6HT-15341-79894

5 vaccinations 10 coded responses 50 check-ins 10 free-text entries 9 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 761 / TX
Registered: 2021-01-03

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

2021-01-03
Registered in v-safe
2021-01-03
Dose 1 — Moderna
2021-01-03
Health check-in — day 0, dose 1
Feeling: Fair · Site: Redness, Swelling · Headache, Fatigue or tiredness

Adult check-in
2021-01-04
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Fatigue or tiredness

Adult check-in
2021-01-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Redness, Swelling, Itching · Headache

Adult check-in
2021-01-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Itching · None

Adult check-in
2021-01-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-10
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-17
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-24
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-01-28
Dose 2 — Moderna
2021-02-02
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Joint pains

Adult check-in
2021-02-03
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Redness, Swelling, Itching · Headache, Joint pains

Adult check-in
2021-02-04
Health check-in — day 7, dose 2
Feeling: Good · Site: Redness, Itching · Headache

Adult check-in
2021-02-11
Survey response — day 14, dose 2
MedDRA: Fatigue, Feeling abnormal — Feeling: Fair · Be unable to do your normal daily activities

Free text: Since my 2nd shot, I have been experiencing severe fatigue and brain fog. I am still working but not at my peak.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-18
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-25
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-04
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-11
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-04-29
Survey response — 3 months, dose 2
MedDRA: Asthma, Headache, Oropharyngeal 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: Headache, sore throat, head and chest congestion, asthma

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-29
Report sent to call center — 3 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-29
Survey response — 6 months, dose 2
MedDRA: Asthma, Pre-existing disease — 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: Asthma problems

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-29
Report sent to call center — 6 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-04
Call 1 — Left Voicemail
2021-08-15
Dose 3 — Moderna
2021-08-15
Health check-in — day 0, dose 3
Feeling: Fair · Site: Pain, Redness · None

Adult check-in
2021-08-16
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-08-17
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-08-18
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Redness, Swelling · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-08-19
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Redness, Swelling · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-08-20
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Redness · Headache, Muscle or body aches

Adult check-in
2021-08-21
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Redness · Joint pains, Muscle or body aches

Adult check-in
2021-08-22
Health check-in — day 7, dose 3
Feeling: Good · Site: Redness · Joint pains, Muscle or body aches

Adult check-in
2021-08-29
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-09-05
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-09-12
Survey response — day 28, dose 3
MedDRA: Office visit, Peripheral swelling — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Swelling in lower left leg · Healthcare visit (other): Dr. Appt. on 9-13

MedDRA releases: 2024-11 · check-in free text available
2021-09-12
Report sent to call center — day 28, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2021-09-14
Call 1 — Left Voicemail
2021-09-19
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-09-26
Survey response — day 42, dose 3
MedDRA: Migraine, Pre-existing disease, Rheumatoid arthritis, Unevaluable event — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Migraine headaches; RA flare-up · Healthcare visit (other): Dr. Appt. Scheduled

MedDRA releases: 2024-11 · check-in free text available
2021-09-26
Report sent to call center — day 42, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-09-29
Call 1 — Left Voicemail
2021-11-14
Survey response — 3 months, dose 3
MedDRA: Antinuclear antibody increased, C-reactive protein increased, Office visit, Pre-existing disease, Red blood cell sedimentation rate increased, Rheumatoid arthritis — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: RA flare-up with increased inflammation markers in SED rate, ANA, and CRP. · Healthcare visit (other): Additional testing and medication change from doctor visit

MedDRA releases: 2024-11 · check-in free text available
2021-11-14
Report sent to call center — 3 months, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-11-15
Call 1 — Left Voicemail
2022-01-15
Dose 4 — Moderna
2022-02-13
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-04-16
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-07-16
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in
2022-07-29
Dose 5 — Moderna
2022-07-30
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Headache, Joint pains, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2022-07-31
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-08-01
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Site: Redness, Swelling · Headache, Fatigue or tiredness, Diarrhea

Adult check-in
2022-08-02
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Site: Redness · Headache

Adult check-in
2022-08-03
Survey response — days 1–6 daily, dose 5
MedDRA: Asthma, Respiratory disorder, SARS-CoV-2 test negative — Feeling: Fair · Site: Redness · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Asthma/respiratory issues have been worse the past 24 hours; self covid tests are negative

MedDRA releases: 2024-11 · check-in free text available
2022-08-03
Report sent to call center — days 1–6 daily, dose 5
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-08-04
Survey response — days 1–6 daily, dose 5
MedDRA: Asthma, Respiratory disorder, Unevaluable event — Feeling: Fair · Headache · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Systemic reaction (other): Asthma/respiratory issues · Healthcare visit (other): Also completed a VARS report on 8-4-22

MedDRA releases: 2024-11 · check-in free text available
2022-08-04
Report sent to call center — days 1–6 daily, dose 5
Be unable to work or attend school · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-08-04
Call successful
Not applicable - Accidental Reporting
2022-08-04
Call successful
Not applicable - Accidental Reporting
2022-08-04
Call successful
Not applicable - Accidental Reporting
2022-08-04
Call successful
Not applicable - Accidental Reporting
2022-08-04
Call successful
Not applicable - Accidental Reporting
2022-08-04
Call successful
Completed over the phone
2022-08-05
Survey response — day 7, dose 5
MedDRA: Asthma, Respiratory disorder, SARS-CoV-2 test negative — Feeling: Fair · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Asthma/respiratory issues - still covid negative

MedDRA releases: 2024-11 · check-in free text available
2022-08-05
Report sent to call center — day 7, dose 5
Be unable to work or attend school · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-08-05
Call successful
Completed over the phone
2022-08-08
Call successful
Completed over the phone
2022-08-12
Survey response — day 14, dose 5
MedDRA: SARS-CoV-2 test positive — Feeling: Fair · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Tested positive for Covid on 8-7-2022

MedDRA releases: 2024-11 · check-in free text available
2022-08-12
Report sent to call center — day 14, dose 5
Be unable to work or attend school · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-08-16
Call successful
Reported to VAERS during previous contact from GDIT
2022-08-19
Health check-in — day 21, dose 5
Feeling: Good

Adult check-in
2022-08-26
Health check-in — day 28, dose 5
Feeling: Good

Adult check-in
2022-09-02
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2022-09-09
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2022-10-28
Health check-in — 3 months, dose 5
Feeling: Good

Adult check-in
2023-01-29
Health check-in — 6 months, dose 5
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-03	Moderna
2	2021-01-28	Moderna
3	2021-08-15	Moderna	No
4	2022-01-15	Moderna	No
5	2022-07-29	Moderna	No

Call center

9 call center cases

9 successful

VAERS report filed, before or during a call: 4

See the call center timeline

Free text

Release 4 — day 14, dose 2

2021-02-11

Symptoms: Since my 2nd shot, I have been experiencing severe fatigue and brain fog. I am still working but not at my peak.

Release 8 — 3 months, dose 2

2021-04-29

Symptoms: Headache, sore throat, head and chest congestion, asthma

Release 9 — 6 months, dose 2

2021-07-29

Symptoms: Asthma problems

Release 9 — day 28, dose 3

2021-09-12

Symptoms: Swelling in lower left leg

Healthcare visit (other): Dr. Appt. on 9-13

Release 9 — day 42, dose 3

2021-09-26

Symptoms: Migraine headaches; RA flare-up

Healthcare visit (other): Dr. Appt. Scheduled

Release 10 — 3 months, dose 3

2021-11-14

Symptoms: RA flare-up with increased inflammation markers in SED rate, ANA, and CRP.

Healthcare visit (other): Additional testing and medication change from doctor visit

Release 12 — days 1–6 daily, dose 5

2022-08-03

Systemic reaction (other): Asthma/respiratory issues have been worse the past 24 hours; self covid tests are negative

2022-08-04

Systemic reaction (other): Asthma/respiratory issues

Healthcare visit (other): Also completed a VARS report on 8-4-22

Release 12 — day 7, dose 5

2022-08-05

Systemic reaction (other): Asthma/respiratory issues - still covid negative

Release 12 — day 14, dose 5

2022-08-12

Symptoms: Tested positive for Covid on 8-7-2022

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	Office visit	·	·	✓
HCVO	Unevaluable event	·	·	✓
SD	Antinuclear antibody increased	·	·	✓
SD	Asthma	✓	✓	✓
SD	C-reactive protein increased	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Feeling abnormal	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Migraine	·	·	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Peripheral swelling	·	·	✓
SD	Pre-existing disease	✓	·	✓
SD	Red blood cell sedimentation rate increased	·	·	✓
SD	Respiratory tract congestion	✓	✓	✓
SD	Rheumatoid arthritis	·	·	✓
SD	SARS-CoV-2 test positive	·	·	✓
SRO	Asthma	·	·	✓
SRO	Respiratory disorder	·	·	✓
SRO	SARS-CoV-2 test negative	·	·	✓

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