2B7-28210-63197

2 vaccinations 7 coded responses 18 check-ins 7 free-text entries 2 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 959 / CA
Registered: 2021-01-19

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
Dose 1 — Moderna
2021-01-19
Registered in v-safe
2021-01-19
Survey response — days 1–6 daily, dose 1
MedDRA: Abdominal pain, Fatigue, Headache, Pancreatitis, Pre-existing disease — Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Yes. I have chronic pancreatitis. It felt like I had acute pancreatitis. I had a headache, severe fatigue, abdominal pain and cramping for 4 days following vaccination.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-20
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness, Abdominal pain

Adult check-in
2021-01-21
Survey response — day 7, dose 1
MedDRA: Medical counselling, Pain — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea

Free text: When the nurse administered the injection, I felt extreme burning pain as the vaccine was administered. When the needle was removed, blood ran down my arm. I am a nurse myself, I have never experienced this much discomfort before with an intramuscular injection. I have received IV medications which have caused this discomfort. IV

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-28
Survey response — day 14, dose 1
MedDRA: Abdominal pain, Diarrhoea, Fatigue, Headache, Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth, Muscle spasms, Myalgia, Nausea, Pyrexia — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities

Free text: 1/14/21 Severe fatigue, muscle aches, abdominal pain, cramping, diarrhea, headache for4 days1/21/21 Vaccine site reaction, moderate, swelling, redness, pain, warmth1/28/21 Abdominal pain, nausea, moderate fatigue, muscle aches, headache, fever

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-04
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-02-11
Dose 2 — Moderna
2021-02-11
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Headache, Abdominal pain

Adult check-in
2021-02-12
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain

Adult check-in
2021-02-13
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Fatigue or tiredness, Abdominal pain

Adult check-in
2021-02-14
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · Fatigue or tiredness, Nausea, Abdominal pain

Adult check-in
2021-02-16
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · Fatigue or tiredness

Adult check-in
2021-02-18
Health check-in — day 7, dose 2
Feeling: Poor · Site: Itching · Fever · Headache, Joint pains, Fatigue or tiredness, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-02-25
Survey response — day 14, dose 2
MedDRA: Pancreatitis, Pancreatitis chronic, Pre-existing disease — Feeling: Poor · Be unable to do your normal daily activities

Free text: I have chronic pancreatitis. I feel symptoms are exacerbated.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-04
Survey response — day 21, dose 2
MedDRA: Abdominal pain, Body temperature increased, Fatigue, Hospitalisation, Nausea, Pre-existing disease, SARS-CoV-2 test negative — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Hospitalization

Free text: Symptoms: I have chronic pancreatitis. Increased abdominal pain, nausea, fatigue, temps up to 100.1 ERCP was scheduled previously for 3/3. This was performed. In hospital currently-post procedure. Had COVID test on 3/3 which was negative. · Healthcare visit (other): COVID-19 test negative 3/3

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-04
Report sent to call center — day 21, 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)
2021-03-11
Health check-in — day 28, dose 2
Feeling: Poor

Adult check-in
2021-03-18
Health check-in — day 35, dose 2
Feeling: Poor

Adult check-in
2021-03-25
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-13
Survey response — 3 months, dose 2
MedDRA: Dyspnoea — Feeling: Fair

Free text: Shortness of breath

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-11-21
Call successful
Participant prefers to complete VAERS report online
2022-02-12
Survey response — 12 months, dose 2
MedDRA: Chills, Fatigue, Headache, Myalgia, Nausea, Neck pain, Pre-existing disease, Pyrexia, Surgery, Vertigo — 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, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: Shortness of breath, heart palpitations early 2021. Vertigo 10/21. Fevers, chills, muscle aches & pain, headaches. Neck aches, increase fatigue, nausea. Had a procedure 11/17/21, fever & symptoms started. Currently being worked up for FUO. Ext Test

MedDRA releases: 2024-11 · check-in free text available
2022-02-12
Report sent to call center — 12 months, dose 2
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 · Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
2022-02-15
Call 1 — Left Voicemail
2022-02-17
Call 2 — Left Voicemail

Vaccinations

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

Call center

2 call center cases

1 successful · 1 unsuccessful

See the call center timeline

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-19

Systemic reaction (other): Yes. I have chronic pancreatitis. It felt like I had acute pancreatitis. I had a headache, severe fatigue, abdominal pain and cramping for 4 days following vaccination.

Release 2 — day 7, dose 1

2021-01-21

Systemic reaction (other): When the nurse administered the injection, I felt extreme burning pain as the vaccine was administered. When the needle was removed, blood ran down my arm. I am a nurse myself, I have never experienced this much discomfort before with an intramuscular injection. I have received IV medications which have caused this discomfort. IV

Release 3 — day 14, dose 1

2021-01-28

Symptoms: 1/14/21 Severe fatigue, muscle aches, abdominal pain, cramping, diarrhea, headache for4 days1/21/21 Vaccine site reaction, moderate, swelling, redness, pain, warmth1/28/21 Abdominal pain, nausea, moderate fatigue, muscle aches, headache, fever

Release 4 — day 14, dose 2

2021-02-25

Symptoms: I have chronic pancreatitis. I feel symptoms are exacerbated.

Release 5 — day 21, dose 2

2021-03-04

Symptoms: I have chronic pancreatitis. Increased abdominal pain, nausea, fatigue, temps up to 100.1 ERCP was scheduled previously for 3/3. This was performed. In hospital currently-post procedure. Had COVID test on 3/3 which was negative.

Healthcare visit (other): COVID-19 test negative 3/3

Release 8 — 3 months, dose 2

2021-05-13

Symptoms: Shortness of breath

Release 11 — 12 months, dose 2

2022-02-12

Symptoms: Shortness of breath, heart palpitations early 2021. Vertigo 10/21. Fevers, chills, muscle aches & pain, headaches. Neck aches, increase fatigue, nausea. Had a procedure 11/17/21, fever & symptoms started. Currently being worked up for FUO. Ext Test cut off by CDC

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	SARS-CoV-2 test negative	✓	✓	✓
SD	Abdominal pain	✓	✓	✓
SD	Body temperature increased	✓	✓	✓
SD	Chills	·	·	✓
SD	Diarrhoea	✓	✓	✓
SD	Dyspnoea	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Hospitalisation	✓	✓	✓
SD	Injection site erythema	✓	✓	✓
SD	Injection site pain	✓	✓	✓
SD	Injection site swelling	✓	✓	✓
SD	Injection site warmth	✓	✓	✓
SD	Muscle spasms	✓	✓	✓
SD	Myalgia	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Neck pain	·	·	✓
SD	Pancreatitis	✓	·	✓
SD	Pancreatitis chronic	○	✓	○
SD	Pre-existing disease	✓	✓	✓
SD	Pyrexia	✓	✓	✓
SD	SARS-CoV-2 test negative	✓	✓	✓
SD	Surgery	·	·	✓
SD	Vertigo	·	·	✓
SRO	Abdominal pain	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Medical counselling	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pancreatitis	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓

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