2SN-26969-80995

5 vaccinations 6 coded responses 29 check-ins 6 free-text entries 3 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 478 / IN
Registered: 2021-02-22

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

2021-02-19
Dose 1 — Moderna
2021-02-22
Registered in v-safe
2021-02-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Redness, Itching · None

Adult check-in
2021-02-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Itching · None

Adult check-in
2021-02-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Itching · None

Adult check-in
2021-02-26
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-05
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-12
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-19
Dose 2 — Moderna
2021-03-19
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-20
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-21
Survey response — days 1–6 daily, dose 2
MedDRA: Oropharyngeal pain — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work

Free text: Sore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-22
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Muscle or body aches · Be unable to work

Adult check-in
2021-03-23
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache, Muscle or body aches

Adult check-in
2021-03-24
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache, Muscle or body aches

Adult check-in
2021-03-25
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache

Adult check-in
2021-03-26
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-02
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-09
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-16
Survey response — day 28, dose 2
MedDRA: Dizziness, Labyrinthitis, Nausea, Office visit — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Dizziness and nausea. Doctor says inner ear infection. Taking meds & resting at home. · Healthcare visit (other): Doctor's office

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
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)
2021-04-23
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-02
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-18
Survey response — 3 months, dose 2
MedDRA: 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 · Emergency room or emergency department visit, Hospitalization

Free text: I recently had my gall bladder removed & I'm still recovering from that.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-18
Report sent to call center — 3 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

1 call case(s)
2021-06-21
Call successful
Does not wish to fill out VAERS report
2021-06-21
Call successful
Participant prefers to complete VAERS report online
2021-09-17
Survey response — 6 months, dose 2
MedDRA: Office visit, Pre-existing disease, Sinusitis — 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

Free text: Symptoms: I had a sinus infection a few weeks ago. I was still healing up after complications from gall bladder surgery so it took a while to feel better. I'm fine now. · Healthcare visit (other): Primary care physician

MedDRA releases: 2024-11 · check-in free text available
2021-09-17
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

1 call case(s)
2022-01-14
Dose 3 — Moderna
2022-03-19
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-07-22
Dose 4 — Moderna
2022-09-08
Dose 5 — Moderna
Co-administered: Flu
2022-09-28
Health check-in — day 14, dose 5
Feeling: Good

Adult check-in
2022-09-29
Health check-in — day 21, dose 5
Feeling: Good

Adult check-in
2022-10-06
Health check-in — day 28, dose 5
Feeling: Good

Adult check-in
2022-10-13
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2022-10-20
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2022-12-10
Survey response — 3 months, dose 5
MedDRA: Sinusitis — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Sinus infection about a month ago.

MedDRA releases: 2024-11 · check-in free text available
2023-03-09
Health check-in — 6 months, dose 5
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-19	Moderna
2	2021-03-19	Moderna
3	2022-01-14	Moderna	No
4	2022-07-22	Moderna	No
5	2022-09-08	Moderna	Flu

Call center

3 call center cases

2 successful · 1 unsuccessful

See the call center timeline

Free text

Release 6 — days 1–6 daily, dose 2

2021-03-20

Systemic reaction (other): Dizziness

2021-03-21

Systemic reaction (other): Sore throat

Release 7 — day 28, dose 2

2021-04-16

Symptoms: Dizziness and nausea. Doctor says inner ear infection. Taking meds & resting at home.

Healthcare visit (other): Doctor's office

Release 9 — 3 months, dose 2

2021-06-18

Symptoms: I recently had my gall bladder removed & I'm still recovering from that.

Release 9 — 6 months, dose 2

2021-09-17

Symptoms: I had a sinus infection a few weeks ago. I was still healing up after complications from gall bladder surgery so it took a while to feel better. I'm fine now.

Healthcare visit (other): Primary care physician

Release 12 — 3 months, dose 5

2022-12-10

Symptoms: Sinus infection about a month ago.

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
HCVO	Office visit	✓	✓	✓
SD	Cholecystectomy	✓	✓	✓
SD	Dizziness	✓	✓	✓
SD	Labyrinthitis	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Pre-existing disease	·	·	✓
SD	Sinusitis	·	·	✓
SRO	Dizziness	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓

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