YQ6-26367-92590

5 vaccinations 9 coded responses 54 check-ins 7 free-text entries 3 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 221 / VA
Registered: 2021-02-09

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

2021-02-09
Registered in v-safe
2021-02-09
Dose 1 — Moderna
2021-02-09
Survey response — day 0, dose 1
MedDRA: Oropharyngeal pain — Feeling: Good · Fatigue or tiredness

Free text: Slight sore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-10
Survey response — days 1–6 daily, dose 1
MedDRA: Arthritis, Pain, Pre-existing disease, Self-medication — Feeling: Good · Joint pains

Free text: Could just be my arthritis. There is a snowstorm coming. I took 2 ibuprofens and pains are gone.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fever · None

Adult check-in
2021-02-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Swelling · None

Adult check-in
2021-02-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-15
Survey response — days 1–6 daily, dose 1
MedDRA: Oropharyngeal pain — Feeling: Fair · Muscle or body aches

Free text: Last night and today: mild sore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-16
Survey response — day 7, dose 1
MedDRA: Oropharyngeal pain — Feeling: Fair · Muscle or body aches

Free text: Still a mild sore throat for which I am gargling with warm salt water or Listerine. Drinking plenty of clear liquids and drinking tea with honey and lemon. Halls mentholated cough drops help at night.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-23
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-02
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-09
Dose 2 — Moderna
2021-03-09
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-03-10
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache, Joint pains, Fatigue or tiredness

Adult check-in
2021-03-11
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-12
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Muscle or body aches

Adult check-in
2021-03-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-15
Survey response — days 1–6 daily, dose 2
MedDRA: Pain in extremity — Feeling: Good · Muscle or body aches · Be unable to do your normal daily activities

Free text: Pain in foot

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-16
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-23
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-30
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-07
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-15
Survey response — day 35, dose 2
MedDRA: Medical counselling, Photopsia, Visual field defect, Vitreous detachment — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: New Vitreous detachment: small shooting star bright streaks in vision field · Healthcare visit (other): Next day appointment with my providers ophthalmology department

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
Report sent to call center — day 35, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-20
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-08
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-07
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-28
Dose 3 — Moderna
2021-10-28
Health check-in — day 0, dose 3
Feeling: Good · Site: Pain · Joint pains

Adult check-in
2021-10-30
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Fatigue or tiredness

Adult check-in
2021-10-31
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling · Joint pains, Fatigue or tiredness

Adult check-in
2021-11-01
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-11-02
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Joint pains, Fatigue or tiredness

Adult check-in
2021-11-04
Health check-in — day 7, dose 3
Feeling: Fair · Joint pains, Fatigue or tiredness

Adult check-in
2021-11-11
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-18
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-25
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-02
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-09
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-27
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-02-20
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-04-13
Dose 4 — Moderna
Co-administered: Flu
2022-04-19
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain, Swelling · Fever · Joint pains, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2022-04-20
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-04-27
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-05-04
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-05-11
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-05-18
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-05-27
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-07-13
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-10-06
Dose 5 — Moderna
Co-administered: Flu
2022-10-12
Survey response — 6 months, dose 4
MedDRA: Arthralgia, Body temperature increased, Fatigue, Myalgia — Feeling: Good

Free text: After the bivalent booster, I had joint/muscle aches, fatigue and a fever of 99.3

MedDRA releases: 2024-11 · check-in free text available
2022-10-14
Health check-in — day 7, dose 5
Feeling: Good · None

Adult check-in
2022-10-20
Health check-in — day 14, dose 5
Feeling: Good

Adult check-in
2022-10-27
Health check-in — day 21, dose 5
Feeling: Good

Adult check-in
2022-11-03
Health check-in — day 28, dose 5
Feeling: Good

Adult check-in
2022-11-12
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2022-11-17
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2023-01-05
Survey response — 3 months, dose 5
MedDRA: Arthralgia, Pain in extremity — 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

MedDRA releases: 2024-11
2023-01-05
Report sent to call center — 3 months, dose 5
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)
2023-01-06
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2023-04-07
Survey response — 6 months, dose 5
MedDRA: Medical counselling, Physiotherapy, Vertigo — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

MedDRA releases: 2024-11
2023-04-07
Report sent to call center — 6 months, dose 5
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2023-04-10
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-09	Moderna
2	2021-03-09	Moderna
3	2021-10-28	Moderna	No
4	2022-04-13	Moderna	Flu
5	2022-10-06	Moderna	Flu

Call center

Reported	Outcome	VAERS-related outcome
2021-04-15	Successful 2022-02-20	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2023-01-05	Successful 2023-01-06	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2023-04-07	Successful 2023-04-10	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Free text

Release 3 — day 0, dose 1

2021-02-09

Systemic reaction (other): Slight sore throat

Release 4 — days 1–6 daily, dose 1

2021-02-10

Systemic reaction (other): Could just be my arthritis. There is a snowstorm coming. I took 2 ibuprofens and pains are gone.

2021-02-15

Systemic reaction (other): Last night and today: mild sore throat

Release 4 — day 7, dose 1

2021-02-16

Systemic reaction (other): Still a mild sore throat for which I am gargling with warm salt water or Listerine. Drinking plenty of clear liquids and drinking tea with honey and lemon. Halls mentholated cough drops help at night.

Release 5 — days 1–6 daily, dose 2

2021-03-15

Systemic reaction (other): Pain in foot

Release 7 — day 35, dose 2

2021-04-15

Symptoms: New Vitreous detachment: small shooting star bright streaks in vision field

Healthcare visit (other): Next day appointment with my providers ophthalmology department

Release 12 — 6 months, dose 4

2022-10-12

Symptoms: After the bivalent booster, I had joint/muscle aches, fatigue and a fever of 99.3

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	Medical counselling	✓	✓	✓
HCVO	Physiotherapy	·	·	✓
SD	Arthralgia	·	·	✓
SD	Body temperature increased	·	·	✓
SD	Fatigue	·	·	✓
SD	Myalgia	·	·	✓
SD	Pain in extremity	·	·	✓
SD	Photopsia	✓	✓	✓
SD	Vertigo	·	·	✓
SD	Visual field defect	✓	✓	✓
SD	Vitreous detachment	✓	✓	✓
SRO	Arthritis	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Self-medication	✓	✓	✓

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