3HK-12600-35983

2 vaccinations 5 coded responses 24 check-ins 5 free-text entries 1 call case

Sex: Female
Age at first dose: 31-35
ZIP prefix: 360 / AL
Registered: 2021-04-22

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

2021-04-22
Registered in v-safe
2021-04-22
Dose 1 — Moderna
2021-04-22
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-04-23
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-04-24
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness

Adult check-in
2021-04-25
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Headache, Fatigue or tiredness, Nausea, Diarrhea

Adult check-in
2021-04-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-29
Health check-in — day 7, dose 1
Feeling: Poor · Fever · Fatigue or tiredness, Nausea · Be unable to work

Adult check-in
2021-05-06
Survey response — day 14, dose 1
MedDRA: Dizziness, Nausea — Feeling: Good · Be unable to work, Be unable to do your normal daily activities

Free text: One day of dizziness, nausea, and faint feeling

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-13
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-05-20
Dose 2 — Moderna
2021-05-20
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-05-21
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-05-22
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Joint pains · Be unable to do your normal daily activities

Adult check-in
2021-05-23
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-05-24
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Fever · Chills, Joint pains, Fatigue or tiredness, Nausea, Vomiting, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-05-25
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness, Nausea

Adult check-in
2021-05-26
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Fatigue or tiredness, Abdominal pain

Adult check-in
2021-05-27
Health check-in — day 7, dose 2
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-06-03
Survey response — day 14, dose 2
MedDRA: Arthralgia, Arthritis, Condition aggravated, Pre-existing disease — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: Increased joint pain and other psoriatic arthritis symptom flares.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-10
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-06-17
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-24
Survey response — day 35, dose 2
MedDRA: Colitis ulcerative, Condition aggravated, Pharyngitis streptococcal, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities

Free text: Strep throat, ulcerative colitis flare

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-01
Survey response — day 42, dose 2
MedDRA: Arthralgia, Condition aggravated, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities

Free text: Ulcerative colitis flare, increased joint pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-19
Survey response — 3 months, dose 2
MedDRA: Colitis ulcerative, Constipation, Fatigue, Gastrointestinal haemorrhage, Gastrointestinal obstruction, Impaired driving ability, Nausea, Pre-existing disease, Vertigo — 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 · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit, Hospitalization

Free text: GI bleed with my ulcerative colitis worse than ever before. Constipation/GI blockages which I have also never had before. Pending scan for Meckels Diverticulum. Very fatigued. Almost constant vertigo causing me to feel nauseous/unable to drive.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-19
Report sent to call center — 3 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

1 call case(s)
2021-08-26
Call successful
Participant prefers to complete VAERS report online
2021-11-20
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-22	Moderna
2	2021-05-20	Moderna

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 8 — day 14, dose 1

2021-05-06

Symptoms: One day of dizziness, nausea, and faint feeling

Release 8 — day 14, dose 2

2021-06-03

Symptoms: Increased joint pain and other psoriatic arthritis symptom flares.

Release 9 — day 35, dose 2

2021-06-24

Symptoms: Strep throat, ulcerative colitis flare

Release 9 — day 42, dose 2

2021-07-01

Symptoms: Ulcerative colitis flare, increased joint pain

Release 9 — 3 months, dose 2

2021-08-19

Symptoms: GI bleed with my ulcerative colitis worse than ever before. Constipation/GI blockages which I have also never had before. Pending scan for Meckels Diverticulum. Very fatigued. Almost constant vertigo causing me to feel nauseous/unable to drive.

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	Arthralgia	✓	✓	✓
SD	Arthritis	✓	✓	✓
SD	Colitis ulcerative	✓	✓	✓
SD	Condition aggravated	✓	✓	✓
SD	Constipation	✓	·	✓
SD	Dizziness	✓	✓	✓
SD	Fatigue	✓	·	✓
SD	Gastrointestinal haemorrhage	✓	·	✓
SD	Gastrointestinal obstruction	✓	·	✓
SD	Impaired driving ability	✓	·	✓
SD	Nausea	✓	✓	✓
SD	Pharyngitis streptococcal	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Vertigo	✓	·	✓

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