22Y-33219-77813

4 vaccinations 13 coded responses 55 check-ins 13 free-text entries 7 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 201 / VA
Registered: 2021-03-20

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Registered dependents

6LS-41978-07671 Child or adolescent in my care · Female · 2021-11-24

QW3-60098-16675 Child or adolescent in my care · Male · 2021-11-24

8N4-16455-08959 Child or adolescent in my care · Female · 2021-11-24

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-03-20
Registered in v-safe
2021-03-20
Dose 1 — Moderna
2021-03-20
Survey response — day 0, dose 1
MedDRA: Dizziness, Immediate post-injection reaction — Feeling: Fair · Site: Pain · Fatigue or tiredness

Free text: Dizziness immediately after injection

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-21
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Chills

Adult check-in
2021-03-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-03-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-26
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fever · Chills, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-27
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-03
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-10
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-16
Dose 2 — Moderna
2021-04-16
Survey response — day 0, dose 2
MedDRA: Dizziness — Feeling: Fair · Site: Pain · Fatigue or tiredness

Free text: Dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-17
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-04-18
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-04-19
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-20
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
2021-04-21
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-22
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-04-23
Health check-in — day 7, dose 2
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-30
Survey response — day 14, dose 2
MedDRA: Heavy menstrual bleeding — 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

Free text: Extremely heavy bleeding from menstrual cycle.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-30
Report sent to call center — day 14, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-07
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-05-14
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-21
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-05-28
Survey response — day 42, dose 2
MedDRA: Menstruation delayed — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Late/missed menstrual period

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-28
Report sent to call center — day 42, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-16
Survey response — 3 months, dose 2
MedDRA: Cortisol increased, Heavy menstrual bleeding, Hypothyroidism, Menstrual disorder, Progesterone decreased, Urinary tract infection — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Urinary tract infection, abnormal menstrual cycle, Menorrhagia, Hypothyroidism, high cortisol, low progesterone

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-16
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-23
Call 1 — Left Voicemail
2021-10-15
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2021-11-24
Dose 3 — Moderna
2021-11-24
Survey response — day 0, dose 3
MedDRA: Dizziness — Feeling: Fair · Site: Pain, Itching · Headache, Fatigue or tiredness, Rash, not including the immediate area around the injection site

Free text: Dizziness

MedDRA releases: 2024-11 · check-in free text available
2021-11-25
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling, Itching · Fever · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-11-26
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-11-27
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Chills, Fatigue or tiredness

Adult check-in
2021-11-28
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-29
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-30
Survey response — days 1–6 daily, dose 3
MedDRA: Oropharyngeal pain — Feeling: Fair · Fever · Chills, Headache, Fatigue or tiredness

Free text: Sore throat

MedDRA releases: 2024-11 · check-in free text available
2021-12-01
Survey response — day 7, dose 3
MedDRA: Oropharyngeal pain, Respiratory tract congestion — Feeling: Fair · Chills

Free text: Congestion, sore throat

MedDRA releases: 2024-11 · check-in free text available
2021-12-08
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-12-15
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-12-22
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-29
Health check-in — day 35, dose 3
Feeling: Fair

Adult check-in
2022-01-05
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-02-23
Health check-in — 3 months, dose 3
Feeling: Poor

Adult check-in
2022-05-25
Health check-in — 6 months, dose 3
Feeling: Fair

Adult check-in
2022-09-22
Dose 4 — Moderna
2022-09-22
Health check-in — day 0, dose 4
Feeling: Good · Site: Pain, Itching · None

Adult check-in
2022-09-23
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness

Adult check-in
2022-09-24
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness

Adult check-in
2022-09-25
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2022-09-26
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · None

Adult check-in
2022-09-27
Survey response — days 1–6 daily, dose 4
MedDRA: Oropharyngeal pain — Feeling: Fair · Site: Pain · Fever · Headache

Free text: Sore throat

MedDRA releases: 2024-11 · check-in free text available
2022-09-28
Health check-in — days 1–6 daily, dose 4
Feeling: Poor · Fever · Chills, Headache, Nausea, Diarrhea

Adult check-in
2022-09-29
Health check-in — day 7, dose 4
Feeling: Poor · Fever · Chills, Headache, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Adult check-in
2022-09-29
Report sent to call center — day 7, dose 4
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)
2022-09-30
Call 1 — Left Voicemail
2022-09-30
Call 1 — Left Voicemail
2022-09-30
Call 2 — Left Voicemail
2022-09-30
Call 1 — Left Voicemail
2022-10-06
Survey response — day 14, dose 4
MedDRA: Conjunctivitis bacterial, Sinusitis, Viral upper respiratory tract infection — 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 · Outpatient clinic or urgent care clinic visit

Free text: Upper respiratory virus, sinus infection, bacterial conjunctivitis

MedDRA releases: 2024-11 · check-in free text available
2022-10-06
Report sent to call center — day 14, dose 4
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-10-07
Call 2 — Left Voicemail
2022-10-07
Call 2 — Left Voicemail
2022-10-07
Call 3 — Left Voicemail
2022-10-07
Call 2 — Left Voicemail
2022-10-07
Call 1 — Left Voicemail
2022-10-13
Health check-in — day 21, dose 4
Feeling: Fair

Adult check-in
2022-10-20
Survey response — day 28, dose 4
MedDRA: Upper respiratory tract infection — 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

Free text: Upper respiratory infection

MedDRA releases: 2024-11 · check-in free text available
2022-10-20
Report sent to call center — day 28, dose 4
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 · 1 call case(s)
2022-10-21
Call 3 — Left Voicemail
2022-10-21
Call 3 — Left Voicemail
2022-10-21
Call 3 — Left Voicemail
2022-10-21
Call 2 — Left Voicemail
2022-10-21
Call 1 — Left Voicemail
2022-10-27
Survey response — day 35, dose 4
MedDRA: Cough, Headache, Respiratory syncytial virus infection, Respiratory tract congestion — 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

Free text: Rsv, cough, congestion, headache

MedDRA releases: 2024-11 · check-in free text available
2022-10-27
Report sent to call center — day 35, dose 4
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 · 1 call case(s)
2022-10-28
Call X — Left Voicemail
2022-10-28
Call X — Left Voicemail
2022-10-28
Call X — Left Voicemail
2022-10-28
Call X — Left Voicemail
2022-10-28
Call 3 — Left Voicemail
2022-10-28
Call 2 — Left Voicemail
2022-10-28
Call 1 — Left Voicemail
2022-11-03
Health check-in — day 42, dose 4
Feeling: Fair

Adult check-in
2022-12-22
Survey response — 3 months, dose 4
MedDRA: Cough, Headache, Respiratory tract congestion — Feeling: Fair · Be unable to do your normal daily activities

Free text: Cough, congestion, headache

MedDRA releases: 2024-11 · check-in free text available
2023-03-23
Health check-in — 6 months, dose 4
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-20	Moderna
2	2021-04-16	Moderna
3	2021-11-24	Moderna	No
4	2022-09-22	Moderna	No

Call center

7 call center cases

7 unsuccessful

VAERS report filed, before or during a call: 3

2 waits over 3 months for a first call

See the call center timeline

Free text

Release 6 — day 0, dose 1

2021-03-20

Systemic reaction (other): Dizziness immediately after injection

Release 7 — day 0, dose 2

2021-04-16

Systemic reaction (other): Dizziness

Release 8 — day 14, dose 2

2021-04-30

Symptoms: Extremely heavy bleeding from menstrual cycle.

Release 8 — day 42, dose 2

2021-05-28

Symptoms: Late/missed menstrual period

Release 9 — 3 months, dose 2

2021-07-16

Symptoms: Urinary tract infection, abnormal menstrual cycle, Menorrhagia, Hypothyroidism, high cortisol, low progesterone

Release 10 — day 0, dose 3

2021-11-24

Systemic reaction (other): Dizziness

Release 10 — days 1–6 daily, dose 3

2021-11-30

Systemic reaction (other): Sore throat

Release 10 — day 7, dose 3

2021-12-01

Systemic reaction (other): Congestion, sore throat

Release 12 — days 1–6 daily, dose 4

2022-09-27

Systemic reaction (other): Sore throat

Release 12 — day 14, dose 4

2022-10-06

Symptoms: Upper respiratory virus, sinus infection, bacterial conjunctivitis

Release 12 — day 28, dose 4

2022-10-20

Symptoms: Upper respiratory infection

Release 12 — day 35, dose 4

2022-10-27

Symptoms: Rsv, cough, congestion, headache

Release 12 — 3 months, dose 4

2022-12-22

Symptoms: Cough, congestion, headache

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	Conjunctivitis bacterial	·	·	✓
SD	Cortisol increased	✓	·	✓
SD	Cough	·	·	✓
SD	Headache	·	·	✓
SD	Heavy menstrual bleeding	✓	✓	✓
SD	Hypothyroidism	✓	·	✓
SD	Menstrual disorder	✓	·	✓
SD	Menstruation delayed	✓	✓	✓
SD	Progesterone decreased	✓	·	✓
SD	Respiratory syncytial virus infection	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	Sinusitis	·	·	✓
SD	Upper respiratory tract infection	·	·	✓
SD	Urinary tract infection	✓	·	✓
SD	Viral upper respiratory tract infection	·	·	✓
SRO	Dizziness	✓	✓	✓
SRO	Immediate post-injection reaction	✓	✓	✓
SRO	Oropharyngeal pain	·	·	✓
SRO	Respiratory tract congestion	·	·	✓

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