Y7L-18338-05892

4 vaccinations 16 coded responses 41 check-ins 15 free-text entries 4 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 974 / OR
Registered: 2021-03-10

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

2021-03-09
Dose 1 — Moderna
2021-03-10
Registered in v-safe
2021-03-10
Survey response — days 1–6 daily, dose 1
MedDRA: Irritability — Feeling: Fair · Site: Pain · Headache, Muscle or body aches

Free text: Irritable

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

Adult check-in
2021-03-12
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Headache, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-03-13
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-03-14
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-16
Health check-in — day 7, dose 1
Feeling: Poor · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-23
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-03-30
Survey response — day 21, dose 1
MedDRA: Fatigue, Pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Pain and fatigue is extremely high!

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-06
Survey response — day 28, dose 1
MedDRA: Diarrhoea, Headache — Feeling: Poor

Free text: Diarrhea headache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Dose 2 — Moderna
2021-04-13
Survey response — days 1–6 daily, dose 2
MedDRA: Pain in extremity — Feeling: Poor · Fever · Headache, Muscle or body aches, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: Leg pains

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-14
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-04-15
Health check-in — day 7, dose 2
Feeling: Fair · Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-22
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-29
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-05-06
Survey response — day 28, dose 2
MedDRA: Headache, Nausea, Pain, Pyrexia — Feeling: Poor · Be unable to do your normal daily activities

Free text: Slight fever, headaches, aching all over! Nausea!

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-13
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-20
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-07-08
Survey response — 3 months, dose 2
MedDRA: Dyspnoea — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Shortness of breath

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-08
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-12
Call 3 — Left Voicemail
2021-07-12
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2021-10-07
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2021-12-09
Dose 3 — Moderna
2021-12-10
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Muscle or body aches

Adult check-in
2021-12-12
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Headache, Fatigue or tiredness

Adult check-in
2021-12-13
Survey response — days 1–6 daily, dose 3
MedDRA: Oropharyngeal pain — Feeling: Poor · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Free text: Sore throat

MedDRA releases: 2024-11 · check-in free text available
2021-12-14
Survey response — days 1–6 daily, dose 3
MedDRA: Oropharyngeal pain — Feeling: Poor · Site: Swelling, Itching · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: Sore throat

MedDRA releases: 2024-11 · check-in free text available
2021-12-15
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-12-16
Health check-in — day 7, dose 3
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-12-23
Health check-in — day 14, dose 3
Feeling: Fair

Adult check-in
2021-12-30
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2022-01-06
Health check-in — day 28, dose 3
Feeling: Fair

Adult check-in
2022-01-13
Survey response — day 35, dose 3
MedDRA: Fatigue, Headache, Nausea, Oropharyngeal pain — Feeling: Poor · Be unable to do your normal daily activities

Free text: Sore throat, headache, nausea, fatigue.

MedDRA releases: 2024-11 · check-in free text available
2022-01-20
Survey response — day 42, dose 3
MedDRA: Headache, Nausea, Oropharyngeal pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Headache, sore throat and nausea.

MedDRA releases: 2024-11 · check-in free text available
2022-03-10
Survey response — 3 months, dose 3
MedDRA: Dizziness, Muscular weakness, Nausea, Thinking abnormal — Feeling: Poor · Be unable to do your normal daily activities

Free text: Wooziness, muscular weakness, nausea and disorganized thinking.

MedDRA releases: 2024-11 · check-in free text available
2022-05-03
Dose 4 — Moderna
2022-05-15
Health check-in — day 7, dose 4
Feeling: Fair · Site: Pain, Redness, Swelling · Muscle or body aches, Fatigue or tiredness, Abdominal pain

Adult check-in
2022-05-17
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-05-24
Health check-in — day 21, dose 4
Feeling: Fair

Adult check-in
2022-05-31
Health check-in — day 28, dose 4
Feeling: Fair

Adult check-in
2022-06-08
Survey response — day 35, dose 4
MedDRA: Arthralgia, Unevaluable event — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Intense pain in left hip. · Healthcare visit (other): Attempt to see my doctor. Unable to see her until mid July.

MedDRA releases: 2024-11 · check-in free text available
2022-06-08
Report sent to call center — day 35, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2022-06-09
Call 1 — Left Voicemail
2022-06-09
Call 1 — Left Voicemail
2022-06-14
Survey response — day 42, dose 4
MedDRA: Arthralgia, Unevaluable event — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Intense pain in my left hip! · Healthcare visit (other): Waiting to see my pain doctor!

MedDRA releases: 2024-11 · check-in free text available
2022-06-14
Report sent to call center — day 42, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2022-06-15
Call 2 — Left Voicemail
2022-06-15
Call 2 — Left Voicemail
2022-06-15
Call 1 — Left Voicemail
2022-08-02
Survey response — 3 months, dose 4
MedDRA: Dizziness, Fatigue, Nausea, Pain — Feeling: Poor · 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: Dizzines, nausea, and increased pain and fatigue!

MedDRA releases: 2024-11 · check-in free text available
2022-08-02
Report sent to call center — 3 months, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-08-03
Call 3 — Left Voicemail
2022-08-03
Call 2 — Left Voicemail
2022-08-03
Call 1 — Left Voicemail
2022-11-01
Survey response — 6 months, dose 4
MedDRA: Diarrhoea, Fatigue, Headache, Nausea — Feeling: Poor · Be unable to do your normal daily activities

Free text: Diarrhea, nausea, headache, fatigue.

MedDRA releases: 2024-11 · check-in free text available
2023-05-03
Survey response — 12 months, dose 4
MedDRA: Dizziness, Fatigue, Headache, Nausea — Feeling: Poor · Be unable to do your normal daily activities

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-09	Moderna
2	2021-04-08	Moderna
3	2021-12-09	Moderna	No
4	2022-05-03	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2021-07-08	Successful 2021-07-12	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-06-08	Unsuccessful
2022-06-14	Unsuccessful
2022-08-02	Unsuccessful

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-10

Systemic reaction (other): Irritable

Release 6 — day 21, dose 1

2021-03-30

Symptoms: Pain and fatigue is extremely high!

Release 7 — day 28, dose 1

2021-04-06

Symptoms: Diarrhea headache

Release 7 — days 1–6 daily, dose 2

2021-04-13

Systemic reaction (other): Leg pains

Release 8 — day 28, dose 2

2021-05-06

Symptoms: Slight fever, headaches, aching all over! Nausea!

Release 9 — 3 months, dose 2

2021-07-08

Symptoms: Shortness of breath

Release 10 — days 1–6 daily, dose 3

2021-12-13

Systemic reaction (other): Sore throat

2021-12-14

Systemic reaction (other): Sore throat

Release 10 — day 35, dose 3

2022-01-13

Symptoms: Sore throat, headache, nausea, fatigue.

Release 10 — day 42, dose 3

2022-01-20

Symptoms: Headache, sore throat and nausea.

Release 11 — 3 months, dose 3

2022-03-10

Symptoms: Wooziness, muscular weakness, nausea and disorganized thinking.

Release 11 — day 35, dose 4

2022-06-08

Symptoms: Intense pain in left hip.

Healthcare visit (other): Attempt to see my doctor. Unable to see her until mid July.

Release 12 — day 42, dose 4

2022-06-14

Symptoms: Intense pain in my left hip!

Healthcare visit (other): Waiting to see my pain doctor!

Release 12 — 3 months, dose 4

2022-08-02

Symptoms: Dizzines, nausea, and increased pain and fatigue!

Release 12 — 6 months, dose 4

2022-11-01

Symptoms: Diarrhea, nausea, headache, fatigue.

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	Unevaluable event	·	·	✓
SD	Arthralgia	·	·	✓
SD	Diarrhoea	✓	✓	✓
SD	Dizziness	·	·	✓
SD	Dyspnoea	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Muscular weakness	·	·	✓
SD	Nausea	✓	✓	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pain	✓	✓	✓
SD	Pyrexia	✓	✓	✓
SD	Thinking abnormal	·	·	✓
SRO	Irritability	✓	✓	✓
SRO	Oropharyngeal pain	·	·	✓
SRO	Pain in extremity	✓	✓	✓

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