Y2R-12936-27198

3 vaccinations 8 coded responses 37 check-ins 7 free-text entries 1 call case

Sex: Female
Age at first dose: 51-55
ZIP prefix: 201 / VA
Registered: 2021-04-17

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

2021-04-15
Dose 1 — Moderna
2021-04-17
Registered in v-safe
2021-04-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Joint pains, Fatigue or tiredness

Adult check-in
2021-04-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-20
Survey response — days 1–6 daily, dose 1
MedDRA: Pre-existing disease — Feeling: Fair · Fatigue or tiredness

Free text: Tree pollen allergies

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-22
Survey response — day 7, dose 1
MedDRA: Fatigue — Feeling: Good · Fatigue or tiredness

Free text: I have general fatigue issues normally.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-29
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-05-06
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-05-13
Dose 2 — Moderna
2021-05-13
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-05-14
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-05-15
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Fatigue or tiredness, Nausea

Adult check-in
2021-05-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-18
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-19
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-20
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-05-27
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-06-03
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-06-10
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-18
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-24
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-08-12
Survey response — 3 months, dose 2
MedDRA: Cough, Headache, Rhinorrhoea — Feeling: Good

Free text: Short duration runny nose, cough, headache.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-11-13
Survey response — 6 months, dose 2
MedDRA: Fatigue, Headache, Nausea, Respiratory tract congestion — Feeling: Good · Be unable to do your normal daily activities

Free text: Headache, nausea, congestion, exhaustion

MedDRA releases: 2024-11 · check-in free text available
2022-02-01
Dose 3 — Moderna
2022-02-03
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2022-02-04
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Headache

Adult check-in
2022-02-05
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Swelling · Abdominal pain

Adult check-in
2022-02-06
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2022-02-07
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2022-02-08
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2022-02-15
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-02-22
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-03-01
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-03-08
Survey response — day 35, dose 3
MedDRA: Cough, Fatigue, Sinus congestion, Sneezing — Feeling: Good

Free text: Heavy fatigue, sinus congestion, strong sneezing, coughing

MedDRA releases: 2024-11 · check-in free text available
2022-03-15
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-05-03
Survey response — 3 months, dose 3
MedDRA: Body temperature increased, Diarrhoea, Headache, Joint stiffness, Sinus congestion — Feeling: Good

Free text: Sinus congestion, slightly raised temperature, headache, joint stiffness, diarrhea.

MedDRA releases: 2024-11 · check-in free text available
2022-08-02
Survey response — 6 months, dose 3
MedDRA: Ageusia, Angina pectoris, Anosmia, Anxiety, COVID-19, Confusional state, Fatigue, Headache, Pain, Paranasal sinus hypersecretion, Rhinorrhoea — 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 · Outpatient clinic or urgent care clinic visit

Free text: June 21-July 4, 2022 Covid: headache, sinus runny nose, extreme fatigue, body aches, confusion, loss of tast and smell. Still some fatigue, confusion, anxiety, aches and heart pain 2-3 days a week. Some taste and smell has returned.

MedDRA releases: 2024-11 · check-in free text available
2022-08-02
Report sent to call center — 6 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

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-08-03
Call 1 — Left Voicemail
2023-02-01
Survey response — 12 months, dose 3
MedDRA: Dyspnoea, Palpitations — Feeling: Fair

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-15	Moderna
2	2021-05-13	Moderna
3	2022-02-01	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2022-08-02	Unsuccessful

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-20

Systemic reaction (other): Tree pollen allergies

Release 7 — day 7, dose 1

2021-04-22

Systemic reaction (other): I have general fatigue issues normally.

Release 9 — 3 months, dose 2

2021-08-12

Symptoms: Short duration runny nose, cough, headache.

Release 10 — 6 months, dose 2

2021-11-13

Symptoms: Headache, nausea, congestion, exhaustion

Release 11 — day 35, dose 3

2022-03-08

Symptoms: Heavy fatigue, sinus congestion, strong sneezing, coughing

Release 11 — 3 months, dose 3

2022-05-03

Symptoms: Sinus congestion, slightly raised temperature, headache, joint stiffness, diarrhea.

Release 12 — 6 months, dose 3

2022-08-02

Symptoms: June 21-July 4, 2022 Covid: headache, sinus runny nose, extreme fatigue, body aches, confusion, loss of tast and smell. Still some fatigue, confusion, anxiety, aches and heart pain 2-3 days a week. Some taste and smell has returned.

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
SD	Ageusia	·	·	✓
SD	Angina pectoris	·	·	✓
SD	Anosmia	·	·	✓
SD	Anxiety	·	·	✓
SD	Body temperature increased	·	·	✓
SD	Confusional state	·	·	✓
SD	Cough	✓	·	✓
SD	COVID-19	·	·	✓
SD	Diarrhoea	·	·	✓
SD	Dyspnoea	·	·	✓
SD	Fatigue	·	·	✓
SD	Headache	✓	·	✓
SD	Joint stiffness	·	·	✓
SD	Nausea	·	·	✓
SD	Pain	·	·	✓
SD	Palpitations	·	·	✓
SD	Paranasal sinus hypersecretion	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	Rhinorrhoea	✓	·	✓
SD	Sinus congestion	·	·	✓
SD	Sneezing	·	·	✓
SRO	Fatigue	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓

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