — 3 months, dose 5
MedDRA: COVID-19, Nasal congestion, Respiratory tract congestion — 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've been diagnosed with COVID. I'm at day 9 so I have improved some. Still feel chest and nasal congestion. Never had a fever.

MedDRA releases: 2024-11 · check-in free text available
2022-12-17
Report sent to call center — 3 months, dose 5
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)
2022-12-21
Call successful
Does not wish to fill out VAERS report
2023-03-18
Survey response — 6 months, dose 5
MedDRA: Anxiety, Gastrointestinal disorder, Myalgia — Feeling: Fair

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-26	Moderna
2	2021-02-26	Moderna
3	2021-11-04	Moderna	No
4	2022-05-09	Moderna	No
5	2022-09-17	Moderna	No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 3 — day 14, dose 1

2021-02-09

Symptoms: Mostly fatigue.

Release 6 — day 35, dose 2

2021-04-02

Symptoms: A cough seems to have developed and sometimes a low grade fever.

Release 7 — day 42, dose 2

2021-04-09

Symptoms: Muscle pains which could be from increased activity. Especially knees and leg.

Release 11 — 12 months, dose 2

2022-02-26

Symptoms: Some headaches and feeling of congestion in my chest. Definitely in my nasal cavity.

Release 12 — day 35, dose 4

2022-06-13

Symptoms: Extra fatigue.

Release 12 — 3 months, dose 4

2022-08-10

Symptoms: More frequent headaches.

Release 12 — 3 months, dose 5

2022-12-17

Symptoms: I've been diagnosed with COVID. I'm at day 9 so I have improved some. Still feel chest and nasal congestion. Never had a fever.

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	Anxiety	·	·	✓
SD	Cough	✓	✓	✓
SD	COVID-19	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Gastrointestinal disorder	·	·	✓
SD	Headache	·	·	✓
SD	Myalgia	✓	✓	✓
SD	Nasal congestion	·	·	✓
SD	Pyrexia	✓	✓	✓
SD	Respiratory tract congestion	·	·	✓

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