Y35-28574-54608

2 vaccinations 17 coded responses 25 check-ins 17 free-text entries 5 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 335 / FL
Registered: 2021-03-25

Relationship: Self
Race: White
Ethnicity: Hispanic or Latino

Timeline

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

2021-03-25
Registered in v-safe
2021-03-25
Dose 1 — Moderna
2021-03-25
Survey response — day 0, dose 1
MedDRA: Pruritus — Feeling: Fair · Site: Pain

Free text: My chest started itching.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-03-27
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · Fever · Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-03-28
Survey response — days 1–6 daily, dose 1
MedDRA: Feeling abnormal — Feeling: Fair · Site: Swelling, Itching · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Brain Fog

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-29
Survey response — days 1–6 daily, dose 1
MedDRA: Feeling abnormal — Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Free text: Brain Fog

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-30
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling · Muscle or body aches

Adult check-in
2021-03-31
Survey response — days 1–6 daily, dose 1
MedDRA: Injected limb mobility decreased, Injection site pain — Feeling: Good · Site: Pain · Muscle or body aches

Free text: My arm still hurts at the injection sight and I still cannot raise it above my head!

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-01
Survey response — day 7, dose 1
MedDRA: Mobility decreased, Pain in extremity — Feeling: Good · Site: Pain · Muscle or body aches

Free text: Theres still pain in my arm and I still cannot raise it above my head!

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-10
Survey response — day 14, dose 1
MedDRA: Injection site pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: My arm at the location of the vaccine has been hurting ever since I got the vaccine! Some days the pain is mild and other days it is severe!

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
Survey response — day 21, dose 1
MedDRA: Migraine — Feeling: Fair · Be unable to do your normal daily activities

Free text: I have had a 3 day migraine!

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Dose 2 — Moderna
2021-04-22
Health check-in — day 0, dose 2
Feeling: Poor · Site: Pain, Redness, Swelling · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · 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: Pain in extremity — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Severe pain from where the Publix pharmacist Jabbed me! And I do mean Jabbed! Last shot was easy and did not hurt!

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-24
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Adult check-in
2021-04-24
Report sent to call center — days 1–6 daily, dose 2
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)
2021-04-25
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: Dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-26
Survey response — days 1–6 daily, dose 2
MedDRA: Migraine — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Migraine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-26
Report sent to call center — days 1–6 daily, dose 2
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)
2021-04-27
Survey response — days 1–6 daily, dose 2
MedDRA: Migraine — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Headache, Joint pains, 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 · Telehealth, virtual health, or email health consultation

Free text: Migraine headache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-27
Report sent to call center — days 1–6 daily, dose 2
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)
2021-04-28
Survey response — days 1–6 daily, dose 2
MedDRA: Contusion, Injection site pain, Rash — Feeling: Fair · Site: Pain, Redness, Swelling · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: It still hurts severely at the injection sight and it is still bruised and rashes!

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-29
Survey response — day 7, dose 2
MedDRA: Brain fog — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Brain Fog!

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-06
Survey response — day 14, dose 2
MedDRA: Asthma, Office visit, Pre-existing disease, Respiratory tract congestion — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Im having trouble with congestion in my lungs and the doctor had to put me on Prednisone. He said it was partly because of the vaccine and partly because of my asthma · Healthcare visit (other): Pulmonologist

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-06
Report sent to call center — day 14, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-13
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-05-22
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-27
Survey response — day 35, dose 2
MedDRA: Diarrhoea, Dry throat, Fatigue, Oropharyngeal pain — Feeling: Poor · Be unable to do your normal daily activities

Free text: My throat has been extremely dry making it feel sore! And Ive experienced an onset of fatigue!

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-03
Survey response — day 42, dose 2
MedDRA: Pyrexia, Sluggishness — Feeling: Fair · Be unable to do your normal daily activities

Free text: I have been feeling feverish and sluggish! Ive had a slight fever of 99.9, but the sluggishness has been ongoing!

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-22
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2022-04-01
Call 1 — Left Voicemail
2022-04-22
Survey response — 12 months, dose 2
MedDRA: Cough, Immune system disorder, Infection, Secretion discharge, Surgery — Feeling: Poor · 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

Free text: My left lung was impacted by mucus that caused me to have to have surgery to remove it! And I have a cough that still has not gone away! My immune system is so low that I continue to get one infection after another!

MedDRA releases: 2024-11 · check-in free text available
2022-04-22
Report sent to call center — 12 months, dose 2
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)
2022-04-26
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-25	Moderna
2	2021-04-22	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-04-24	Unsuccessful
2021-04-26	Unsuccessful
2021-04-27	Unsuccessful
2021-05-06	Unsuccessful
2022-04-22	Unsuccessful

Free text

Release 6 — day 0, dose 1

2021-03-25

Systemic reaction (other): My chest started itching.

Release 6 — days 1–6 daily, dose 1

2021-03-28

Systemic reaction (other): Brain Fog

2021-03-29

Systemic reaction (other): Brain Fog

2021-03-31

Systemic reaction (other): My arm still hurts at the injection sight and I still cannot raise it above my head!

Release 6 — day 7, dose 1

2021-04-01

Systemic reaction (other): Theres still pain in my arm and I still cannot raise it above my head!

Release 7 — day 14, dose 1

2021-04-10

Symptoms: My arm at the location of the vaccine has been hurting ever since I got the vaccine! Some days the pain is mild and other days it is severe!

Release 7 — day 21, dose 1

2021-04-15

Symptoms: I have had a 3 day migraine!

Release 7 — days 1–6 daily, dose 2

2021-04-23

Systemic reaction (other): Severe pain from where the Publix pharmacist Jabbed me! And I do mean Jabbed! Last shot was easy and did not hurt!

2021-04-25

Systemic reaction (other): Dizziness

Release 8 — days 1–6 daily, dose 2

2021-04-26

Systemic reaction (other): Migraine

2021-04-27

Systemic reaction (other): Migraine headache

2021-04-28

Systemic reaction (other): It still hurts severely at the injection sight and it is still bruised and rashes!

Release 8 — day 7, dose 2

2021-04-29

Systemic reaction (other): Brain Fog!

Release 8 — day 14, dose 2

2021-05-06

Symptoms: Im having trouble with congestion in my lungs and the doctor had to put me on Prednisone. He said it was partly because of the vaccine and partly because of my asthma

Healthcare visit (other): Pulmonologist

Release 8 — day 35, dose 2

2021-05-27

Symptoms: My throat has been extremely dry making it feel sore! And Ive experienced an onset of fatigue!

Release 8 — day 42, dose 2

2021-06-03

Symptoms: I have been feeling feverish and sluggish! Ive had a slight fever of 99.9, but the sluggishness has been ongoing!

Release 11 — 12 months, dose 2

2022-04-22

Symptoms: My left lung was impacted by mucus that caused me to have to have surgery to remove it! And I have a cough that still has not gone away! My immune system is so low that I continue to get one infection after another!

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	Asthma	✓	✓	✓
SD	Cough	·	·	✓
SD	Diarrhoea	✓	✓	○
SD	Dry throat	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Immune system disorder	·	·	✓
SD	Infection	·	·	✓
SD	Injection site pain	✓	✓	✓
SD	Migraine	✓	✓	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Pyrexia	✓	✓	✓
SD	Respiratory tract congestion	✓	✓	✓
SD	Secretion discharge	·	·	✓
SD	Sluggishness	✓	✓	✓
SD	Surgery	·	·	✓
SRO	Brain fog	✓	✓	✓
SRO	Contusion	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Injected limb mobility decreased	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Migraine	✓	✓	✓
SRO	Mobility decreased	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Pruritus	✓	✓	✓
SRO	Rash	✓	✓	✓

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