Y4M-30138-92824

6 vaccinations 14 coded responses 39 check-ins 9 free-text entries 5 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 730 / OK
Registered: 2021-02-25

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

2021-02-24
Dose 1 — Moderna
2021-02-25
Registered in v-safe
2021-02-26
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-27
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-02-28
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-03-01
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · 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
2021-03-01
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache, Joint pains, Muscle or body aches

Adult check-in
2021-03-03
Health check-in — day 7, dose 1
Feeling: Fair · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-03-10
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-17
Survey response — day 21, dose 1
MedDRA: Arthralgia, Myalgia, Pre-existing disease, Systemic lupus erythematosus, Vomiting — Feeling: Fair

Free text: Having a lupus flare. I hurt in all joints and many large muscles. I threw up several times this week. I am eating some today.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-24
Dose 2 — Moderna
2021-03-24
Survey response — day 0, dose 2
MedDRA: Dysgeusia, Immediate post-injection reaction — Feeling: Good

Free text: Metallic taste about 5-10 minutes after injection lasted about five minutes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-25
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-26
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness, Swelling, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-27
Survey response — days 1–6 daily, dose 2
MedDRA: Pre-existing disease — Feeling: Good · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: I have lupus so its hard to know what is from the vaccine or lupus

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-28
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-03-29
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Swelling · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting · Be unable to do your normal daily activities

Adult check-in
2021-03-30
Survey response — days 1–6 daily, dose 2
MedDRA: No adverse event — Feeling: Poor · Site: Pain, Swelling · Fever · 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: I have Lupus and frequently get multiple migraines when sick

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-31
Health check-in — day 7, dose 2
Feeling: Poor · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-07
Survey response — day 14, dose 2
MedDRA: Decreased appetite, Dehydration, Migraine, Nausea, Retching — Feeling: Poor · 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: So nauseous and retching and migraines I stopped eating and drinking for three days. Then I drank like 6 ounces of water on day four. A bit more water the next day. The next day I started eat some soup. Now today I am eating but still having to take.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-07
Report sent to call center — day 14, 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)
2021-04-14
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-21
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-28
Survey response — day 35, dose 2
MedDRA: Abdominal pain, Nausea — Feeling: Fair · 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: My stomach hurts anytime I eat. I have to take nausea medicine and stomach and intestinal muscle relaxer. Just to stop me from throwing up everything.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-28
Report sent to call center — day 35, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-05
Survey response — day 42, dose 2
MedDRA: Hypophagia, Vomiting — Feeling: Fair · Be unable to do your normal daily activities

Free text: I still throw up too often. Again yesterday and today I have drank per day less than 16 oz. and a few tiny bites per meal.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-23
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-08-27
Dose 3 — Moderna
2021-09-27
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-27
Survey response — 3 months, dose 3
MedDRA: Hospitalisation, Hypotension — 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 · Emergency room or emergency department visit, Hospitalization

Free text: Very low blood pressure. Spent 13 days in hospital.

MedDRA releases: 2024-11 · check-in free text available
2021-11-27
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

Emergency room or emergency department visit · Hospitalization · 1 call case(s)
2021-11-29
Call successful
Reported to VAERS voluntarily prior to GDIT contact
2021-11-29
Call successful
Does not wish to fill out VAERS report
2021-11-29
Call successful
Does not wish to fill out VAERS report
2021-11-29
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-02-19
Dose 4 — Moderna
2022-02-26
Survey response — 6 months, dose 3
MedDRA: Fatigue, Malaise, Nausea, Pain — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: I just feel lousy. I'm achy and tired and nauseous. Each Moderna injection has made me feel lousy for about a week or so.

MedDRA releases: 2024-11 · check-in free text available
2022-07-15
Dose 5 — Moderna
2022-08-27
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in
2022-12-27
Dose 6 — Moderna
2022-12-27
Health check-in — day 0, dose 6
Feeling: Good · Site: Pain · None

Adult check-in
2022-12-28
Health check-in — days 1–6 daily, dose 6
Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-12-29
Health check-in — days 1–6 daily, dose 6
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-12-31
Health check-in — days 1–6 daily, dose 6
Feeling: Good · None

Adult check-in
2023-01-01
Survey response — days 1–6 daily, dose 6
MedDRA: Pre-existing disease — Feeling: Good · Joint pains, Fatigue or tiredness

MedDRA releases: 2024-11
2023-01-02
Survey response — days 1–6 daily, dose 6
MedDRA: Pre-existing disease — Feeling: Good · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

MedDRA releases: 2024-11
2023-01-03
Survey response — day 7, dose 6
MedDRA: Systemic lupus erythematosus — Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness

MedDRA releases: 2024-11
2023-01-17
Survey response — day 21, dose 6
MedDRA: Diarrhoea, Pre-existing disease, Vomiting — Feeling: Fair · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

MedDRA releases: 2024-11
2023-01-17
Report sent to call center — day 21, dose 6
Be unable to work or attend school · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2023-01-18
Call successful
Participant prefers to complete VAERS report online
2023-01-26
Health check-in — day 28, dose 6
Feeling: Good

Adult check-in
2023-01-31
Survey response — day 35, dose 6
MedDRA: Arthralgia, Arthritis, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities

MedDRA releases: 2024-11
2023-02-07
Health check-in — day 42, dose 6
Feeling: Fair

Adult check-in
2023-03-29
Health check-in — 3 months, dose 6
Feeling: Good

Adult check-in
2023-06-27
Health check-in — 6 months, dose 6
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-24	Moderna
2	2021-03-24	Moderna
3	2021-08-27	Moderna	No
4	2022-02-19	Moderna	No
5	2022-07-15	Moderna	No
6	2022-12-27	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2021-03-01	Successful 2021-11-29	Reported to VAERS voluntarily prior to GDIT contact
2021-04-07	Successful 2021-11-29	Does not wish to fill out VAERS report
2021-04-28	Successful 2021-11-29	Does not wish to fill out VAERS report
2021-11-27	Successful 2021-11-29	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2023-01-17	Successful 2023-01-18	Participant prefers to complete VAERS report online

Free text

Release 5 — day 21, dose 1

2021-03-17

Symptoms: Having a lupus flare. I hurt in all joints and many large muscles. I threw up several times this week. I am eating some today.

Release 6 — day 0, dose 2

2021-03-24

Systemic reaction (other): Metallic taste about 5-10 minutes after injection lasted about five minutes

Release 6 — days 1–6 daily, dose 2

2021-03-27

Systemic reaction (other): I have lupus so its hard to know what is from the vaccine or lupus

2021-03-30

Systemic reaction (other): I have Lupus and frequently get multiple migraines when sick

Release 7 — day 14, dose 2

2021-04-07

Symptoms: So nauseous and retching and migraines I stopped eating and drinking for three days. Then I drank like 6 ounces of water on day four. A bit more water the next day. The next day I started eat some soup. Now today I am eating but still having to take. cut off by CDC

Release 8 — day 35, dose 2

2021-04-28

Symptoms: My stomach hurts anytime I eat. I have to take nausea medicine and stomach and intestinal muscle relaxer. Just to stop me from throwing up everything.

Release 8 — day 42, dose 2

2021-05-05

Symptoms: I still throw up too often. Again yesterday and today I have drank per day less than 16 oz. and a few tiny bites per meal.

Release 10 — 3 months, dose 3

2021-11-27

Symptoms: Very low blood pressure. Spent 13 days in hospital.

Release 11 — 6 months, dose 3

2022-02-26

Symptoms: I just feel lousy. I'm achy and tired and nauseous. Each Moderna injection has made me feel lousy for about a week or so.

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	Abdominal pain	✓	✓	✓
SD	Arthralgia	✓	✓	✓
SD	Arthritis	·	·	✓
SD	Decreased appetite	✓	✓	✓
SD	Dehydration	✓	✓	✓
SD	Diarrhoea	·	·	✓
SD	Fatigue	·	·	✓
SD	Hospitalisation	·	·	✓
SD	Hypophagia	·	·	✓
SD	Hypotension	·	·	✓
SD	Malaise	·	·	✓
SD	Migraine	✓	✓	✓
SD	Myalgia	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Pain	·	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Retching	✓	✓	✓
SD	Systemic lupus erythematosus	✓	✓	✓
SD	Vomiting	✓	✓	✓
SRO	Dysgeusia	✓	✓	✓
SRO	Immediate post-injection reaction	✓	✓	✓
SRO	No adverse event	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Systemic lupus erythematosus	·	·	✓

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