22Z-55074-26412

2 vaccinations 7 coded responses 22 check-ins 7 free-text entries 2 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 666 / KS
Registered: 2021-01-14

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

2021-01-14
Registered in v-safe
2021-01-14
Dose 1 — Moderna
2021-01-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-19
Survey response — days 1–6 daily, dose 1
MedDRA: Rash, Rash papular — Feeling: Good · Rash, not including the immediate area around the injection site

Free text: I found a rash on my arm yesterday after my v safe update. its raised and sore.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-21
Health check-in — day 7, dose 1
Feeling: Good · Rash, not including the immediate area around the injection site

Adult check-in
2021-01-28
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-04
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-11
Dose 2 — Moderna
2021-02-11
Survey response — day 0, dose 2
MedDRA: No adverse event, Unevaluable event — Feeling: Good · Rash, not including the immediate area around the injection site

Free text: No

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-13
Survey response — days 1–6 daily, dose 2
MedDRA: Fatigue — Feeling: Fair · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: I was so sick yesterday I could report these symptoms. Today Im better but fatigued

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-14
Survey response — days 1–6 daily, dose 2
MedDRA: Cough, Pyrexia — Feeling: Good · Fever · Chills, Diarrhea, Rash, not including the immediate area around the injection site

Free text: Fever in the night. Cough today.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Rash, not including the immediate area around the injection site

Adult check-in
2021-02-16
Survey response — days 1–6 daily, dose 2
MedDRA: Unevaluable event — Feeling: Good · Diarrhea, Rash, not including the immediate area around the injection site

Free text: FYI: I got my 1st vaccine on 1/14/21; donated blood 1/26/21 and they tested for antibodies. Got those test results today and I DO have antibodies.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Diarrhea, Rash, not including the immediate area around the injection site

Adult check-in
2021-02-18
Health check-in — day 7, dose 2
Feeling: Good · Diarrhea, Rash, not including the immediate area around the injection site

Adult check-in
2021-02-25
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-04
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-11
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-18
Survey response — day 35, dose 2
MedDRA: Diarrhoea — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Loose stools since 1st vaccine 1/2021

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-18
Report sent to call center — day 35, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-25
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-05-13
Survey response — 3 months, dose 2
MedDRA: Diarrhoea, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Ive had diarrhea since my first vaccine · Healthcare visit (other): Colonoscopy and endoscopy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-13
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-12
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-12-10
Call 1 — Left Voicemail
2021-12-13
Call successful
Participant prefers to complete VAERS report online
2022-02-11
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-14	Moderna
2	2021-02-11	Moderna

Call center

2 call center cases

2 successful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-19

Systemic reaction (other): I found a rash on my arm yesterday after my v safe update. its raised and sore.

Release 4 — day 0, dose 2

2021-02-11

Systemic reaction (other): No

Release 4 — days 1–6 daily, dose 2

2021-02-13

Systemic reaction (other): I was so sick yesterday I could report these symptoms. Today Im better but fatigued

2021-02-14

Systemic reaction (other): Fever in the night. Cough today.

2021-02-16

Systemic reaction (other): FYI: I got my 1st vaccine on 1/14/21; donated blood 1/26/21 and they tested for antibodies. Got those test results today and I DO have antibodies.

Release 5 — day 35, dose 2

2021-03-18

Symptoms: Loose stools since 1st vaccine 1/2021

Release 8 — 3 months, dose 2

2021-05-13

Symptoms: Ive had diarrhea since my first vaccine

Healthcare visit (other): Colonoscopy and endoscopy

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	Unevaluable event	✓	✓	✓
SD	Diarrhoea	✓	✓	✓
SRO	Antibody test positive	○	·	○
SRO	Blood donor	○	·	○
SRO	Cough	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	No adverse event	✓	·	✓
SRO	Pyrexia	✓	✓	✓
SRO	Rash	✓	✓	✓
SRO	Rash papular	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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