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Z44-30937-51844

2 vaccinations 16 coded responses 20 check-ins 15 free-text entries 4 call cases
Sex
Female
Age at first dose
46-50
ZIP prefix
863 / AZ
Registered
2021-02-15
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-15
    Registered in v-safe
  2. 2021-02-15
    Dose 1 — Moderna
  3. 2021-02-15
    Survey response — day 0, dose 1
    MedDRA: Diplopia — Feeling: Good · Site: Pain
    Free text: slight double vision for a little while
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-02-16
    Survey response — days 1–6 daily, dose 1
    MedDRA: Arthralgia, Chills, Hyperhidrosis, Hypertension, Influenza like illness, Limb discomfort, Migraine, Nausea, Pain, Pyrexia — Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Free text: Last night felt awful with flu-like symptoms and fever 99.1 (my normal temp is 97.2), unable to use left arm, body pain, really bad chills, mild nausea, high blood pressure, joint pain. Today I have sweating and a migraine but flu-like symptoms are much better.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-02-17
    Survey response — days 1–6 daily, dose 1
    MedDRA: Heart rate increased, Hypertension, Pyrexia — Feeling: Fair · Site: Pain, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness
    Free text: The first night I had elevated blood pressure and heart rate and my fever was 99.1 and I felt horrible. My normal temperature is about 97.5
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-02-18
    Survey response — days 1–6 daily, dose 1
    MedDRA: Hyperhidrosis, Oropharyngeal pain — Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain
    Free text: Sore throat, sweating
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-02-19
    Survey response — days 1–6 daily, dose 1
    MedDRA: Palpitations — Feeling: Fair · Fever · Headache, Joint pains, Muscle or body aches, Nausea · Be unable to do your normal daily activities
    Free text: Racing pounding heart
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-02-20
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  9. 2021-02-21
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  10. 2021-02-24
    Survey response — day 7, dose 1
    MedDRA: Oropharyngeal pain — Feeling: Fair · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness
    Free text: Sore throat
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-03-03
    Survey response — day 14, dose 1
    MedDRA: Balance disorder, Haemorrhage, Occipital neuralgia, Pain, Panic reaction, Parosmia — Feeling: Fair
    Free text: Bleeding more, occipital neuralgia, increased sense of smell, balance problems, feeling mildly panicky sometimes, tiny intense sharp pains like a hair being pulled out
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-03-16
    Survey response — day 28, dose 1
    MedDRA: Asthenia, Insomnia, Occipital neuralgia — Feeling: Fair
    Free text: Occipital neuralgia, insomnia, lack of normal energy
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-03-23
    Survey response — day 35, dose 1
    MedDRA: Asthenia, Condition aggravated, Diarrhoea, Malaise, Muscle disorder, Neuralgia, Pre-existing disease — Feeling: Poor · Be unable to do your normal daily activities
    Free text: muscle problems my muscles feel diseased I have zero stamina I can barely do anything, having diarrhea and I don't know why, just feel sick and I don't know why, occipital neuralgia keeps flaring up
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-03-30
    Survey response — day 42, dose 1
    MedDRA: Anxiety, Hyperacusis, Occipital neuralgia, Photophobia — Feeling: Fair
    Free text: Sensitivity to light and sound, occipital neuralgia, waves of strange burning anxiety in body. These symptoms have been going on for the whole 6 weeks since the first moderna shot
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-05-17
    Survey response — 3 months, dose 1
    MedDRA: Hyperacusis, Hyperaesthesia, Parosmia, Photophobia, Taste disorder — Feeling: Poor · 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 sensitivity to light and sound, somewhat increased sensitivity to touch, altered sensitivity to smell and taste. Seems to be long-term or possibly permanenthose are the ongoing long-term symptoms and it's three months since the vaccination
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-05-17
    Report sent to call center — 3 months, dose 1
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  17. 2021-08-16
    Health check-in — 6 months, dose 1
    Feeling: Poor
    Adult check-in
  18. 2022-02-15
    Health check-in — 12 months, dose 1
    Feeling: Fair
    Adult check-in
  19. 2022-05-10
  20. 2022-05-11
  21. 2022-05-11
    Call successful
    Reported to VAERS voluntarily prior to GDIT contact
  22. 2022-08-29
    Dose 2 — Novavax
  23. 2022-10-02
    Survey response — day 28, dose 2
    MedDRA: Asthenia, Dyspnoea, Muscle fatigue, Respiratory disorder — 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, Outpatient clinic or urgent care clinic visit
    Free text: I have less energy, muscles have less energy and sometimes just don't want to move. Having more breathing problems and shortness of breath and getting out of breath. Don't think this is connected to the vaccines but I'm not sure. I also believe that
    MedDRA releases: 2024-11 · check-in free text available
  24. 2022-10-02
    Report sent to call center — day 28, dose 2
    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 · Outpatient clinic or urgent care clinic visit · 1 call case(s)
  25. 2022-10-03
    Survey response — day 35, dose 2
    MedDRA: Chest pain, Feeling hot — Feeling: Fair
    Free text: Chest pains, feeling too hot in the morning.
    MedDRA releases: 2024-11 · check-in free text available
  26. 2022-10-03
    Call successful
    Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
  27. 2022-10-10
    Survey response — day 42, dose 2
    MedDRA: Pain in extremity, Unevaluable event, Vitamin B complex deficiency, Vitamin B1 deficiency — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: I was diagnosed with a thiamine vitamin B1 deficiency. I've been having pains in my legs and pretty sure it's from the thiamine deficiency. I don't know how long I've had this deficiency. It could account for many many symptoms. Neurological, shortne
    MedDRA releases: 2024-11 · check-in free text available
  28. 2022-10-10
    Report sent to call center — day 42, dose 2
    Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  29. 2022-10-11
  30. 2022-10-11
    Call successful
    Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
  31. 2022-11-28
    Survey response — 3 months, dose 2
    MedDRA: Chills, Malaise, Pyrexia, SARS-CoV-2 test negative — Feeling: Poor · Be unable to do your normal daily activities
    Free text: I got pretty sick in mid Sept. with what I'm pretty sure was covid. But I never tested positive on rapid tests. I've had chills everyday since. Sometimes the chills are bad. Sometimes have a low-grade fever. Don't know if it's from covid or Novavax.
    MedDRA releases: 2024-11 · check-in free text available
  32. 2023-02-27
    Survey response — 6 months, dose 2
    MedDRA: Gastritis, Irritable bowel syndrome, Migraine, Pain, Pre-existing disease — Feeling: Poor · 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, Outpatient clinic or urgent care clinic visit
    MedDRA releases: 2024-11
  33. 2023-02-27
    Report sent to call center — 6 months, dose 2
    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 · Outpatient clinic or urgent care clinic visit · 1 call case(s)
  34. 2023-02-28

Vaccinations

DoseDateManufacturerCo-administered
12021-02-15Moderna
22022-08-29Novavax No

Call center

ReportedOutcomeVAERS-related outcome
2021-05-17 Successful
2022-05-11
Reported to VAERS voluntarily prior to GDIT contact
2022-10-02 Successful
2022-10-03
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-10-10 Successful
2022-10-11
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2023-02-27 Unsuccessful

Free text

Release 4 — day 0, dose 1

2021-02-15

Systemic reaction (other): slight double vision for a little while

Release 4 — days 1–6 daily, dose 1

2021-02-16

Systemic reaction (other): Last night felt awful with flu-like symptoms and fever 99.1 (my normal temp is 97.2), unable to use left arm, body pain, really bad chills, mild nausea, high blood pressure, joint pain. Today I have sweating and a migraine but flu-like symptoms are much better.

2021-02-17

Systemic reaction (other): The first night I had elevated blood pressure and heart rate and my fever was 99.1 and I felt horrible. My normal temperature is about 97.5

2021-02-18

Systemic reaction (other): Sore throat, sweating

2021-02-19

Systemic reaction (other): Racing pounding heart

Release 4 — day 7, dose 1

2021-02-24

Systemic reaction (other): Sore throat

Release 5 — day 14, dose 1

2021-03-03

Symptoms: Bleeding more, occipital neuralgia, increased sense of smell, balance problems, feeling mildly panicky sometimes, tiny intense sharp pains like a hair being pulled out

Release 5 — day 28, dose 1

2021-03-16

Symptoms: Occipital neuralgia, insomnia, lack of normal energy

Release 6 — day 35, dose 1

2021-03-23

Symptoms: muscle problems my muscles feel diseased I have zero stamina I can barely do anything, having diarrhea and I don't know why, just feel sick and I don't know why, occipital neuralgia keeps flaring up

Release 6 — day 42, dose 1

2021-03-30

Symptoms: Sensitivity to light and sound, occipital neuralgia, waves of strange burning anxiety in body. These symptoms have been going on for the whole 6 weeks since the first moderna shot

Release 8 — 3 months, dose 1

2021-05-17

Symptoms: Increased sensitivity to light and sound, somewhat increased sensitivity to touch, altered sensitivity to smell and taste. Seems to be long-term or possibly permanenthose are the ongoing long-term symptoms and it's three months since the vaccination cut off by CDC

Release 12 — day 28, dose 2

2022-10-02

Symptoms: I have less energy, muscles have less energy and sometimes just don't want to move. Having more breathing problems and shortness of breath and getting out of breath. Don't think this is connected to the vaccines but I'm not sure. I also believe that cut off by CDC

Release 12 — day 35, dose 2

2022-10-03

Symptoms: Chest pains, feeling too hot in the morning.

Release 12 — day 42, dose 2

2022-10-10

Symptoms: I was diagnosed with a thiamine vitamin B1 deficiency. I've been having pains in my legs and pretty sure it's from the thiamine deficiency. I don't know how long I've had this deficiency. It could account for many many symptoms. Neurological, shortne cut off by CDC

Release 12 — 3 months, dose 2

2022-11-28

Symptoms: I got pretty sick in mid Sept. with what I'm pretty sure was covid. But I never tested positive on rapid tests. I've had chills everyday since. Sometimes the chills are bad. Sometimes have a low-grade fever. Don't know if it's from covid or Novavax. cut off by CDC

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

FieldPreferred term2021-092023-042024-11
SDAnxiety ✓ ✓ ✓
SDAsthenia ✓ ✓ ✓
SDBalance disorder ✓ ✓ ✓
SDChest pain · · ✓
SDChills · · ✓
SDCondition aggravated · · ✓
SDDiarrhoea ✓ ✓ ✓
SDDyspnoea · · ✓
SDFeeling hot · · ✓
SDGastritis · · ✓
SDHaemorrhage ✓ ✓ ✓
SDHyperacusis ✓ ✓ ✓
SDHyperaesthesia ✓ ✓ ✓
SDInsomnia ✓ ✓ ✓
SDIrritable bowel syndrome · · ✓
SDMalaise · · ✓
SDMigraine · · ✓
SDMuscle disorder · · ✓
SDMuscle fatigue · · ✓
SDNeuralgia ✓ ✓ ○
SDOccipital neuralgia ✓ ✓ ✓
SDPain ✓ ✓ ✓
SDPain in extremity · · ✓
SDPanic reaction ✓ ✓ ✓
SDParosmia ✓ ✓ ✓
SDPhotophobia ✓ ✓ ✓
SDPre-existing disease · · ✓
SDPyrexia · · ✓
SDRespiratory disorder · · ✓
SDSARS-CoV-2 test negative · · ✓
SDTaste disorder ✓ ✓ ✓
SDUnevaluable event · · ✓
SDVitamin B complex deficiency · · ✓
SDVitamin B1 deficiency · · ✓
SROArthralgia ✓ ✓ ✓
SROChills ✓ ✓ ✓
SRODiplopia ✓ ✓ ✓
SROHeart rate increased ✓ ✓ ✓
SROHyperhidrosis ✓ ✓ ✓
SROHypertension ✓ ✓ ✓
SROInfluenza like illness ✓ ✓ ✓
SROLimb discomfort ✓ ✓ ✓
SROMigraine ✓ ✓ ✓
SRONausea ✓ ✓ ✓
SROOropharyngeal pain ✓ ✓ ✓
SROPain ✓ ✓ ✓
SROPalpitations ✓ ✓ ✓
SROPyrexia ✓ ✓ ✓

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