2Q8-87837-58863

4 vaccinations 12 coded responses 41 check-ins 12 free-text entries 3 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 880 / NM
Registered: 2021-03-02

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

2021-03-02
Registered in v-safe
2021-03-02
Dose 1 — Moderna
2021-03-02
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-03-03
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-03-04
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-03-05
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-03-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-03-09
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-16
Survey response — day 14, dose 1
MedDRA: Gallbladder disorder — Feeling: Poor · 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: Gallbladder attack

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-16
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)
2021-03-23
Survey response — day 21, dose 1
MedDRA: Gallbladder disorder, Nasopharyngitis, Pre-existing disease, Symptom recurrence — Feeling: Good · Be unable to work, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Had a gallbladder attack. Not vaccine related; has happened prior to receiving the shot.Caught a cold when my toddler started daycare. Definitely not related to the vaccine -- the whole family has the same symptoms.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-23
Report sent to call center — day 21, dose 1
Be unable to work · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-30
Dose 2 — Moderna
2021-03-30
Health check-in — day 0, dose 2
Feeling: Fair · None

Adult check-in
2021-03-31
Survey response — days 1–6 daily, dose 2
MedDRA: Chest discomfort, Heart rate increased — Feeling: Poor · Site: Pain · Headache, Fatigue or tiredness · 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: Elevated resting heart rate, heaviness in chest

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-31
Report sent to call center — days 1–6 daily, 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)
2021-04-01
Survey response — days 1–6 daily, dose 2
MedDRA: Heart rate increased, Oxygen saturation decreased — Feeling: Fair · Site: Pain, Redness · Chills, Headache, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Elevated heart rate and reduced oxygen saturation

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Survey response — days 1–6 daily, dose 2
MedDRA: Heart rate increased, Lymphadenopathy, Oxygen saturation decreased — Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Swollen lymph node near collarbone on same side as injection, elevated heart rate and reduced blood oxygen

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-03
Survey response — days 1–6 daily, dose 2
MedDRA: Heart rate increased — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Elevated heart rate

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-04
Survey response — days 1–6 daily, dose 2
MedDRA: Heart rate increased, Lymphadenopathy — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Swollen lymph node, elevated heart rate

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-05
Survey response — days 1–6 daily, dose 2
MedDRA: Heart rate increased, Lymphadenopathy — Feeling: Good

Free text: Swollen lymph node; elevated heart rate

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-06
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-13
Health check-in — day 14, dose 2
Feeling: Good

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

Adult check-in
2021-04-27
Survey response — day 28, dose 2
MedDRA: Lower respiratory tract infection, Nasopharyngitis — Feeling: Fair

Free text: Just a head/chest cold

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-04
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-11
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-29
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-28
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-04
Dose 3 — Moderna
2021-12-15
Call successful
Participant prefers to complete VAERS report online
2022-03-30
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-04-28
Dose 4 — Moderna
2022-04-28
Health check-in — day 0, dose 4
Feeling: Good · None

Adult check-in
2022-04-29
Survey response — days 1–6 daily, dose 4
MedDRA: Oropharyngeal pain, Restlessness, Sensitive skin — Feeling: Poor · Site: Pain, Redness, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Restlessness, skin sensitivity, sore throat

MedDRA releases: 2024-11 · check-in free text available
2022-04-30
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain, Redness · Headache

Adult check-in
2022-05-01
Survey response — days 1–6 daily, dose 4
MedDRA: Lymphadenopathy, Oropharyngeal pain — Feeling: Fair · Site: Pain, Redness · Headache

Free text: Sore throat, swollen lymph node

MedDRA releases: 2024-11 · check-in free text available
2022-05-02
Survey response — days 1–6 daily, dose 4
MedDRA: Oropharyngeal pain — Feeling: Good · Site: Pain, Redness · Headache

Free text: Sore throat

MedDRA releases: 2024-11 · check-in free text available
2022-05-03
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Headache, Rash, not including the immediate area around the injection site

Adult check-in
2022-05-04
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Headache

Adult check-in
2022-05-05
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-05-12
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-05-19
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-06-04
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-06-09
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-07-28
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-10-27
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in
2023-04-28
Health check-in — 12 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-02	Moderna
2	2021-03-30	Moderna
3	2021-11-04	Moderna	No
4	2022-04-28	Moderna	No

Call center

3 call center cases

3 successful

See the call center timeline

Free text

Release 5 — day 14, dose 1

2021-03-16

Symptoms: Gallbladder attack

Release 6 — day 21, dose 1

2021-03-23

Symptoms: Had a gallbladder attack. Not vaccine related; has happened prior to receiving the shot.Caught a cold when my toddler started daycare. Definitely not related to the vaccine -- the whole family has the same symptoms.

Release 6 — days 1–6 daily, dose 2

2021-03-31

Systemic reaction (other): Elevated resting heart rate, heaviness in chest

2021-04-01

Systemic reaction (other): Elevated heart rate and reduced oxygen saturation

2021-04-02

Systemic reaction (other): Swollen lymph node near collarbone on same side as injection, elevated heart rate and reduced blood oxygen

2021-04-03

Systemic reaction (other): Elevated heart rate

2021-04-04

Systemic reaction (other): Swollen lymph node, elevated heart rate

2021-04-05

Systemic reaction (other): Swollen lymph node; elevated heart rate

Release 8 — day 28, dose 2

2021-04-27

Symptoms: Just a head/chest cold

Release 11 — days 1–6 daily, dose 4

2022-04-29

Systemic reaction (other): Restlessness, skin sensitivity, sore throat

2022-05-01

Systemic reaction (other): Sore throat, swollen lymph node

2022-05-02

Systemic reaction (other): Sore throat

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	Gallbladder disorder	✓	✓	✓
SD	Lower respiratory tract infection	✓	✓	✓
SD	Nasopharyngitis	✓	✓	✓
SD	Pre-existing disease	✓	·	✓
SD	Symptom recurrence	○	✓	○
SRO	Chest discomfort	✓	✓	✓
SRO	Heart rate increased	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Oropharyngeal pain	·	·	✓
SRO	Oxygen saturation decreased	✓	✓	✓
SRO	Restlessness	·	·	✓
SRO	Sensitive skin	·	·	✓

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