33A-32369-02355

4 vaccinations 8 coded responses 46 check-ins 8 free-text entries 1 call case

Sex: Female
Age at first dose: 66+
ZIP prefix: 910 / CA
Registered: 2021-02-10

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

2021-02-09
Dose 1 — Moderna
2021-02-10
Registered in v-safe
2021-02-10
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain, Swelling, Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea

Adult check-in
2021-02-11
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-02-12
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-02-13
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-02-14
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-02-15
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-02-16
Health check-in — day 7, dose 1
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-02-23
Survey response — day 14, dose 1
MedDRA: Fatigue, Headache, Myalgia, Nausea — Feeling: Fair · Be unable to do your normal daily activities

Free text: Nausea headache fatigue muscle ached

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-02
Survey response — day 21, dose 1
MedDRA: Abdominal pain, Fatigue, Headache, Nausea — Feeling: Poor · Be unable to do your normal daily activities

Free text: Nausea headaches fatigue Abdominal pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-09
Dose 2 — Moderna
2021-03-09
Health check-in — day 0, dose 2
Feeling: Fair · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-03-11
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-03-12
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Redness, Itching · Chills, Headache, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain

Adult check-in
2021-03-13
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain

Adult check-in
2021-03-14
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-03-15
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness, Nausea, Abdominal pain

Adult check-in
2021-03-16
Health check-in — day 7, dose 2
Feeling: Fair · Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-03-23
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-03-30
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-04-06
Survey response — day 28, dose 2
MedDRA: Abdominal pain, Diarrhoea, Nausea — Feeling: Fair · Be unable to do your normal daily activities

Free text: Abdominal pain and diarrhea. Increases nausea

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-13
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-04-20
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-06-08
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-09-07
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2021-10-26
Dose 3 — Moderna
Co-administered: Flu:Pneumonia
2021-10-26
Health check-in — day 0, dose 3
Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-10-27
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-10-28
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-10-29
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-10-30
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-10-31
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-11-01
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-11-02
Health check-in — day 7, dose 3
Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain

Adult check-in
2021-11-10
Health check-in — day 14, dose 3
Feeling: Fair

Adult check-in
2021-11-16
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2021-11-23
Health check-in — day 28, dose 3
Feeling: Fair

Adult check-in
2021-11-30
Health check-in — day 35, dose 3
Feeling: Fair

Adult check-in
2021-12-07
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2022-01-25
Survey response — 3 months, dose 3
MedDRA: Diarrhoea, Nausea, Vomiting — Feeling: Fair · Be unable to do your normal daily activities

Free text: Increased Nausea vomiting and diarrhea.

MedDRA releases: 2024-11 · check-in free text available
2022-04-06
Dose 4 — Moderna
2022-04-14
Health check-in — day 7, dose 4
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-04-20
Health check-in — day 14, dose 4
Feeling: Fair

Adult check-in
2022-04-27
Health check-in — day 21, dose 4
Feeling: Fair

Adult check-in
2022-05-04
Health check-in — day 28, dose 4
Feeling: Fair

Adult check-in
2022-05-11
Survey response — day 35, dose 4
MedDRA: Diarrhoea, Nausea, Oropharyngeal pain, Respiratory tract congestion — Feeling: Poor · Be unable to do your normal daily activities

Free text: Head congestion sore throat nausea diarrhea

MedDRA releases: 2024-11 · check-in free text available
2022-05-19
Survey response — day 42, dose 4
MedDRA: Oropharyngeal pain, Pre-existing disease, Respiratory tract congestion, Sneezing — Feeling: Fair

Free text: Head congestion sneezing bit of a sore throat but I have seasonal allergies and probably the source. It has dissipated considerably.

MedDRA releases: 2024-11 · check-in free text available
2022-07-06
Survey response — 3 months, dose 4
MedDRA: Fatigue, Nausea — Feeling: Poor · Be unable to do your normal daily activities

Free text: Nausea fatigue

MedDRA releases: 2024-11 · check-in free text available
2022-10-05
Survey response — 6 months, dose 4
MedDRA: COVID-19, Diarrhoea, Fatigue, Headache, Nausea, Oropharyngeal pain, Respiratory tract congestion, SARS-CoV-2 test negative, SARS-CoV-2 test positive — Feeling: Poor · 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: Tested positive for covid. Headaches, congestion, sore throat nausea, diarrhea, fatigue. tested positive after negative test, Covid rebound.

MedDRA releases: 2024-11 · check-in free text available
2022-10-05
Report sent to call center — 6 months, dose 4
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)
2022-10-06
Call 1 — Left Voicemail
2022-10-06
Call successful
Participant prefers to complete VAERS report online
2023-04-06
Health check-in — 12 months, dose 4
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-09	Moderna
2	2021-03-09	Moderna
3	2021-10-26	Moderna	Flu:Pneumonia
4	2022-04-06	Moderna	No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 4 — day 14, dose 1

2021-02-23

Symptoms: Nausea headache fatigue muscle ached

Release 4 — day 21, dose 1

2021-03-02

Symptoms: Nausea headaches fatigue Abdominal pain

Release 7 — day 28, dose 2

2021-04-06

Symptoms: Abdominal pain and diarrhea. Increases nausea

Release 11 — 3 months, dose 3

2022-01-25

Symptoms: Increased Nausea vomiting and diarrhea.

Release 11 — day 35, dose 4

2022-05-11

Symptoms: Head congestion sore throat nausea diarrhea

Release 11 — day 42, dose 4

2022-05-19

Symptoms: Head congestion sneezing bit of a sore throat but I have seasonal allergies and probably the source. It has dissipated considerably.

Release 12 — 3 months, dose 4

2022-07-06

Symptoms: Nausea fatigue

Release 12 — 6 months, dose 4

2022-10-05

Symptoms: Tested positive for covid. Headaches, congestion, sore throat nausea, diarrhea, fatigue. tested positive after negative test, Covid rebound.

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 pain	✓	✓	✓
SD	COVID-19	·	·	✓
SD	Diarrhoea	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Myalgia	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	SARS-CoV-2 test positive	·	·	✓
SD	Sneezing	·	·	✓
SD	Vomiting	·	·	✓

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