3F9-16574-93400

2 vaccinations 6 coded responses 25 check-ins 6 free-text entries 1 call case

Sex: Female
Age at first dose: 36-40
ZIP prefix: 310 / GA
Registered: 2021-05-26

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

2021-05-26
Registered in v-safe
2021-05-26
Dose 1 — Moderna
2021-05-26
Health check-in — day 0, dose 1
Feeling: Poor · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-05-27
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-05-28
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness — Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · 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
2021-05-29
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness — Feeling: Poor · 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

Free text: Dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-30
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-05-31
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-06-01
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-06-02
Survey response — day 7, dose 1
MedDRA: Ophthalmic migraine — Feeling: Poor · Headache, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Ocular migraine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-09
Survey response — day 14, dose 1
MedDRA: Headache — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: I am having headaches daily. Light, noise and smells make them worse. They are on the left side of my head behind my left eye.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-16
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-06-23
Dose 2 — Moderna
2021-06-23
Health check-in — day 0, dose 2
Feeling: Good · Headache

Adult check-in
2021-06-24
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-06-25
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-06-26
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Redness, Swelling, Itching · Headache, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-06-27
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Redness, Itching · Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-06-28
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Itching · Joint pains, Nausea, Diarrhea

Adult check-in
2021-06-29
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness, Nausea, Diarrhea · Be unable to work or attend school

Adult check-in
2021-06-30
Health check-in — day 7, dose 2
Feeling: Fair · Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-07-07
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-07-16
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-07-21
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-07-28
Survey response — day 35, dose 2
MedDRA: Cough, Fatigue, Pyrexia, Respiratory tract congestion, Sneezing — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Cough, congestion, sneezing, low grade fever, fatigue

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-04
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-09-22
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-12-22
Survey response — 6 months, dose 2
MedDRA: Gallbladder disorder, Hospitalisation, Hyperemesis gravidarum, Office visit — Feeling: Fair · 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

Free text: Symptoms: Hyperemesis during Pregnancy, gallbladder issues · Healthcare visit (other): Doctor office visit and hospitalization overnight.

MedDRA releases: 2024-11 · check-in free text available
2021-12-22
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

Emergency room or emergency department visit · 1 call case(s)
2021-12-23
Call successful
Participant prefers to complete VAERS report online

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-05-26	Moderna
2	2021-06-23	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2021-12-22	Successful 2021-12-23	Participant prefers to complete VAERS report online

Free text

Release 8 — days 1–6 daily, dose 1

2021-05-28

Systemic reaction (other): Dizziness

2021-05-29

Systemic reaction (other): Dizziness

Release 8 — day 7, dose 1

2021-06-02

Systemic reaction (other): Ocular migraine

Release 9 — day 14, dose 1

2021-06-09

Symptoms: I am having headaches daily. Light, noise and smells make them worse. They are on the left side of my head behind my left eye.

Release 9 — day 35, dose 2

2021-07-28

Symptoms: Cough, congestion, sneezing, low grade fever, fatigue

Release 10 — 6 months, dose 2

2021-12-22

Symptoms: Hyperemesis during Pregnancy, gallbladder issues

Healthcare visit (other): Doctor office visit and hospitalization overnight.

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	Hospitalisation	·	·	✓
HCVO	Office visit	·	·	✓
SD	Cough	✓	·	✓
SD	Fatigue	✓	·	✓
SD	Gallbladder disorder	·	·	✓
SD	Headache	✓	✓	✓
SD	Hyperemesis gravidarum	·	·	✓
SD	Pyrexia	✓	·	✓
SD	Respiratory tract congestion	✓	·	✓
SD	Sneezing	✓	·	✓
SRO	Dizziness	✓	✓	✓
SRO	Ophthalmic migraine	✓	✓	✓

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