3GG-16277-53651

3 vaccinations 10 coded responses 27 check-ins 10 free-text entries 1 call case

Sex: Female
Age at first dose: 56-60
ZIP prefix: 486 / MI
Registered: 2021-01-29

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

2021-01-29
Registered in v-safe
2021-01-29
Dose 1 — Moderna
2021-01-29
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-01-30
Survey response — days 1–6 daily, dose 1
MedDRA: Headache — Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Headache basically on the left side of the head same side as the vaccine was administered left arm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-01
Survey response — days 1–6 daily, dose 1
MedDRA: Ear pain, Headache — Feeling: Good · Site: Pain · Headache

Free text: Head was on the right side of the head extremely painful I the ear area

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-02
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Nausea, Abdominal pain

Adult check-in
2021-02-03
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling, Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain

Adult check-in
2021-02-04
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain

Adult check-in
2021-02-05
Survey response — day 7, dose 1
MedDRA: Abdominal pain upper — Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain

Free text: Horrible stomach ache running to the bathroom several times during the day and night

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-12
Survey response — day 14, dose 1
MedDRA: Respiratory tract congestion — Feeling: Good

Free text: Congestion

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-19
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-02-26
Dose 2 — Moderna
2021-02-27
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, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-02-28
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Itching · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work

Adult check-in
2021-03-01
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Redness, Swelling, Itching · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-03-02
Survey response — days 1–6 daily, dose 2
MedDRA: Oral herpes — Feeling: Fair · Site: Redness · Headache, Joint pains, Rash, not including the immediate area around the injection site

Free text: Fever blisters on my lips

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-03
Survey response — days 1–6 daily, dose 2
MedDRA: Lip blister, Oral herpes — Feeling: Fair · Site: Redness, Itching · Fatigue or tiredness

Free text: Fever blisters on my lips

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-04
Survey response — days 1–6 daily, dose 2
MedDRA: Office visit, Rash — Feeling: Fair · Rash, not including the immediate area around the injection site

Free text: Face and neck from day one see my Dr today She put me on prednisone for five days to see if the rash will leave

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-05
Survey response — day 7, dose 2
MedDRA: Rash — Feeling: Fair · Headache, Fatigue or tiredness, Rash, not including the immediate area around the injection site

Free text: My doctor spoke subscribe to prednisone for the rash I have on my face and neck my face still gets extremely warm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-14
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-03-19
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-03-28
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-02
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-09
Survey response — day 42, dose 2
MedDRA: Erythema — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Continuing red face and neck area very hard at times comes and goes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-09
Report sent to call center — day 42, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-30
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-27
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-22
Dose 3 — Moderna
2021-10-27
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Redness · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school

Adult check-in
2021-10-29
Health check-in — day 7, dose 3
Feeling: Fair · Headache, Joint pains, Fatigue or tiredness

Adult check-in
2021-11-05
Survey response — day 14, dose 3
MedDRA: Erythema, Feeling hot, Vaccine positive rechallenge — Feeling: Fair

Free text: My face gets super red and hot just like it did with the other two Covid shot

MedDRA releases: 2024-11 · check-in free text available
2022-03-01
Call 1 — Could Not Reach Participant
2022-03-04
Call 2 — Left Voicemail
2022-03-04
Call successful
Participant prefers to complete VAERS report online
2022-04-24
Health check-in — 6 months, dose 3
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-29	Moderna
2	2021-02-26	Moderna
3	2021-10-22	Moderna	No

Call center

1 call center case

1 successful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 3 — days 1–6 daily, dose 1

2021-01-30

Systemic reaction (other): Headache basically on the left side of the head same side as the vaccine was administered left arm

2021-02-01

Systemic reaction (other): Head was on the right side of the head extremely painful I the ear area

Release 3 — day 7, dose 1

2021-02-05

Systemic reaction (other): Horrible stomach ache running to the bathroom several times during the day and night

Release 4 — day 14, dose 1

2021-02-12

Symptoms: Congestion

Release 4 — days 1–6 daily, dose 2

2021-03-02

Systemic reaction (other): Fever blisters on my lips

Release 5 — days 1–6 daily, dose 2

2021-03-03

Systemic reaction (other): Fever blisters on my lips

2021-03-04

Systemic reaction (other): Face and neck from day one see my Dr today She put me on prednisone for five days to see if the rash will leave

Release 5 — day 7, dose 2

2021-03-05

Systemic reaction (other): My doctor spoke subscribe to prednisone for the rash I have on my face and neck my face still gets extremely warm

Release 7 — day 42, dose 2

2021-04-09

Symptoms: Continuing red face and neck area very hard at times comes and goes

Release 10 — day 14, dose 3

2021-11-05

Symptoms: My face gets super red and hot just like it did with the other two Covid shot

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	Erythema	✓	✓	✓
SD	Feeling hot	·	·	✓
SD	Respiratory tract congestion	✓	✓	✓
SD	Vaccine positive rechallenge	·	·	✓
SRO	Abdominal pain upper	✓	✓	✓
SRO	Ear pain	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Lip blister	✓	✓	✓
SRO	Office visit	✓	✓	✓
SRO	Oral herpes	✓	✓	✓
SRO	Rash	✓	✓	✓

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