3PC-12247-36220

2 vaccinations 12 coded responses 27 check-ins 12 free-text entries 8 call cases

Sex: Female
Age at first dose: 26-30
ZIP prefix: 395 / MS
Registered: 2021-08-06

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

2021-08-06
Registered in v-safe
2021-08-06
Dose 1 — Moderna
2021-08-06
Survey response — day 0, dose 1
MedDRA: Chest pain — Feeling: Fair · Site: Pain, Redness · Muscle or body aches

Free text: chest pain 6 hours after

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-07
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Itching · Headache, Muscle or body aches

Adult check-in
2021-08-08
Survey response — days 1–6 daily, dose 1
MedDRA: Chest pain — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Free text: Mild chest pain

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-08-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Muscle or body aches

Adult check-in
2021-08-11
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Joint pains, Muscle or body aches

Adult check-in
2021-08-12
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Joint pains, Muscle or body aches

Adult check-in
2021-08-13
Health check-in — day 7, dose 1
Feeling: Poor · Headache

Adult check-in
2021-08-20
Survey response — day 14, dose 1
MedDRA: Chest pain, Painful respiration — Feeling: Fair

Free text: Chest pain, left side. Worse with inhaling.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-27
Survey response — day 21, dose 1
MedDRA: Headache, Oropharyngeal pain, Rhinorrhoea, Sneezing — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Sore throat, headache, runny nose, sneezing

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-09-08
Survey response — day 28, dose 1
MedDRA: Chest pain, Dyspnoea, Laboratory test abnormal, Loss of consciousness — Feeling: Poor · 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: Passing out, shortness of breath, mild chest pain. Half of labs came back abnormal. Last checked 6 months ago and were fine

MedDRA releases: 2024-11 · check-in free text available
2021-09-08
Report sent to call center — day 28, dose 1
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)
2021-09-10
Dose 2 — Moderna
2021-09-10
Health check-in — day 35, dose 1
Feeling: Fair

Adult check-in
2021-09-11
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-09-12
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-09-13
Survey response — days 1–6 daily, dose 2
MedDRA: Oropharyngeal pain, Rhinorrhoea — Feeling: Poor · Site: Pain · Headache

Free text: Sore throat, runny nose

MedDRA releases: 2024-11 · check-in free text available
2021-09-14
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-09-15
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Abdominal pain · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Adult check-in
2021-09-15
Report sent to call center — days 1–6 daily, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-09-15
Call 1 — Left Voicemail
2021-09-16
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Headache, Fatigue or tiredness · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Adult check-in
2021-09-16
Report sent to call center — days 1–6 daily, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-09-17
Survey response — day 7, dose 2
MedDRA: Heart rate increased — Feeling: Fair · Fatigue or tiredness

Free text: Increased heart rate

MedDRA releases: 2024-11 · check-in free text available
2021-09-17
Call successful
Participant prefers to complete VAERS report online
2021-09-24
Survey response — day 14, dose 2
MedDRA: Fatigue, Laboratory test abnormal — Feeling: Poor · 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: FatigueAbnormal labs

MedDRA releases: 2024-11 · check-in free text available
2021-09-24
Report sent to call center — day 14, 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

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-09-27
Call 2 — Left Voicemail
2021-10-01
Health check-in — day 21, dose 2
Feeling: Poor

Adult check-in
2021-10-08
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-10-17
Health check-in — day 35, dose 2
Feeling: Poor

Adult check-in
2021-10-24
Survey response — day 42, dose 2
MedDRA: Fatigue, Laboratory test abnormal — Feeling: Poor · 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: Fatigue Abnormal labs

MedDRA releases: 2024-11 · check-in free text available
2021-10-24
Report sent to call center — day 42, 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

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-10-26
Call 2 — Left Voicemail
2021-12-10
Survey response — 3 months, dose 2
MedDRA: Fatigue, Laboratory test abnormal — Feeling: Poor · 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: Further abnormal labs. Extreme fatigue

MedDRA releases: 2024-11 · check-in free text available
2021-12-10
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

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-12-13
Call 2 — Left Voicemail
2022-03-11
Survey response — 6 months, dose 2
MedDRA: Antinuclear antibody positive, Autoimmune disorder — 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, Outpatient clinic or urgent care clinic visit

Free text: positive ANA and other autoimmune symptoms

MedDRA releases: 2024-11 · check-in free text available
2022-03-11
Report sent to call center — 6 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

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-03-14
Call 1 — Left Voicemail
2022-09-12
Survey response — 12 months, dose 2
MedDRA: Cough, Paraesthesia, Syncope — Feeling: Poor · 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: Syncope Chronic cough Tingling in feet

MedDRA releases: 2024-11 · check-in free text available
2022-09-12
Report sent to call center — 12 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

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-09-13
Call 1 — Could Not Reach Participant
2022-09-13
Call 1 — Could Not Reach Participant
2022-09-13
Call 1 — Could Not Reach Participant
2022-09-13
Call 2 — Could Not Reach Participant
2022-09-13
Call 1 — Could Not Reach Participant
2022-09-17
Call successful
Participant prefers to complete VAERS report online
2022-09-17
Call successful
Participant prefers to complete VAERS report online

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-08-06	Moderna	No
2	2021-09-10	Moderna	No

Call center

8 call center cases

3 successful · 5 unsuccessful

See the call center timeline

Free text

Release 9 — day 0, dose 1

2021-08-06

Systemic reaction (other): chest pain 6 hours after

Release 9 — days 1–6 daily, dose 1

2021-08-08

Systemic reaction (other): Mild chest pain

Release 9 — day 14, dose 1

2021-08-20

Symptoms: Chest pain, left side. Worse with inhaling.

Release 9 — day 21, dose 1

2021-08-27

Symptoms: Sore throat, headache, runny nose, sneezing

Release 9 — day 28, dose 1

2021-09-08

Symptoms: Passing out, shortness of breath, mild chest pain. Half of labs came back abnormal. Last checked 6 months ago and were fine

Release 9 — days 1–6 daily, dose 2

2021-09-13

Systemic reaction (other): Sore throat, runny nose

Release 9 — day 7, dose 2

2021-09-17

Systemic reaction (other): Increased heart rate

Release 9 — day 14, dose 2

2021-09-24

Symptoms: FatigueAbnormal labs

Release 10 — day 42, dose 2

2021-10-24

Symptoms: Fatigue Abnormal labs

Release 10 — 3 months, dose 2

2021-12-10

Symptoms: Further abnormal labs. Extreme fatigue

Release 11 — 6 months, dose 2

2022-03-11

Symptoms: positive ANA and other autoimmune symptoms

Release 12 — 12 months, dose 2

2022-09-12

Symptoms: Syncope Chronic cough Tingling in feet

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	Antinuclear antibody positive	·	·	✓
SD	Autoimmune disorder	·	·	✓
SD	Chest pain	✓	·	✓
SD	Cough	·	·	✓
SD	Dyspnoea	·	·	✓
SD	Fatigue	·	·	✓
SD	Headache	✓	·	✓
SD	Laboratory test abnormal	·	·	✓
SD	Loss of consciousness	·	·	✓
SD	Oropharyngeal pain	✓	·	✓
SD	Painful respiration	✓	·	✓
SD	Paraesthesia	·	·	✓
SD	Rhinorrhoea	✓	·	✓
SD	Sneezing	✓	·	✓
SD	Syncope	·	·	✓
SRO	Chest pain	✓	·	✓
SRO	Heart rate increased	·	·	✓
SRO	Oropharyngeal pain	·	·	✓
SRO	Rhinorrhoea	·	·	✓

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