6CZ-22842-93231

3 vaccinations 12 coded responses 31 check-ins 12 free-text entries 7 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 298 / SC
Registered: 2021-03-17

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

2021-03-16
Dose 1 — Moderna
2021-03-17
Registered in v-safe
2021-03-17
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Lightheaded

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-18
Survey response — days 1–6 daily, dose 1
MedDRA: Feeling hot, Hyperhidrosis — Feeling: Good · Site: Redness, Swelling · Fatigue or tiredness · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Hot sweating

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-18
Report sent to call center — days 1–6 daily, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-19
Survey response — days 1–6 daily, dose 1
MedDRA: Cough — Feeling: Fair · Site: Swelling, Itching · Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Coughing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-21
Survey response — days 1–6 daily, dose 1
MedDRA: Oropharyngeal pain — Feeling: Good · Fatigue or tiredness

Free text: Sore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-23
Health check-in — day 7, dose 1
Feeling: Good · Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-04-01
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-09
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-13
Dose 2 — Moderna
2021-04-13
Health check-in — day 0, dose 2
Feeling: Good · Site: Swelling · None

Adult check-in
2021-04-14
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Redness, Swelling, Itching · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Swelling, Itching · Fatigue or tiredness

Adult check-in
2021-04-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Swelling · Fatigue or tiredness

Adult check-in
2021-04-18
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Swelling · Muscle or body aches

Adult check-in
2021-04-22
Survey response — day 7, dose 2
MedDRA: Cough, Oropharyngeal pain — Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Sore throat...coughing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-27
Survey response — day 14, dose 2
MedDRA: Cough, Oropharyngeal pain, Pain, Rhinorrhoea — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Coughing, runny nose, aches and pains, temp 99.8 and sore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-27
Report sent to call center — day 14, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-04
Survey response — day 21, dose 2
MedDRA: Tendonitis — Feeling: Good · 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: Tendentious in the back of my heels.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-04
Report sent to call center — day 21, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-11
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-18
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-05-25
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-15
Survey response — 3 months, dose 2
MedDRA: Oxygen saturation decreased — Feeling: Good · Be unable to do your normal daily activities

Free text: Cant walk 3 minutes without my oxygen dropping to 88 or less.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-12-06
Dose 3 — Moderna
2021-12-09
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Headache

Adult check-in
2021-12-10
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-12-11
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-12-12
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-12-14
Health check-in — day 7, dose 3
Feeling: Good · Headache

Adult check-in
2021-12-20
Survey response — day 14, dose 3
MedDRA: Cough, Headache, Musculoskeletal stiffness, Pain, Respiratory tract congestion — Feeling: Fair · 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: Congestion stuffiness coughing headaches stiffness soreness

MedDRA releases: 2024-11 · check-in free text available
2021-12-20
Report sent to call center — day 14, dose 3
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)
2021-12-21
Call successful
Participant prefers to complete VAERS report online
2021-12-21
Call successful
Participant prefers to complete VAERS report online
2021-12-21
Call successful
Participant prefers to complete VAERS report online
2021-12-21
Call successful
Participant prefers to complete VAERS report online
2021-12-27
Survey response — day 21, dose 3
MedDRA: Increased viscosity of upper respiratory secretion, Productive cough — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: A choking like cough with thick clear slime like mucus

MedDRA releases: 2024-11 · check-in free text available
2021-12-27
Report sent to call center — day 21, dose 3
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2021-12-28
Call 1 — Left Voicemail
2022-01-03
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-01-10
Survey response — day 35, dose 3
MedDRA: Choking, Cough, Headache, Myalgia, Retching — Feeling: Fair · 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: Coughing until I gag or feel like I'm choking. Headache and muscle aches

MedDRA releases: 2024-11 · check-in free text available
2022-01-10
Report sent to call center — day 35, dose 3
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-01-12
Call successful
Participant prefers to complete VAERS report online
2022-01-12
Call successful
Participant prefers to complete VAERS report online
2022-01-17
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2022-03-09
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-12-08
Survey response — 12 months, dose 3
MedDRA: Back pain, Flank pain, Neck pain — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: Being tested for different autoimmune diseases. Pain in right side, back and neck.

MedDRA releases: 2024-11 · check-in free text available
2022-12-08
Report sent to call center — 12 months, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
2022-12-09
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-16	Moderna
2	2021-04-13	Moderna
3	2021-12-06	Moderna	No

Call center

7 call center cases

7 successful

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-17

Systemic reaction (other): Lightheaded

2021-03-18

Systemic reaction (other): Hot sweating

2021-03-19

Systemic reaction (other): Coughing

Release 6 — days 1–6 daily, dose 1

2021-03-21

Systemic reaction (other): Sore throat

Release 7 — day 7, dose 2

2021-04-22

Systemic reaction (other): Sore throat...coughing

Release 8 — day 14, dose 2

2021-04-27

Symptoms: Coughing, runny nose, aches and pains, temp 99.8 and sore throat

Release 8 — day 21, dose 2

2021-05-04

Symptoms: Tendentious in the back of my heels.

Release 9 — 3 months, dose 2

2021-07-15

Symptoms: Cant walk 3 minutes without my oxygen dropping to 88 or less.

Release 10 — day 14, dose 3

2021-12-20

Symptoms: Congestion stuffiness coughing headaches stiffness soreness

Release 10 — day 21, dose 3

2021-12-27

Symptoms: A choking like cough with thick clear slime like mucus

Release 10 — day 35, dose 3

2022-01-10

Symptoms: Coughing until I gag or feel like I'm choking. Headache and muscle aches

Release 12 — 12 months, dose 3

2022-12-08

Symptoms: Being tested for different autoimmune diseases. Pain in right side, back and neck.

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	Back pain	·	·	✓
SD	Choking	·	·	✓
SD	Cough	✓	✓	✓
SD	Flank pain	·	·	✓
SD	Headache	·	·	✓
SD	Increased viscosity of upper respiratory secretion	·	·	✓
SD	Musculoskeletal stiffness	·	·	✓
SD	Myalgia	·	·	✓
SD	Neck pain	·	·	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Oxygen saturation decreased	✓	·	✓
SD	Pain	✓	✓	✓
SD	Productive cough	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	Retching	·	·	✓
SD	Rhinorrhoea	✓	✓	✓
SD	Tendonitis	✓	✓	✓
SRO	Cough	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Feeling hot	✓	✓	✓
SRO	Hyperhidrosis	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓

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