6M3-10180-56436

1 vaccination 6 coded responses 10 check-ins 6 free-text entries 4 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 300 / GA
Registered: 2021-04-06

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

2021-04-03
Dose 1 — Moderna
2021-04-06
Registered in v-safe
2021-04-06
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain

Adult check-in
2021-04-07
Survey response — days 1–6 daily, dose 1
MedDRA: Pain — Feeling: Poor · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Feel like Ive been run over by a Mack truck. And this is day 4 after shot

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Survey response — days 1–6 daily, dose 1
MedDRA: Weight decreased — Feeling: Fair · Fever · Headache, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities

Free text: Lost 3 lbs in past 4 days.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-09
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-04-10
Health check-in — day 7, dose 1
Feeling: Fair · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-04-17
Survey response — day 14, dose 1
MedDRA: Cough, Diarrhoea, Fatigue, Office visit, Oropharyngeal pain, Pyrexia, Respiratory tract congestion, SARS-CoV-2 test false negative — 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: Severe cough. Severe sore throat. Head congestion. Still run intermittent fevers. Still have fatigue. Still have diarrhea 3-4x per day. Went to see my doctor on wed and she suggested Covid test. It was negative.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-17
Report sent to call center — day 14, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-24
Survey response — day 21, dose 1
MedDRA: Chest pain, Cough, Diarrhoea, Fatigue, Headache, Nausea, Weight decreased — Feeling: Poor · 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: Cough much worse. Severe fatigue. Nausea. Diarrhea. Chest pain. Lost 5 lbs. Headache Been to Dr 2 times. Now on Tesslon Pearls. Prednisone, Zithromax and HYDROcodone-CHLORPH ER and Mucinex D 1200. I am much worse than last Saturday

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-24
Report sent to call center — day 21, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-02
Survey response — day 28, dose 1
MedDRA: Chest pain, Cough, Dyspnoea, Fatigue, Fibrin D dimer increased, Office visit, Oral candidiasis — Feeling: Poor · 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: Symptoms: Worsening Cough. Chest pain. Heart rate staying 112-120. Feeling of inability to get deep breath. More fatigue. Elevated D-Dimer of 671. Stat CT for possible PE. No PE seen on CT. Thrush in mouth-more antibiotics. · Healthcare visit (other): Office visit for blood draw. Free standing Radiology unit adjoining hospital for STAT CT

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-02
Report sent to call center — day 28, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-08
Survey response — day 35, dose 1
MedDRA: Cough, Diarrhoea, Dyspepsia, Fatigue, Inhalation therapy, Office visit — Feeling: Poor · 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: Symptoms: Cough worse. Diarrhea worse. Fatigue worse. Indigestion-Heartburn worse. Thrush not gone. I had appointment with GI doctor on Wednesday. Now on Symbicort Inhaler, Singular and Cholestyramine powder packets. Do you ever contact me personally? · Healthcare visit (other): To Dr office for exam

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-08
Report sent to call center — day 35, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-15
Health check-in — day 42, dose 1
Feeling: Fair

Adult check-in
2022-04-02
Call successful
Participant prefers to complete VAERS report online

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-03	Moderna

Call center

4 call center cases

4 successful

See the call center timeline

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-07

Systemic reaction (other): Feel like Ive been run over by a Mack truck. And this is day 4 after shot

2021-04-08

Systemic reaction (other): Lost 3 lbs in past 4 days.

Release 7 — day 14, dose 1

2021-04-17

Symptoms: Severe cough. Severe sore throat. Head congestion. Still run intermittent fevers. Still have fatigue. Still have diarrhea 3-4x per day. Went to see my doctor on wed and she suggested Covid test. It was negative.

Release 7 — day 21, dose 1

2021-04-24

Symptoms: Cough much worse. Severe fatigue. Nausea. Diarrhea. Chest pain. Lost 5 lbs. Headache Been to Dr 2 times. Now on Tesslon Pearls. Prednisone, Zithromax and HYDROcodone-CHLORPH ER and Mucinex D 1200. I am much worse than last Saturday

Release 8 — day 28, dose 1

2021-05-02

Symptoms: Worsening Cough. Chest pain. Heart rate staying 112-120. Feeling of inability to get deep breath. More fatigue. Elevated D-Dimer of 671. Stat CT for possible PE. No PE seen on CT. Thrush in mouth-more antibiotics.

Healthcare visit (other): Office visit for blood draw. Free standing Radiology unit adjoining hospital for STAT CT

Release 8 — day 35, dose 1

2021-05-08

Symptoms: Cough worse. Diarrhea worse. Fatigue worse. Indigestion-Heartburn worse. Thrush not gone. I had appointment with GI doctor on Wednesday. Now on Symbicort Inhaler, Singular and Cholestyramine powder packets. Do you ever contact me personally?

Healthcare visit (other): To Dr office for exam

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	✓	✓	✓
SD	Chest pain	✓	✓	✓
SD	Cough	✓	✓	✓
SD	Diarrhoea	✓	✓	✓
SD	Dyspepsia	✓	✓	✓
SD	Dyspnoea	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Fibrin D dimer increased	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Inhalation therapy	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Office visit	✓	✓	✓
SD	Oral candidiasis	✓	✓	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Pyrexia	✓	✓	✓
SD	Respiratory tract congestion	✓	✓	✓
SD	SARS-CoV-2 test false negative	✓	✓	✓
SD	Weight decreased	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Weight decreased	✓	✓	✓

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