2GA-20238-92697

4 vaccinations 10 coded responses 35 check-ins 10 free-text entries 2 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 567 / MN
Registered: 2021-03-11

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

2021-03-11
Registered in v-safe
2021-03-11
Dose 1 — Moderna
2021-03-11
Survey response — day 0, dose 1
MedDRA: Dizziness — Feeling: Good · Nausea

Free text: A little dizziness a few minutes after shot. Ok after about 40 minutes.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-12
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness — Feeling: Fair · Fatigue or tiredness, Nausea

Free text: Lightheaded

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-13
Survey response — days 1–6 daily, dose 1
MedDRA: Headache, Self-medication — Feeling: Good · Headache, Fatigue or tiredness

Free text: I woke during night with severe headache. Took naproxen. Slept VERY hard. Felt fine this morning.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-16
Survey response — days 1–6 daily, dose 1
MedDRA: Pain, Pre-existing disease — Feeling: Good · Muscle or body aches

Free text: Aches are normal for me. Doubt it's from vaccine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-18
Survey response — day 7, dose 1
MedDRA: Arthralgia — Feeling: Good · Joint pains

Free text: Normal joint pain. Probably not from vaccine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-25
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-01
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-08
Dose 2 — Moderna
2021-04-08
Health check-in — day 0, dose 2
Feeling: Fair · None

Adult check-in
2021-04-09
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-10
Survey response — days 1–6 daily, dose 2
MedDRA: Hypoaesthesia oral — Feeling: Fair · Site: Pain, Swelling, Itching · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: My lower lip was numb first night after vaccine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-11
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Itching · Headache, Fatigue or tiredness, Nausea

Adult check-in
2021-04-12
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Joint pains

Adult check-in
2021-04-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-14
Survey response — days 1–6 daily, dose 2
MedDRA: Hypoaesthesia oral — Feeling: Good · Joint pains

Free text: Lower lip is still numb on and off

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
Health check-in — day 7, dose 2
Feeling: Good · Headache

Adult check-in
2021-04-22
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-30
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-05-06
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-13
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-20
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-08
Survey response — 3 months, dose 2
MedDRA: Nasopharyngitis — Feeling: Good

Free text: I caught a common cold

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-10-07
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-12-22
Dose 3 — Moderna
2022-04-08
Survey response — 12 months, dose 2
MedDRA: Cardiac ablation, Supraventricular tachycardia — Feeling: Good · 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, Hospitalization

Free text: SVT tachycardia ablation.

MedDRA releases: 2024-11 · check-in free text available
2022-04-08
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 · Hospitalization · 1 call case(s)
2022-04-12
Call 1 — Left Voicemail
2022-05-20
Dose 4 — Moderna
2022-05-27
Health check-in — day 7, dose 4
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-06-03
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-06-10
Health check-in — day 21, dose 4
Feeling: Fair

Adult check-in
2022-06-17
Survey response — day 28, dose 4
MedDRA: Medical counselling, Tachycardia, Unevaluable event — 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: Symptoms: Something going on with my heart again, some tachycardia. In touch with electrophysiology cardiologist and wearing a heart monitor again. · Healthcare visit (other): Ziopatch again

MedDRA releases: 2024-11 · check-in free text available
2022-06-17
Report sent to call center — day 28, dose 4
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)
2022-06-21
Call successful
Participant prefers to complete VAERS report online
2022-06-24
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-07-01
Health check-in — day 42, dose 4
Feeling: Fair

Adult check-in
2022-08-19
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-11-18
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in
2023-05-20
Health check-in — 12 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-11	Moderna
2	2021-04-08	Moderna
3	2021-12-22	Moderna	No
4	2022-05-20	Moderna	No

Call center

2 call center cases

2 successful

See the call center timeline

Free text

Release 5 — day 0, dose 1

2021-03-11

Systemic reaction (other): A little dizziness a few minutes after shot. Ok after about 40 minutes.

Release 5 — days 1–6 daily, dose 1

2021-03-12

Systemic reaction (other): Lightheaded

2021-03-13

Systemic reaction (other): I woke during night with severe headache. Took naproxen. Slept VERY hard. Felt fine this morning.

2021-03-16

Systemic reaction (other): Aches are normal for me. Doubt it's from vaccine.

Release 5 — day 7, dose 1

2021-03-18

Systemic reaction (other): Normal joint pain. Probably not from vaccine.

Release 7 — days 1–6 daily, dose 2

2021-04-10

Systemic reaction (other): My lower lip was numb first night after vaccine.

2021-04-14

Systemic reaction (other): Lower lip is still numb on and off

Release 9 — 3 months, dose 2

2021-07-08

Symptoms: I caught a common cold

Release 11 — 12 months, dose 2

2022-04-08

Symptoms: SVT tachycardia ablation.

Release 12 — day 28, dose 4

2022-06-17

Symptoms: Something going on with my heart again, some tachycardia. In touch with electrophysiology cardiologist and wearing a heart monitor again.

Healthcare visit (other): Ziopatch again

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	Unevaluable event	·	·	✓
SD	Cardiac ablation	·	·	✓
SD	Medical counselling	·	·	✓
SD	Nasopharyngitis	✓	✓	✓
SD	Supraventricular tachycardia	·	·	✓
SD	Tachycardia	·	·	✓
SRO	Arthralgia	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Hypoaesthesia oral	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Self-medication	✓	✓	✓

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