3FW-94527-83636

3 vaccinations 9 coded responses 38 check-ins 9 free-text entries 1 call case

Sex: Female
Age at first dose: 56-60
ZIP prefix: 657 / MO
Registered: 2021-05-18

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

2021-05-15
Dose 1 — Moderna
2021-05-18
Registered in v-safe
2021-05-18
Survey response — days 1–6 daily, dose 1
MedDRA: Chills, Fatigue, Pyrexia — Feeling: Good · Site: Pain · Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: In sunday less than 24 hrs after injection i had severe fatigue, fever, chills

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-05-20
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-05-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-05-22
Health check-in — day 7, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-05-30
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-06-05
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-06-12
Dose 2 — Moderna
2021-06-12
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-06-13
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 · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-06-14
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school

Adult check-in
2021-06-15
Survey response — days 1–6 daily, dose 2
MedDRA: Muscle spasms — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Nausea · Be unable to work or attend school

Free text: Muscle cramps

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fever · Headache, Nausea

Adult check-in
2021-06-17
Survey response — days 1–6 daily, dose 2
MedDRA: Eye haemorrhage, Eye pain — Feeling: Good · Site: Pain

Free text: Have eye pain with blood vessels burst

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-18
Survey response — days 1–6 daily, dose 2
MedDRA: Eye haemorrhage — Feeling: Good · Site: Pain

Free text: Under dr care for blood vessels ruptured in eye

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-19
Survey response — day 7, dose 2
MedDRA: Ocular hyperaemia — Feeling: Good · Site: Pain

Free text: Still under dr care for the busted blood vessels in eye

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-26
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-07-03
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-07-10
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-07-18
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-07-24
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-09-11
Survey response — 3 months, dose 2
MedDRA: Rhinorrhoea — Feeling: Good

Free text: Runny nose for about 10 days. After being within 6 ft of someone that tested postive

MedDRA releases: 2024-11 · check-in free text available
2021-12-11
Survey response — 6 months, dose 2
MedDRA: Body temperature increased, Diarrhoea, Nausea, Vomiting — Feeling: Good · Be unable to work or attend school

Free text: Fever over 100, nausea, N/V/D

MedDRA releases: 2024-11 · check-in free text available
2022-02-02
Dose 3 — Moderna
2022-02-02
Health check-in — day 0, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2022-02-03
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2022-02-04
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school

Adult check-in
2022-02-05
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school

Adult check-in
2022-02-06
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2022-02-07
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Fatigue or tiredness

Adult check-in
2022-02-08
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2022-02-09
Health check-in — day 7, dose 3
Feeling: Good · Fatigue or tiredness

Adult check-in
2022-02-16
Survey response — day 14, dose 3
MedDRA: Headache — Feeling: Fair

Free text: My headache has never went away since my shot. Most days it's a moderate pain.

MedDRA releases: 2024-11 · check-in free text available
2022-02-23
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-03-02
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-03-10
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-03-16
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-05-04
Survey response — 3 months, dose 3
MedDRA: Urinary tract infection — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: UTI

MedDRA releases: 2024-11 · check-in free text available
2022-05-04
Report sent to call center — 3 months, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-05-05
Call 1 — Left Voicemail
2022-05-11
Call successful
Participant prefers to complete VAERS report online
2022-08-06
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2023-02-02
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-05-15	Moderna
2	2021-06-12	Moderna
3	2022-02-02	Moderna	No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 8 — days 1–6 daily, dose 1

2021-05-18

Systemic reaction (other): In sunday less than 24 hrs after injection i had severe fatigue, fever, chills

Release 9 — days 1–6 daily, dose 2

2021-06-15

Systemic reaction (other): Muscle cramps

2021-06-17

Systemic reaction (other): Have eye pain with blood vessels burst

2021-06-18

Systemic reaction (other): Under dr care for blood vessels ruptured in eye

Release 9 — day 7, dose 2

2021-06-19

Systemic reaction (other): Still under dr care for the busted blood vessels in eye

Release 9 — 3 months, dose 2

2021-09-11

Symptoms: Runny nose for about 10 days. After being within 6 ft of someone that tested postive

Release 10 — 6 months, dose 2

2021-12-11

Symptoms: Fever over 100, nausea, N/V/D

Release 11 — day 14, dose 3

2022-02-16

Symptoms: My headache has never went away since my shot. Most days it's a moderate pain.

Release 11 — 3 months, dose 3

2022-05-04

Symptoms: UTI

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	Body temperature increased	·	·	✓
SD	Diarrhoea	·	·	✓
SD	Headache	·	·	✓
SD	Nausea	·	·	✓
SD	Rhinorrhoea	·	·	✓
SD	Urinary tract infection	·	·	✓
SD	Vomiting	·	·	✓
SRO	Chills	✓	✓	✓
SRO	Eye haemorrhage	✓	✓	✓
SRO	Eye pain	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Muscle spasms	✓	✓	✓
SRO	Ocular hyperaemia	✓	✓	✓
SRO	Pyrexia	✓	✓	✓

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