6KW-24248-91386

3 vaccinations 11 coded responses 28 check-ins 11 free-text entries 9 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 437 / OH
Registered: 2021-01-01

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

2020-12-30
Dose 1 — Moderna
2021-01-01
Registered in v-safe
2021-01-01
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Fatigue or tiredness, Diarrhea

Adult check-in
2021-01-02
Survey response — days 1–6 daily, dose 1
MedDRA: Thirst — Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Extremely thirsty

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-02
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-03
Survey response — days 1–6 daily, dose 1
MedDRA: Thirst — Feeling: Fair · Site: Pain, Redness, Itching · Fever · Chills, Headache, Muscle or body aches, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Free text: Very thristy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-03
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-04
Survey response — days 1–6 daily, dose 1
MedDRA: Peripheral swelling, Swelling face, Thirst — Feeling: Poor · Site: Pain, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Diarrhea · Be unable to work, Be unable to do your normal daily activities

Free text: Extremely thirsty and hands face and feet swelled

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-04
Report sent to call center — days 1–6 daily, dose 1
Be unable to work · Be unable to do your normal daily activities

1 call case(s)
2021-01-06
Survey response — day 7, dose 1
MedDRA: Swelling, Thirst, Unevaluable event — Feeling: Fair · Site: Itching · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Vomiting, Diarrhea · Be unable to work, 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: Systemic reaction (other): Still swelled aand really thristy · Healthcare visit (other): Did blood work to check liver and kidney function

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-06
Report sent to call center — day 7, dose 1
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-01-13
Survey response — day 14, dose 1
MedDRA: Blood test abnormal — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Blood work came back with elvated liver enzymes and flag in kidney function lower vitamin D

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-13
Report sent to call center — day 14, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-01-21
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-01-27
Dose 2 — Moderna
2021-01-27
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-01-28
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, Nausea, Vomiting, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-01-29
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Swelling, Itching · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-01-30
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-01-31
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Vomiting, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-02-01
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-02-02
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Itching · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Vomiting, Abdominal pain · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Adult check-in
2021-02-02
Report sent to call center — days 1–6 daily, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-03
Health check-in — day 7, dose 2
Feeling: Poor · Site: Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Adult check-in
2021-02-03
Report sent to call center — day 7, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-09
Call successful
Participant prefers to complete VAERS report online
2021-02-12
Survey response — day 14, dose 2
MedDRA: Headache, Visual impairment — Feeling: Fair · Be unable to do your normal daily activities

Free text: Headache still going strong! Noticing a change in vision!! Going to eye doctor soon

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-17
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-02-26
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-03-10
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-04-28
Survey response — 3 months, dose 2
MedDRA: Flank pain, Headache — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, Hospitalization

Free text: Not sure whats wrong right side flank pain and headaches

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-28
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)
2021-06-11
Call 1 — Could Not Reach Participant
2021-06-16
Call successful
Reported to VAERS voluntarily prior to GDIT contact
2021-08-02
Survey response — 6 months, dose 2
MedDRA: Fatigue, Injection site pain, Muscle spasms — Feeling: Fair · Be unable to do your normal daily activities

Free text: My injection site is hurting as if I got the shot again! Severe muscle cramps! Again tiring easy

MedDRA releases: 2021-09,2024-11 · check-in free text available
2022-01-10
Dose 3 — Pfizer-BioNTech
2022-01-27
Health check-in — 12 months, dose 2
Feeling: Fair

Adult check-in
2022-01-27
Health check-in — day 14, dose 3
Feeling: Fair

Adult check-in
2022-01-31
Survey response — day 21, dose 3
MedDRA: Fatigue, Renal disorder, Thirst — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Kidney is acting up! Extremely thristy! Tired!

MedDRA releases: 2024-11 · check-in free text available
2022-02-07
Survey response — day 28, dose 3
MedDRA: COVID-19 — Feeling: Poor · 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: Covid

MedDRA releases: 2024-11 · check-in free text available
2022-02-07
Report sent to call center — day 28, dose 3
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)
2022-02-08
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-02-14
Health check-in — day 35, dose 3
Feeling: Fair

Adult check-in
2022-02-21
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2022-07-13
Survey response — 6 months, dose 3
MedDRA: Condition aggravated, Pancreatitis, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities

Free text: Uptick in kidney stones and Pancreatitis

MedDRA releases: 2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-30	Moderna
2	2021-01-27	Moderna
3	2022-01-10	Pfizer-BioNTech	No

Call center

9 call center cases

9 successful

VAERS report filed, before or during a call: 3

See the call center timeline

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-02

Systemic reaction (other): Extremely thirsty

2021-01-03

Systemic reaction (other): Very thristy

2021-01-04

Systemic reaction (other): Extremely thirsty and hands face and feet swelled

Release 1 — day 7, dose 1

2021-01-06

Systemic reaction (other): Still swelled aand really thristy

Healthcare visit (other): Did blood work to check liver and kidney function

Release 1 — day 14, dose 1

2021-01-13

Symptoms: Blood work came back with elvated liver enzymes and flag in kidney function lower vitamin D

Release 4 — day 14, dose 2

2021-02-12

Symptoms: Headache still going strong! Noticing a change in vision!! Going to eye doctor soon

Release 8 — 3 months, dose 2

2021-04-28

Symptoms: Not sure whats wrong right side flank pain and headaches

Release 9 — 6 months, dose 2

2021-08-02

Symptoms: My injection site is hurting as if I got the shot again! Severe muscle cramps! Again tiring easy

Release 11 — day 21, dose 3

2022-01-31

Symptoms: Kidney is acting up! Extremely thristy! Tired!

Release 11 — day 28, dose 3

2022-02-07

Symptoms: Covid

Release 12 — 6 months, dose 3

2022-07-13

Symptoms: Uptick in kidney stones and Pancreatitis

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	Laboratory test	○	○	○
HCVO	Unevaluable event	✓	✓	✓
SD	Blood test abnormal	✓	✓	✓
SD	Condition aggravated	·	·	✓
SD	COVID-19	·	·	✓
SD	Fatigue	✓	·	✓
SD	Flank pain	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Injection site pain	✓	·	✓
SD	Muscle spasms	✓	·	✓
SD	Pancreatitis	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Renal disorder	·	·	✓
SD	Thirst	·	·	✓
SD	Visual impairment	✓	✓	✓
SRO	Peripheral swelling	✓	✓	✓
SRO	Swelling	✓	✓	✓
SRO	Swelling face	✓	✓	✓
SRO	Thirst	✓	✓	✓
SRO	Unevaluable event	○	○	○

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