2DX-17078-56914

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

Sex: Female
Age at first dose: 41-45
ZIP prefix: 238 / VA
Registered: 2021-01-25

Relationship: Self
Race: Black or African American
Ethnicity: Not Hispanic or Latino

Timeline

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

2021-01-23
Dose 1 — Moderna
2021-01-25
Registered in v-safe
2021-01-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-01-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Itching · Diarrhea

Adult check-in
2021-01-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Itching · None

Adult check-in
2021-01-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Abdominal pain

Adult check-in
2021-01-29
Survey response — days 1–6 daily, dose 1
MedDRA: Abdominal pain upper — Feeling: Good · Diarrhea, Abdominal pain

Free text: I had sharp pains in my stomach.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-01
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-06
Survey response — day 14, dose 1
MedDRA: Abdominal pain upper, Diarrhoea, Pollakiuria — Feeling: Fair

Free text: I have had diarrhea for 3 days, sharp cramps in my stomach, and frequent urination.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-15
Survey response — day 21, dose 1
MedDRA: Cough, Diarrhoea, Dizziness, Fatigue, Headache, Pollakiuria — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: I have been getting headaches daily. I had diarrhea last week. I felt light headed. I have developed a slight cough. I was urinating often. It felt like an UTI. I worked from home and made it through the work day but was extremely exhausted.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-22
Health check-in — day 28, dose 1
Feeling: Fair

Adult check-in
2021-02-25
Dose 2 — Moderna
2021-02-26
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Itching · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-02-27
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache

Adult check-in
2021-02-28
Survey response — days 1–6 daily, dose 2
MedDRA: Feeling abnormal, Musculoskeletal discomfort — Feeling: Fair · Site: Itching

Free text: Heaviness in the back of my neck and when laying down, there is an uneasy feeling when breathing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-02
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Chills, Headache, Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2021-03-05
Health check-in — day 7, dose 2
Feeling: Fair · Chills

Adult check-in
2021-03-11
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-18
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-03-27
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-01
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-08
Survey response — day 42, dose 2
MedDRA: Anxiety — Feeling: Fair

Free text: Anxiety attacks weekly

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-29
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-26
Survey response — 6 months, dose 2
MedDRA: Blood pressure increased, Menstruation irregular, Uterine pain — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: I had sharp pains that felt like contractions. My periods are irregular. It comes on 3-4 times a month. My blood pressure is up.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-26
Report sent to call center — 6 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-09-02
Call 1 — Left Voicemail
2022-02-27
Survey response — 12 months, dose 2
MedDRA: Dysmenorrhoea, Emergency care, Heavy menstrual bleeding, Hypertension, Menstruation irregular — 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, Emergency room or emergency department visit

Free text: My cycle is irregular and heavy. I get shocking cramps during this time that were so severe that i had to go to the emergency room. I am now told that i have high blood pressure.

MedDRA releases: 2024-11 · check-in free text available
2022-02-27
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

Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
2022-03-01
Call 1 — Could Not Reach Participant
2022-03-07
Call successful
Participant prefers to complete VAERS report online

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-23	Moderna
2	2021-02-25	Moderna

Call center

2 call center cases

2 successful

See the call center timeline

Free text

Release 3 — days 1–6 daily, dose 1

2021-01-29

Systemic reaction (other): I had sharp pains in my stomach.

Release 3 — day 14, dose 1

2021-02-06

Symptoms: I have had diarrhea for 3 days, sharp cramps in my stomach, and frequent urination.

Release 4 — day 21, dose 1

2021-02-15

Symptoms: I have been getting headaches daily. I had diarrhea last week. I felt light headed. I have developed a slight cough. I was urinating often. It felt like an UTI. I worked from home and made it through the work day but was extremely exhausted.

Release 4 — days 1–6 daily, dose 2

2021-02-28

Systemic reaction (other): Heaviness in the back of my neck and when laying down, there is an uneasy feeling when breathing

Release 7 — day 42, dose 2

2021-04-08

Symptoms: Anxiety attacks weekly

Release 9 — 6 months, dose 2

2021-08-26

Symptoms: I had sharp pains that felt like contractions. My periods are irregular. It comes on 3-4 times a month. My blood pressure is up.

Release 11 — 12 months, dose 2

2022-02-27

Symptoms: My cycle is irregular and heavy. I get shocking cramps during this time that were so severe that i had to go to the emergency room. I am now told that i have high blood pressure.

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	Abdominal pain upper	✓	✓	✓
SD	Anxiety	✓	✓	✓
SD	Blood pressure increased	✓	·	✓
SD	Cough	✓	✓	✓
SD	Diarrhoea	✓	✓	✓
SD	Dizziness	✓	✓	✓
SD	Dysmenorrhoea	·	·	✓
SD	Emergency care	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Heavy menstrual bleeding	·	·	✓
SD	Hypertension	·	·	✓
SD	Menstruation irregular	✓	·	✓
SD	Pollakiuria	✓	✓	✓
SD	Uterine pain	✓	·	✓
SRO	Abdominal pain upper	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Musculoskeletal discomfort	✓	✓	✓

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