Z7S-13683-06636

2 vaccinations 6 coded responses 24 check-ins 6 free-text entries 2 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 982 / WA
Registered: 2021-02-01

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

2021-02-01
Registered in v-safe
2021-02-01
Dose 1 — Moderna
2021-02-01
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain, Redness · Headache

Adult check-in
2021-02-02
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Fatigue or tiredness, Nausea

Adult check-in
2021-02-03
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work

Adult check-in
2021-02-04
Survey response — days 1–6 daily, dose 1
MedDRA: Heart rate decreased — Feeling: Fair · Site: Pain, Swelling · Headache, Nausea

Free text: Low heart rate of 45 average while I was sleeping last night according to my Apple Watch

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-05
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling · None

Adult check-in
2021-02-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Redness, Swelling, Itching · None

Adult check-in
2021-02-08
Health check-in — day 7, dose 1
Feeling: Good · Site: Swelling · None

Adult check-in
2021-02-15
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-22
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-01
Dose 2 — Moderna
2021-03-01
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · Headache, Muscle or body aches

Adult check-in
2021-03-02
Survey response — days 1–6 daily, dose 2
MedDRA: Office visit, Uveitis — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Uveitis · Healthcare visit (other): Optometrist

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-02
Report sent to call center — days 1–6 daily, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-03
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Nausea · Be unable to work

Adult check-in
2021-03-04
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-03-05
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness, Nausea

Adult check-in
2021-03-06
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-03-07
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Nausea

Adult check-in
2021-03-08
Health check-in — day 7, dose 2
Feeling: Good · Nausea, Diarrhea

Adult check-in
2021-03-15
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-22
Survey response — day 21, dose 2
MedDRA: Fatigue — Feeling: Fair

Free text: Fatigue is much worse

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-29
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-04-05
Survey response — day 35, dose 2
MedDRA: COVID-19, Fatigue, Paraesthesia, Pre-existing disease — Feeling: Fair

Free text: Fatigue has gotten a bit worse as has the tingling in my hands and feet. I had Covid last March 2020 and the fatigue has never resolved nor has the tingling in my hands and feet

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-14
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-06-02
Survey response — 3 months, dose 2
MedDRA: Alopecia — Feeling: Fair

Free text: Some hair loss

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-30
Survey response — 6 months, dose 2
MedDRA: Asthenia, Atrial flutter, Cognitive disorder, Fatigue, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Ive needed to go on the blood thinner Xarelto due to atrial flutter. Also the fatigue is bad . Had a Brian MRI to make sure I didnt have a stroke. Having intermittent weakness and cognitive issues. · Healthcare visit (other): Cardiologist in person

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-30
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-31
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-01	Moderna
2	2021-03-01	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-03-02	Unsuccessful
2021-08-30	Unsuccessful

Free text

Release 3 — days 1–6 daily, dose 1

2021-02-04

Systemic reaction (other): Low heart rate of 45 average while I was sleeping last night according to my Apple Watch

Release 4 — days 1–6 daily, dose 2

2021-03-02

Systemic reaction (other): Uveitis

Healthcare visit (other): Optometrist

Release 6 — day 21, dose 2

2021-03-22

Symptoms: Fatigue is much worse

Release 6 — day 35, dose 2

2021-04-05

Symptoms: Fatigue has gotten a bit worse as has the tingling in my hands and feet. I had Covid last March 2020 and the fatigue has never resolved nor has the tingling in my hands and feet

Release 8 — 3 months, dose 2

2021-06-02

Symptoms: Some hair loss

Release 9 — 6 months, dose 2

2021-08-30

Symptoms: Ive needed to go on the blood thinner Xarelto due to atrial flutter. Also the fatigue is bad . Had a Brian MRI to make sure I didnt have a stroke. Having intermittent weakness and cognitive issues.

Healthcare visit (other): Cardiologist in person

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	Alopecia	✓	✓	✓
SD	Asthenia	✓	·	✓
SD	Atrial flutter	✓	·	✓
SD	Cognitive disorder	✓	·	✓
SD	COVID-19	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Paraesthesia	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SRO	Heart rate decreased	✓	✓	✓
SRO	Uveitis	✓	✓	✓

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