28L-19424-23578

3 vaccinations 15 coded responses 28 check-ins 15 free-text entries 3 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 302 / GA
Registered: 2021-04-12

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

2021-03-15
Dose 1 — Moderna
2021-04-12
Registered in v-safe
2021-04-12
Dose 2 — Moderna
2021-04-12
Health check-in — day 0, dose 2
Feeling: Poor · Site: Pain, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-04-13
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-04-14
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-04-15
Survey response — days 1–6 daily, dose 2
MedDRA: Haematochezia — Feeling: Poor · Fever · Headache, Muscle or body aches, Nausea, Vomiting, Diarrhea, Abdominal pain · 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: Blood in stool

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
Report sent to call center — days 1–6 daily, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-16
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-04-18
Survey response — days 1–6 daily, dose 2
MedDRA: Contusion — Feeling: Fair · Be unable to do your normal daily activities

Free text: Some unexplained bruising in a few places

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-19
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-26
Survey response — day 14, dose 2
MedDRA: Abdominal pain upper, Diarrhoea, Nausea — Feeling: Fair · Be unable to do your normal daily activities

Free text: Stomach pain, nausea, diarrhea

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-03
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-05-10
Survey response — day 28, dose 2
MedDRA: Bladder pain, Headache, Seizure like phenomena — Feeling: Poor · Be unable to do your normal daily activities

Free text: Headaches, bladder pain, seizure-like episodes.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-17
Survey response — day 35, dose 2
MedDRA: Bladder pain, Headache — Feeling: Fair · Be unable to do your normal daily activities

Free text: Headaches, bladder pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-24
Survey response — day 42, dose 2
MedDRA: Abdominal pain, Nausea, Pelvic pain — Feeling: Poor · Be unable to do your normal daily activities

Free text: Abdominal and pelvic pain, nauseous

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-12
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-10-11
Survey response — 6 months, dose 2
MedDRA: Gastrointestinal disorder, Office visit, Pain in extremity, Speech disorder — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Stomach issues, speech problems, leg pain · Healthcare visit (other): In person and tests

MedDRA releases: 2024-11 · check-in free text available
2021-10-11
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-10-12
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-12-29
Dose 3 — Moderna
2021-12-29
Survey response — day 0, dose 3
MedDRA: Flushing — Feeling: Fair · Headache

Free text: Feeling flushed

MedDRA releases: 2024-11 · check-in free text available
2021-12-30
Survey response — days 1–6 daily, dose 3
MedDRA: Hyperhidrosis — Feeling: Poor · Site: Pain · Fever · Be unable to do your normal daily activities

Free text: Sweating

MedDRA releases: 2024-11 · check-in free text available
2022-01-01
Survey response — days 1–6 daily, dose 3
MedDRA: Hyperhidrosis — Feeling: Fair · Site: Pain · Be unable to do your normal daily activities

Free text: Sweating

MedDRA releases: 2024-11 · check-in free text available
2022-01-02
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2022-01-03
Survey response — days 1–6 daily, dose 3
MedDRA: Hyperhidrosis — Feeling: Poor · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Sweating

MedDRA releases: 2024-11 · check-in free text available
2022-01-04
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2022-01-05
Health check-in — day 7, dose 3
Feeling: Poor · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2022-01-12
Survey response — day 14, dose 3
MedDRA: Diarrhoea, Nausea, Pain — Feeling: Poor · Be unable to do your normal daily activities

Free text: Nausea, diarrhea, body aches worse.

MedDRA releases: 2024-11 · check-in free text available
2022-01-20
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2022-01-28
Health check-in — day 28, dose 3
Feeling: Fair

Adult check-in
2022-02-02
Survey response — day 35, dose 3
MedDRA: Ear pain, Nausea, Oropharyngeal pain, Respiratory tract congestion — Feeling: Poor · Be unable to do your normal daily activities

Free text: Nausea, congestion, earache, sore throat

MedDRA releases: 2024-11 · check-in free text available
2022-02-09
Survey response — day 42, dose 3
MedDRA: Migraine, Nausea, Oropharyngeal pain, Pain, Unevaluable event — Feeling: Fair · Be unable to do your normal daily activities

Free text: Sinus, migraines, sick at stomach, achy, sore throat

MedDRA releases: 2024-11 · check-in free text available
2022-03-30
Health check-in — 3 months, dose 3
Feeling: Poor

Adult check-in
2022-12-30
Survey response — 12 months, dose 3
MedDRA: Gastroenteritis viral, Headache, Influenza — 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: Flu, stomach virus, very frequent headaches

MedDRA releases: 2024-11 · check-in free text available
2022-12-30
Report sent to call center — 12 months, dose 3
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)
2023-01-03
Call successful
Participant prefers to complete VAERS report online

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-15	Moderna
2	2021-04-12	Moderna
3	2021-12-29	Moderna	No

Call center

3 call center cases

3 successful

See the call center timeline

Free text

Release 7 — days 1–6 daily, dose 2

2021-04-15

Systemic reaction (other): Blood in stool

2021-04-18

Systemic reaction (other): Some unexplained bruising in a few places

Release 8 — day 14, dose 2

2021-04-26

Symptoms: Stomach pain, nausea, diarrhea

Release 8 — day 28, dose 2

2021-05-10

Symptoms: Headaches, bladder pain, seizure-like episodes.

Release 8 — day 35, dose 2

2021-05-17

Symptoms: Headaches, bladder pain

Release 8 — day 42, dose 2

2021-05-24

Symptoms: Abdominal and pelvic pain, nauseous

Release 10 — 6 months, dose 2

2021-10-11

Symptoms: Stomach issues, speech problems, leg pain

Healthcare visit (other): In person and tests

Release 10 — day 0, dose 3

2021-12-29

Systemic reaction (other): Feeling flushed

Release 10 — days 1–6 daily, dose 3

2021-12-30

Systemic reaction (other): Sweating

2022-01-01

Systemic reaction (other): Sweating

2022-01-03

Systemic reaction (other): Sweating

Release 10 — day 14, dose 3

2022-01-12

Symptoms: Nausea, diarrhea, body aches worse.

Release 11 — day 35, dose 3

2022-02-02

Symptoms: Nausea, congestion, earache, sore throat

Release 11 — day 42, dose 3

2022-02-09

Symptoms: Sinus, migraines, sick at stomach, achy, sore throat

Release 12 — 12 months, dose 3

2022-12-30

Symptoms: Flu, stomach virus, very frequent headaches

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	Abdominal pain	✓	✓	✓
SD	Abdominal pain upper	✓	✓	✓
SD	Bladder pain	✓	✓	✓
SD	Diarrhoea	✓	✓	✓
SD	Ear pain	·	·	✓
SD	Gastroenteritis viral	·	·	✓
SD	Gastrointestinal disorder	·	·	✓
SD	Headache	✓	✓	✓
SD	Influenza	·	·	✓
SD	Migraine	·	·	✓
SD	Nausea	✓	✓	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pain	·	·	✓
SD	Pain in extremity	·	·	✓
SD	Pelvic pain	✓	✓	✓
SD	Respiratory tract congestion	·	·	✓
SD	Seizure like phenomena	✓	✓	✓
SD	Speech disorder	·	·	✓
SD	Unevaluable event	·	·	✓
SRO	Contusion	✓	✓	✓
SRO	Flushing	·	·	✓
SRO	Haematochezia	✓	✓	✓
SRO	Hyperhidrosis	·	·	✓

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