6D5-29303-84002

3 vaccinations 12 coded responses 33 check-ins 12 free-text entries 1 call case

Sex: Female
Age at first dose: 41-45
ZIP prefix: 294 / SC
Registered: 2021-04-08

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

2021-04-05
Dose 1 — Moderna
2021-04-08
Registered in v-safe
2021-04-08
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain · Headache, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-04-09
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness

Adult check-in
2021-04-10
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-04-11
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-04-12
Health check-in — day 7, dose 1
Feeling: Good · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-04-19
Survey response — day 14, dose 1
MedDRA: Adverse reaction — Feeling: Fair · Be unable to do your normal daily activities

Free text: Reaction at COVID vaccine site

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-26
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-05-03
Dose 2 — Moderna
2021-05-03
Survey response — day 0, dose 2
MedDRA: Injection site reaction, Muscle spasms — Feeling: Good · Site: Pain

Free text: Light Muscle spasms at the injection site. Only had the shot 1 hour ago now (4:40 PM).

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-04
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-05-05
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-05-07
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Joint pains

Adult check-in
2021-05-08
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Swelling, Itching · Fatigue or tiredness

Adult check-in
2021-05-09
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness, Itching · Fever · Joint pains, Fatigue or tiredness, Rash, not including the immediate area around the injection site

Adult check-in
2021-05-10
Health check-in — day 7, dose 2
Feeling: Good · Site: Pain, Itching · Fever · Headache, Fatigue or tiredness, Rash, not including the immediate area around the injection site

Adult check-in
2021-05-17
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-05-24
Survey response — day 21, dose 2
MedDRA: Dyspnoea, Headache, Respiratory disorder — Feeling: Fair · Be unable to do your normal daily activities

Free text: Upper respiratory issues (hard to catch breath) and moderate headaches.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-31
Survey response — day 28, dose 2
MedDRA: Headache, Insomnia — Feeling: Good · Be unable to do your normal daily activities

Free text: Insomnia and headaches

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-07
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-14
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-08-02
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-11-01
Survey response — 6 months, dose 2
MedDRA: Pyrexia, SARS-CoV-2 test positive — 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

Free text: I tested positive for Covid. Still feel feverish off and on throughout the day.

MedDRA releases: 2024-11 · check-in free text available
2021-11-01
Report sent to call center — 6 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

Telehealth, virtual health, or email health consultation · 1 call case(s)
2021-11-03
Call 1 — Left Voicemail
2021-11-09
Dose 3 — Moderna
2021-11-09
Health check-in — day 0, dose 3
Feeling: Fair · Site: Pain, Redness · Fever · Chills, Headache, Nausea

Adult check-in
2021-11-11
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Redness · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to work or attend school

Adult check-in
2021-11-11
Call successful
Participant prefers to complete VAERS report online
2021-11-12
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Redness · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-11-13
Survey response — days 1–6 daily, dose 3
MedDRA: Anxiety — Feeling: Fair · Site: Pain, Redness · Joint pains · Be unable to do your normal daily activities

Free text: Anxiety

MedDRA releases: 2024-11 · check-in free text available
2021-11-14
Survey response — days 1–6 daily, dose 3
MedDRA: Anxiety — Feeling: Fair · Site: Pain, Redness, Itching · Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Anxiety

MedDRA releases: 2024-11 · check-in free text available
2021-11-17
Health check-in — day 7, dose 3
Feeling: Good · Site: Pain, Redness, Itching · Joint pains, Abdominal pain

Adult check-in
2021-11-23
Survey response — day 14, dose 3
MedDRA: Kidney infection — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Kidney infection

MedDRA releases: 2024-11 · check-in free text available
2021-11-30
Survey response — day 21, dose 3
MedDRA: Abdominal pain upper, Flank pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Abdominal pain upper right abdomen and flank

MedDRA releases: 2024-11 · check-in free text available
2021-12-09
Survey response — day 28, dose 3
MedDRA: Influenza, Nasopharyngitis — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Bad cold / flu / something

MedDRA releases: 2024-11 · check-in free text available
2021-12-23
Survey response — day 42, dose 3
MedDRA: Hypertension, Respiratory tract infection viral — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Bad respiratory virus and high blood pressure

MedDRA releases: 2024-11 · check-in free text available
2022-02-08
Survey response — 3 months, dose 3
MedDRA: COVID-19, Urinary tract infection — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Covid 2 weeks ago, recurrent uti

MedDRA releases: 2024-11 · check-in free text available
2022-05-12
Health check-in — 6 months, dose 3
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-05	Moderna
2	2021-05-03	Moderna
3	2021-11-09	Moderna	No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 7 — day 14, dose 1

2021-04-19

Symptoms: Reaction at COVID vaccine site

Release 8 — day 0, dose 2

2021-05-03

Systemic reaction (other): Light Muscle spasms at the injection site. Only had the shot 1 hour ago now (4:40 PM).

Release 8 — day 21, dose 2

2021-05-24

Symptoms: Upper respiratory issues (hard to catch breath) and moderate headaches.

Release 8 — day 28, dose 2

2021-05-31

Symptoms: Insomnia and headaches

Release 10 — 6 months, dose 2

2021-11-01

Symptoms: I tested positive for Covid. Still feel feverish off and on throughout the day.

Release 10 — days 1–6 daily, dose 3

2021-11-13

Systemic reaction (other): Anxiety

2021-11-14

Systemic reaction (other): Anxiety

Release 10 — day 14, dose 3

2021-11-23

Symptoms: Kidney infection

Release 10 — day 21, dose 3

2021-11-30

Symptoms: Abdominal pain upper right abdomen and flank

Release 10 — day 28, dose 3

2021-12-09

Symptoms: Bad cold / flu / something

Release 10 — day 42, dose 3

2021-12-23

Symptoms: Bad respiratory virus and high blood pressure

Release 11 — 3 months, dose 3

2022-02-08

Symptoms: Covid 2 weeks ago, recurrent uti

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	Abdominal pain upper	·	·	✓
SD	Adverse reaction	✓	✓	✓
SD	COVID-19	·	·	✓
SD	Dyspnoea	✓	✓	✓
SD	Flank pain	·	·	✓
SD	Headache	✓	✓	✓
SD	Hypertension	·	·	✓
SD	Influenza	·	·	✓
SD	Insomnia	✓	✓	✓
SD	Kidney infection	·	·	✓
SD	Nasopharyngitis	·	·	✓
SD	Pyrexia	·	·	✓
SD	Respiratory disorder	✓	✓	✓
SD	Respiratory tract infection viral	·	·	✓
SD	SARS-CoV-2 test positive	·	·	✓
SD	Urinary tract infection	·	·	✓
SRO	Anxiety	·	·	✓
SRO	Injection site reaction	✓	✓	✓
SRO	Muscle spasms	✓	✓	✓

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