XWR-24784-81663

4 vaccinations 10 coded responses 13 check-ins 9 free-text entries 1 call case

Sex: Female
Age at first dose: 56-60
ZIP prefix: 201 / VA
Registered: 2021-05-15

Relationship: Self
Race: Multiracial
Ethnicity: Not Hispanic or Latino

Timeline

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

2021-05-13
Dose 1 — Moderna
2021-05-15
Registered in v-safe
2021-05-15
Dose 2 — Moderna
2021-05-15
Survey response — days 1–6 daily, dose 1
MedDRA: Insomnia, Pain, Pain in extremity, Self-medication — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-05-16
Survey response — days 1–6 daily, dose 1
MedDRA: Arthralgia, Pyrexia, Self-medication — Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-05-17
Survey response — days 1–6 daily, dose 1
MedDRA: Abdominal pain upper, Arthralgia — Feeling: Good · Site: Pain, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-05-18
Survey response — days 1–6 daily, dose 1
MedDRA: Arthralgia, Head discomfort, Headache, Pain in extremity, Pyrexia — Feeling: Good · Site: Pain · Headache, Joint pains, Muscle or body aches

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-05-19
Survey response — days 1–6 daily, dose 1
MedDRA: Back pain, Headache, Pain in extremity, Sleep disorder — Feeling: Good · 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
2021-05-21
Health check-in — 7 day, dose 1
Feeling: Good · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-05-27
Survey response — 14 day, dose 1
MedDRA: Cough, Headache, Respiratory tract congestion, Sinus congestion — Feeling: Fair · Be unable to do your normal daily activities

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-06-04
Survey response — 21 day, dose 1
MedDRA: Cough, Feeling hot, Headache, Pain, Productive cough — Feeling: Fair · Be unable to do your normal daily activities

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-08-13
Health check-in — 3 month, dose 1
Feeling: Good

Adult check-in
2021-11-15
Survey response — 6 month, dose 1
MedDRA: Asthenia, Dyspnoea, Dyspnoea exertional, Exercise tolerance decreased, Fatigue, Headache — Feeling: Good · Be unable to do your normal daily activities

MedDRA releases: 2024-11 · check-in answers available
2021-11-15
Survey response — 6 month, dose 2
MedDRA: Asthenia, Dyspnoea, Exercise tolerance decreased, Fatigue, Headache — Feeling: Good · Be unable to do your normal daily activities

MedDRA releases: 2024-11 · check-in answers available
2022-01-06
Dose 3 — Moderna
2022-05-15
Health check-in — 12 month, dose 2
Feeling: Fair

Adult check-in
2022-07-21
Dose 4 — Moderna
2023-01-08
Survey response — 12 month, dose 3
MedDRA: Cardiac disorder, Fatigue, Hypertension, Lower respiratory tract infection, Office visit — Feeling: Fair · 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 · check-in answers available
2023-01-08
Report sent to call center — 12 month, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2023-01-09
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	2021-05-13	Moderna
2	2021-05-15	Moderna	No
3	2022-01-06	Moderna	No
4	2022-07-21	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2023-01-08	Successful 2023-01-09	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Free text

Release 8

Systemic reaction (other): Extreme leg and body aches for the past two days. Last night was very bad I could not sleep. Took 3 tylenols and that did not help much either.

Systemic reaction (other): Pain in joints and slight fever that comes when the Tylenol wears off. I am currently taking 2 tablets of over the counter extra strength Tylenol

Systemic reaction (other): I have had mild stomach ache from last night after I eat. The joint pains are there when I stand or sit in one position for too long.

Systemic reaction (other): I feel slightly feverish at night and in the morning. There is a low grade constant headache and heaviness in the head. Leg pain and knee joint hurry sightly

Systemic reaction (other): Could not sleep all last night due to extreme pain in legs and knees. Sight backache. Sight dull headache all night and day.

Symptoms: Chest and sinus congestion, coughing, persistent headache

Symptoms: I was coughing a lot but not continuously. I had feverish feeling, mild headache and body ache. The cough was phlegmy.

Release 10

Symptoms: Tiredness, lack of stamina, shortness of breath, headaches. Labored breathing at times. Not able to do physical activity for long

Symptoms: I am extremely tired all the time. Shortness of breath and no stamina when doing physical activity for long time or climbing more that 2 flights of stairs. Headaches and regular breathing is at times a bit hard

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	Asthenia	·	·	✓
SD	Cardiac disorder	·	·	✓
SD	Cough	✓	✓	✓
SD	Dyspnoea	·	·	✓
SD	Dyspnoea exertional	·	·	✓
SD	Exercise tolerance decreased	·	·	✓
SD	Fatigue	·	·	✓
SD	Feeling hot	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Hypertension	·	·	✓
SD	Lower respiratory tract infection	·	·	✓
SD	Pain	✓	✓	✓
SD	Productive cough	✓	✓	✓
SD	Respiratory tract congestion	✓	✓	✓
SD	Sinus congestion	✓	✓	✓
SRO	Abdominal pain upper	✓	✓	✓
SRO	Arthralgia	✓	✓	✓
SRO	Back pain	✓	✓	✓
SRO	Head discomfort	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Insomnia	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Pyrexia	✓	✓	✓
SRO	Self-medication	✓	✓	✓
SRO	Sleep disorder	✓	✓	✓

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