3GN-22440-75780

4 vaccinations 19 coded responses 28 check-ins 19 free-text entries 6 call cases

Sex: Female
Age at first dose: 31-35
ZIP prefix: 980 / WA
Registered: 2021-01-16

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

2021-01-16
Registered in v-safe
2021-01-16
Dose 1 — Moderna
2021-01-16
Survey response — day 0, dose 1
MedDRA: Dizziness — Feeling: Good · Muscle or body aches, Fatigue or tiredness

Free text: Very slight lightheadedness and sensation in throat.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-17
Survey response — days 1–6 daily, dose 1
MedDRA: Limb discomfort, Musculoskeletal stiffness — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: My limbs feel very stiff & heavy.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-17
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-01-22
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-01
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-02-15
Dose 2 — Moderna
2021-02-15
Health check-in — day 0, dose 2
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-02-16
Survey response — days 1–6 daily, dose 2
MedDRA: Nasal congestion, Throat irritation — Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: scratchy throat, slight nasal congestion

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-17
Survey response — days 1–6 daily, dose 2
MedDRA: Nasal congestion, Throat irritation — Feeling: Poor · Site: Pain, Swelling, Itching · Fever · 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: Scratchy throat & nasal congestion

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-18
Survey response — days 1–6 daily, dose 2
MedDRA: Nasal congestion — Feeling: Poor · Site: Pain, Swelling, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: significant nasal congestion

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-19
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-20
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Gingival pain, Nasal congestion, Palpitations, Throat irritation — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: scratchy throat, nasal congestion, dizziness, heart racing, gum sensitivity

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-22
Health check-in — day 7, dose 2
Feeling: Fair · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-03-01
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-08
Survey response — day 21, dose 2
MedDRA: Headache, Nasal congestion — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: Headache, nasal congestion

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-29
Survey response — day 42, dose 2
MedDRA: Anxiety, Contusion, Diarrhoea, Nausea, Tremor — Feeling: Good · Be unable to work, 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: Anxiety, nausea, bruising, shaking, diarrhea.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-29
Report sent to call center — day 42, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-17
Survey response — 3 months, dose 2
MedDRA: Arthralgia, Pain in extremity, Pre-existing disease, Rectal haemorrhage — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: new and reoccurring pain in my wrist/thumb; new and reoccurring rectal bleeding

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-17
Report sent to call center — 3 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-14
Call successful
Participant prefers to complete VAERS report online
2021-08-27
Dose 3 — Moderna
2021-08-27
Health check-in — day 0, dose 3
Feeling: Fair · Site: Pain, Itching · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-08-28
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling, Itching · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-08-29
Survey response — days 1–6 daily, dose 3
MedDRA: Hypoaesthesia, Paraesthesia — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Numbness & tingling in arms & hands

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-30
Survey response — days 1–6 daily, dose 3
MedDRA: Hypoaesthesia, Paraesthesia — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school

Free text: Numbness & tingling of hands & arms

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-31
Survey response — days 1–6 daily, dose 3
MedDRA: Anxiety — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Anxiety

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-09-03
Survey response — day 7, dose 3
MedDRA: Hypoaesthesia — Feeling: Fair · Site: Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Diarrhea

Free text: Numbness in arms & legs

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-09-12
Survey response — day 14, dose 3
MedDRA: Diarrhoea, Headache — Feeling: Fair

Free text: HeadacheDiarrhea

MedDRA releases: 2024-11 · check-in free text available
2021-09-17
Survey response — day 21, dose 3
MedDRA: Cough, Headache, Nasal congestion, Respiratory tract infection viral, Rhinorrhoea, Throat irritation — 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 · Telehealth, virtual health, or email health consultation

Free text: Respiratory virus - nasal congestion, runny nose, scratchy throat, mild cough, headache

MedDRA releases: 2024-11 · check-in free text available
2021-09-17
Report sent to call center — day 21, dose 3
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

1 call case(s)
2021-09-21
Call 1 — Left Voicemail
2021-09-26
Survey response — day 28, dose 3
MedDRA: Headache — Feeling: Fair

Free text: Headaches

MedDRA releases: 2024-11 · check-in free text available
2021-10-01
Survey response — day 35, dose 3
MedDRA: Erythema, Feeling hot — Feeling: Fair

Free text: Ear redness & hot to the touch

MedDRA releases: 2024-11 · check-in free text available
2022-01-27
Dose 4 — Moderna
2022-02-27
Survey response — 6 months, dose 3
MedDRA: Cognitive disorder, Dizziness, Headache — 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: Headaches, dizziness, cognitive function inconsistencies

MedDRA releases: 2024-11 · check-in free text available
2022-02-27
Survey response — day 28, dose 4
MedDRA: Dizziness, Headache — 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: Headaches, dizziness

MedDRA releases: 2024-11 · check-in free text available
2022-02-27
Report sent to call center — day 28, 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)
2022-02-27
Report sent to call center — 6 months, dose 3
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)
2022-03-02
Call 1 — Left Voicemail
2022-03-02
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-16	Moderna
2	2021-02-15	Moderna
3	2021-08-27	Moderna	No
4	2022-01-27	Moderna	No

Call center

6 call center cases

2 successful · 3 unsuccessful · 1 priority 2/3 (triaged and no follow up)

See the call center timeline

Free text

Release 2 — day 0, dose 1

2021-01-16

Systemic reaction (other): Very slight lightheadedness and sensation in throat.

Release 2 — days 1–6 daily, dose 1

2021-01-17

Systemic reaction (other): My limbs feel very stiff & heavy.

Release 4 — days 1–6 daily, dose 2

2021-02-16

Systemic reaction (other): scratchy throat, slight nasal congestion

2021-02-17

Systemic reaction (other): Scratchy throat & nasal congestion

2021-02-18

Systemic reaction (other): significant nasal congestion

2021-02-20

Systemic reaction (other): scratchy throat, nasal congestion, dizziness, heart racing, gum sensitivity

Release 5 — day 21, dose 2

2021-03-08

Symptoms: Headache, nasal congestion

Release 6 — day 42, dose 2

2021-03-29

Symptoms: Anxiety, nausea, bruising, shaking, diarrhea.

Release 8 — 3 months, dose 2

2021-05-17

Symptoms: new and reoccurring pain in my wrist/thumb; new and reoccurring rectal bleeding

Release 9 — days 1–6 daily, dose 3

2021-08-29

Systemic reaction (other): Numbness & tingling in arms & hands

2021-08-30

Systemic reaction (other): Numbness & tingling of hands & arms

2021-08-31

Systemic reaction (other): Anxiety

Release 9 — day 7, dose 3

2021-09-03

Systemic reaction (other): Numbness in arms & legs

Release 9 — day 14, dose 3

2021-09-12

Symptoms: HeadacheDiarrhea

Release 9 — day 21, dose 3

2021-09-17

Symptoms: Respiratory virus - nasal congestion, runny nose, scratchy throat, mild cough, headache

Release 9 — day 28, dose 3

2021-09-26

Symptoms: Headaches

Release 9 — day 35, dose 3

2021-10-01

Symptoms: Ear redness & hot to the touch

Release 11 — day 28, dose 4

2022-02-27

Symptoms: Headaches, dizziness

Release 11 — 6 months, dose 3

2022-02-27

Symptoms: Headaches, dizziness, cognitive function inconsistencies

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	Anxiety	✓	✓	✓
SD	Arthralgia	✓	✓	✓
SD	Cognitive disorder	·	·	✓
SD	Contusion	✓	✓	✓
SD	Cough	·	·	✓
SD	Diarrhoea	✓	✓	✓
SD	Dizziness	·	·	✓
SD	Erythema	·	·	✓
SD	Feeling hot	·	·	✓
SD	Headache	✓	✓	✓
SD	Nasal congestion	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Rectal haemorrhage	✓	✓	✓
SD	Respiratory tract infection viral	·	·	✓
SD	Rhinorrhoea	·	·	✓
SD	Throat irritation	·	·	✓
SD	Tremor	✓	✓	✓
SRO	Anxiety	✓	·	✓
SRO	Dizziness	✓	✓	✓
SRO	Gingival pain	✓	✓	✓
SRO	Hypoaesthesia	✓	·	✓
SRO	Limb discomfort	✓	✓	✓
SRO	Musculoskeletal stiffness	✓	✓	✓
SRO	Nasal congestion	✓	✓	✓
SRO	Palpitations	✓	✓	✓
SRO	Paraesthesia	✓	·	✓
SRO	Throat irritation	✓	✓	✓

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