VFG-21963-36722

1 vaccination 9 coded responses 16 check-ins 8 free-text entries 7 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 351 / AL
Registered: 2022-03-01

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

2022-03-01
Registered in v-safe
2022-03-01
Dose 1 — Moderna
2022-03-01
Health check-in — day 0, dose 1
Feeling: Poor · Site: Pain, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-03-02
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Diarrhea · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2022-03-03
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Diarrhea, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2022-03-04
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Diarrhea, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2022-03-05
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Diarrhea, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2022-03-06
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Diarrhea, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2022-03-07
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Diarrhea, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2022-03-08
Survey response — day 7, dose 1
MedDRA: Skin burning sensation — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Diarrhea, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: I feel like my skin is burning off my body

MedDRA releases: 2024-11 · check-in free text available
2022-03-15
Survey response — day 14, dose 1
MedDRA: Asthenia, Chills, Peripheral swelling, Pyrexia — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Fever and chills lack of energy arm swollen

MedDRA releases: 2024-11 · check-in free text available
2022-03-22
Survey response — day 21, dose 1
MedDRA: Cardiac disorder, Chest pain, Respiratory disorder, Syncope, Unevaluable event — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, Hospitalization

Free text: Symptoms: Heart problems, breathing problems, fainting, chest pains and so much more · Healthcare visit (other): I was suggested to be hospitalized and I am tomorrow morning this vaccine has destroyed my life

MedDRA releases: 2024-11 · check-in free text available
2022-03-22
Report sent to call center — day 21, dose 1
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Emergency room or emergency department visit · Hospitalization · 1 call case(s)
2022-03-24
Call 1 — Left Voicemail
2022-03-25
Call successful
Reported to VAERS voluntarily prior to GDIT contact
2022-03-29
Survey response — day 28, dose 1
MedDRA: Cardiac disorder, Hospitalisation — Feeling: Poor · 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, Hospitalization

Free text: Heart problems been in hospital twice and currently wearing a heart monitor as well as on heart meds

MedDRA releases: 2024-11 · check-in free text available
2022-03-29
Report sent to call center — day 28, dose 1
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 · Hospitalization · 1 call case(s)
2022-03-30
Call 2 — Left Voicemail
2022-04-06
Survey response — day 35, dose 1
MedDRA: Cardiac disorder, Chest pain, Headache, Panic attack — Feeling: Poor · 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: Panic attacks on end because of my chest pains and heart acting up along with chronic headaches

MedDRA releases: 2024-11 · check-in free text available
2022-04-06
Report sent to call center — day 35, dose 1
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)
2022-04-11
Call 2 — Left Voicemail
2022-04-13
Survey response — day 42, dose 1
MedDRA: Unevaluable event — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, Hospitalization

Free text: Too many

MedDRA releases: 2024-11 · check-in free text available
2022-04-13
Report sent to call center — day 42, dose 1
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Emergency room or emergency department visit · Hospitalization · 1 call case(s)
2022-04-14
Call 2 — Left Voicemail
2022-06-04
Survey response — 3 months, dose 1
MedDRA: Adverse reaction — Feeling: Poor · 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, Emergency room or emergency department visit, Hospitalization

Free text: Too many

MedDRA releases: 2024-11 · check-in free text available
2022-06-04
Report sent to call center — 3 months, dose 1
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 · Emergency room or emergency department visit · Hospitalization · 1 call case(s)
2022-06-06
Call 2 — Left Voicemail
2022-06-06
Call 3 — Left Voicemail
2022-06-06
Call 3 — Left Voicemail
2022-06-06
Call 3 — Left Voicemail
2022-06-06
Call 2 — Left Voicemail
2022-08-30
Survey response — 6 months, dose 1
MedDRA: Adverse reaction — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, Hospitalization

Free text: Too many

MedDRA releases: 2024-11 · check-in free text available
2022-08-30
Report sent to call center — 6 months, dose 1
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Emergency room or emergency department visit · Hospitalization · 1 call case(s)
2022-08-31
Call X — Left Voicemail
2022-08-31
Call X — Left Voicemail
2022-08-31
Call X — Left Voicemail
2022-08-31
Call 3 — Left Voicemail
2022-08-31
Call 2 — Left Voicemail
2023-03-02
Survey response — 12 months, dose 1
MedDRA: Peripheral swelling — Feeling: Poor · 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

MedDRA releases: 2024-11
2023-03-02
Report sent to call center — 12 months, dose 1
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)
2023-03-03
Call 1 — Left Voicemail
2023-03-03
Call 1 — Left Voicemail
2023-03-03
Call 1 — Left Voicemail
2023-03-03
Call 1 — Left Voicemail
2023-03-03
Call 1 — Left Voicemail
2023-03-03
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2022-03-01	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2022-03-22	Successful 2022-03-25	Reported to VAERS voluntarily prior to GDIT contact
2022-03-29	Unsuccessful	Reported to VAERS voluntarily prior to GDIT contact
2022-04-06	Unsuccessful	Reported to VAERS voluntarily prior to GDIT contact
2022-04-13	Unsuccessful	Reported to VAERS voluntarily prior to GDIT contact
2022-06-04	Unsuccessful	Reported to VAERS voluntarily prior to GDIT contact
2022-08-30	Unsuccessful	Reported to VAERS voluntarily prior to GDIT contact
2023-03-02	Unsuccessful

Free text

Release 11 — day 7, dose 1

2022-03-08

Systemic reaction (other): I feel like my skin is burning off my body

Release 11 — day 14, dose 1

2022-03-15

Symptoms: Fever and chills lack of energy arm swollen

Release 11 — day 21, dose 1

2022-03-22

Symptoms: Heart problems, breathing problems, fainting, chest pains and so much more

Healthcare visit (other): I was suggested to be hospitalized and I am tomorrow morning this vaccine has destroyed my life

Release 11 — day 28, dose 1

2022-03-29

Symptoms: Heart problems been in hospital twice and currently wearing a heart monitor as well as on heart meds

Release 11 — day 35, dose 1

2022-04-06

Symptoms: Panic attacks on end because of my chest pains and heart acting up along with chronic headaches

Release 11 — day 42, dose 1

2022-04-13

Symptoms: Too many

Release 11 — 3 months, dose 1

2022-06-04

Symptoms: Too many

Release 12 — 6 months, dose 1

2022-08-30

Symptoms: Too many

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	Unevaluable event	·	·	✓
SD	Adverse reaction	·	·	✓
SD	Asthenia	·	·	✓
SD	Cardiac disorder	·	·	✓
SD	Chest pain	·	·	✓
SD	Chills	·	·	✓
SD	Headache	·	·	✓
SD	Hospitalisation	·	·	✓
SD	Panic attack	·	·	✓
SD	Peripheral swelling	·	·	✓
SD	Pyrexia	·	·	✓
SD	Respiratory disorder	·	·	✓
SD	Syncope	·	·	✓
SD	Unevaluable event	·	·	✓
SRO	Skin burning sensation	·	·	✓

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