XZS-85794-79148

5 vaccinations 4 coded responses 42 check-ins 3 free-text entries 4 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 236 / VA
Registered: 2021-02-28

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

2021-02-28
Registered in v-safe
2021-02-28
Dose 1 — Moderna
2021-02-28
Health check-in — day 0, dose 1
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-03-01
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-02
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-03-05
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-07
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-14
Survey response — day 14, dose 1
MedDRA: Chest pain, Discomfort, Dizziness, Feeling hot, Headache, Insomnia, Malaise, Migraine, Nausea, Office visit, Pain — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: I have light-headedness, headaches (sometimes becoming migraines), sharp electrical impulses in my head (very uncomfortable and make sleeping difficult.) Sometimes nausea and malaise. Some aches and also continued chest pain. Episodes of hot all over · Healthcare visit (other): Appointment with my GP.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-14
Report sent to call center — day 14, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-21
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-28
Dose 2 — Moderna
2021-03-29
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-03-30
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness, Vomiting · Be unable to do your normal daily activities

Adult check-in
2021-03-31
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain

Adult check-in
2021-04-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-03
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-04
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-11
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-18
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-25
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-02
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-09
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-27
Survey response — 3 months, dose 2
MedDRA: COVID-19, Fatigue, Headache, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Fatigue and headaches. But its likely not from the vaccines. Its likely still from me being sick with Covid-19 5 months ago. · Healthcare visit (other): Visit with my GP.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-27
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-28
Call 1 — Left Voicemail
2021-07-01
Callback requested for
2021-07-01
Call successful
Participant prefers to complete VAERS report online
2021-09-26
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-30
Dose 3 — Moderna
2021-11-01
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-02
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness

Adult check-in
2021-11-03
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-04
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-05
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-06
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-11-13
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-20
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-27
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-04
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-11
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-29
Survey response — 3 months, dose 3
MedDRA: COVID-19, Lung disorder — Feeling: Fair · 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

Free text: I got Covid 19 for the second time. They believe it was the Delta Variant again. I am now on an inhaled steroid for the next 4.5 months to help my lungs out.

MedDRA releases: 2024-11 · check-in free text available
2022-01-29
Report sent to call center — 3 months, dose 3
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 · 1 call case(s)
2022-01-31
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-05-01
Health check-in — 6 months, dose 3
Feeling: Fair

Adult check-in
2022-06-07
Dose 4 — Moderna
2022-10-01
Dose 5 — Moderna
Co-administered: Flu
2022-10-08
Health check-in — day 7, dose 5
Feeling: Good · None

Adult check-in
2022-10-17
Health check-in — day 14, dose 5
Feeling: Good

Adult check-in
2022-10-29
Health check-in — day 28, dose 5
Feeling: Good

Adult check-in
2022-11-05
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2022-11-12
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2022-12-31
Health check-in — 3 months, dose 5
Feeling: Good

Adult check-in
2023-04-01
Survey response — 6 months, dose 5
MedDRA: Dizziness, Feeling hot, Headache, Malaise — Feeling: Good · 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

MedDRA releases: 2024-11
2023-04-01
Report sent to call center — 6 months, dose 5
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 · 1 call case(s)
2023-04-03
Call successful
Does not wish to fill out VAERS report

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-28	Moderna
2	2021-03-28	Moderna
3	2021-10-30	Moderna	No
4	2022-06-07	Moderna	No
5	2022-10-01	Moderna	Flu

Call center

Reported	Outcome	VAERS-related outcome
2021-03-14	Successful	Participant prefers to complete VAERS report online
2021-06-27	Successful 2021-07-01	Participant prefers to complete VAERS report online
2022-01-29	Successful 2022-01-31	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2023-04-01	Successful 2023-04-03	Does not wish to fill out VAERS report

Free text

Release 5 — day 14, dose 1

2021-03-14

Symptoms: I have light-headedness, headaches (sometimes becoming migraines), sharp electrical impulses in my head (very uncomfortable and make sleeping difficult.) Sometimes nausea and malaise. Some aches and also continued chest pain. Episodes of hot all over cut off by CDC

Healthcare visit (other): Appointment with my GP.

Release 9 — 3 months, dose 2

2021-06-27

Symptoms: Fatigue and headaches. But its likely not from the vaccines. Its likely still from me being sick with Covid-19 5 months ago.

Healthcare visit (other): Visit with my GP.

Release 11 — 3 months, dose 3

2022-01-29

Symptoms: I got Covid 19 for the second time. They believe it was the Delta Variant again. I am now on an inhaled steroid for the next 4.5 months to help my lungs out.

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	Office visit	✓	✓	✓
SD	Chest pain	✓	✓	✓
SD	COVID-19	·	·	✓
SD	Discomfort	✓	✓	✓
SD	Dizziness	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Feeling hot	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Insomnia	✓	✓	✓
SD	Lung disorder	·	·	✓
SD	Malaise	✓	✓	✓
SD	Migraine	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Pain	✓	✓	✓

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