3K3-19608-23555

4 vaccinations 9 coded responses 34 check-ins 9 free-text entries 2 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 019 / MA
Registered: 2021-04-01

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

2021-03-30
Dose 1 — Moderna
2021-04-01
Registered in v-safe
2021-04-01
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Itching · Headache, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain

Adult check-in
2021-04-02
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Joint pains, Fatigue or tiredness

Adult check-in
2021-04-03
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Joint pains, Fatigue or tiredness, Nausea

Adult check-in
2021-04-04
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Joint pains

Adult check-in
2021-04-05
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Joint pains, Diarrhea

Adult check-in
2021-04-06
Health check-in — day 7, dose 1
Feeling: Good · Joint pains

Adult check-in
2021-04-13
Survey response — day 14, dose 1
MedDRA: Fatigue, Headache — Feeling: Fair

Free text: Continuing fatigue despite getting enough sleep. Some headaches.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-23
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-27
Dose 2 — Moderna
2021-04-27
Survey response — day 0, dose 2
MedDRA: Ear discomfort, Head discomfort — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea

Free text: Pressure in my ears/head near my ears

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-28
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-04-29
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Itching · Headache

Adult check-in
2021-04-30
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Fatigue or tiredness · Be unable to work

Adult check-in
2021-05-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-02
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Abdominal pain

Adult check-in
2021-05-03
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Itching · None

Adult check-in
2021-05-04
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-05-13
Survey response — day 14, dose 2
MedDRA: Heavy menstrual bleeding, Menstrual disorder — Feeling: Good

Free text: Changes to menstrual cycle (new break through bleeding while on HBCP and increased general symptoms)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-18
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-25
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-01
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-09
Survey response — day 42, dose 2
MedDRA: Muscle tightness, Myalgia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Muscle tension and soreness without new activity

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-27
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-11-30
Dose 3 — Moderna
2022-04-29
Survey response — 12 months, dose 2
MedDRA: Herpes zoster, Nasopharyngitis, Pyrexia — Feeling: Good · Be unable to do your normal daily activities

Free text: I have a small child in daycare so I get lots of colds and mild fevers. I also had shingles about 6 months ago after my child bringing home a string of colds and hand foot and mouth.

MedDRA releases: 2024-11 · check-in free text available
2022-09-13
Dose 4 — Moderna
Co-administered: Flu
2022-09-13
Survey response — day 0, dose 4
MedDRA: Dizziness — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Chills, 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, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Dizziness

MedDRA releases: 2024-11 · check-in free text available
2022-09-13
Report sent to call center — day 0, dose 4
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-09-14
Call successful
Completed over the phone
2022-09-16
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Redness · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school

Adult check-in
2022-09-17
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Redness · Headache

Adult check-in
2022-09-19
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Itching · None

Adult check-in
2022-09-20
Health check-in — day 7, dose 4
Feeling: Fair · None

Adult check-in
2022-09-27
Survey response — day 14, dose 4
MedDRA: Chills, Fatigue, Herpes zoster, Pain — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Chills, fatigue, and recurring shingles pain

MedDRA releases: 2024-11 · check-in free text available
2022-09-27
Report sent to call center — day 14, dose 4
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-09-28
Call successful
Completed over the phone
2022-10-06
Survey response — day 21, dose 4
MedDRA: Chest discomfort — Feeling: Fair

Free text: Chest "tightness" that seems to have resolved

MedDRA releases: 2024-11 · check-in free text available
2022-10-11
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-10-18
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-12-15
Survey response — 3 months, dose 4
MedDRA: Chills, Cough, Ear discomfort, Headache, Pain, Pyrexia, Rhinorrhoea, SARS-CoV-2 test negative — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Fever, chills, body aches, headache, cough, runny nose, plugged up ears. Covid negative.

MedDRA releases: 2024-11 · check-in free text available
2023-03-16
Health check-in — 6 months, dose 4
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-30	Moderna
2	2021-04-27	Moderna
3	2021-11-30	Moderna	No
4	2022-09-13	Moderna	Flu

Call center

2 call center cases

2 successful

VAERS report filed, before or during a call: 2

See the call center timeline

Free text

Release 7 — day 14, dose 1

2021-04-13

Symptoms: Continuing fatigue despite getting enough sleep. Some headaches.

Release 8 — day 0, dose 2

2021-04-27

Systemic reaction (other): Pressure in my ears/head near my ears

Release 8 — day 14, dose 2

2021-05-13

Symptoms: Changes to menstrual cycle (new break through bleeding while on HBCP and increased general symptoms)

Release 8 — day 42, dose 2

2021-06-09

Symptoms: Muscle tension and soreness without new activity

Release 11 — 12 months, dose 2

2022-04-29

Symptoms: I have a small child in daycare so I get lots of colds and mild fevers. I also had shingles about 6 months ago after my child bringing home a string of colds and hand foot and mouth.

Release 12 — day 0, dose 4

2022-09-13

Systemic reaction (other): Dizziness

Release 12 — day 14, dose 4

2022-09-27

Symptoms: Chills, fatigue, and recurring shingles pain

Release 12 — day 21, dose 4

2022-10-06

Symptoms: Chest "tightness" that seems to have resolved

Release 12 — 3 months, dose 4

2022-12-15

Symptoms: Fever, chills, body aches, headache, cough, runny nose, plugged up ears. Covid negative.

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	Chest discomfort	·	·	✓
SD	Chills	·	·	✓
SD	Cough	·	·	✓
SD	Ear discomfort	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Heavy menstrual bleeding	✓	✓	✓
SD	Herpes zoster	·	·	✓
SD	Menstrual disorder	✓	✓	✓
SD	Muscle tightness	✓	✓	✓
SD	Myalgia	✓	✓	✓
SD	Nasopharyngitis	·	·	✓
SD	Pain	·	·	✓
SD	Pyrexia	·	·	✓
SD	Rhinorrhoea	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SRO	Dizziness	·	·	✓
SRO	Ear discomfort	✓	✓	✓
SRO	Head discomfort	✓	✓	✓

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