6PB-17327-84408

4 vaccinations 13 coded responses 32 check-ins 13 free-text entries 2 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 983 / WA
Registered: 2021-02-09

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

2021-02-01
Dose 1 — Moderna
2021-02-09
Registered in v-safe
2021-02-09
Survey response — day 7, dose 1
MedDRA: Decreased appetite, Nausea — Feeling: Good · Site: Pain · Fatigue or tiredness

Free text: Initially in 1st 24 hours nausea then anotexia for 3 days

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-15
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-02-22
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-01
Survey response — day 28, dose 1
MedDRA: Dyspnoea — Feeling: Good

Free text: Shortness of breath with activity

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-05
Dose 2 — Moderna
2021-03-08
Survey response — days 1–6 daily, dose 2
MedDRA: Physiotherapy — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness, Diarrhea · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Physical therapy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-08
Report sent to call center — days 1–6 daily, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-09
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-03-10
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-11
Survey response — days 1–6 daily, dose 2
MedDRA: Fatigue — Feeling: Fair · Fatigue or tiredness

Free text: I tend to be fatigued related to poor sleep. The fatigue related to my second dose of Moderna was different. Todays fatigue, I think is from my sleep issue.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-13
Survey response — day 7, dose 2
MedDRA: Fatigue, Poor quality sleep — Feeling: Fair · Fatigue or tiredness

Free text: Fatigue, I think, is related to not enough sleep or poor sleep.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-19
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-26
Health check-in — day 21, dose 2
Feeling: Good

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

Adult check-in
2021-04-09
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-16
Survey response — day 42, dose 2
MedDRA: Abdominal pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Persistent abdominal pain which is not new, worked up to some degree and is sometimes severe.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-04
Survey response — 3 months, dose 2
MedDRA: Back pain, Dizziness, Dyspnoea, Inguinal hernia, Nausea, Pain in extremity, Pre-existing disease — Feeling: Fair · 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: SOB, dizziness, nausea. Low back pain exacerbation Right Inguinal herniaRight foot pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-04
Report sent to call center — 3 months, 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)
2021-06-22
Call 1 — Left Voicemail
2021-06-22
Call successful
Does not wish to fill out VAERS report
2022-01-22
Dose 3 — Moderna
2022-03-05
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-04-25
Dose 4 — Moderna
2022-04-25
Survey response — day 0, dose 4
MedDRA: Rhinorrhoea — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Free text: Runny nose

MedDRA releases: 2024-11 · check-in free text available
2022-04-26
Survey response — days 1–6 daily, dose 4
MedDRA: Arthralgia, Dyspnoea, Fatigue, Myalgia, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities

Free text: Some of these symptoms are difficult to separate from chronic problems; muscle aches, joint pains, fatigue, SOB

MedDRA releases: 2024-11 · check-in free text available
2022-04-27
Survey response — days 1–6 daily, dose 4
MedDRA: Pre-existing disease — Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: These are chronic issues for me

MedDRA releases: 2024-11 · check-in free text available
2022-04-28
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-04-29
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-04-30
Survey response — days 1–6 daily, dose 4
MedDRA: Fatigue — Feeling: Good · Fatigue or tiredness

Free text: Fatigue is probably chronic

MedDRA releases: 2024-11 · check-in free text available
2022-05-01
Survey response — days 1–6 daily, dose 4
MedDRA: Unevaluable event — Feeling: Good · Fatigue or tiredness

Free text: Probably chronic

MedDRA releases: 2024-11 · check-in free text available
2022-05-02
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-05-09
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-05-16
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-05-23
Survey response — day 28, dose 4
MedDRA: Chest pain, Cough, Gastrooesophageal reflux disease, Hiatus hernia, Pre-existing disease, Wheezing — Feeling: Good · Be unable to do your normal daily activities

Free text: Chest pain/GERD/hiatal hernia/wheezing cough may be related to seasonal allergies

MedDRA releases: 2024-11 · check-in free text available
2022-05-30
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-06-06
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-07-25
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-10-24
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in
2023-04-25
Health check-in — 12 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-01	Moderna
2	2021-03-05	Moderna
3	2022-01-22	Moderna	No
4	2022-04-25	Moderna	No

Call center

2 call center cases

2 successful

See the call center timeline

Free text

Release 3 — day 7, dose 1

2021-02-09

Systemic reaction (other): Initially in 1st 24 hours nausea then anotexia for 3 days

Release 4 — day 28, dose 1

2021-03-01

Symptoms: Shortness of breath with activity

Release 5 — days 1–6 daily, dose 2

2021-03-08

Healthcare visit (other): Physical therapy

2021-03-11

Systemic reaction (other): I tend to be fatigued related to poor sleep. The fatigue related to my second dose of Moderna was different. Todays fatigue, I think is from my sleep issue.

Release 5 — day 7, dose 2

2021-03-13

Systemic reaction (other): Fatigue, I think, is related to not enough sleep or poor sleep.

Release 7 — day 42, dose 2

2021-04-16

Symptoms: Persistent abdominal pain which is not new, worked up to some degree and is sometimes severe.

Release 8 — 3 months, dose 2

2021-06-04

Symptoms: SOB, dizziness, nausea. Low back pain exacerbation Right Inguinal herniaRight foot pain

Release 11 — day 0, dose 4

2022-04-25

Systemic reaction (other): Runny nose

Release 11 — days 1–6 daily, dose 4

2022-04-26

Systemic reaction (other): Some of these symptoms are difficult to separate from chronic problems; muscle aches, joint pains, fatigue, SOB

2022-04-27

Systemic reaction (other): These are chronic issues for me

2022-04-30

Systemic reaction (other): Fatigue is probably chronic

2022-05-01

Systemic reaction (other): Probably chronic

Release 11 — day 28, dose 4

2022-05-23

Symptoms: Chest pain/GERD/hiatal hernia/wheezing cough may be related to seasonal allergies

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	Physiotherapy	✓	✓	✓
SD	Abdominal pain	✓	✓	✓
SD	Back pain	✓	✓	✓
SD	Chest pain	·	·	✓
SD	Cough	·	·	✓
SD	Dizziness	✓	✓	✓
SD	Dyspnoea	✓	✓	✓
SD	Gastrooesophageal reflux disease	·	·	✓
SD	Hiatus hernia	·	·	✓
SD	Inguinal hernia	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Wheezing	·	·	✓
SRO	Arthralgia	·	·	✓
SRO	Decreased appetite	✓	✓	✓
SRO	Dyspnoea	·	·	✓
SRO	Fatigue	✓	✓	✓
SRO	Myalgia	·	·	✓
SRO	Nausea	✓	✓	✓
SRO	Poor quality sleep	✓	✓	✓
SRO	Pre-existing disease	·	·	✓
SRO	Rhinorrhoea	·	·	✓
SRO	Unevaluable event	·	·	✓

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