XXG-12289-32570

2 vaccinations 13 coded responses 20 check-ins 13 free-text entries 1 call case

Sex: Female
Age at first dose: 61-65
ZIP prefix: 100 / NY
Registered: 2021-03-25

Relationship: Self
Race: Other
Ethnicity: N/A

Timeline

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

2021-03-23
Dose 1 — Moderna
2021-03-25
Registered in v-safe
2021-03-26
Survey response — days 1–6 daily, dose 1
MedDRA: Chills, Decreased appetite, Headache, Pain, Pyrexia, Rash, Syncope — Feeling: Poor · Site: Pain, Itching · Fever · Chills, 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
2021-03-27
Survey response — days 1–6 daily, dose 1
MedDRA: Asthenia, Nausea — Feeling: Fair · Site: Pain, Itching · Chills, 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
2021-03-28
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fever · Fatigue or tiredness, Nausea, Diarrhea, Rash, not including the immediate area around the injection site

Adult check-in
2021-03-29
Survey response — days 1–6 daily, dose 1
MedDRA: Asthenia — Feeling: Fair · Site: Pain, Itching · Fatigue or tiredness, Nausea, Diarrhea, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-03-30
Health check-in — 7 day, dose 1
Feeling: Fair · Site: Pain, Itching · Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site

Adult check-in
2021-04-06
Health check-in — 14 day, dose 1
Feeling: Fair

Adult check-in
2021-04-13
Health check-in — 21 day, dose 1
Feeling: Good

Adult check-in
2021-04-20
Dose 2 — Moderna
2021-04-20
Survey response — 0 day, dose 2
MedDRA: Oropharyngeal pain — Feeling: Poor · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activities

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-04-21
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-22
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-23
Survey response — days 1–6 daily, dose 2
MedDRA: Decreased appetite, Diarrhoea, Nausea — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activities

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-04-24
Survey response — days 1–6 daily, dose 2
MedDRA: Abdominal discomfort, Decreased appetite, Paranasal sinus hypersecretion, Pre-existing disease, Rhinorrhoea, Sinus disorder — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activities

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-04-26
Survey response — days 1–6 daily, dose 2
MedDRA: Impaired work ability, Insomnia, Post-acute COVID-19 syndrome, Sleep disorder — Feeling: Poor · Site: Redness, Itching · Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-04-27
Health check-in — 7 day, dose 2
Feeling: Fair · Site: Redness, Swelling, Itching · Muscle or body aches, Nausea, Diarrhea

Adult check-in
2021-05-04
Survey response — 14 day, dose 2
MedDRA: Asthenia, Cough, Dyspepsia, Dyspnoea, Injection site erythema, Injection site pruritus, Injection site rash — Feeling: Fair

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-05-13
Survey response — 21 day, dose 2
MedDRA: Cough, Rash — Feeling: Fair

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-05-18
Survey response — 28 day, dose 2
MedDRA: Rash, Skin irritation — Feeling: Fair

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-05-27
Survey response — 35 day, dose 2
MedDRA: Alopecia, Bite, Fatigue, Pruritus, Rash, Urticaria — Feeling: Fair

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-06-03
Survey response — 42 day, dose 2
MedDRA: Brain fog, Fatigue, Gastrointestinal disorder, Immunisation reaction, Injection site erythema, Pain — Feeling: Fair

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-07-21
Survey response — 3 month, dose 2
MedDRA: Alopecia, Fatigue, Office visit, Pain, Rash — Feeling: Good · Get care from a doctor or other healthcare professional

MedDRA releases: 2024-11 · check-in answers available
2021-07-21
Report sent to call center — 3 month, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-27
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-23	Moderna
2	2021-04-20	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-07-21	Unsuccessful

Free text

Release 6

Systemic reaction (other): First 36 hours, very very bad headache (continuous), fever, severe aches, chills,no appetite. Still no appetite. Chills and aches faint more intermittent now. Still have spots/rash on arms and legs (started with covid last year), slightly flared.

Systemic reaction (other): Weakness but I was able eat a meal last night. Slightly nauseated now.

Systemic reaction (other): Weakness

Release 7

Systemic reaction (other): Sore throat

Systemic reaction (other): Have eaten very little since Tues - a piece of toast, bit of bagel and a few bites of a turkey sandwich, lots of water, some juice, a bit of gatorade and diet sprite for nausea. Appetite may be coming back a little.

Systemic reaction (other): Upset tummy - not quite dr but close. Unable to eat mire than a mouthful. Sinuses bad - at the beg draining continuously(as when I had covid). Maybe people like me who had bad covid (for weeeks) and long-haul symptoms (not classified as either severe or mild covid) should be studied more in gen and with vaccine (its made me feel rather brutalized- are we sure it will help people like me?)

Release 8

Systemic reaction (other): Still unable to eat more than a few mouthfuls - not had proper meal since the day before my second shot. My skeep cycle is off/ insimnia. Missed a few days of work. Wish Moderna had warned people whod had severe and long haul reactions to covid that vax would be this bad. My body does not feel stronger - it feels set back.

Symptoms: My digestive system is off. Still have rash redness and itching near vaccination site. Cough is back. Hoped Id feel stronger but feel weaker, more easily breathless than before. Feels like setback to myInitial long fought for covid recovery. TY

Symptoms: Skin rashes - are they related? - and my dry cough is back.

Symptoms: Odd skin rashes and irritations! And my vax site still slightly red. My digestive system is still a bit off kilter. Covid cough is back. Btw covid and vax aggravation my body feels ravaged. Are you sure vax was a good idea for people like me?

Symptoms: Not worsening. Back to my previous post m(post?) covid symptoms. Very tired tho less overwhem Though subsiding, my myriad odd skin rashes bites? welts itching toes(covid toes???) were getting to be pretty alarming. My hair is falling out agai

Symptoms: Very tired despite sleeping. Brain fog again. Slightly achey. Digestion almost back to normal - yay. Vax site still patch of red. Other rashes subsiding though I have more covid spots on arms (started when I first had covid). Still easily winded. cut off by CDC

Release 9

Symptoms: Rashes. Hair loss. Aches and fatigue.

Healthcare visit (other): Dermatologist in office visit

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	Alopecia	✓	✓	✓
SD	Asthenia	✓	✓	✓
SD	Bite	✓	✓	✓
SD	Brain fog	✓	✓	✓
SD	Cough	✓	✓	✓
SD	Dyspepsia	✓	✓	✓
SD	Dyspnoea	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Gastrointestinal disorder	✓	✓	✓
SD	Immunisation reaction	✓	✓	✓
SD	Injection site erythema	✓	✓	✓
SD	Injection site pruritus	✓	✓	✓
SD	Injection site rash	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Pruritus	✓	✓	✓
SD	Rash	✓	✓	✓
SD	Skin irritation	✓	✓	✓
SD	Urticaria	✓	✓	✓
SRO	Abdominal discomfort	✓	✓	✓
SRO	Asthenia	✓	✓	✓
SRO	Chills	✓	✓	✓
SRO	Decreased appetite	✓	✓	✓
SRO	Diarrhoea	✓	✓	○
SRO	Headache	✓	✓	✓
SRO	Impaired work ability	✓	✓	✓
SRO	Insomnia	✓	✓	✓
SRO	Nausea	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Paranasal sinus hypersecretion	·	·	✓
SRO	Post-acute COVID-19 syndrome	✓	✓	✓
SRO	Pre-existing disease	·	·	✓
SRO	Pyrexia	✓	✓	✓
SRO	Rash	✓	✓	✓
SRO	Rhinorrhoea	✓	✓	○
SRO	Sinus disorder	✓	✓	✓
SRO	Sleep disorder	✓	✓	✓
SRO	Syncope	✓	✓	✓

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