3EY-31313-94206

3 vaccinations 8 coded responses 21 check-ins 8 free-text entries 3 call cases

Sex: Female
Age at first dose: 31-35
ZIP prefix: 210 / MD
Registered: 2021-04-15

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

2021-04-15
Registered in v-safe
2021-04-15
Dose 1 — Moderna
2021-04-15
Survey response — day 0, dose 1
MedDRA: Headache — Feeling: Fair · Site: Pain · Headache

Free text: Headache may be unrelated to vaccine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-04-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-04-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-20
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-04-21
Survey response — days 1–6 daily, dose 1
MedDRA: Arthralgia, Muscle tightness, Myalgia — Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness

Free text: Sore at front of shoulder too, away from injection site. Feels like muscle is tight / tender.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Health check-in — day 7, dose 1
Feeling: Good · Site: Pain, Swelling · None

Adult check-in
2021-04-29
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-05-07
Survey response — day 21, dose 1
MedDRA: Joint swelling, Tenderness — Feeling: Good

Free text: Bump at bottom thigh/above knee. Unsure of cause but it started over a week ago. No pain, but feels tender to the touch.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-13
Dose 2 — Moderna
2021-05-14
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-05-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-05-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness · None

Adult check-in
2021-05-17
Survey response — days 1–6 daily, dose 2
MedDRA: Headache — Feeling: Good · Site: Pain

Free text: Headache but likely not related to vaccine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-22
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-05-27
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-06-03
Survey response — day 21, dose 2
MedDRA: Abdominal discomfort, Diarrhoea — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Been having diarrhea for about the last week or 1.5 weeks. No other symptoms other than stomach feeling a little upset today.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-03
Report sent to call center — day 21, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-10
Survey response — day 28, dose 2
MedDRA: Diarrhoea, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Had diarrhea for over 2 weeks. Not sure why. Doctor confirmed it is not bacterial related.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-10
Report sent to call center — day 28, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-17
Survey response — day 35, dose 2
MedDRA: Abdominal distension, Diarrhoea, Flatulence, Pain — Feeling: Fair · 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: Still been having diarrhea for over 3 weeks. Doctor tested stool samples and there is no evidence of bacteria. Could this be from my 2nd vaccine? I also have a lot of painful bloating and gas now. I need to run to bathroom when urge hits me. Not fun.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-17
Report sent to call center — day 35, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-17
Call 1 — Left Voicemail
2021-06-24
Call successful
Participant prefers to complete VAERS report online
2021-06-26
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-08-13
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-11-13
Survey response — 6 months, dose 2
MedDRA: Colitis microscopic, Pre-existing disease — Feeling: Good

Free text: Diagnosed with lymphocytic colitis. However, symptoms developed in beginning of Covid, a year prior to getting vaccine.

MedDRA releases: 2024-11 · check-in free text available
2022-01-28
Dose 3 — Moderna

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-15	Moderna
2	2021-05-13	Moderna
3	2022-01-28	Moderna	No

Call center

3 call center cases

3 successful

See the call center timeline

Free text

Release 7 — day 0, dose 1

2021-04-15

Systemic reaction (other): Headache may be unrelated to vaccine.

Release 7 — days 1–6 daily, dose 1

2021-04-21

Systemic reaction (other): Sore at front of shoulder too, away from injection site. Feels like muscle is tight / tender.

Release 8 — day 21, dose 1

2021-05-07

Symptoms: Bump at bottom thigh/above knee. Unsure of cause but it started over a week ago. No pain, but feels tender to the touch.

Release 8 — days 1–6 daily, dose 2

2021-05-17

Systemic reaction (other): Headache but likely not related to vaccine.

Release 8 — day 21, dose 2

2021-06-03

Symptoms: Been having diarrhea for about the last week or 1.5 weeks. No other symptoms other than stomach feeling a little upset today.

Release 9 — day 28, dose 2

2021-06-10

Symptoms: Had diarrhea for over 2 weeks. Not sure why. Doctor confirmed it is not bacterial related.

Release 9 — day 35, dose 2

2021-06-17

Symptoms: Still been having diarrhea for over 3 weeks. Doctor tested stool samples and there is no evidence of bacteria. Could this be from my 2nd vaccine? I also have a lot of painful bloating and gas now. I need to run to bathroom when urge hits me. Not fun. cut off by CDC

Release 10 — 6 months, dose 2

2021-11-13

Symptoms: Diagnosed with lymphocytic colitis. However, symptoms developed in beginning of Covid, a year prior to getting vaccine.

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 discomfort	✓	✓	✓
SD	Abdominal distension	✓	✓	✓
SD	Colitis microscopic	·	·	✓
SD	Diarrhoea	✓	✓	✓
SD	Flatulence	✓	✓	✓
SD	Joint swelling	✓	✓	✓
SD	Office visit	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Pre-existing disease	·	·	✓
SD	Tenderness	✓	✓	✓
SRO	Arthralgia	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Muscle tightness	✓	✓	✓
SRO	Myalgia	✓	✓	✓

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