2YY-55538-84721

4 vaccinations 10 coded responses 39 check-ins 10 free-text entries 3 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 321 / FL
Registered: 2021-02-25

Relationship: Self
Race: Black or African American
Ethnicity: Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-02-25
Registered in v-safe
2021-02-25
Dose 1 — Moderna
2021-02-25
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-02-26
Survey response — days 1–6 daily, dose 1
MedDRA: Adverse reaction — Feeling: Good · Site: Pain · Diarrhea

Free text: Mild

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-27
Survey response — days 1–6 daily, dose 1
MedDRA: No adverse event — Feeling: Good · Diarrhea

Free text: No

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-01
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-04
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-11
Survey response — day 14, dose 1
MedDRA: Diarrhoea — Feeling: Good

Free text: Diarrhea

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-18
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-26
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-03-30
Dose 2 — Moderna
2021-04-01
Survey response — days 1–6 daily, dose 2
MedDRA: Epistaxis — Feeling: Fair · Site: Pain, Itching · Fever · Chills, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: I woke up this morning with a nose bleed

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Itching · Fatigue or tiredness, Nausea

Adult check-in
2021-04-03
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Itching · None

Adult check-in
2021-04-04
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site warmth — Feeling: Poor · Site: Redness, Swelling, Itching

Free text: Injection site is hot

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: Injection site erythema, Injection site rash, Injection site warmth — Feeling: Fair · Site: Redness, Swelling, Itching

Free text: The area of injection with rash is usually HOT and red.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-06
Survey response — day 7, dose 2
MedDRA: Rash pruritic — Feeling: Fair · Site: Redness, Swelling, Itching · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Rash and itching so bad I when to see my primary doctor.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-06
Report sent to call center — day 7, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-13
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-20
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-27
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-05
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-14
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-05
Survey response — 3 months, dose 2
MedDRA: Neuralgia, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: Leg and feet nerve pains · Healthcare visit (other): See my Neurologist

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-05
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-08
Call 2 — Left Voicemail
2021-07-08
Call successful
Participant prefers to complete VAERS report online
2021-09-30
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-02
Dose 3 — Moderna
2021-11-11
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-11-23
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-30
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-08
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-16
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-02-01
Survey response — 3 months, dose 3
MedDRA: COVID-19 — Feeling: Good · Be unable to work or attend school

Free text: Covid

MedDRA releases: 2024-11 · check-in free text available
2022-05-03
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-05-09
Dose 4 — Moderna
2022-05-19
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-05-24
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-05-30
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-06-06
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-06-13
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-06-20
Survey response — day 42, dose 4
MedDRA: Abdominal pain upper, Constipation, Dehydration, Diarrhoea, Dizziness, Gastroenteritis viral, Nausea, Office visit, Vomiting — 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: Stomach virus, cramping, nauseous , vomiting, diarrhea for the first three days, dehydration, and constipation for the next five days, still experiencing dehydration, dizziness and nausea. Visited my Gastro Physician and he prescribed antibody Meds.

MedDRA releases: 2024-11 · check-in free text available
2022-06-20
Report sent to call center — day 42, dose 4
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)
2022-06-21
Call 1 — Left Voicemail
2022-06-21
Call 1 — Left Voicemail
2022-06-21
Call 1 — Left Voicemail
2022-06-23
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-06-23
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-08-08
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-11-07
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in
2023-05-12
Health check-in — 12 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-25	Moderna
2	2021-03-30	Moderna
3	2021-11-02	Moderna	No
4	2022-05-09	Moderna	No

Call center

3 call center cases

3 successful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-26

Systemic reaction (other): Mild

2021-02-27

Systemic reaction (other): No

Release 5 — day 14, dose 1

2021-03-11

Symptoms: Diarrhea

Release 6 — days 1–6 daily, dose 2

2021-04-01

Systemic reaction (other): I woke up this morning with a nose bleed

2021-04-04

Systemic reaction (other): Injection site is hot

2021-04-05

Systemic reaction (other): The area of injection with rash is usually HOT and red.

Release 7 — day 7, dose 2

2021-04-06

Systemic reaction (other): Rash and itching so bad I when to see my primary doctor.

Release 9 — 3 months, dose 2

2021-07-05

Symptoms: Leg and feet nerve pains

Healthcare visit (other): See my Neurologist

Release 11 — 3 months, dose 3

2022-02-01

Symptoms: Covid

Release 12 — day 42, dose 4

2022-06-20

Symptoms: Stomach virus, cramping, nauseous , vomiting, diarrhea for the first three days, dehydration, and constipation for the next five days, still experiencing dehydration, dizziness and nausea. Visited my Gastro Physician and he prescribed antibody Meds. cut off by CDC

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	Abdominal pain upper	·	·	✓
SD	Constipation	·	·	✓
SD	COVID-19	·	·	✓
SD	Dehydration	·	·	✓
SD	Diarrhoea	✓	✓	✓
SD	Dizziness	·	·	✓
SD	Gastroenteritis viral	·	·	✓
SD	Nausea	·	·	✓
SD	Neuralgia	✓	✓	✓
SD	Office visit	·	·	✓
SD	Vomiting	·	·	✓
SRO	Adverse reaction	✓	✓	✓
SRO	Epistaxis	✓	✓	✓
SRO	Injection site erythema	✓	✓	✓
SRO	Injection site rash	✓	✓	✓
SRO	Injection site warmth	✓	✓	✓
SRO	No adverse event	✓	✓	✓
SRO	Rash pruritic	✓	✓	✓

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