2PR-21852-62162

3 vaccinations 11 coded responses 36 check-ins 11 free-text entries 3 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 333 / FL
Registered: 2021-01-10

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

2021-01-10
Registered in v-safe
2021-01-10
Dose 1 — Moderna
2021-01-10
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-01-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-01-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-01-19
Health check-in — day 7, dose 1
Feeling: Good · Headache

Adult check-in
2021-01-24
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-31
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-07
Dose 2 — Moderna
2021-02-07
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-02-08
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Redness, Swelling · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-02-09
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Fatigue or tiredness, Vomiting · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-02-10
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Headache, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-02-11
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Redness, Swelling, Itching · Headache, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-02-12
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Itching · Headache, Fatigue or tiredness

Adult check-in
2021-02-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Itching · Headache, Fatigue or tiredness

Adult check-in
2021-02-14
Health check-in — day 7, dose 2
Feeling: Good · Headache

Adult check-in
2021-02-21
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-28
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-03-07
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-14
Survey response — day 35, dose 2
MedDRA: Diarrhoea, Fatigue, Headache, Vomiting — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: 5 days ago experienced bad headache lasting 3 days and 1 day of vomiting and diarrhea. Very exhausted

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-21
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-05-09
Survey response — 3 months, dose 2
MedDRA: Pruritus, Throat irritation — Feeling: Fair

Free text: Constant itching ears thru throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-09
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-08-31
Dose 3 — Moderna
2021-09-02
Survey response — days 1–6 daily, dose 3
MedDRA: Axillary pain, Breast pain — Feeling: Poor · Site: Pain, Redness · Fever · Chills, Headache, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Very bad pain underarm and going into breast same side as injection

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-09-03
Survey response — days 1–6 daily, dose 3
MedDRA: Breast swelling, Oedema peripheral — Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Swelling underarm and near breast on arm that was injected

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-09-04
Survey response — days 1–6 daily, dose 3
MedDRA: Breast swelling, Oedema peripheral — Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Underarm swelling going into the breast

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-09-05
Survey response — days 1–6 daily, dose 3
MedDRA: Breast pain, Lymphadenopathy — Feeling: Fair · Site: Redness · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Lymph node starting to go down a little under arm and breast still have pain

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-09-06
Survey response — days 1–6 daily, dose 3
MedDRA: Breast swelling, Oedema peripheral — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Swelling underarm and breast going down

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-09-07
Survey response — day 7, dose 3
MedDRA: Breast swelling, Oedema peripheral — Feeling: Fair · Site: Swelling · Headache, Fatigue or tiredness

Free text: Underarm and breast swelling going down

MedDRA releases: 2024-11 · check-in free text available
2021-09-14
Health check-in — day 14, dose 3
Feeling: Fair

Adult check-in
2021-09-21
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2021-09-28
Survey response — day 28, dose 3
MedDRA: Chills, Cough, Fatigue, Headache, Nasal congestion, Pain, Pyrexia, Respiratory tract congestion — Feeling: Poor · 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: Low grade fever chills very tired body pain headache stuffy nose and head slight cough

MedDRA releases: 2024-11 · check-in free text available
2021-09-28
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 · 1 call case(s)
2021-09-30
Call 1 — Left Voicemail
2021-10-05
Health check-in — day 35, dose 3
Feeling: Poor

Adult check-in
2021-10-12
Survey response — day 42, dose 3
MedDRA: Fatigue, Headache — Feeling: Fair · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Headaches fatigue

MedDRA releases: 2024-11 · check-in free text available
2021-10-12
Report sent to call center — day 42, 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)
2021-10-15
Call 1 — Left Voicemail
2021-10-15
Call successful
Participant prefers to complete VAERS report online
2021-10-15
Call successful
Participant prefers to complete VAERS report online
2021-12-01
Health check-in — 3 months, dose 3
Feeling: Fair

Adult check-in
2022-03-03
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-08-31
Survey response — 12 months, dose 3
MedDRA: Breast cyst, COVID-19, Cholecystectomy — 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: Gall bladder removal, very small cyst on breast and got COVID

MedDRA releases: 2024-11 · check-in free text available
2022-08-31
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)
2022-09-02
Call 1 — Left Voicemail
2022-09-14
Call successful
Participant prefers to complete VAERS report online

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-10	Moderna
2	2021-02-07	Moderna
3	2021-08-31	Moderna	No

Call center

3 call center cases

3 successful

See the call center timeline

Free text

Release 5 — day 35, dose 2

2021-03-14

Symptoms: 5 days ago experienced bad headache lasting 3 days and 1 day of vomiting and diarrhea. Very exhausted

Release 8 — 3 months, dose 2

2021-05-09

Symptoms: Constant itching ears thru throat

Release 9 — days 1–6 daily, dose 3

2021-09-02

Systemic reaction (other): Very bad pain underarm and going into breast same side as injection

2021-09-03

Systemic reaction (other): Swelling underarm and near breast on arm that was injected

2021-09-04

Systemic reaction (other): Underarm swelling going into the breast

2021-09-05

Systemic reaction (other): Lymph node starting to go down a little under arm and breast still have pain

2021-09-06

Systemic reaction (other): Swelling underarm and breast going down

Release 9 — day 7, dose 3

2021-09-07

Systemic reaction (other): Underarm and breast swelling going down

Release 9 — day 28, dose 3

2021-09-28

Symptoms: Low grade fever chills very tired body pain headache stuffy nose and head slight cough

Release 10 — day 42, dose 3

2021-10-12

Symptoms: Headaches fatigue

Release 12 — 12 months, dose 3

2022-08-31

Symptoms: Gall bladder removal, very small cyst on breast and got 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	Breast cyst	·	·	✓
SD	Chills	·	·	✓
SD	Cholecystectomy	·	·	✓
SD	Cough	·	·	✓
SD	COVID-19	·	·	✓
SD	Diarrhoea	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Nasal congestion	·	·	✓
SD	Pain	·	·	✓
SD	Pruritus	✓	✓	✓
SD	Pyrexia	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	Throat irritation	✓	✓	✓
SD	Vomiting	✓	✓	✓
SRO	Axillary pain	✓	·	✓
SRO	Breast pain	✓	·	✓
SRO	Breast swelling	✓	·	✓
SRO	Lymphadenopathy	✓	·	✓
SRO	Oedema peripheral	✓	·	✓

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