6TK-17508-83799

2 vaccinations 10 coded responses 24 check-ins 10 free-text entries 5 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 371 / TN
Registered: 2020-12-30

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
Registered in v-safe
2020-12-30
Dose 1 — Moderna
2020-12-30
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2020-12-31
Survey response — days 1–6 daily, dose 1
MedDRA: Pain, Self-medication — Feeling: Good · Site: Pain

Free text: Pain is not limiting with ibuprofen. But was really bad last night.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-01
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-02
Survey response — days 1–6 daily, dose 1
MedDRA: Headache — Feeling: Good · Site: Pain · Headache

Free text: Had headache each evening. Forgot to click it.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-03
Survey response — days 1–6 daily, dose 1
MedDRA: Cough, Respiratory tract congestion — Feeling: Fair · Headache, Fatigue or tiredness

Free text: Congestuon and cough

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-04
Survey response — days 1–6 daily, dose 1
MedDRA: Cough, Respiratory tract congestion, Sneezing — Feeling: Poor · Chills, Headache, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Comgestion, cough, sneezing

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)
2021-01-05
Survey response — days 1–6 daily, dose 1
MedDRA: COVID-19, Medical counselling, SARS-CoV-2 test positive — Feeling: Poor · Fever · Headache, Fatigue or tiredness · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Systemic reaction (other): I tested positive today. Rapid test. · Healthcare visit (other): Drive thru covid test.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-05
Report sent to call center — days 1–6 daily, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-01-06
Survey response — day 7, dose 1
MedDRA: SARS-CoV-2 test positive — Feeling: Poor · Headache, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: #NAME?

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

1 call case(s)
2021-01-13
Survey response — day 14, dose 1
MedDRA: Asthenia, Chest pain, Quarantine, SARS-CoV-2 test positive — Feeling: Fair · Be unable to do your normal daily activities

Free text: I have had covid. First day out of quaratine. Weak, chest hurting.

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
Be unable to do your normal daily activities

1 call case(s)
2021-01-20
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-01-27
Survey response — day 28, dose 1
MedDRA: Dyspnoea, Fatigue, Headache — 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, headache, fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-27
Report sent to call center — day 28, 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)
2021-02-02
Dose 2 — Moderna
2021-02-03
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness, Diarrhea, Abdominal pain

Adult check-in
2021-02-03
Call successful
Participant prefers to complete VAERS report online
2021-02-05
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Diarrhea

Adult check-in
2021-02-06
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-02-07
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-02-08
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-09
Health check-in — day 7, dose 2
Feeling: Good · Headache

Adult check-in
2021-02-16
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-02
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-09
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-16
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-04
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-03
Survey response — 6 months, dose 2
MedDRA: Dyspnoea, Dyspnoea exertional, Panic attack — Feeling: Fair · Be unable to do your normal daily activities

Free text: SOB even qith talking at times. Definitly qith activity. Had panic attack one night laying in bed bc could not get air. Think related to having covid

MedDRA releases: 2021-09,2024-11 · check-in free text available
2022-02-02
Survey response — 12 months, dose 2
MedDRA: Headache, Immunisation reaction, Office visit, Pre-existing disease — Feeling: Fair

Free text: Allergies, headache. Doc said i covid toes.

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-30	Moderna
2	2021-02-02	Moderna

Call center

5 call center cases

5 successful

See the call center timeline

Free text

Release 1 — days 1–6 daily, dose 1

2020-12-31

Systemic reaction (other): Pain is not limiting with ibuprofen. But was really bad last night.

2021-01-02

Systemic reaction (other): Had headache each evening. Forgot to click it.

2021-01-03

Systemic reaction (other): Congestuon and cough

2021-01-04

Systemic reaction (other): Comgestion, cough, sneezing

2021-01-05

Systemic reaction (other): I tested positive today. Rapid test.

Healthcare visit (other): Drive thru covid test.

Release 1 — day 7, dose 1

2021-01-06

Systemic reaction (other): #NAME?

Release 1 — day 14, dose 1

2021-01-13

Symptoms: I have had covid. First day out of quaratine. Weak, chest hurting.

Release 2 — day 28, dose 1

2021-01-27

Symptoms: Sob, headache, fatigue

Release 9 — 6 months, dose 2

2021-08-03

Symptoms: SOB even qith talking at times. Definitly qith activity. Had panic attack one night laying in bed bc could not get air. Think related to having covid

Release 11 — 12 months, dose 2

2022-02-02

Symptoms: Allergies, headache. Doc said i covid toes.

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	✓	✓	✓
SD	Asthenia	✓	✓	✓
SD	Chest pain	✓	✓	✓
SD	Dyspnoea	✓	✓	✓
SD	Dyspnoea exertional	✓	·	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Immunisation reaction	·	·	✓
SD	Office visit	·	·	✓
SD	Panic attack	✓	·	✓
SD	Pre-existing disease	·	·	✓
SD	Quarantine	✓	✓	✓
SD	SARS-CoV-2 test positive	✓	✓	✓
SRO	Cough	✓	✓	✓
SRO	COVID-19	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Respiratory tract congestion	✓	✓	✓
SRO	SARS-CoV-2 test positive	✓	✓	✓
SRO	Self-medication	✓	✓	✓
SRO	Sneezing	✓	✓	✓

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