HU7-91201-58546

4 vaccinations 14 coded responses 36 check-ins 13 free-text entries 7 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 618 / IL
Registered: 2021-01-16

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

2021-01-05
Dose 1 — Moderna
2021-01-16
Registered in v-safe
2021-01-16
Health check-in — day 7, dose 1
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-01-19
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-01-26
Survey response — day 21, dose 1
MedDRA: Dyspnoea, Nasal congestion, Sinusitis — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: I have been having increased nasal congestion and breathing difficulties from a suspected sinus infection.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-26
Report sent to call center — day 21, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-02
Health check-in — day 28, dose 1
Feeling: Fair

Adult check-in
2021-02-03
Dose 2 — Moderna
2021-02-03
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · None

Adult check-in
2021-02-04
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Poor · Site: Pain, Itching · Fever · Fatigue or tiredness

Free text: feeling generally want and "woozy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-05
Survey response — days 1–6 daily, dose 2
MedDRA: Condition aggravated, Sinus congestion — Feeling: Poor · Site: Pain · Fatigue or tiredness

Free text: Increased sinus congestion

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-06
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · None

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

Adult check-in
2021-02-08
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-02-09
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-02-10
Health check-in — day 7, dose 2
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-02-17
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-02-24
Survey response — day 21, dose 2
MedDRA: Migraine — Feeling: Poor · Be unable to do your normal daily activities

Free text: Migraine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-03
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-03-10
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-03-17
Survey response — day 42, dose 2
MedDRA: Ear pain, Sinusitis — Feeling: Poor · Be unable to work

Free text: sinus infection and earache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Call 1 — Left Voicemail
2021-04-08
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-05-05
Survey response — 3 months, dose 2
MedDRA: Sinusitis — Feeling: Poor · Be unable to work, 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: Sinus infection

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-05
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)
2021-08-04
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2021-08-21
Dose 3 — Moderna
2021-11-22
Health check-in — 3 months, dose 3
Feeling: Fair

Adult check-in
2022-02-05
Dose 4 — Moderna
2022-02-05
Health check-in — day 0, dose 4
Feeling: Fair · None

Adult check-in
2022-02-06
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-02-07
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-02-08
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-02-09
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2022-02-09
Call 1 — Left Voicemail
2022-02-09
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-02-10
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2022-02-11
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2022-02-12
Health check-in — day 7, dose 4
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-02-19
Survey response — day 14, dose 4
MedDRA: Cough, Muscle strain — 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 · Outpatient clinic or urgent care clinic visit

Free text: Pulled muscle in back coughing

MedDRA releases: 2024-11 · check-in free text available
2022-02-19
Report sent to call center — day 14, dose 4
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-02-24
Call 2 — Left Voicemail
2022-02-26
Survey response — day 21, dose 4
MedDRA: Cough, Vertigo — 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

Free text: Vertigo, returning cough

MedDRA releases: 2024-11 · check-in free text available
2022-02-26
Report sent to call center — day 21, dose 4
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 · 1 call case(s)
2022-03-01
Call 2 — Left Voicemail
2022-03-05
Survey response — day 28, dose 4
MedDRA: Cough — Feeling: Fair · 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: continued cough

MedDRA releases: 2024-11 · check-in free text available
2022-03-05
Report sent to call center — day 28, dose 4
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-03-09
Call 2 — Left Voicemail
2022-03-12
Survey response — day 35, dose 4
MedDRA: Arthralgia, Nasal congestion — Feeling: Fair

Free text: increased nasal congestion and joint pain

MedDRA releases: 2024-11 · check-in free text available
2022-03-19
Survey response — day 42, dose 4
MedDRA: Neck pain, Respiratory tract congestion — Feeling: Poor · Be unable to do your normal daily activities

Free text: intense neck pain, increased congestion

MedDRA releases: 2024-11 · check-in free text available
2022-05-07
Survey response — 3 months, dose 4
MedDRA: Blood pressure increased, Heart rate increased, Pre-existing disease — Feeling: Good · 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: Diagnosed with genetic conditions - lipedema and MCAS as well as hypermobile EDS - and concerned about increased heart rate and blood pressure

MedDRA releases: 2024-11 · check-in free text available
2022-05-07
Report sent to call center — 3 months, dose 4
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-05-09
Call 2 — Left Voicemail
2022-08-06
Survey response — 6 months, dose 4
MedDRA: Cough, Fatigue — Feeling: Fair · Be unable to do your normal daily activities

Free text: Had resurgence of cough and fatigue but no COVID onset

MedDRA releases: 2024-11 · check-in free text available
2023-02-05
Survey response — 12 months, dose 4
MedDRA: Abortion spontaneous, Cytogenetic abnormality, Pregnancy, Surgery, Uterine adhesions — 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

MedDRA releases: 2024-11
2023-02-05
Report sent to call center — 12 months, dose 4
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 · 1 call case(s)
2023-02-06
Call 1 — Left Voicemail
2023-02-06
Call 1 — Left Voicemail
2023-02-06
Call 1 — Left Voicemail
2023-02-06
Call 1 — Left Voicemail
2023-02-06
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-05	Moderna
2	2021-02-03	Moderna
3	2021-08-21	Moderna	No
4	2022-02-05	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2021-01-26	Successful 2021-04-08	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-05-05	Successful 2022-02-09	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-02-19	Unsuccessful
2022-02-26	Unsuccessful
2022-03-05	Unsuccessful
2022-05-07	Unsuccessful
2023-02-05	Unsuccessful

Free text

Release 2 — day 21, dose 1

2021-01-26

Symptoms: I have been having increased nasal congestion and breathing difficulties from a suspected sinus infection.

Release 3 — days 1–6 daily, dose 2

2021-02-04

Systemic reaction (other): feeling generally want and "woozy

2021-02-05

Systemic reaction (other): Increased sinus congestion

Release 4 — day 21, dose 2

2021-02-24

Symptoms: Migraine

Release 5 — day 42, dose 2

2021-03-17

Symptoms: sinus infection and earache

Release 8 — 3 months, dose 2

2021-05-05

Symptoms: Sinus infection

Release 11 — day 14, dose 4

2022-02-19

Symptoms: Pulled muscle in back coughing

Release 11 — day 21, dose 4

2022-02-26

Symptoms: Vertigo, returning cough

Release 11 — day 28, dose 4

2022-03-05

Symptoms: continued cough

Release 11 — day 35, dose 4

2022-03-12

Symptoms: increased nasal congestion and joint pain

Release 11 — day 42, dose 4

2022-03-19

Symptoms: intense neck pain, increased congestion

Release 11 — 3 months, dose 4

2022-05-07

Symptoms: Diagnosed with genetic conditions - lipedema and MCAS as well as hypermobile EDS - and concerned about increased heart rate and blood pressure

Release 12 — 6 months, dose 4

2022-08-06

Symptoms: Had resurgence of cough and fatigue but no COVID onset

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	Surgery	·	·	✓
SD	Abortion spontaneous	·	·	✓
SD	Arthralgia	·	·	✓
SD	Blood pressure increased	·	·	✓
SD	Cough	·	·	✓
SD	Cytogenetic abnormality	·	·	✓
SD	Dyspnoea	✓	✓	✓
SD	Ear pain	✓	✓	✓
SD	Fatigue	·	·	✓
SD	Heart rate increased	·	·	✓
SD	Migraine	✓	✓	✓
SD	Muscle strain	·	·	✓
SD	Nasal congestion	✓	✓	✓
SD	Neck pain	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Pregnancy	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	Sinusitis	✓	✓	✓
SD	Uterine adhesions	·	·	✓
SD	Vertigo	·	·	✓
SRO	Condition aggravated	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Sinus congestion	✓	✓	✓

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