Y6B-29764-37848

2 vaccinations 8 coded responses 20 check-ins 8 free-text entries 1 call case

Sex: Female
Age at first dose: 56-60
ZIP prefix: 971 / OR
Registered: 2021-04-02

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

2021-03-30
Dose 1 — Moderna
2021-04-02
Registered in v-safe
2021-04-02
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

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

Adult check-in
2021-04-05
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-04-06
Survey response — day 7, dose 1
MedDRA: Feeling cold — Feeling: Good

Free text: Cold, not chills just couldn't stay warm.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-13
Survey response — day 14, dose 1
MedDRA: Dyspnoea exertional, Feeling hot, Loss of personal independence in daily activities, Tremor — Feeling: Good

Free text: 15 minutes of mild activity (shopping) and was shaking, out of breath, and overheating. Rested a bit then tried again. Withun minutes was back.I admit ive been very inactive the past year but this has never happened on other shopping trips (biwkly

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-20
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-27
Dose 2 — Moderna
2021-04-27
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-04-28
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Vertigo — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Vertigo/dizzy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-29
Survey response — days 1–6 daily, dose 2
MedDRA: Vertigo — Feeling: Good · Site: Pain, Swelling · Fever · Chills, Headache, Fatigue or tiredness

Free text: Vertigo, better than yesterday

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-05-02
Survey response — days 1–6 daily, dose 2
MedDRA: Cough — Feeling: Good · Fatigue or tiredness

Free text: Morning cough not a tickle or clearing of throat. More from the lungsns

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-03
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-04
Health check-in — day 7, dose 2
Feeling: Good · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-05-11
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-18
Survey response — day 21, dose 2
MedDRA: Back pain, Dizziness — Feeling: Fair · Be unable to work

Free text: First day back to office. By 4 hours in, back hurting and dizzy. Prolly more to do with isolating and inactivity the past year. Going to see what bed & tylenol do for it.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-25
Survey response — day 28, dose 2
MedDRA: Injection site pain, Pain, Pain in extremity — Feeling: Good

Free text: Arm/shot site has started hurting again when i move my arm. More annoying than painful

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-03
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-06-08
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-10-26
Survey response — 6 months, dose 2
MedDRA: Mobility decreased, Office visit, Physiotherapy, Unevaluable event — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Limited mobility in shot arm. Diagnosed as a rotor cuff issue by looking at range of motion. No xrays. Physical therapy has slightly improved mobility. · Healthcare visit (other): Primary care appointment referred to physical therapy

MedDRA releases: 2024-11 · check-in free text available
2021-10-26
Report sent to call center — 6 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-10-27
Call successful
Participant prefers to complete VAERS report online
2022-04-27
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-30	Moderna
2	2021-04-27	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-10-26	Successful 2021-10-27	Participant prefers to complete VAERS report online

Free text

Release 7 — day 7, dose 1

2021-04-06

Systemic reaction (other): Cold, not chills just couldn't stay warm.

Release 7 — day 14, dose 1

2021-04-13

Symptoms: 15 minutes of mild activity (shopping) and was shaking, out of breath, and overheating. Rested a bit then tried again. Withun minutes was back.I admit ive been very inactive the past year but this has never happened on other shopping trips (biwkly cut off by CDC

Release 8 — days 1–6 daily, dose 2

2021-04-28

Systemic reaction (other): Vertigo/dizzy

2021-04-29

Systemic reaction (other): Vertigo, better than yesterday

2021-05-02

Systemic reaction (other): Morning cough not a tickle or clearing of throat. More from the lungsns

Release 8 — day 21, dose 2

2021-05-18

Symptoms: First day back to office. By 4 hours in, back hurting and dizzy. Prolly more to do with isolating and inactivity the past year. Going to see what bed & tylenol do for it.

Release 8 — day 28, dose 2

2021-05-25

Symptoms: Arm/shot site has started hurting again when i move my arm. More annoying than painful

Release 10 — 6 months, dose 2

2021-10-26

Symptoms: Limited mobility in shot arm. Diagnosed as a rotor cuff issue by looking at range of motion. No xrays. Physical therapy has slightly improved mobility.

Healthcare visit (other): Primary care appointment referred to physical therapy

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	Back pain	✓	✓	✓
SD	Dizziness	✓	✓	✓
SD	Dyspnoea exertional	✓	✓	✓
SD	Feeling hot	✓	✓	✓
SD	Injection site pain	✓	✓	✓
SD	Loss of personal independence in daily activities	✓	✓	✓
SD	Mobility decreased	·	·	✓
SD	Pain	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SD	Physiotherapy	·	·	✓
SD	Tremor	✓	✓	✓
SD	Unevaluable event	·	·	✓
SRO	Cough	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Feeling cold	✓	✓	✓
SRO	Vertigo	✓	✓	✓

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