2FN-77149-15813
3 vaccinations
7 coded responses
41 check-ins
7 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 852 / AZ
- Registered
- 2021-04-05
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
M9M-21210-21313
Child or adolescent in my care · Female · 2022-01-13
2PR-34706-40221
Child or adolescent in my care · Male · 2022-01-13
Timeline
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2021-04-05
Registered in v-safe
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2021-04-05
Dose 1 — Moderna
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2021-04-05
Health check-in — day 0, dose 1Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessAdult check-in
- 2021-04-06
- 2021-04-07
- 2021-04-08
- 2021-04-09
- 2021-04-10
- 2021-04-11
- 2021-04-12
- 2021-04-19
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2021-04-26
Survey response — day 21, dose 1MedDRA: Abdominal pain, Diarrhoea, Dizziness, Emergency care, Muscle spasticity, Musculoskeletal stiffness — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: I ended up in the ER last Tuesday after what the doctor believes was a severe bout of food poisoning. I had severe abdominal pains that escalated and I ended up having diarrhea, almost passing out, and my muscles all froze up for several minutes.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-26
Report sent to call center — day 21, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-05-03
Dose 2 — Moderna
- 2021-05-03
- 2021-05-04
- 2021-05-05
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2021-05-06
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Nausea, Diarrhea, Abdominal painAdult check-in
- 2021-05-07
- 2021-05-08
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2021-05-09
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Nausea, Diarrhea, Abdominal painAdult check-in
- 2021-05-10
- 2021-05-17
- 2021-05-24
- 2021-05-31
-
2021-06-09
Survey response — day 35, dose 2MedDRA: Anxiety — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Intense anxiety that is causing bodily symptoms, including breastfeeding vasospasms (something Ive never experienced before).MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-14
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2021-08-02
Survey response — 3 months, dose 2MedDRA: Nasopharyngitis — Feeling: GoodFree text: Several cold-like illnesses.MedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-11-01
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2021-12-17
Dose 3 — Moderna
- 2021-12-17
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2021-12-18
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activitiesAdult check-in
-
2021-12-19
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Headache, DiarrheaAdult check-in
- 2021-12-20
- 2021-12-21
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2021-12-22
Survey response — days 1–6 daily, dose 3MedDRA: Abdominal pain upper, Vaccine positive rechallenge — Feeling: Poor · Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activitiesFree text: Intense stomach crampsI had this same thing happen a week or two after my 2nd Moderna shot too, so I'm wondering if it's related to the shot!MedDRA releases: 2024-11 · check-in free text available
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2021-12-23
Survey response — days 1–6 daily, dose 3MedDRA: Abdominal pain, Dyspepsia, Flatulence, Nausea, Pain — Feeling: Poor · Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activitiesFree text: I've continued to have major abdominal cramping, gas, nausea, and indigestion. It lasted all throughout the night and is still here today. It feels worse when I'm moving and eating and dies down a little when I lay down.MedDRA releases: 2024-11 · check-in free text available
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2021-12-24
Survey response — day 7, dose 3MedDRA: Abdominal discomfort, Abdominal pain upper, Nausea, Reaction to previous exposure to any vaccine — Feeling: Fair · Nausea, Abdominal pain · Be unable to do your normal daily activitiesFree text: Symptoms are overall better, but my stomach is still unsettled. This has happened on days 5-7 after every Moderna vaccine I received, with the exception of the first shotafter my first vaccine the stomach pains and nausea started on day 15.MedDRA releases: 2024-11 · check-in free text available
- 2021-12-31
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2022-01-03
Call successfulParticipant prefers to complete VAERS report online
- 2022-01-07
- 2022-01-14
- 2022-01-21
- 2022-01-28
- 2022-03-18
- 2022-06-17
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2022-12-17
Survey response — 12 months, dose 3MedDRA: Illness, Influenza, SARS-CoV-2 test negative — 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 visitFree text: Various illnesses, but always tested negative for COVIDI'm currently recovering from Influenza A.MedDRA releases: 2024-11 · check-in free text available
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2022-12-17
Report sent to call center — 12 months, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-12-21
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2022-12-22
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-05 | Moderna | |
| 2 | 2021-05-03 | Moderna | |
| 3 | 2021-12-17 | Moderna | No |
Call center
2 call center cases
2 successful
Free text
Release 8 — day 21, dose 1
Symptoms: I ended up in the ER last Tuesday after what the doctor believes was a severe bout of food poisoning. I had severe abdominal pains that escalated and I ended up having diarrhea, almost passing out, and my muscles all froze up for several minutes.
Release 9 — day 35, dose 2
Symptoms: Intense anxiety that is causing bodily symptoms, including breastfeeding vasospasms (something Ive never experienced before).
Release 9 — 3 months, dose 2
Symptoms: Several cold-like illnesses.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Intense stomach crampsI had this same thing happen a week or two after my 2nd Moderna shot too, so I'm wondering if it's related to the shot!
Systemic reaction (other): I've continued to have major abdominal cramping, gas, nausea, and indigestion. It lasted all throughout the night and is still here today. It feels worse when I'm moving and eating and dies down a little when I lay down.
Release 10 — day 7, dose 3
Systemic reaction (other): Symptoms are overall better, but my stomach is still unsettled. This has happened on days 5-7 after every Moderna vaccine I received, with the exception of the first shotafter my first vaccine the stomach pains and nausea started on day 15.
Release 12 — 12 months, dose 3
Symptoms: Various illnesses, but always tested negative for COVIDI'm currently recovering from Influenza A.
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 | ✓ | ✓ | ✓ |
| SD | Anxiety | ✓ | ✓ | ✓ |
| SD | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Dizziness | ✓ | ✓ | ✓ |
| SD | Emergency care | ✓ | ✓ | ✓ |
| SD | Illness | · | · | ✓ |
| SD | Influenza | · | · | ✓ |
| SD | Muscle spasticity | ○ | ✓ | ○ |
| SD | Musculoskeletal stiffness | ✓ | · | ✓ |
| SD | Nasopharyngitis | ✓ | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SRO | Abdominal discomfort | · | · | ✓ |
| SRO | Abdominal pain | · | · | ✓ |
| SRO | Abdominal pain upper | · | · | ✓ |
| SRO | Dyspepsia | · | · | ✓ |
| SRO | Flatulence | · | · | ✓ |
| SRO | Nausea | · | · | ✓ |
| SRO | Pain | · | · | ✓ |
| SRO | Reaction to previous exposure to any vaccine | · | · | ✓ |
| SRO | Vaccine positive rechallenge | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release