Y87-77338-51977

5 vaccinations 11 coded responses 34 check-ins 11 free-text entries 1 call case

Sex: Female
Age at first dose: 66+
ZIP prefix: 363 / AL
Registered: 2021-01-17

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

2021-01-14
Dose 1 — Moderna
2021-01-17
Registered in v-safe
2021-01-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-22
Health check-in — day 7, dose 1
Feeling: Good · Rash, not including the immediate area around the injection site

Adult check-in
2021-01-28
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-04
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-11
Dose 2 — Moderna
2021-02-12
Survey response — days 1–6 daily, dose 2
MedDRA: Neck pain — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Free text: Recurring pain back of neck near base of skull on left side

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-14
Survey response — days 1–6 daily, dose 2
MedDRA: Feeling cold — Feeling: Fair · Site: Pain · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Very cold from time to time and had to. layer clothing; but each time I took my temp it was in the normal range and it wasnt cold outside.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Joint pains, Fatigue or tiredness

Adult check-in
2021-02-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Joint pains, Rash, not including the immediate area around the injection site

Adult check-in
2021-02-20
Survey response — day 7, dose 2
MedDRA: Rash — Feeling: Good · Muscle or body aches, Rash, not including the immediate area around the injection site

Free text: Foot Rash probably not Vaccine related

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-25
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-04
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-11
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-20
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-25
Survey response — day 42, dose 2
MedDRA: Asthenia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Continued lack of energy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-17
Survey response — 6 months, dose 2
MedDRA: Glossodynia, Office visit, Taste disorder — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: sense of taste issues Appt with ENT physician Tastebud sensitivity · Healthcare visit (other): Appt w/ ENT SPECIALIST

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-17
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-23
Call 1 — Left Voicemail
2021-09-28
Dose 3 — Moderna
2022-02-11
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-04-26
Dose 4 — Moderna
2022-04-26
Survey response — day 0, dose 4
MedDRA: No adverse event — Feeling: Good

Free text: No

MedDRA releases: 2024-11 · check-in free text available
2022-04-27
Survey response — days 1–6 daily, dose 4
MedDRA: Depressed mood — Feeling: Good · Muscle or body aches

Free text: I feel like crying

MedDRA releases: 2024-11 · check-in free text available
2022-04-28
Survey response — days 1–6 daily, dose 4
MedDRA: Arthralgia — Feeling: Fair · Joint pains

Free text: Joint pain in legs, but faded as I moved in my daily activities

MedDRA releases: 2024-11 · check-in free text available
2022-04-29
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-04-30
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Joint pains

Adult check-in
2022-05-01
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Fatigue or tiredness

Adult check-in
2022-05-02
Survey response — days 1–6 daily, dose 4
MedDRA: Limb discomfort, Self-medication — Feeling: Fair · Muscle or body aches

Free text: Much discomfort calf pain in both calves/took Tylenol

MedDRA releases: 2024-11 · check-in free text available
2022-05-05
Health check-in — day 7, dose 4
Feeling: Fair · Fatigue or tiredness

Adult check-in
2022-05-10
Health check-in — day 14, dose 4
Feeling: Fair

Adult check-in
2022-05-17
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-05-24
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-06-01
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-06-07
Survey response — day 42, dose 4
MedDRA: Anxiety, Depressed mood — Feeling: Poor · Be unable to do your normal daily activities

Free text: Sadness. Anxiety

MedDRA releases: 2024-11 · check-in free text available
2022-07-26
Survey response — 3 months, dose 4
MedDRA: Chest pain — Feeling: Fair

Free text: Mild chest pains from time to time

MedDRA releases: 2024-11 · check-in free text available
2022-09-22
Dose 5 — Moderna
2022-09-27
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Muscle or body aches

Adult check-in
2022-09-28
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Muscle or body aches

Adult check-in
2022-10-01
Health check-in — day 7, dose 5
Feeling: Good · Fatigue or tiredness

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-14	Moderna
2	2021-02-11	Moderna
3	2021-09-28	Moderna	No
4	2022-04-26	Moderna	No
5	2022-09-22	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2021-08-17	Unsuccessful

Free text

Release 4 — days 1–6 daily, dose 2

2021-02-12

Systemic reaction (other): Recurring pain back of neck near base of skull on left side

2021-02-14

Systemic reaction (other): Very cold from time to time and had to. layer clothing; but each time I took my temp it was in the normal range and it wasnt cold outside.

Release 4 — day 7, dose 2

2021-02-20

Systemic reaction (other): Foot Rash probably not Vaccine related

Release 6 — day 42, dose 2

2021-03-25

Symptoms: Continued lack of energy

Release 9 — 6 months, dose 2

2021-08-17

Symptoms: sense of taste issues Appt with ENT physician Tastebud sensitivity

Healthcare visit (other): Appt w/ ENT SPECIALIST

Release 11 — day 0, dose 4

2022-04-26

Systemic reaction (other): No

Release 11 — days 1–6 daily, dose 4

2022-04-27

Systemic reaction (other): I feel like crying

2022-04-28

Systemic reaction (other): Joint pain in legs, but faded as I moved in my daily activities

2022-05-02

Systemic reaction (other): Much discomfort calf pain in both calves/took Tylenol

Release 11 — day 42, dose 4

2022-06-07

Symptoms: Sadness. Anxiety

Release 12 — 3 months, dose 4

2022-07-26

Symptoms: Mild chest pains from time to time

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	Anxiety	·	·	✓
SD	Asthenia	✓	✓	✓
SD	Chest pain	·	·	✓
SD	Depressed mood	·	·	✓
SD	Glossodynia	✓	·	✓
SD	Office visit	✓	·	✓
SD	Taste disorder	✓	·	✓
SRO	Arthralgia	·	·	✓
SRO	Depressed mood	·	·	✓
SRO	Feeling cold	✓	✓	✓
SRO	Limb discomfort	·	·	✓
SRO	Neck pain	✓	✓	✓
SRO	No adverse event	·	·	✓
SRO	Rash	✓	✓	✓
SRO	Self-medication	·	·	✓

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