XV5-33218-36491

2 vaccinations 14 coded responses 23 check-ins 14 free-text entries 9 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 932 / CA
Registered: 2021-01-05

Relationship: Self
Race: Other
Ethnicity: N/A

Timeline

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

2021-01-05
Registered in v-safe
2021-01-05
Dose 1 — Moderna
2021-01-06
Survey response — days 1–6 daily, dose 1
MedDRA: Dysphagia, Dyspnoea, Pharyngeal swelling — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-01-06
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-07
Survey response — days 1–6 daily, dose 1
MedDRA: Oropharyngeal pain, Respiratory tract congestion, Rhinorrhoea — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-01-07
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-08
Survey response — days 1–6 daily, dose 1
MedDRA: Cold sweat, Cough, Nasal congestion, Productive cough — Feeling: Poor · Site: Pain, Redness · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-01-08
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-09
Survey response — days 1–6 daily, dose 1
MedDRA: Chest discomfort, Oropharyngeal pain, Productive cough — Feeling: Poor · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-01-09
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-10
Survey response — days 1–6 daily, dose 1
MedDRA: Cough, Oropharyngeal pain, Productive cough, Respiratory tract congestion, Sneezing — Feeling: Poor · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-01-10
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-11
Survey response — days 1–6 daily, dose 1
MedDRA: Dyspnoea, Nasal congestion, Productive cough — Feeling: Poor · Headache, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-01-11
Report sent to call center — days 1–6 daily, dose 1
Be unable to work · Be unable to do your normal daily activities

1 call case(s)
2021-01-12
Survey response — 7 day, dose 1
MedDRA: Cough, Dyspnoea, Nasal congestion, Productive cough, Sneezing — Feeling: Poor · Headache, Muscle or body aches, Fatigue or tiredness · 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

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-01-12
Report sent to call center — 7 day, dose 1
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)
2021-01-21
Health check-in — 14 day, dose 1
Feeling: Good

Adult check-in
2021-01-28
Health check-in — 21 day, dose 1
Feeling: Good

Adult check-in
2021-02-02
Dose 2 — Moderna
2021-02-02
Survey response — 0 day, dose 2
MedDRA: Oral pruritus, Pruritus, Throat irritation — Feeling: Fair · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-02-03
Survey response — days 1–6 daily, dose 2
MedDRA: Oropharyngeal pain, Rhinorrhoea — Feeling: Fair · Site: Pain, Redness · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-02-04
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-05
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-06
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-07
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

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

Adult check-in
2021-02-09
Health check-in — 7 day, dose 2
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-16
Health check-in — 14 day, dose 2
Feeling: Good

Adult check-in
2021-02-23
Call 1 — Left Voicemail
2021-03-06
Survey response — 28 day, dose 2
MedDRA: Fatigue, Headache, Myalgia — Feeling: Fair

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-03-09
Survey response — 35 day, dose 2
MedDRA: Fatigue, Headache, Myalgia — Feeling: Fair

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-03-16
Survey response — 42 day, dose 2
MedDRA: Fatigue, Headache, Myalgia — Feeling: Fair

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-08-03
Survey response — 6 month, dose 2
MedDRA: Fatigue, Headache, Hypoaesthesia, Nausea, Paraesthesia — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

MedDRA releases: 2021-09,2024-11 · check-in answers available
2021-08-03
Report sent to call center — 6 month, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-05
Call 1 — Left Voicemail
2022-02-03
Survey response — 12 month, dose 2
MedDRA: Headache, Office visit, Paraesthesia — Feeling: Good · Get care from a doctor or other healthcare professional

MedDRA releases: 2024-11 · check-in answers available
2022-02-03
Report sent to call center — 12 month, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2022-02-07
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-05	Moderna
2	2021-02-02	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-01-06	Unsuccessful
2021-01-07	Unsuccessful
2021-01-08	Unsuccessful
2021-01-09	Unsuccessful
2021-01-10	Unsuccessful
2021-01-11	Unsuccessful
2021-01-12	Unsuccessful
2021-08-03	Unsuccessful
2022-02-03	Unsuccessful

Free text

Release 1

Systemic reaction (other): Swelling of my throat hard to swallow and difficulty breathing

Systemic reaction (other): Runny nose soar throat cough congestion

Systemic reaction (other): Cold sweats, nasal congestion, coughing, phlegm

Systemic reaction (other): Coughing up phlegm sore throat tightening of the chest

Systemic reaction (other): Sore throat cough congestion phlegm sneezing

Systemic reaction (other): Nasal congestion, difficulty breathing, phlegm, shortness of breath

Systemic reaction (other): Phlegm, nasal congestion, coughing, difficulty breathing, sneezing

Release 3

Systemic reaction (other): Itchy mouth throat and cheeks

Systemic reaction (other): Runny nose sore throat

Release 5

Symptoms: Headaches, fatigue, muscle aches

Symptoms: Headaches, muscle aches, fatigue

Symptoms: Fatigue, muscle aches, headaches

Release 9

Symptoms: Excruciating Headaches, Extreme Fatigue, Nauseous, tingling of the face arms and legs, my face arms and legs feel like they fall asleep. Numbness to the face arms and legs.

Release 11

Symptoms: Constant Headaches, Tingling of my nerves on arms and legs,

Healthcare visit (other): Dr. Office

Free-text releases are not linked to a specific 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	Office visit	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Hypoaesthesia	✓	·	✓
SD	Myalgia	✓	✓	✓
SD	Nausea	✓	·	✓
SD	Paraesthesia	✓	·	✓
SRO	Chest discomfort	✓	✓	✓
SRO	Cold sweat	✓	✓	✓
SRO	Cough	✓	✓	✓
SRO	Dysphagia	✓	✓	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Nasal congestion	✓	✓	✓
SRO	Oral pruritus	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Pharyngeal swelling	✓	✓	✓
SRO	Productive cough	✓	✓	✓
SRO	Pruritus	·	·	✓
SRO	Respiratory tract congestion	✓	✓	✓
SRO	Rhinorrhoea	✓	✓	✓
SRO	Sneezing	✓	✓	✓
SRO	Throat irritation	✓	✓	✓

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