2GQ-64626-25523

3 vaccinations 12 coded responses 38 check-ins 12 free-text entries 3 call cases

Sex: Female
Age at first dose: 26-30
ZIP prefix: 991 / WA
Registered: 2021-04-08

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

2021-04-08
Registered in v-safe
2021-04-08
Dose 1 — Moderna
2021-04-08
Survey response — day 0, dose 1
MedDRA: Injection site bruising — Feeling: Good · Site: Pain, Redness, Swelling

Free text: Bruising near injection site

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Muscle or body aches

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

Adult check-in
2021-04-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-15
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-22
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-29
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-05-06
Dose 2 — Moderna
2021-05-06
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-05-07
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Hot flush — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Hot flashes, dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-08
Survey response — days 1–6 daily, dose 2
MedDRA: Headache — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Headache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-09
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-05-10
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Good · Chills, Headache, Nausea

Free text: Dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-11
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache

Adult check-in
2021-05-13
Health check-in — day 7, dose 2
Feeling: Good · Headache

Adult check-in
2021-05-20
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-27
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-06-03
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-10
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-17
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-08-05
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-11-04
Survey response — 6 months, dose 2
MedDRA: Oophoritis, Ovarian cyst ruptured — 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 · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: I had an ovarian cyst burst and subsequent infection.

MedDRA releases: 2024-11 · check-in free text available
2021-11-04
Report sent to call center — 6 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)
2021-11-05
Call 1 — Left Voicemail
2021-11-22
Dose 3 — Pfizer-BioNTech
2021-11-23
Survey response — days 1–6 daily, dose 3
MedDRA: Dizziness — Feeling: Poor · Site: Pain, Redness · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Dizziness

MedDRA releases: 2024-11 · check-in free text available
2021-11-24
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Fatigue or tiredness

Adult check-in
2021-11-25
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Chills, Headache

Adult check-in
2021-11-26
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-27
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-28
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Headache

Adult check-in
2021-11-29
Health check-in — day 7, dose 3
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-12-06
Survey response — day 14, dose 3
MedDRA: Condition aggravated, Pre-existing disease — Feeling: Good

Free text: I've had more ovarian cysts that usual, but I don't know if that's related.

MedDRA releases: 2024-11 · check-in free text available
2021-12-13
Survey response — day 21, dose 3
MedDRA: Ovulation pain — Feeling: Fair

Free text: Still having off cycle ovulation pain but it might be something unrelated

MedDRA releases: 2024-11 · check-in free text available
2021-12-20
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-27
Survey response — day 35, dose 3
MedDRA: Cyst, Pre-existing disease, Sinus disorder — Feeling: Fair

Free text: Sinus issues normal for allergies and continued Iberian cysts

MedDRA releases: 2024-11 · check-in free text available
2022-01-03
Survey response — day 42, dose 3
MedDRA: Adverse reaction, Lethargy, Rhinorrhoea, Throat irritation — Feeling: Fair

Free text: Allergy related symptoms, scratchy throat runny nose lethargy

MedDRA releases: 2024-11 · check-in free text available
2022-02-21
Survey response — 3 months, dose 3
MedDRA: COVID-19, Pre-existing disease, Upper respiratory tract infection — 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 · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: I got Covid with symptoms and an upper respiratory infection and allergies

MedDRA releases: 2024-11 · check-in free text available
2022-02-21
Report sent to call center — 3 months, dose 3
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 · 1 call case(s)
2022-02-22
Call 1 — Left Voicemail
2022-02-22
Call successful
Participant prefers to complete VAERS report online
2022-05-25
Health check-in — 6 months, dose 3
Feeling: Fair

Adult check-in
2022-11-23
Survey response — 12 months, dose 3
MedDRA: Fallopian tube disorder — 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 · Outpatient clinic or urgent care clinic visit

Free text: Fallopian tube issues

MedDRA releases: 2024-11 · check-in free text available
2022-11-23
Report sent to call center — 12 months, dose 3
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 · 1 call case(s)
2022-11-25
Call successful
Participant prefers to complete VAERS report online

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-08	Moderna
2	2021-05-06	Moderna
3	2021-11-22	Pfizer-BioNTech	No

Call center

3 call center cases

3 successful

See the call center timeline

Free text

Release 7 — day 0, dose 1

2021-04-08

Systemic reaction (other): Bruising near injection site

Release 8 — days 1–6 daily, dose 2

2021-05-07

Systemic reaction (other): Hot flashes, dizziness

2021-05-08

Systemic reaction (other): Headache

2021-05-10

Systemic reaction (other): Dizziness

Release 10 — 6 months, dose 2

2021-11-04

Symptoms: I had an ovarian cyst burst and subsequent infection.

Release 10 — days 1–6 daily, dose 3

2021-11-23

Systemic reaction (other): Dizziness

Release 10 — day 14, dose 3

2021-12-06

Symptoms: I've had more ovarian cysts that usual, but I don't know if that's related.

Release 10 — day 21, dose 3

2021-12-13

Symptoms: Still having off cycle ovulation pain but it might be something unrelated

Release 10 — day 35, dose 3

2021-12-27

Symptoms: Sinus issues normal for allergies and continued Iberian cysts

Release 10 — day 42, dose 3

2022-01-03

Symptoms: Allergy related symptoms, scratchy throat runny nose lethargy

Release 11 — 3 months, dose 3

2022-02-21

Symptoms: I got Covid with symptoms and an upper respiratory infection and allergies

Release 12 — 12 months, dose 3

2022-11-23

Symptoms: Fallopian tube issues

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	Adverse reaction	·	·	✓
SD	Condition aggravated	·	·	✓
SD	COVID-19	·	·	✓
SD	Cyst	·	·	✓
SD	Fallopian tube disorder	·	·	✓
SD	Lethargy	·	·	✓
SD	Oophoritis	·	·	✓
SD	Ovarian cyst ruptured	·	·	✓
SD	Ovulation pain	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Rhinorrhoea	·	·	✓
SD	Sinus disorder	·	·	✓
SD	Throat irritation	·	·	✓
SD	Upper respiratory tract infection	·	·	✓
SRO	Dizziness	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Hot flush	✓	✓	✓
SRO	Injection site bruising	✓	✓	✓

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