Z5P-17094-94874

3 vaccinations 16 coded responses 37 check-ins 16 free-text entries 6 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 297 / SC
Registered: 2021-03-05

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

2021-03-04
Dose 1 — Moderna
2021-03-05
Registered in v-safe
2021-03-05
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fatigue or tiredness

Adult check-in
2021-03-06
Survey response — days 1–6 daily, dose 1
MedDRA: Arthralgia, Fatigue, Headache — Feeling: Fair · Site: Pain, Itching · Headache, Joint pains, Fatigue or tiredness, Diarrhea

Free text: I am (b)(6)months post kidney transplant & I feel tired with headache & joint pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Nausea

Adult check-in
2021-03-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-11
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-18
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-25
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-30
Dose 2 — Moderna
2021-03-30
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-03-31
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-01
Survey response — days 1–6 daily, dose 2
MedDRA: Disturbance in attention, Mental impairment — Feeling: Fair · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Can't seem to focus, difficulty thinking.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Survey response — days 1–6 daily, dose 2
MedDRA: Disorientation — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Disoriented

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-03
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-04
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-05
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-04-06
Health check-in — day 7, dose 2
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-04-13
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-04-23
Survey response — day 21, dose 2
MedDRA: Anxiety, Depressed mood, Insomnia, Memory impairment, Nightmare — 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: Simply can't remember day to day conversations & I feel so sad. I am worried. I can't sleep, wake up to bad dreams.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-23
Report sent to call center — day 21, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-30
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-04
Survey response — day 35, dose 2
MedDRA: Confusional state, Disturbance in attention, Fatigue — 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: Once again, very tired & some days confused, hRd to focus

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-04
Report sent to call center — day 35, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-12
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-06-29
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-23
Dose 3 — Moderna
2021-08-23
Health check-in — day 0, dose 3
Feeling: Good · Site: Pain, Redness · Headache

Adult check-in
2021-08-24
Survey response — days 1–6 daily, dose 3
MedDRA: Confusional state, Mental impairment — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Confused feeling, can't think clearly

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-26
Survey response — days 1–6 daily, dose 3
MedDRA: Hypotension — Feeling: Poor · Site: Redness, Itching · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Free text: Low blood pressure

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-27
Survey response — days 1–6 daily, dose 3
MedDRA: Fatigue — Feeling: Poor · Site: Redness, Itching · Fever · Headache, Joint pains, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Feeling so tired

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-28
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Redness, Itching · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-08-29
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Redness, Itching · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-08-30
Survey response — day 7, dose 3
MedDRA: Disturbance in attention — Feeling: Fair · Site: Redness, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Still feel like it is difficult to concentrate

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-09-06
Survey response — day 14, dose 3
MedDRA: Asthenia, Fatigue, Somnolence — Feeling: Fair · Be unable to do your normal daily activities

Free text: Very tired & sleepy, everyday. No energy.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-09-13
Survey response — day 21, dose 3
MedDRA: Asthenia, Decreased interest, Lethargy, Somnolence — Feeling: Fair · Be unable to do your normal daily activities

Free text: I just want to sleep all the time, I do not have energy or interest in doing anything. I have felt so lethargic for days now after my 3 vaccine. Would someone please respond & let me know if any other people have had these same symptoms? Thx

MedDRA releases: 2024-11 · check-in free text available
2021-09-20
Survey response — day 28, dose 3
MedDRA: Asthenia, Fatigue, Memory impairment — Feeling: Poor · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: No energy, I'm so tired all the time, can't remember conversations? Just want to sleep? Please respond

MedDRA releases: 2024-11 · check-in free text available
2021-09-20
Report sent to call center — day 28, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2021-09-21
Call successful
Participant prefers to complete VAERS report online
2021-09-27
Survey response — day 35, dose 3
MedDRA: Asthenia, Fatigue, Memory impairment, Somnolence — Feeling: Fair · Be unable to do your normal daily activities

Free text: So tired all the time, just want to sleep. Can't remember, short-term? No energy at all!

MedDRA releases: 2024-11 · check-in free text available
2021-10-04
Survey response — day 42, dose 3
MedDRA: Brain fog, Chest discomfort, Dyspnoea, Fatigue, Headache — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: My chest feels heavy, sometimes shortness of breath, headache, tired, brain fog.

MedDRA releases: 2024-11 · check-in free text available
2021-10-04
Report sent to call center — day 42, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-10-07
Call 1 — Left Voicemail
2021-11-22
Survey response — 3 months, dose 3
MedDRA: Memory impairment, Mental impairment, Rash, Rash papular, Rash vesicular — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Difficult to think & remember. Skin bumps, I have never had before! Bumps look like little blisters.

MedDRA releases: 2024-11 · check-in free text available
2021-11-22
Report sent to call center — 3 months, dose 3
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2021-11-23
Call 1 — Left Voicemail
2022-02-21
Survey response — 6 months, dose 3
MedDRA: Asthenia, Communication disorder, Disturbance in attention, Fatigue — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Very difficult to concentrate & communicate, tired a lot, no energy.

MedDRA releases: 2024-11 · check-in free text available
2022-02-21
Report sent to call center — 6 months, dose 3
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-02-23
Call 1 — Left Voicemail
2022-02-25
Call successful
Participant prefers to complete VAERS report online

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-04	Moderna
2	2021-03-30	Moderna
3	2021-08-23	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2021-04-23	Successful	Participant prefers to complete VAERS report online
2021-05-04	Successful	Participant prefers to complete VAERS report online
2021-09-20	Successful 2021-09-21	Participant prefers to complete VAERS report online
2021-10-04	Successful	Does not wish to fill out VAERS report
2021-11-22	Successful	Does not wish to fill out VAERS report
2022-02-21	Successful 2022-02-25	Participant prefers to complete VAERS report online

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-06

Systemic reaction (other): I am (b)(6)months post kidney transplant & I feel tired with headache & joint pain

redacted (b)(6)

Release 6 — days 1–6 daily, dose 2

2021-04-01

Systemic reaction (other): Can't seem to focus, difficulty thinking.

2021-04-02

Systemic reaction (other): Disoriented

Release 7 — day 21, dose 2

2021-04-23

Symptoms: Simply can't remember day to day conversations & I feel so sad. I am worried. I can't sleep, wake up to bad dreams.

Release 8 — day 35, dose 2

2021-05-04

Symptoms: Once again, very tired & some days confused, hRd to focus

Release 9 — days 1–6 daily, dose 3

2021-08-24

Systemic reaction (other): Confused feeling, can't think clearly

2021-08-26

Systemic reaction (other): Low blood pressure

2021-08-27

Systemic reaction (other): Feeling so tired

Release 9 — day 7, dose 3

2021-08-30

Systemic reaction (other): Still feel like it is difficult to concentrate

Release 9 — day 14, dose 3

2021-09-06

Symptoms: Very tired & sleepy, everyday. No energy.

Release 9 — day 21, dose 3

2021-09-13

Symptoms: I just want to sleep all the time, I do not have energy or interest in doing anything. I have felt so lethargic for days now after my 3 vaccine. Would someone please respond & let me know if any other people have had these same symptoms? Thx

Release 9 — day 28, dose 3

2021-09-20

Symptoms: No energy, I'm so tired all the time, can't remember conversations? Just want to sleep? Please respond

Release 9 — day 35, dose 3

2021-09-27

Symptoms: So tired all the time, just want to sleep. Can't remember, short-term? No energy at all!

Release 10 — day 42, dose 3

2021-10-04

Symptoms: My chest feels heavy, sometimes shortness of breath, headache, tired, brain fog.

Release 10 — 3 months, dose 3

2021-11-22

Symptoms: Difficult to think & remember. Skin bumps, I have never had before! Bumps look like little blisters.

Release 11 — 6 months, dose 3

2022-02-21

Symptoms: Very difficult to concentrate & communicate, tired a lot, no energy.

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
SD	Anxiety	✓	✓	✓
SD	Asthenia	✓	·	✓
SD	Brain fog	·	·	✓
SD	Chest discomfort	·	·	✓
SD	Communication disorder	·	·	✓
SD	Confusional state	✓	✓	✓
SD	Decreased interest	·	·	✓
SD	Depressed mood	✓	✓	✓
SD	Disturbance in attention	✓	✓	✓
SD	Dyspnoea	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Headache	·	·	✓
SD	Insomnia	✓	✓	✓
SD	Lethargy	·	·	✓
SD	Memory impairment	✓	✓	✓
SD	Mental impairment	·	·	✓
SD	Nightmare	✓	✓	✓
SD	Rash	·	·	✓
SD	Rash papular	·	·	✓
SD	Rash vesicular	·	·	✓
SD	Somnolence	✓	·	✓
SRO	Arthralgia	✓	✓	✓
SRO	Confusional state	✓	·	✓
SRO	Disorientation	✓	✓	✓
SRO	Disturbance in attention	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Hypotension	✓	·	✓
SRO	Mental impairment	✓	✓	✓

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