LLW-41991-92765

2 vaccinations 10 coded responses 17 check-ins 10 free-text entries 7 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 379 / TN
Registered: 2021-03-08

Relationship: Self
Race: White
Ethnicity: Hispanic or Latino

Registered dependents

UP2-20560-33438 Child or adolescent in my care · Female · 2021-07-02

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-03-08
Registered in v-safe
2021-03-08
Dose 1 — Moderna
2021-03-08
Health check-in — day 0, dose 1
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-10
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fever · Joint pains, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-03-11
Survey response — days 1–6 daily, dose 1
MedDRA: Disturbance in attention, Feeling abnormal — Feeling: Fair · Site: Pain, Itching · Fever · Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Menatally spaced out more than normal, lile harder to concentrate

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-12
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-03-13
Survey response — days 1–6 daily, dose 1
MedDRA: Cough, Pruritus — Feeling: Good · Headache, Muscle or body aches, Rash, not including the immediate area around the injection site

Free text: Itching and coughing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-15
Health check-in — day 7, dose 1
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site

Adult check-in
2021-03-23
Survey response — day 14, dose 1
MedDRA: Fatigue, Flushing, Migraine, Sneezing — Feeling: Fair · 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: Symptoms: Exhausted, sneezy, facial flushing · Healthcare visit (other): Checking in, since super fatigued and facial flushing, migraines

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-23
Report sent to call center — day 14, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-29
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-05
Dose 2 — Moderna
2021-04-07
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-08
Survey response — days 1–6 daily, dose 2
MedDRA: Feeling abnormal — Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Spacy, like mentally

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-19
Survey response — day 14, dose 2
MedDRA: Fatigue, Headache — Feeling: Fair · 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: More tired. Dealing with headache, and having hard time with wanting to lie down too much, very exhausted

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-19
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)
2021-04-29
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-05-05
Survey response — day 28, dose 2
MedDRA: Nasopharyngitis, Pyrexia, SARS-CoV-2 test — Feeling: Poor · 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: My half vaccinated daughter (who had covid Jan 26th) just tested positive for covid. I have same cold like symptoms and fever. Waiting for test results for myself.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-05
Report sent to call center — day 28, 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)
2021-05-11
Survey response — day 35, dose 2
MedDRA: COVID-19 — Feeling: Poor · 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: Covid in our house

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-11
Report sent to call center — day 35, 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)
2021-05-17
Survey response — day 42, dose 2
MedDRA: Exposure to SARS-CoV-2, Immunisation reaction, Malaise, SARS-CoV-2 test negative — Feeling: Fair · 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: Covid symptoms, tested negative, daughter tested positive.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-17
Report sent to call center — day 42, 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)
2021-10-04
Survey response — 6 months, dose 2
MedDRA: Eye haemorrhage, Fatigue, Headache, Urinary tract infection — 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: Uti, blood vessels ruptured in eye, tired, headaches

MedDRA releases: 2024-11 · check-in free text available
2021-10-04
Report sent to call center — 6 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 · 1 call case(s)
2021-10-08
Call 1 — Left Voicemail
2022-04-05
Survey response — 12 months, dose 2
MedDRA: Abortion spontaneous — 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, Emergency room or emergency department visit

Free text: I had a miscarriage

MedDRA releases: 2024-11 · check-in free text available
2022-04-05
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

Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
2022-04-06
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-08	Moderna
2	2021-04-05	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-03-23	Unsuccessful
2021-04-19	Unsuccessful
2021-05-05	Unsuccessful
2021-05-11	Unsuccessful
2021-05-17	Unsuccessful
2021-10-04	Unsuccessful
2022-04-05	Unsuccessful

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-11

Systemic reaction (other): Menatally spaced out more than normal, lile harder to concentrate

2021-03-13

Systemic reaction (other): Itching and coughing

Release 6 — day 14, dose 1

2021-03-23

Symptoms: Exhausted, sneezy, facial flushing

Healthcare visit (other): Checking in, since super fatigued and facial flushing, migraines

Release 7 — days 1–6 daily, dose 2

2021-04-08

Systemic reaction (other): Spacy, like mentally

Release 7 — day 14, dose 2

2021-04-19

Symptoms: More tired. Dealing with headache, and having hard time with wanting to lie down too much, very exhausted

Release 8 — day 28, dose 2

2021-05-05

Symptoms: My half vaccinated daughter (who had covid Jan 26th) just tested positive for covid. I have same cold like symptoms and fever. Waiting for test results for myself.

Release 8 — day 35, dose 2

2021-05-11

Symptoms: Covid in our house

Release 8 — day 42, dose 2

2021-05-17

Symptoms: Covid symptoms, tested negative, daughter tested positive.

Release 9 — 6 months, dose 2

2021-10-04

Symptoms: Uti, blood vessels ruptured in eye, tired, headaches

Release 11 — 12 months, dose 2

2022-04-05

Symptoms: I had a miscarriage

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	Fatigue	✓	✓	✓
HCVO	Flushing	✓	✓	✓
HCVO	Migraine	✓	✓	✓
SD	Abortion spontaneous	·	·	✓
SD	COVID-19	✓	✓	✓
SD	Exposure to SARS-CoV-2	✓	✓	✓
SD	Eye haemorrhage	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Flushing	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Immunisation reaction	✓	✓	○
SD	Malaise	·	·	✓
SD	Nasopharyngitis	✓	✓	✓
SD	Pyrexia	✓	✓	✓
SD	SARS-CoV-2 test	✓	✓	✓
SD	SARS-CoV-2 test negative	✓	✓	✓
SD	Sneezing	✓	✓	✓
SD	Urinary tract infection	·	·	✓
SRO	Cough	✓	✓	✓
SRO	Disturbance in attention	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Pruritus	✓	✓	✓

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