2G2-33468-42961

4 vaccinations 14 coded responses 53 check-ins 14 free-text entries 2 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 182 / PA
Registered: 2021-04-19

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Registered dependents

3QS-28901-95475 Child or adolescent in my care · · 2022-09-16

Timeline

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

2021-04-19
Registered in v-safe
2021-04-19
Dose 1 — Moderna
2021-04-19
Survey response — day 0, dose 1
MedDRA: Oropharyngeal pain, Throat irritation — Feeling: Good · Site: Pain

Free text: Pain and irritation on left side of throat only

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-20
Survey response — days 1–6 daily, dose 1
MedDRA: Throat irritation — Feeling: Good · Site: Pain

Free text: Same weird throat irritation just on left side

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-04-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-23
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-04-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-25
Survey response — days 1–6 daily, dose 1
MedDRA: Anxiety — Feeling: Good

Free text: Anxiety significantly worse last few days

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-26
Survey response — day 7, dose 1
MedDRA: Anxiety — Feeling: Good

Free text: Increased anxiety

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-03
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-05-10
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-05-17
Dose 2 — Moderna
2021-05-17
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · Nausea

Adult check-in
2021-05-18
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-05-19
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness, Nausea

Adult check-in
2021-05-20
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-05-21
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-22
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-23
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-24
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-05-31
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-06-07
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-06-14
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-22
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-28
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-08-16
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-11-15
Survey response — 6 months, dose 2
MedDRA: Intra-uterine contraceptive device removal, Menstruation irregular, Office visit, Unexpected vaginal bleeding on hormonal IUD — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: My cycles got worse and my IUD had to be removed · Healthcare visit (other): Ultrasound and visit to my gyno

MedDRA releases: 2024-11 · check-in free text available
2021-11-15
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)
2021-11-16
Call successful
Participant prefers to complete VAERS report online
2021-12-19
Dose 3 — Moderna
2021-12-19
Health check-in — day 0, dose 3
Feeling: Good · None

Adult check-in
2021-12-20
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-12-21
Survey response — days 1–6 daily, dose 3
MedDRA: Exposure to SARS-CoV-2 — Feeling: Good

Free text: My son tested positive for COVID today

MedDRA releases: 2024-11 · check-in free text available
2021-12-22
Survey response — days 1–6 daily, dose 3
MedDRA: Conjunctivitis, Malaise, Oropharyngeal pain — Feeling: Poor · Be unable to do your normal daily activities

Free text: Pink eye, sore throat, generally unwell but think from son having covid not from booster

MedDRA releases: 2024-11 · check-in free text available
2021-12-23
Survey response — days 1–6 daily, dose 3
MedDRA: Chest discomfort, Conjunctivitis, SARS-CoV-2 test positive — Feeling: Poor · Fever · Muscle or body aches, Fatigue or tiredness, Nausea · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Emergency room or emergency department visit

Free text: Chest pressure. Pink eye. Tested positive for COVID so thinkall this from that

MedDRA releases: 2024-11 · check-in free text available
2021-12-23
Report sent to call center — days 1–6 daily, dose 3
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · Emergency room or emergency department visit · 1 call case(s)
2021-12-24
Survey response — days 1–6 daily, dose 3
MedDRA: Respiratory tract congestion — Feeling: Poor · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Congestion worse. Think from positive covid result though

MedDRA releases: 2024-11 · check-in free text available
2021-12-27
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-12-28
Survey response — day 7, dose 3
MedDRA: Breakthrough COVID-19, Malaise — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Still sick with breakthrough covid infection

MedDRA releases: 2024-11 · check-in free text available
2022-01-02
Health check-in — day 14, dose 3
Feeling: Fair

Adult check-in
2022-01-11
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-01-16
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-01-23
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-01-30
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-03-20
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-06-20
Health check-in — 6 months, dose 3
Feeling: Fair

Adult check-in
2022-09-16
Dose 4 — Moderna
Co-administered: Flu
2022-09-16
Survey response — day 0, dose 4
MedDRA: Paraesthesia oral — Feeling: Good · Site: Pain

Free text: Tingling in tongue

MedDRA releases: 2024-11 · check-in free text available
2022-09-17
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2022-09-18
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Fatigue or tiredness

Adult check-in
2022-09-19
Survey response — days 1–6 daily, dose 4
MedDRA: Brain fog — Feeling: Good · Fatigue or tiredness

Free text: Brain fog today and yesterday

MedDRA releases: 2024-11 · check-in free text available
2022-09-20
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Fatigue or tiredness

Adult check-in
2022-09-21
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-09-22
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-09-23
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-09-30
Survey response — day 14, dose 4
MedDRA: Abdominal discomfort, Intermenstrual bleeding, Menstrual disorder, Mood altered, Pre-existing disease — Feeling: Good

Free text: I had breakthrough bleeding with my cycle. I'm on Slynd every day of the month to control my PMDD so I no longer get my cycle but minor mood changes and stomach upset that precedes my cycle and breakthrough bleeding on one day.

MedDRA releases: 2024-11 · check-in free text available
2022-10-09
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-10-14
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-10-24
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-10-30
Survey response — day 42, dose 4
MedDRA: Intermenstrual bleeding, Premenstrual syndrome — Feeling: Good

Free text: Had a breakthrough cycle and some associated PMS symptoms with it despite being on Slynd every day

MedDRA releases: 2024-11 · check-in free text available
2023-03-19
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-19	Moderna
2	2021-05-17	Moderna
3	2021-12-19	Moderna	No
4	2022-09-16	Moderna	Flu

Call center

2 call center cases

2 successful

See the call center timeline

Free text

Release 7 — day 0, dose 1

2021-04-19

Systemic reaction (other): Pain and irritation on left side of throat only

Release 7 — days 1–6 daily, dose 1

2021-04-20

Systemic reaction (other): Same weird throat irritation just on left side

2021-04-25

Systemic reaction (other): Anxiety significantly worse last few days

Release 8 — day 7, dose 1

2021-04-26

Systemic reaction (other): Increased anxiety

Release 10 — 6 months, dose 2

2021-11-15

Symptoms: My cycles got worse and my IUD had to be removed

Healthcare visit (other): Ultrasound and visit to my gyno

Release 10 — days 1–6 daily, dose 3

2021-12-21

Systemic reaction (other): My son tested positive for COVID today

2021-12-22

Systemic reaction (other): Pink eye, sore throat, generally unwell but think from son having covid not from booster

2021-12-23

Systemic reaction (other): Chest pressure. Pink eye. Tested positive for COVID so thinkall this from that

2021-12-24

Systemic reaction (other): Congestion worse. Think from positive covid result though

Release 10 — day 7, dose 3

2021-12-28

Systemic reaction (other): Still sick with breakthrough covid infection

Release 12 — day 0, dose 4

2022-09-16

Systemic reaction (other): Tingling in tongue

Release 12 — days 1–6 daily, dose 4

2022-09-19

Systemic reaction (other): Brain fog today and yesterday

Release 12 — day 14, dose 4

2022-09-30

Symptoms: I had breakthrough bleeding with my cycle. I'm on Slynd every day of the month to control my PMDD so I no longer get my cycle but minor mood changes and stomach upset that precedes my cycle and breakthrough bleeding on one day.

Release 12 — day 42, dose 4

2022-10-30

Symptoms: Had a breakthrough cycle and some associated PMS symptoms with it despite being on Slynd every day

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 discomfort	·	·	✓
SD	Intermenstrual bleeding	·	·	✓
SD	Intra-uterine contraceptive device removal	·	·	✓
SD	Menstrual disorder	·	·	✓
SD	Menstruation irregular	·	·	✓
SD	Mood altered	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Premenstrual syndrome	·	·	✓
SD	Unexpected vaginal bleeding on hormonal IUD	·	·	✓
SRO	Anxiety	✓	✓	✓
SRO	Brain fog	·	·	✓
SRO	Breakthrough COVID-19	·	·	✓
SRO	Chest discomfort	·	·	✓
SRO	Conjunctivitis	·	·	✓
SRO	Exposure to SARS-CoV-2	·	·	✓
SRO	Malaise	·	·	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Paraesthesia oral	·	·	✓
SRO	Respiratory tract congestion	·	·	✓
SRO	SARS-CoV-2 test positive	·	·	✓
SRO	Throat irritation	✓	✓	✓

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