V7Q-29905-53181

4 vaccinations 2 coded responses 45 check-ins 1 free-text entry 1 call case

Sex: Female
Age at first dose: 46-50
ZIP prefix: 981 / WA
Registered: 2021-01-19

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

2021-01-18
Dose 1 — Moderna
2021-01-19
Registered in v-safe
2021-01-19
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Redness · Fever · Headache, Fatigue or tiredness

Adult check-in
2021-01-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fever · Fatigue or tiredness

Adult check-in
2021-01-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Redness · Fever · Fatigue or tiredness

Adult check-in
2021-01-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Redness · Fatigue or tiredness

Adult check-in
2021-01-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Redness · Fever · Fatigue or tiredness

Adult check-in
2021-01-25
Survey response — day 7, dose 1
MedDRA: Fatigue — Feeling: Good · Fever · Headache, Fatigue or tiredness

Free text: Really tired today, worn down.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-01
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-08
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-15
Dose 2 — Moderna
2021-02-16
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, 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
2021-02-17
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-02-18
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to work

Adult check-in
2021-02-19
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fever · Fatigue or tiredness

Adult check-in
2021-02-20
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-21
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-22
Health check-in — day 7, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-01
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-08
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-15
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-22
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-29
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-17
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-18
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-01-15
Dose 3 — Moderna
2022-01-18
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Redness, Swelling, Itching · Headache

Adult check-in
2022-01-19
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Redness, Swelling, Itching · None

Adult check-in
2022-01-21
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Redness, Itching · None

Adult check-in
2022-01-22
Health check-in — day 7, dose 3
Feeling: Good · Site: Itching · None

Adult check-in
2022-01-29
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-02-05
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-02-13
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-02-21
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-02-26
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-04-18
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-07-17
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-10-21
Dose 4 — Moderna
2022-10-21
Health check-in — day 0, dose 4
Feeling: Good · Site: Pain, Swelling · Headache, Fatigue or tiredness

Adult check-in
2022-10-22
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain, Swelling · Headache, Fatigue or tiredness

Adult check-in
2022-10-24
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Fatigue or tiredness

Adult check-in
2022-10-26
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-10-27
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-11-02
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-11-05
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-11-13
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-11-18
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-11-27
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-12-04
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2023-01-21
Survey response — 3 months, dose 4
MedDRA: Chills, Fatigue, Oropharyngeal pain, Pyrexia — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

MedDRA releases: 2024-11
2023-01-21
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 · 1 call case(s)
2023-01-23
Call 1 — Could Not Reach Participant
2023-01-26
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-18	Moderna
2	2021-02-15	Moderna
3	2022-01-15	Moderna	No
4	2022-10-21	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2023-01-21	Successful 2023-01-26	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Free text

Release 2 — day 7, dose 1

2021-01-25

Systemic reaction (other): Really tired today, worn down.

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
SD	Chills	·	·	✓
SD	Fatigue	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pyrexia	·	·	✓
SRO	Fatigue	✓	✓	✓

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