3NE-10679-57388

2 vaccinations 17 coded responses 24 check-ins 17 free-text entries 1 call case

Sex: Female
Age at first dose: 46-50
ZIP prefix: 968 / HI
Registered: 2021-09-01

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

2021-09-01
Registered in v-safe
2021-09-01
Dose 1 — Moderna
2021-09-01
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain, Redness, Swelling · Fever · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-09-02
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fever · Muscle or body aches, Nausea, Diarrhea

Adult check-in
2021-09-03
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea

Adult check-in
2021-09-04
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Redness · Muscle or body aches

Adult check-in
2021-09-05
Survey response — days 1–6 daily, dose 1
MedDRA: Vasodilatation — Feeling: Good · Site: Pain · Fatigue or tiredness

Free text: Concerned about enlarged veins in my lower legs

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-09-06
Survey response — days 1–6 daily, dose 1
MedDRA: Lymphadenopathy, Vasodilatation — Feeling: Good · Site: Pain · Nausea

Free text: Swollen lymph nodes in my trunk, armpits, breasts, jawline and swollen veins in my legs after exercise that I had to massage to clear swelling

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-09-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Redness, Swelling · Fatigue or tiredness

Adult check-in
2021-09-08
Health check-in — day 7, dose 1
Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness, Nausea, Diarrhea

Adult check-in
2021-09-15
Survey response — day 14, dose 1
MedDRA: Injection site erythema, Injection site pruritus, Injection site swelling — Feeling: Good

Free text: I had a terribly swollen arm about 6-8 around the site of injection on day 10-12. It was red, swollen, itchy and got worse at night. I took antihistamines and the swelling & redness would reduce but each evening it returning significantly.

MedDRA releases: 2024-11 · check-in free text available
2021-09-22
Survey response — day 21, dose 1
MedDRA: Lymphadenopathy, Menstruation irregular, Vasodilatation — Feeling: Good

Free text: Mmy menstrual cycle, which is normally very regular, has not startedI am 6 days late and I have no reason to suspect pregnancy; I also still have swollen lymph nodes around my armpits/breasts & swollen areas & varicose veins in my lower legs

MedDRA releases: 2024-11 · check-in free text available
2021-09-29
Dose 2 — Moderna
2021-09-29
Survey response — day 0, dose 2
MedDRA: Amenorrhoea — Feeling: Good · Site: Pain

Free text: amenorrhea Since I received my first Moderna Covid19 vaccine. It has been 40 days since my last period; 28 days since my first Covid19 vaccine.

MedDRA releases: 2024-11 · check-in free text available
2021-09-30
Survey response — days 1–6 daily, dose 2
MedDRA: Amenorrhoea — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, 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

Free text: Ongoing amennhorea, 41 days since my last period, 29 days since my 1st Moderna Covid19 vaccine

MedDRA releases: 2024-11 · check-in free text available
2021-10-02
Survey response — days 1–6 daily, dose 2
MedDRA: Amenorrhoea — Feeling: Good · Site: Redness, Swelling, Itching · Headache, Muscle or body aches, Fatigue or tiredness, Nausea

Free text: Amenhorrea: 43 days since last period, 32 days since first Moderna Covid19 vaccine

MedDRA releases: 2024-11 · check-in free text available
2021-10-03
Survey response — days 1–6 daily, dose 2
MedDRA: Amenorrhoea — Feeling: Good · Site: Redness, Itching

Free text: Amenhorrea44 days since my last period, prior to this my cycle was regularly every 27 days.

MedDRA releases: 2024-11 · check-in free text available
2021-10-04
Survey response — days 1–6 daily, dose 2
MedDRA: Brain fog — Feeling: Good · Fatigue or tiredness

Free text: Brain fog

MedDRA releases: 2024-11 · check-in free text available
2021-10-05
Survey response — days 1–6 daily, dose 2
MedDRA: Amenorrhoea, Brain fog, Memory impairment — Feeling: Good · Site: Pain · Fatigue or tiredness

Free text: Amenhorrea for 46 days; brain fogalmost missed two appointments yesterday which never happens; forgot what I'm thinking about and saying about five words into a sentencefrequently

MedDRA releases: 2024-11 · check-in free text available
2021-10-06
Survey response — day 7, dose 2
MedDRA: Amenorrhoea, Brain fog, Memory impairment, Speech disorder — Feeling: Good

Free text: Amenhorrea ongoing 47 days since receiving first Covid19 shot; brain fog doesn't seem to liftkeep forgetting what I'm talking about in mid-sentences which is not normal for me

MedDRA releases: 2024-11 · check-in free text available
2021-10-13
Survey response — day 14, dose 2
MedDRA: Abnormal menstrual clots, Amenorrhoea, Brain fog, Lymphadenopathy, Pain in extremity, Peripheral swelling — Feeling: Good

Free text: Swollen lymph nodes in random places on bodyright breast in numerous places; swelling and pain in lower right legcalf concerned that clots are forming; brain fog continues; 46-days amenhorrea ended but am passing large bloodclots in menstrual c

MedDRA releases: 2024-11 · check-in free text available
2021-10-20
Survey response — day 21, dose 2
MedDRA: Pain in extremity, Peripheral swelling — Feeling: Good

Free text: Random swelling and pain in calves, concerned about circulation problems and blood collecting in calf muscles

MedDRA releases: 2024-11 · check-in free text available
2021-10-27
Survey response — day 28, dose 2
MedDRA: Exercise tolerance decreased, Fatigue, Hot flush, Insomnia, Peripheral swelling — Feeling: Fair

Free text: Extreme fatigue, random swelling around my calves (both sides), fatigue that limits my ability to exercise, insomnia at night and hot flashes after eating

MedDRA releases: 2024-11 · check-in free text available
2021-11-03
Survey response — day 35, dose 2
MedDRA: Fatigue, Nausea, Painful respiration, Pulmonary pain — Feeling: Fair · 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: Exhaustion, fatigue, nausea, pain in right lung upon inhaling

MedDRA releases: 2024-11 · check-in free text available
2021-11-03
Report sent to call center — day 35, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-11-08
Call 1 — Could Not Reach Participant
2021-11-10
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-11-11
Call successful
Participant prefers to complete VAERS report online
2021-12-29
Survey response — 3 months, dose 2
MedDRA: Chest discomfort, Muscle tightness — Feeling: Good

Free text: Tugging in my neck and in my heart at odd and random timesas if they're being stretched or pressured too much.

MedDRA releases: 2024-11 · check-in free text available
2022-04-03
Survey response — 6 months, dose 2
MedDRA: Asthenia, Exercise tolerance decreased, Malaise — Feeling: Poor · Be unable to do your normal daily activities

Free text: Zero energy, if I start to feel better then I'll exercise and return to feeling like crap again. I have exercise intolerance now when I USED to be an accomplished marathoner ((b)(6) Marathon 12x qualifier) and now I can barely exercise.

MedDRA releases: 2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-09-01	Moderna	No
2	2021-09-29	Moderna	No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 9 — days 1–6 daily, dose 1

2021-09-05

Systemic reaction (other): Concerned about enlarged veins in my lower legs

2021-09-06

Systemic reaction (other): Swollen lymph nodes in my trunk, armpits, breasts, jawline and swollen veins in my legs after exercise that I had to massage to clear swelling

Release 9 — day 14, dose 1

2021-09-15

Symptoms: I had a terribly swollen arm about 6-8 around the site of injection on day 10-12. It was red, swollen, itchy and got worse at night. I took antihistamines and the swelling & redness would reduce but each evening it returning significantly.

Release 9 — day 21, dose 1

2021-09-22

Symptoms: Mmy menstrual cycle, which is normally very regular, has not startedI am 6 days late and I have no reason to suspect pregnancy; I also still have swollen lymph nodes around my armpits/breasts & swollen areas & varicose veins in my lower legs

Release 9 — day 0, dose 2

2021-09-29

Systemic reaction (other): amenorrhea Since I received my first Moderna Covid19 vaccine. It has been 40 days since my last period; 28 days since my first Covid19 vaccine.

Release 9 — days 1–6 daily, dose 2

2021-09-30

Systemic reaction (other): Ongoing amennhorea, 41 days since my last period, 29 days since my 1st Moderna Covid19 vaccine

2021-10-02

Systemic reaction (other): Amenhorrea: 43 days since last period, 32 days since first Moderna Covid19 vaccine

2021-10-03

Systemic reaction (other): Amenhorrea44 days since my last period, prior to this my cycle was regularly every 27 days.

Release 10 — days 1–6 daily, dose 2

2021-10-04

Systemic reaction (other): Brain fog

2021-10-05

Systemic reaction (other): Amenhorrea for 46 days; brain fogalmost missed two appointments yesterday which never happens; forgot what I'm thinking about and saying about five words into a sentencefrequently

Release 10 — day 7, dose 2

2021-10-06

Systemic reaction (other): Amenhorrea ongoing 47 days since receiving first Covid19 shot; brain fog doesn't seem to liftkeep forgetting what I'm talking about in mid-sentences which is not normal for me

Release 10 — day 14, dose 2

2021-10-13

Symptoms: Swollen lymph nodes in random places on bodyright breast in numerous places; swelling and pain in lower right legcalf concerned that clots are forming; brain fog continues; 46-days amenhorrea ended but am passing large bloodclots in menstrual c

Release 10 — day 21, dose 2

2021-10-20

Symptoms: Random swelling and pain in calves, concerned about circulation problems and blood collecting in calf muscles

Release 10 — day 28, dose 2

2021-10-27

Symptoms: Extreme fatigue, random swelling around my calves (both sides), fatigue that limits my ability to exercise, insomnia at night and hot flashes after eating

Release 10 — day 35, dose 2

2021-11-03

Symptoms: Exhaustion, fatigue, nausea, pain in right lung upon inhaling

Release 10 — 3 months, dose 2

2021-12-29

Symptoms: Tugging in my neck and in my heart at odd and random timesas if they're being stretched or pressured too much.

Release 11 — 6 months, dose 2

2022-04-03

Symptoms: Zero energy, if I start to feel better then I'll exercise and return to feeling like crap again. I have exercise intolerance now when I USED to be an accomplished marathoner ((b)(6) Marathon 12x qualifier) and now I can barely exercise.

redacted (b)(6)

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	Abnormal menstrual clots	·	·	✓
SD	Amenorrhoea	·	·	✓
SD	Asthenia	·	·	✓
SD	Brain fog	·	·	✓
SD	Chest discomfort	·	·	✓
SD	Exercise tolerance decreased	·	·	✓
SD	Fatigue	·	·	✓
SD	Hot flush	·	·	✓
SD	Injection site erythema	·	·	✓
SD	Injection site pruritus	·	·	✓
SD	Injection site swelling	·	·	✓
SD	Insomnia	·	·	✓
SD	Lymphadenopathy	·	·	✓
SD	Malaise	·	·	✓
SD	Menstruation irregular	·	·	✓
SD	Muscle tightness	·	·	✓
SD	Nausea	·	·	✓
SD	Pain in extremity	·	·	✓
SD	Painful respiration	·	·	✓
SD	Peripheral swelling	·	·	✓
SD	Pulmonary pain	·	·	✓
SD	Vasodilatation	·	·	✓
SRO	Amenorrhoea	·	·	✓
SRO	Brain fog	·	·	✓
SRO	Lymphadenopathy	✓	·	✓
SRO	Memory impairment	·	·	✓
SRO	Speech disorder	·	·	✓
SRO	Vasodilatation	✓	·	✓

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