Y7Y-31585-61607

4 vaccinations 12 coded responses 37 check-ins 11 free-text entries 6 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 220 / VA
Registered: 2021-01-26

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

2021-01-26
Registered in v-safe
2021-01-26
Dose 1 — Moderna
2021-01-26
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-01-27
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Fatigue or tiredness, Nausea

Adult check-in
2021-01-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-01-29
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-01-30
Survey response — days 1–6 daily, dose 1
MedDRA: Nightmare — Feeling: Fair · Fever · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Nightmares- not usual for me. I took a four-hour nap after my 8 hours of sleep and feel better now.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-31
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-02-01
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-02
Survey response — day 7, dose 1
MedDRA: Nightmare — Feeling: Good

Free text: I am still having nightmares- very unusual for me except if I am running a fever. I have had not fever.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-09
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-16
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-23
Dose 2 — Moderna
2021-02-23
Health check-in — day 0, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-24
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-25
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-26
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-28
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia, Feeling abnormal — Feeling: Fair · Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Strange. I expected these after I got the shot but not after a delay. Joints were so bad they kept waking me long enough to note their presence, but I slept fitfully for eleven hours after having a nap yesterday.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-01
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Joint pains, Nausea

Adult check-in
2021-03-02
Health check-in — day 7, dose 2
Feeling: Fair · Headache

Adult check-in
2021-03-09
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-16
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-24
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-31
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-06
Survey response — day 42, dose 2
MedDRA: Abdominal pain upper, Nausea — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities

Free text: I have been nauseous with stomach pains since yesterday morning.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-25
Survey response — 3 months, dose 2
MedDRA: Arthralgia, Movement disorder — 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

Free text: Increased difficulty with join pain and movement

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-25
Report sent to call center — 3 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-18
Dose 3 — Moderna
2021-08-26
Survey response — 6 months, dose 2
MedDRA: Arrhythmia, Chest discomfort, Vaccine positive rechallenge — Feeling: Fair

Free text: Slight arrhythmia and chest pressure: This has happened before, so there may not be a connection, but the last time was after my second Moderna shot..

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-26
Survey response — day 7, dose 3
MedDRA: Arrhythmia, Arthritis, Chest discomfort, Pre-existing disease — Feeling: Fair · Joint pains

Free text: I have had some chest pressure and occasional arrthymias since getting the shot . My arthritis has intensified.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-09-04
Health check-in — day 14, dose 3
Feeling: Fair

Adult check-in
2021-09-08
Survey response — day 21, dose 3
MedDRA: Arthritis, Office visit, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Arthritis is worse. · Healthcare visit (other): Dr. visit

MedDRA releases: 2024-11 · check-in free text available
2021-09-08
Report sent to call center — day 21, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-09-09
Call 1 — Left Voicemail
2021-09-09
Call 1 — Left Voicemail
2021-09-16
Survey response — day 28, dose 3
MedDRA: Chest discomfort, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Chest tightness- Don't know if this is related. I have made an appointment with the cardiologist for further tests. · Healthcare visit (other): appointment pending for testing with cardiologist

MedDRA releases: 2024-11 · check-in free text available
2021-09-16
Report sent to call center — day 28, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2021-09-20
Call 1 — Left Voicemail
2021-09-23
Health check-in — day 35, dose 3
Feeling: Fair

Adult check-in
2021-10-02
Survey response — day 42, dose 3
MedDRA: Chest pain, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Increased chest pain. Cardiologists all have long waits for appointments. · Healthcare visit (other): on lists to get seen

MedDRA releases: 2024-11 · check-in free text available
2021-10-02
Report sent to call center — day 42, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2021-10-08
Call 1 — Left Voicemail
2021-11-17
Health check-in — 3 months, dose 3
Feeling: Fair

Adult check-in
2022-02-16
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-04-05
Dose 4 — Pfizer-BioNTech
2022-05-14
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-05-17
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-07-05
Health check-in — 3 months, dose 4
Feeling: Fair

Adult check-in
2022-10-04
Survey response — 6 months, dose 4
MedDRA: Chest pain, Office visit, Vaccine positive rechallenge — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Chest pains continue since the fifth shot. This happened a couple of the previous shots but had resolved. Doctor finds nothing alarming. · Healthcare visit (other): office visit

MedDRA releases: 2024-11 · check-in free text available
2022-10-04
Report sent to call center — 6 months, dose 4
Get care from a doctor or other healthcare professional

1 call case(s)
2022-10-06
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-10-06
Call successful
Reported to VAERS voluntarily prior to GDIT contact
2022-10-06
Call successful
Reported to VAERS voluntarily prior to GDIT contact
2022-10-06
Call successful
Reported to VAERS voluntarily prior to GDIT contact
2022-10-06
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2023-04-05
Survey response — 12 months, dose 4
MedDRA: Hip arthroplasty, Post procedural complication — 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 · Telehealth, virtual health, or email health consultation, Hospitalization

MedDRA releases: 2024-11
2023-04-05
Report sent to call center — 12 months, dose 4
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Telehealth, virtual health, or email health consultation · Hospitalization · 1 call case(s)
2023-04-06
Call successful
Participant prefers to complete VAERS report online

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-26	Moderna
2	2021-02-23	Moderna
3	2021-08-18	Moderna	No
4	2022-04-05	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-05-25	Successful 2022-10-06	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2021-09-08	Successful 2022-10-06	Reported to VAERS voluntarily prior to GDIT contact
2021-09-16	Successful 2022-10-06	Reported to VAERS voluntarily prior to GDIT contact
2021-10-02	Successful 2022-10-06	Reported to VAERS voluntarily prior to GDIT contact
2022-10-04	Successful 2022-10-06	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2023-04-05	Successful 2023-04-06	Participant prefers to complete VAERS report online

Free text

Release 3 — days 1–6 daily, dose 1

2021-01-30

Systemic reaction (other): Nightmares- not usual for me. I took a four-hour nap after my 8 hours of sleep and feel better now.

Release 3 — day 7, dose 1

2021-02-02

Systemic reaction (other): I am still having nightmares- very unusual for me except if I am running a fever. I have had not fever.

Release 4 — days 1–6 daily, dose 2

2021-02-28

Systemic reaction (other): Strange. I expected these after I got the shot but not after a delay. Joints were so bad they kept waking me long enough to note their presence, but I slept fitfully for eleven hours after having a nap yesterday.

Release 7 — day 42, dose 2

2021-04-06

Symptoms: I have been nauseous with stomach pains since yesterday morning.

Release 8 — 3 months, dose 2

2021-05-25

Symptoms: Increased difficulty with join pain and movement

Release 9 — 6 months, dose 2

2021-08-26

Symptoms: Slight arrhythmia and chest pressure: This has happened before, so there may not be a connection, but the last time was after my second Moderna shot..

Release 9 — day 7, dose 3

2021-08-26

Systemic reaction (other): I have had some chest pressure and occasional arrthymias since getting the shot . My arthritis has intensified.

Release 9 — day 21, dose 3

2021-09-08

Symptoms: Arthritis is worse.

Healthcare visit (other): Dr. visit

Release 9 — day 28, dose 3

2021-09-16

Symptoms: Chest tightness- Don't know if this is related. I have made an appointment with the cardiologist for further tests.

Healthcare visit (other): appointment pending for testing with cardiologist

Release 9 — day 42, dose 3

2021-10-02

Symptoms: Increased chest pain. Cardiologists all have long waits for appointments.

Healthcare visit (other): on lists to get seen

Release 12 — 6 months, dose 4

2022-10-04

Symptoms: Chest pains continue since the fifth shot. This happened a couple of the previous shots but had resolved. Doctor finds nothing alarming.

Healthcare visit (other): office visit

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	·	·	✓
HCVO	Unevaluable event	·	·	✓
SD	Abdominal pain upper	✓	✓	✓
SD	Arrhythmia	✓	·	✓
SD	Arthralgia	✓	✓	✓
SD	Arthritis	·	·	✓
SD	Chest discomfort	✓	·	✓
SD	Chest pain	·	·	✓
SD	Hip arthroplasty	·	·	✓
SD	Movement disorder	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Office visit	·	·	✓
SD	Post procedural complication	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Vaccine positive rechallenge	✓	·	✓
SRO	Arrhythmia	✓	·	✓
SRO	Arthralgia	✓	✓	✓
SRO	Arthritis	✓	·	✓
SRO	Chest discomfort	✓	·	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Nightmare	✓	✓	✓
SRO	Pre-existing disease	✓	·	✓

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