A76-33663-24280

3 vaccinations 5 coded responses 27 check-ins 5 free-text entries 6 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 088 / NJ
Registered: 2020-12-31

Relationship: Self
Race: Black or African American
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
Dose 1 — Moderna
2020-12-31
Registered in v-safe
2020-12-31
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2020-12-31
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-01
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-01-01
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-03
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-04
Survey response — days 1–6 daily, dose 1
MedDRA: Muscle spasms, Unevaluable event — Feeling: Fair · Headache, Muscle or body aches · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Systemic reaction (other): Muscle spasm to back of neck · Healthcare visit (other): Placed a call to employee health

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
Get care from a doctor or other healthcare professional

1 call case(s)
2021-01-06
Survey response — day 7, dose 1
MedDRA: Muscle spasms — Feeling: Fair · Headache, Muscle or body aches · Be unable to do your normal daily activities

Free text: Muscle Spasm in neck

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 do your normal daily activities

1 call case(s)
2021-01-13
Survey response — day 14, dose 1
MedDRA: Headache — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Consistent headaches

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
Get care from a doctor or other healthcare professional

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

Adult check-in
2021-01-27
Dose 2 — Moderna
2021-01-27
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-01-28
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-01-29
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-01-30
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-01-31
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

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

Adult check-in
2021-02-02
Call 1 — Left Voicemail
2021-02-02
Call successful
Reported to VAERS voluntarily prior to GDIT contact
2021-02-03
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-02-10
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-17
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-24
Health check-in — day 28, dose 2
Feeling: Good

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

Adult check-in
2021-03-10
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-04-28
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-07-28
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-01-27
Survey response — 12 months, dose 2
MedDRA: SARS-CoV-2 test positive — Feeling: Good · 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

Free text: Tested positive for COVID

MedDRA releases: 2024-11 · check-in free text available
2022-01-27
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 · 1 call case(s)
2022-01-31
Call 1 — Left Voicemail
2022-03-30
Dose 3 — Moderna
2022-04-26
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-04-30
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-05-15
Survey response — day 42, dose 3
MedDRA: Oropharyngeal pain, Pyrexia, Rhinorrhoea — Feeling: Poor · Be unable to do your normal daily activities

Free text: Sore throat, runny nose, fever

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-30	Moderna
2	2021-01-27	Moderna
3	2022-03-30	Moderna	No

Call center

6 call center cases

5 successful · 1 unsuccessful

VAERS report filed, before or during a call: 5

See the call center timeline

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-04

Systemic reaction (other): Muscle spasm to back of neck

Healthcare visit (other): Placed a call to employee health

Release 1 — day 7, dose 1

2021-01-06

Systemic reaction (other): Muscle Spasm in neck

Release 1 — day 14, dose 1

2021-01-13

Symptoms: Consistent headaches

Release 11 — 12 months, dose 2

2022-01-27

Symptoms: Tested positive for COVID

Release 11 — day 42, dose 3

2022-05-15

Symptoms: Sore throat, runny nose, fever

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 observation	○	○	○
HCVO	Unevaluable event	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pyrexia	·	·	✓
SD	Rhinorrhoea	·	·	✓
SD	SARS-CoV-2 test positive	·	·	✓
SRO	Muscle spasms	✓	✓	✓

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