2PR-10431-33920

3 vaccinations 32 coded responses 43 check-ins 32 free-text entries 8 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 443 / OH
Registered: 2021-01-16

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

2021-01-16
Registered in v-safe
2021-01-16
Dose 1 — Moderna
2021-01-16
Survey response — day 0, dose 1
MedDRA: Dizziness — Feeling: Poor · Site: Pain · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Dizzy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-16
Report sent to call center — day 0, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-17
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness, Paraesthesia — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Free text: Little dizzy, tingly on wrist and cheeks. All mild.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-18
Survey response — days 1–6 daily, dose 1
MedDRA: Paraesthesia — Feeling: Fair · Site: Pain · Headache, Rash, not including the immediate area around the injection site

Free text: Facial tingling resolved.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-19
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness — Feeling: Good · Site: Pain · Headache, Rash, not including the immediate area around the injection site

Free text: Dizzy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-20
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness — Feeling: Fair · Headache, Diarrhea, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: Dizzy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-21
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness — Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Dizzy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-01-23
Survey response — day 7, dose 1
MedDRA: Dizziness — Feeling: Good

Free text: Dizzy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-30
Survey response — day 14, dose 1
MedDRA: Dizziness, Sinus disorder — Feeling: Good · 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

Free text: Sinus concerns and dizziness.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-30
Report sent to call center — day 14, dose 1
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)
2021-02-06
Survey response — day 21, dose 1
MedDRA: Dizziness, 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

Free text: Dizzy and headache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-06
Report sent to call center — day 21, dose 1
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)
2021-02-14
Survey response — day 28, dose 1
MedDRA: Dizziness, Tinnitus — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Dizzy and tinitus

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-14
Report sent to call center — day 28, dose 1
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)
2021-02-20
Health check-in — day 35, dose 1
Feeling: Fair

Adult check-in
2021-02-24
Dose 2 — Moderna
2021-02-24
Survey response — day 0, dose 2
MedDRA: Dizziness, Paraesthesia — Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Free text: Dizzy, tingling around eyes and face

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-25
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Pain in extremity, Skin burning sensation — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Dizzy, skin burning in arms

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-26
Survey response — days 1–6 daily, dose 2
MedDRA: Joint swelling, Skin burning sensation — Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Arm burning. Wrist felt swollen.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-27
Survey response — days 1–6 daily, dose 2
MedDRA: Burning sensation — Feeling: Fair · Site: Pain · Headache, Muscle or body aches

Free text: Wrist and hand burning a little still

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-28
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia, Joint swelling — Feeling: Fair · Site: Pain · Headache

Free text: Pain and swelling in wrist of shot arm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-01
Survey response — days 1–6 daily, dose 2
MedDRA: Burning sensation — Feeling: Good · Site: Pain, Itching

Free text: Minimal burning in wrist

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-02
Survey response — days 1–6 daily, dose 2
MedDRA: Pruritus — Feeling: Fair · Site: Itching

Free text: No rash but body itching a little.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-03
Survey response — day 7, dose 2
MedDRA: Pruritus, Urticaria — Feeling: Poor · Fever · Chills, Nausea · Be unable to do your normal daily activities

Free text: Hives on arm of injection and body itching all over

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-10
Survey response — day 14, dose 2
MedDRA: Paraesthesia, Pruritus, Urticaria — Feeling: Good · Be unable to do your normal daily activities

Free text: Continued itching and tingling in arms, hands and wrist along with a few hives. Especially noted in vaccinated arm. It has now resolved though.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-17
Survey response — day 21, dose 2
MedDRA: Lymph node pain — Feeling: Fair

Free text: Tender glands under left arm.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-24
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-03-31
Survey response — day 35, dose 2
MedDRA: Urticaria — Feeling: Good

Free text: I still get occasions hives but they resolve in an hour or so

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-07
Survey response — day 42, dose 2
MedDRA: Gastrointestinal disorder — Feeling: Good · Be unable to do your normal daily activities

Free text: Stomach issues

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-26
Survey response — 3 months, dose 2
MedDRA: Abdominal discomfort, Heavy menstrual bleeding — Feeling: Fair · 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: Increased stomach issues. Excessively long period and heavy.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-26
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)
2021-06-19
Call 1 — Left Voicemail
2021-08-25
Survey response — 6 months, dose 2
MedDRA: Gastric disorder, Gastrooesophageal reflux disease — Feeling: Good · 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: Stomach issues and increased reflux

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-25
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)
2021-08-30
Call 1 — Left Voicemail
2021-11-10
Dose 3 — Moderna
2021-11-10
Survey response — day 0, dose 3
MedDRA: Dizziness — Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Fatigue or tiredness, Nausea

Free text: Dizzy

MedDRA releases: 2024-11 · check-in free text available
2021-11-11
Survey response — days 1–6 daily, dose 3
MedDRA: Intermenstrual bleeding — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: I had random period spotting

MedDRA releases: 2024-11 · check-in free text available
2021-11-12
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-11-13
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness · 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 · Headache, Fatigue or tiredness

Adult check-in
2021-11-15
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-11-16
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-11-17
Health check-in — day 7, dose 3
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-11-24
Survey response — day 14, dose 3
MedDRA: Paranasal sinus hypersecretion, Respiratory tract congestion — Feeling: Fair · Be unable to do your normal daily activities

Free text: Sinus drainage and chest congestion.

MedDRA releases: 2024-11 · check-in free text available
2021-12-01
Survey response — day 21, dose 3
MedDRA: Urticaria — Feeling: Fair

Free text: Hives

MedDRA releases: 2024-11 · check-in free text available
2021-12-08
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-15
Survey response — day 35, dose 3
MedDRA: Respiratory tract congestion — Feeling: Fair

Free text: Congestion

MedDRA releases: 2024-11 · check-in free text available
2021-12-22
Survey response — day 42, dose 3
MedDRA: Unevaluable event — Feeling: Good · 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: Sinus

MedDRA releases: 2024-11 · check-in free text available
2021-12-22
Report sent to call center — day 42, 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)
2021-12-23
Call 1 — Left Voicemail
2022-02-09
Survey response — 3 months, dose 3
MedDRA: Abdominal pain upper — Feeling: Fair

Free text: Stomach pains

MedDRA releases: 2024-11 · check-in free text available
2022-05-12
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-11-10
Survey response — 12 months, dose 3
MedDRA: COVID-19 — 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

Free text: I had Covid

MedDRA releases: 2024-11 · check-in free text available
2022-11-10
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

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-11-11
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-11-11
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-11-11
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-11-11
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-11-11
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-11-11
Call successful
Participant prefers to complete VAERS report online
2022-11-11
Call successful
Participant prefers to complete VAERS report online

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-16	Moderna
2	2021-02-24	Moderna
3	2021-11-10	Moderna	No

Call center

8 call center cases

7 successful · 1 priority 2/3 (triaged and no follow up)

See the call center timeline

Free text

Release 2 — day 0, dose 1

2021-01-16

Systemic reaction (other): Dizzy

Release 2 — days 1–6 daily, dose 1

2021-01-17

Systemic reaction (other): Little dizzy, tingly on wrist and cheeks. All mild.

2021-01-18

Systemic reaction (other): Facial tingling resolved.

2021-01-19

Systemic reaction (other): Dizzy

2021-01-20

Systemic reaction (other): Dizzy

2021-01-21

Systemic reaction (other): Dizzy

Release 2 — day 7, dose 1

2021-01-23

Systemic reaction (other): Dizzy

Release 3 — day 14, dose 1

2021-01-30

Symptoms: Sinus concerns and dizziness.

Release 3 — day 21, dose 1

2021-02-06

Symptoms: Dizzy and headache

Release 4 — day 28, dose 1

2021-02-14

Symptoms: Dizzy and tinitus

Release 4 — day 0, dose 2

2021-02-24

Systemic reaction (other): Dizzy, tingling around eyes and face

Release 4 — days 1–6 daily, dose 2

2021-02-25

Systemic reaction (other): Dizzy, skin burning in arms

2021-02-26

Systemic reaction (other): Arm burning. Wrist felt swollen.

2021-02-27

Systemic reaction (other): Wrist and hand burning a little still

2021-02-28

Systemic reaction (other): Pain and swelling in wrist of shot arm

2021-03-01

Systemic reaction (other): Minimal burning in wrist

2021-03-02

Systemic reaction (other): No rash but body itching a little.

Release 5 — day 7, dose 2

2021-03-03

Systemic reaction (other): Hives on arm of injection and body itching all over

Release 5 — day 14, dose 2

2021-03-10

Symptoms: Continued itching and tingling in arms, hands and wrist along with a few hives. Especially noted in vaccinated arm. It has now resolved though.

Release 5 — day 21, dose 2

2021-03-17

Symptoms: Tender glands under left arm.

Release 6 — day 35, dose 2

2021-03-31

Symptoms: I still get occasions hives but they resolve in an hour or so

Release 7 — day 42, dose 2

2021-04-07

Symptoms: Stomach issues

Release 8 — 3 months, dose 2

2021-05-26

Symptoms: Increased stomach issues. Excessively long period and heavy.

Release 9 — 6 months, dose 2

2021-08-25

Symptoms: Stomach issues and increased reflux

Release 10 — day 0, dose 3

2021-11-10

Systemic reaction (other): Dizzy

Release 10 — days 1–6 daily, dose 3

2021-11-11

Systemic reaction (other): I had random period spotting

Release 10 — day 14, dose 3

2021-11-24

Symptoms: Sinus drainage and chest congestion.

Release 10 — day 21, dose 3

2021-12-01

Symptoms: Hives

Release 10 — day 35, dose 3

2021-12-15

Symptoms: Congestion

Release 10 — day 42, dose 3

2021-12-22

Symptoms: Sinus

Release 11 — 3 months, dose 3

2022-02-09

Symptoms: Stomach pains

Release 12 — 12 months, dose 3

2022-11-10

Symptoms: I had Covid

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 discomfort	✓	✓	✓
SD	Abdominal pain upper	·	·	✓
SD	COVID-19	·	·	✓
SD	Dizziness	✓	✓	✓
SD	Gastric disorder	✓	·	✓
SD	Gastrointestinal disorder	✓	✓	✓
SD	Gastrooesophageal reflux disease	✓	·	✓
SD	Headache	✓	✓	✓
SD	Heavy menstrual bleeding	✓	✓	✓
SD	Lymph node pain	✓	✓	✓
SD	Paraesthesia	✓	✓	✓
SD	Paranasal sinus hypersecretion	·	·	✓
SD	Pruritus	✓	✓	✓
SD	Respiratory tract congestion	·	·	✓
SD	Sinus disorder	✓	✓	✓
SD	Tinnitus	✓	✓	✓
SD	Unevaluable event	·	·	✓
SD	Urticaria	✓	✓	✓
SRO	Arthralgia	✓	✓	✓
SRO	Burning sensation	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Intermenstrual bleeding	·	·	✓
SRO	Joint swelling	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Paraesthesia	✓	✓	✓
SRO	Pruritus	✓	✓	✓
SRO	Skin burning sensation	✓	✓	✓
SRO	Urticaria	✓	✓	✓

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