YPQ-28546-53179

3 vaccinations 7 coded responses 15 check-ins 7 free-text entries 3 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 840 / UT
Registered: 2021-02-23

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

2021-02-23
Registered in v-safe
2021-02-23
Dose 1 — Moderna
2021-02-23
Survey response — day 0, dose 1
MedDRA: Fatigue — Feeling: Good · Nausea

Free text: Tired

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-24
Survey response — days 1–6 daily, dose 1
MedDRA: Somnolence — Feeling: Fair · Site: Redness · Fatigue or tiredness

Free text: I slept for about 4 hours over the afternoon. I dont usually do that kind of thing.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Redness · Fatigue or tiredness

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

Adult check-in
2021-02-27
Survey response — days 1–6 daily, dose 1
MedDRA: Autoimmune disorder — Feeling: Good · Fever · Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): I have an autoimmune condition and started having a flare-up on Thursday evening. Not sure whether its anything related to the vaccine. · Healthcare visit (other): Due to the autoimmune flare, I have an in-person doctor appointment scheduled Monday morning.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-27
Report sent to call center — days 1–6 daily, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-28
Survey response — days 1–6 daily, dose 1
MedDRA: Autoimmune disorder, Condition aggravated, Pre-existing disease, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Im still experiencing an autoimmune flare-up that started late in the day on Thursday. I have a doctor appointment tomorrow. · Healthcare visit (other): I have an in-person appointment scheduled tomorrow.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-28
Report sent to call center — days 1–6 daily, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-01
Survey response — days 1–6 daily, dose 1
MedDRA: Condition aggravated, Office visit, Pre-existing disease — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): I saw doctor this morning regarding autoimmune flare that started late Thursday. She suspects that it may be because I stopped taking Advil/Motrin for the first shot. Well have to see if the same thing happens with the 2nd shot. · Healthcare visit (other): In-person doctor visit.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-01
Report sent to call center — days 1–6 daily, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-23
Dose 2 — Moderna
2021-03-23
Health check-in — day 0, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-24
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Fever · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-25
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Fever · Chills, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-03-26
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fever · Chills, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-03-28
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site warmth — Feeling: Good · Site: Pain · Fatigue or tiredness, Diarrhea

Free text: The injection site is hot, but not red or swollen

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-30
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-09-09
Call 1 — Left Voicemail
2021-10-12
Dose 3 — Moderna
2021-10-27
Survey response — day 14, dose 3
MedDRA: Chills, Fatigue, Impaired healing, Oral herpes, Pain, Pyrexia — Feeling: Good · Be unable to do your normal daily activities

Free text: The day after (Wednesday October 13) the shot I had aches/chills/fever/fatigue. It lasted for about 48 hours. I was still tired for a few more days. Also developed multiple cold sores that were not healed with use of Valtrex.

MedDRA releases: 2024-11 · check-in free text available
2021-11-02
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-23	Moderna
2	2021-03-23	Moderna
3	2021-10-12	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2021-02-27	Unsuccessful
2021-02-28	Unsuccessful
2021-03-01	Unsuccessful

Free text

Release 4 — day 0, dose 1

2021-02-23

Systemic reaction (other): Tired

Release 4 — days 1–6 daily, dose 1

2021-02-24

Systemic reaction (other): I slept for about 4 hours over the afternoon. I dont usually do that kind of thing.

2021-02-27

Systemic reaction (other): I have an autoimmune condition and started having a flare-up on Thursday evening. Not sure whether its anything related to the vaccine.

Healthcare visit (other): Due to the autoimmune flare, I have an in-person doctor appointment scheduled Monday morning.

2021-02-28

Systemic reaction (other): Im still experiencing an autoimmune flare-up that started late in the day on Thursday. I have a doctor appointment tomorrow.

Healthcare visit (other): I have an in-person appointment scheduled tomorrow.

2021-03-01

Systemic reaction (other): I saw doctor this morning regarding autoimmune flare that started late Thursday. She suspects that it may be because I stopped taking Advil/Motrin for the first shot. Well have to see if the same thing happens with the 2nd shot.

Healthcare visit (other): In-person doctor visit.

Release 6 — days 1–6 daily, dose 2

2021-03-28

Systemic reaction (other): The injection site is hot, but not red or swollen

Release 10 — day 14, dose 3

2021-10-27

Symptoms: The day after (Wednesday October 13) the shot I had aches/chills/fever/fatigue. It lasted for about 48 hours. I was still tired for a few more days. Also developed multiple cold sores that were not healed with use of Valtrex.

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	Autoimmune disorder	✓	✓	✓
HCVO	Office visit	✓	✓	✓
HCVO	Unevaluable event	✓	✓	✓
SD	Chills	·	·	✓
SD	Fatigue	·	·	✓
SD	Impaired healing	·	·	✓
SD	Oral herpes	·	·	✓
SD	Pain	·	·	✓
SD	Pyrexia	·	·	✓
SRO	Autoimmune disorder	✓	✓	✓
SRO	Condition aggravated	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Injection site warmth	✓	✓	✓
SRO	Office visit	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Somnolence	✓	✓	✓

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