3PG-21127-11288

2 vaccinations 7 coded responses 21 check-ins 7 free-text entries 2 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 562 / MN
Registered: 2021-03-20

Relationship: Self
Race: White
Ethnicity: Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-03-18
Dose 1 — Moderna
2021-03-20
Registered in v-safe
2021-03-20
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Abdominal pain

Adult check-in
2021-03-21
Survey response — days 1–6 daily, dose 1
MedDRA: Arthralgia, Poor quality sleep — Feeling: Good · Joint pains, Muscle or body aches

Free text: Slept poorly due to hip pain. Pain is minumal now that I am up and moving.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Joint pains, Muscle or body aches

Adult check-in
2021-03-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-25
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-01
Survey response — day 14, dose 1
MedDRA: Headache — Feeling: Fair · Be unable to do your normal daily activities

Free text: Headache for the last two days.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-15
Dose 2 — Moderna
2021-04-17
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-19
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Good · Joint pains

Free text: My check link for yesterday was sent after I had gone to bed. I experinced some severe vertigo/dizziness in the evening. It is mostly gone today, although I do have mild dizziness today if I move abruptly.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-20
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-21
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-24
Health check-in — day 7, dose 2
Feeling: Good · Joint pains

Adult check-in
2021-04-29
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-07
Survey response — day 21, dose 2
MedDRA: Nausea, Vertigo — Feeling: Fair

Free text: Some vertigo/nausea, really only are night

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-13
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-20
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-27
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-15
Survey response — 3 months, dose 2
MedDRA: Diarrhoea, Fatigue, Headache — Feeling: Fair · Be unable to do your normal daily activities

Free text: Diarrhea, fatigue, headache

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-10-14
Survey response — 6 months, dose 2
MedDRA: Ankle operation, Deep vein thrombosis — 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: I did end up with a dvt (clot), after surgery on my left ankle

MedDRA releases: 2024-11 · check-in free text available
2021-10-14
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

Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · Hospitalization · 1 call case(s)
2021-10-18
Call 1 — Left Voicemail
2022-04-15
Survey response — 12 months, dose 2
MedDRA: Deep vein thrombosis, Pulmonary embolism — 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 · Hospitalization

Free text: Dual pulmonary embolism with saddle, left leg dvt this was in Sept./Oct. 2021

MedDRA releases: 2024-11 · check-in free text available
2022-04-15
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

Hospitalization · 1 call case(s)
2022-04-20
Call successful
Participant prefers to complete VAERS report online

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-18	Moderna
2	2021-04-15	Moderna

Call center

2 call center cases

2 successful

See the call center timeline

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-21

Systemic reaction (other): Slept poorly due to hip pain. Pain is minumal now that I am up and moving.

Release 6 — day 14, dose 1

2021-04-01

Symptoms: Headache for the last two days.

Release 7 — days 1–6 daily, dose 2

2021-04-19

Systemic reaction (other): My check link for yesterday was sent after I had gone to bed. I experinced some severe vertigo/dizziness in the evening. It is mostly gone today, although I do have mild dizziness today if I move abruptly.

Release 8 — day 21, dose 2

2021-05-07

Symptoms: Some vertigo/nausea, really only are night

Release 9 — 3 months, dose 2

2021-07-15

Symptoms: Diarrhea, fatigue, headache

Release 10 — 6 months, dose 2

2021-10-14

Symptoms: I did end up with a dvt (clot), after surgery on my left ankle

Release 11 — 12 months, dose 2

2022-04-15

Symptoms: Dual pulmonary embolism with saddle, left leg dvt this was in Sept./Oct. 2021

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	Ankle operation	·	·	✓
SD	Deep vein thrombosis	·	·	✓
SD	Diarrhoea	✓	·	✓
SD	Fatigue	✓	·	✓
SD	Headache	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Pulmonary embolism	·	·	✓
SD	Vertigo	✓	✓	✓
SRO	Arthralgia	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Poor quality sleep	✓	✓	✓

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