6ND-40421-89732

2 vaccinations 5 coded responses 20 check-ins 5 free-text entries 5 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 150 / PA
Registered: 2021-02-27

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

2021-02-27
Registered in v-safe
2021-02-27
Dose 1 — Moderna
2021-02-27
Health check-in — day 0, dose 1
Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-28
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-01
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-02
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Swelling, Itching · Chills, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-03
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Chills

Adult check-in
2021-03-04
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Chills, Fatigue or tiredness

Adult check-in
2021-03-05
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-06
Health check-in — day 7, dose 1
Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-13
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-03-20
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-27
Dose 2 — Moderna
2021-03-27
Health check-in — day 28, dose 1
Feeling: Fair

Adult check-in
2021-04-03
Health check-in — day 7, dose 2
Feeling: Poor · Fever · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-10
Survey response — day 14, dose 2
MedDRA: Chills, Decreased appetite, Fatigue, Feeling abnormal, Headache, Nausea, Pyrexia — 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, Outpatient clinic or urgent care clinic visit

Free text: Fatigue, fever, chills, headache, brain fog, loss of appetite, some nausea

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-10
Report sent to call center — day 14, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-17
Survey response — day 21, dose 2
MedDRA: Office visit, SARS-CoV-2 test, Taste disorder — Feeling: Poor · 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: Symptoms: My taste of certain foods had been altered. · Healthcare visit (other): Doctor visit and 2 Covid tests

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-17
Report sent to call center — day 21, dose 2
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 28, dose 2
MedDRA: Asthenia, Chills, Fatigue, Headache, Nausea, Pyrexia, Taste disorder — 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, Outpatient clinic or urgent care clinic visit

Free text: Nausea, fever, chills, headache, fatigue, taste of food is altered. This is daily Today is the 29th day since the second vaccine. Debilitating. I regret getting the vaccine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-24
Report sent to call center — day 28, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-01
Survey response — day 35, dose 2
MedDRA: Chills, Decreased appetite, Fatigue, Headache, Nausea, Pyrexia — 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, Outpatient clinic or urgent care clinic visit

Free text: Today is day 35 since the 2nd vaccine. Daily, I experience low grade fever, chills, fatigue, headache, nausea, loss of appetite. Ive see my PCP twice, a rheumatologist, neurologist & 4 specialist next week. All since the 2nd vaccine. Unbelievab

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-01
Report sent to call center — day 35, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-08
Health check-in — day 42, dose 2
Feeling: Poor

Adult check-in
2021-06-27
Health check-in — 3 months, dose 2
Feeling: Poor

Adult check-in
2021-09-25
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2022-03-27
Survey response — 12 months, dose 2
MedDRA: Immune system disorder, Lung abscess, Pneumonia — 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, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: Immune system comprised. Developed complicated pneumonia for 3 months resulting in a lung abscess.

MedDRA releases: 2024-11 · check-in free text available
2022-03-27
Report sent to call center — 12 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 · Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
2022-03-28
Call successful
Reported to VAERS during previous contact from GDIT

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-27	Moderna
2	2021-03-27	Moderna

Call center

5 call center cases

5 successful

VAERS report filed, before or during a call: 5

See the call center timeline

Free text

Release 7 — day 14, dose 2

2021-04-10

Symptoms: Fatigue, fever, chills, headache, brain fog, loss of appetite, some nausea

Release 7 — day 21, dose 2

2021-04-17

Symptoms: My taste of certain foods had been altered.

Healthcare visit (other): Doctor visit and 2 Covid tests

Release 7 — day 28, dose 2

2021-04-24

Symptoms: Nausea, fever, chills, headache, fatigue, taste of food is altered. This is daily Today is the 29th day since the second vaccine. Debilitating. I regret getting the vaccine.

Release 8 — day 35, dose 2

2021-05-01

Symptoms: Today is day 35 since the 2nd vaccine. Daily, I experience low grade fever, chills, fatigue, headache, nausea, loss of appetite. Ive see my PCP twice, a rheumatologist, neurologist & 4 specialist next week. All since the 2nd vaccine. Unbelievab

Release 11 — 12 months, dose 2

2022-03-27

Symptoms: Immune system comprised. Developed complicated pneumonia for 3 months resulting in a lung abscess.

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	SARS-CoV-2 test	✓	✓	✓
SD	Asthenia	✓	✓	✓
SD	Chills	✓	✓	✓
SD	Decreased appetite	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Feeling abnormal	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Immune system disorder	·	·	✓
SD	Lung abscess	·	·	✓
SD	Nausea	✓	✓	✓
SD	Pneumonia	·	·	✓
SD	Pyrexia	✓	✓	✓
SD	Taste disorder	✓	✓	✓

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