6N6-26042-58637

4 vaccinations 6 coded responses 31 check-ins 6 free-text entries 3 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 645 / MO
Registered: 2021-02-04

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

2021-02-04
Registered in v-safe
2021-02-04
Dose 1 — Moderna
2021-02-04
Health check-in — day 0, dose 1
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-05
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · Fever · Fatigue or tiredness

Adult check-in
2021-02-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-02-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-11
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-18
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-26
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-03-04
Dose 2 — Moderna
2021-03-04
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-05
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-03-06
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Redness, Swelling · Fever · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-07
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Itching · Headache, Fatigue or tiredness

Adult check-in
2021-03-08
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Redness, Swelling · Fever · Headache, Fatigue or tiredness

Adult check-in
2021-03-09
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Itching · Headache, Diarrhea

Adult check-in
2021-03-11
Survey response — day 7, dose 2
MedDRA: Headache, Migraine, Self-medication — Feeling: Poor · Headache

Free text: Advil Migraine didnt touch or release the headache today!

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-18
Survey response — day 14, dose 2
MedDRA: Medical counselling, Respiratory tract congestion — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Symptoms: Head congestion, chest congested. Had 7 days of Levaquin and a 5 day medrol dose pak. Still feel as bad as I did when I started that medicine · Healthcare visit (other): Mosaic portal messaging

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-18
Report sent to call center — day 14, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-27
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-04-02
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-08
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-15
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-03
Survey response — 3 months, dose 2
MedDRA: Nausea — Feeling: Fair

Free text: Get nauseous when I eat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-09-03
Survey response — 6 months, dose 2
MedDRA: Medical counselling, Respiratory tract congestion, Sinus congestion — Feeling: Poor · Get care from a doctor or other healthcare professional

Free text: Symptoms: Sinus congestion and chest congestion that started 8/28. On levaquin and prednisone from primary doctor. · Healthcare visit (other): Patient portal

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-09-03
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-09-08
Call successful
Participant prefers to complete VAERS report online
2022-01-10
Dose 3 — Moderna
2022-03-04
Survey response — 12 months, dose 2
MedDRA: Malaise, Vaccine positive rechallenge — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Booster shot Moderna made me sick for 2 1/2 days just like the second shot did

MedDRA releases: 2024-11 · check-in free text available
2022-09-19
Dose 4 — Moderna
2022-10-12
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-10-17
Survey response — day 28, dose 4
MedDRA: Office visit, Sinusitis, Wheezing — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: Sinus infection and chest wheezing · Healthcare visit (other): Dr office Pulmonology follow up visit gave me more meds

MedDRA releases: 2024-11 · check-in free text available
2022-10-17
Report sent to call center — day 28, dose 4
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-10-18
Call successful
Not applicable - Accidental Reporting
2022-10-24
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-10-31
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-12-19
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2023-03-20
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-04	Moderna
2	2021-03-04	Moderna
3	2022-01-10	Moderna	No
4	2022-09-19	Moderna	No

Call center

3 call center cases

3 successful

See the call center timeline

Free text

Release 5 — day 7, dose 2

2021-03-11

Systemic reaction (other): Advil Migraine didnt touch or release the headache today!

Release 5 — day 14, dose 2

2021-03-18

Symptoms: Head congestion, chest congested. Had 7 days of Levaquin and a 5 day medrol dose pak. Still feel as bad as I did when I started that medicine

Healthcare visit (other): Mosaic portal messaging

Release 8 — 3 months, dose 2

2021-06-03

Symptoms: Get nauseous when I eat

Release 9 — 6 months, dose 2

2021-09-03

Symptoms: Sinus congestion and chest congestion that started 8/28. On levaquin and prednisone from primary doctor.

Healthcare visit (other): Patient portal

Release 11 — 12 months, dose 2

2022-03-04

Symptoms: Booster shot Moderna made me sick for 2 1/2 days just like the second shot did

Release 12 — day 28, dose 4

2022-10-17

Symptoms: Sinus infection and chest wheezing

Healthcare visit (other): Dr office Pulmonology follow up visit gave me more meds

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	Medical counselling	✓	✓	✓
HCVO	Office visit	·	·	✓
SD	Malaise	·	·	✓
SD	Nausea	✓	✓	✓
SD	Respiratory tract congestion	✓	✓	✓
SD	Sinus congestion	✓	·	✓
SD	Sinusitis	·	·	✓
SD	Vaccine positive rechallenge	·	·	✓
SD	Wheezing	·	·	✓
SRO	Headache	✓	✓	○
SRO	Migraine	·	·	✓
SRO	Self-medication	·	·	✓

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