2MS-11680-21650

3 vaccinations 11 coded responses 33 check-ins 11 free-text entries 7 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 984 / WA
Registered: 2021-03-31

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

2021-03-31
Registered in v-safe
2021-03-31
Dose 1 — Moderna
2021-03-31
Survey response — day 0, dose 1
MedDRA: Paraesthesia — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Free text: Tingling in right hand immediately after injection.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-01
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness, Vertigo — Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness

Free text: Feeling dizzy/swimmy-headed

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-03
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Rash, not including the immediate area around the injection site

Adult check-in
2021-04-04
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fatigue or tiredness, Rash, not including the immediate area around the injection site

Adult check-in
2021-04-05
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-06
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-07
Health check-in — day 7, dose 1
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness

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

Adult check-in
2021-04-21
Survey response — day 21, dose 1
MedDRA: Immunisation reaction, Injection site erythema, Vaccination site rash, Vaccination site warmth — Feeling: Fair

Free text: Rash underneath deltoid on vaccinated arm appeared shortly after my last check-in. Two oblong red spots. Hot to the touch. Consistent with images of covid arm others have experienced from Moderna shot. Still slightly red. Pics available.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-28
Dose 2 — Moderna
2021-04-28
Health check-in — day 28, dose 1
Feeling: Fair

Adult check-in
2021-05-05
Health check-in — day 7, dose 2
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-05-12
Survey response — day 14, dose 2
MedDRA: Brain fog, Confusional state, Headache — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities

Free text: Brain fog, confusion, severe headache.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-19
Survey response — day 21, dose 2
MedDRA: Brain fog, Cognitive disorder, Headache — Feeling: Poor · Be unable to work, 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: Extreme headache and brain fog/ cognitive issues.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-19
Report sent to call center — day 21, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-26
Survey response — day 28, dose 2
MedDRA: Headache, Nausea — Feeling: Poor · Be unable to work, 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: Headache and nausea continue to vary.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-26
Report sent to call center — day 28, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-02
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-06-09
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-07-28
Survey response — 3 months, dose 2
MedDRA: Heart rate increased — Feeling: Poor · 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: High heart rate

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-28
Report sent to call center — 3 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-04
Call 1 — Could Not Reach Participant
2021-10-27
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2021-11-08
Dose 3 — Pfizer-BioNTech
Co-administered: Flu
2021-11-08
Health check-in — day 0, dose 3
Feeling: Fair · Site: Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-09
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-11-10
Survey response — days 1–6 daily, dose 3
MedDRA: Migraine — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Migraine

MedDRA releases: 2024-11 · check-in free text available
2021-11-11
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling, Itching · Headache, Fatigue or tiredness, Nausea · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Adult check-in
2021-11-11
Report sent to call center — days 1–6 daily, dose 3
Be unable to work or attend school · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-11-12
Call 1 — Could Not Reach Participant
2021-11-13
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-11-14
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Itching · Fatigue or tiredness

Adult check-in
2021-11-17
Health check-in — day 7, dose 3
Feeling: Fair · Headache, Muscle or body aches · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Adult check-in
2021-11-17
Report sent to call center — day 7, dose 3
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)
2021-11-19
Call 2 — Could Not Reach Participant
2021-11-22
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-29
Survey response — day 21, dose 3
MedDRA: Cough, Fatigue — Feeling: Poor · Be unable to do your normal daily activities

Free text: Cough and fatigue

MedDRA releases: 2024-11 · check-in free text available
2021-12-06
Survey response — day 28, dose 3
MedDRA: Adverse drug reaction — 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: Drug reaction to migraine med.

MedDRA releases: 2024-11 · check-in free text available
2021-12-06
Report sent to call center — day 28, 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)
2021-12-08
Call 1 — Could Not Reach Participant
2021-12-13
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-13
Call 2 — Could Not Reach Participant
2021-12-20
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-02-07
Health check-in — 3 months, dose 3
Feeling: Fair

Adult check-in
2022-05-09
Survey response — 6 months, dose 3
MedDRA: Urinary tract infection — 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: UTI

MedDRA releases: 2024-11 · check-in free text available
2022-05-09
Report sent to call center — 6 months, dose 3
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)
2022-05-10
Call 1 — Left Voicemail
2022-08-05
Call successful
Participant prefers to complete VAERS report online
2022-08-05
Call successful
Participant prefers to complete VAERS report online
2022-08-05
Call successful
Participant prefers to complete VAERS report online
2022-08-05
Call successful
Participant prefers to complete VAERS report online
2022-08-05
Call successful
Participant prefers to complete VAERS report online
2022-08-05
Call successful
Participant prefers to complete VAERS report online
2022-08-05
Call successful
Participant prefers to complete VAERS report online

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-31	Moderna
2	2021-04-28	Moderna
3	2021-11-08	Pfizer-BioNTech	Flu

Call center

7 call center cases

7 successful

See the call center timeline

Free text

Release 6 — day 0, dose 1

2021-03-31

Systemic reaction (other): Tingling in right hand immediately after injection.

Release 6 — days 1–6 daily, dose 1

2021-04-01

Systemic reaction (other): Feeling dizzy/swimmy-headed

Release 7 — day 21, dose 1

2021-04-21

Symptoms: Rash underneath deltoid on vaccinated arm appeared shortly after my last check-in. Two oblong red spots. Hot to the touch. Consistent with images of covid arm others have experienced from Moderna shot. Still slightly red. Pics available.

Release 8 — day 14, dose 2

2021-05-12

Symptoms: Brain fog, confusion, severe headache.

Release 8 — day 21, dose 2

2021-05-19

Symptoms: Extreme headache and brain fog/ cognitive issues.

Release 8 — day 28, dose 2

2021-05-26

Symptoms: Headache and nausea continue to vary.

Release 9 — 3 months, dose 2

2021-07-28

Symptoms: High heart rate

Release 10 — days 1–6 daily, dose 3

2021-11-10

Systemic reaction (other): Migraine

Release 10 — day 21, dose 3

2021-11-29

Symptoms: Cough and fatigue

Release 10 — day 28, dose 3

2021-12-06

Symptoms: Drug reaction to migraine med.

Release 11 — 6 months, dose 3

2022-05-09

Symptoms: UTI

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 drug reaction	·	·	✓
SD	Brain fog	✓	✓	✓
SD	Cognitive disorder	✓	✓	✓
SD	Confusional state	✓	✓	✓
SD	Cough	·	·	✓
SD	Fatigue	·	·	✓
SD	Headache	✓	✓	✓
SD	Heart rate increased	✓	·	✓
SD	Immunisation reaction	✓	✓	✓
SD	Injection site erythema	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Urinary tract infection	·	·	✓
SD	Vaccination site rash	✓	✓	✓
SD	Vaccination site warmth	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Migraine	·	·	✓
SRO	Paraesthesia	✓	✓	✓
SRO	Vertigo	✓	✓	✓

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