3U2-22588-31715

4 vaccinations 15 coded responses 41 check-ins 14 free-text entries 2 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 342 / FL
Registered: 2021-02-24

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

2021-02-24
Registered in v-safe
2021-02-24
Dose 1 — Moderna
2021-02-24
Survey response — day 0, dose 1
MedDRA: Dysgeusia, Hypoaesthesia, Hypoaesthesia oral — Feeling: Poor · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Metallic taste in my mouth + numbness of lips, upper mouth palate, left side of face and both nostrils

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-25
Survey response — days 1–6 daily, dose 1
MedDRA: Nasal congestion — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Nasal stuffiness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-02-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-03-01
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-03-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

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

Adult check-in
2021-03-25
Dose 2 — Moderna
2021-03-31
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache

Adult check-in
2021-04-01
Health check-in — day 7, dose 2
Feeling: Good · Headache

Adult check-in
2021-04-08
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-06-26
Survey response — 3 months, dose 2
MedDRA: Headache — Feeling: Fair · Be unable to do your normal daily activities

Free text: Ongoing headaches

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-09-23
Survey response — 6 months, dose 2
MedDRA: Fatigue, Headache — Feeling: Poor · Be unable to do your normal daily activities

Free text: Daily general fatigue; headaches that put me in bed for 28 hours (frequency has lessened from daily to weekly but still occuring)

MedDRA releases: 2024-11 · check-in free text available
2021-11-03
Dose 3 — Moderna
2021-11-03
Survey response — day 0, dose 3
MedDRA: Vision blurred — Feeling: Poor · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Free text: Blurred vision

MedDRA releases: 2024-11 · check-in free text available
2021-11-04
Survey response — days 1–6 daily, dose 3
MedDRA: No adverse event — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: No

MedDRA releases: 2024-11 · check-in free text available
2021-11-05
Survey response — days 1–6 daily, dose 3
MedDRA: Respiratory tract congestion — Feeling: Good · Site: Itching · Headache, Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Free text: Head stuffiness

MedDRA releases: 2024-11 · check-in free text available
2021-11-06
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Redness, Itching · Headache, Fatigue or tiredness

Adult check-in
2021-11-07
Survey response — days 1–6 daily, dose 3
MedDRA: Dizziness — Feeling: Good · Site: Redness, Itching · Headache, Fatigue or tiredness

Free text: Dizziness

MedDRA releases: 2024-11 · check-in free text available
2021-11-08
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-11-09
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Headache

Adult check-in
2021-11-11
Health check-in — day 7, dose 3
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-11-17
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-24
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2021-12-01
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-08
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-15
Survey response — day 42, dose 3
MedDRA: Headache — Feeling: Fair · Be unable to do your normal daily activities

Free text: Headache

MedDRA releases: 2024-11 · check-in free text available
2022-02-02
Health check-in — 3 months, dose 3
Feeling: Fair

Adult check-in
2022-05-04
Health check-in — 6 months, dose 3
Feeling: Fair

Adult check-in
2022-05-20
Dose 4 — Moderna
2022-05-21
Survey response — days 1–6 daily, dose 4
MedDRA: Dysgeusia — Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Metallic taste in mouth

MedDRA releases: 2024-11 · check-in free text available
2022-05-22
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-05-23
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-05-24
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-05-25
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-05-26
Survey response — days 1–6 daily, dose 4
MedDRA: Headache — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Ongoing headache

MedDRA releases: 2024-11 · check-in free text available
2022-05-27
Survey response — day 7, dose 4
MedDRA: Abdominal discomfort — Feeling: Poor · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Upset stomach

MedDRA releases: 2024-11 · check-in free text available
2022-06-03
Health check-in — day 14, dose 4
Feeling: Fair

Adult check-in
2022-06-10
Health check-in — day 21, dose 4
Feeling: Fair

Adult check-in
2022-06-17
Survey response — day 28, dose 4
MedDRA: Abdominal discomfort, Headache — Feeling: Fair · Be unable to do your normal daily activities

Free text: Bothersome, lingering upset stomach and headache.

MedDRA releases: 2024-11 · check-in free text available
2022-06-24
Health check-in — day 35, dose 4
Feeling: Fair

Adult check-in
2022-07-01
Survey response — day 42, dose 4
MedDRA: Diarrhoea, Fatigue, Headache, Upper respiratory tract infection — 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: URI Headache Fatigue diarrhea

MedDRA releases: 2024-11 · check-in free text available
2022-07-01
Report sent to call center — day 42, dose 4
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)
2022-07-05
Call successful
Participant prefers to complete VAERS report online
2023-05-20
Survey response — 12 months, dose 4
MedDRA: Sinusitis, Upper respiratory tract infection — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

MedDRA releases: 2024-11
2023-05-20
Report sent to call center — 12 months, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2023-05-24
Call 1 — Could Not Reach Participant

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-24	Moderna
2	2021-03-25	Moderna
3	2021-11-03	Moderna	No
4	2022-05-20	Moderna	No

Call center

2 call center cases

1 successful · 1 unsuccessful

See the call center timeline

Free text

Release 4 — day 0, dose 1

2021-02-24

Systemic reaction (other): Metallic taste in my mouth + numbness of lips, upper mouth palate, left side of face and both nostrils

Release 4 — days 1–6 daily, dose 1

2021-02-25

Systemic reaction (other): Nasal stuffiness

Release 9 — 3 months, dose 2

2021-06-26

Symptoms: Ongoing headaches

Release 9 — 6 months, dose 2

2021-09-23

Symptoms: Daily general fatigue; headaches that put me in bed for 28 hours (frequency has lessened from daily to weekly but still occuring)

Release 10 — day 0, dose 3

2021-11-03

Systemic reaction (other): Blurred vision

Release 10 — days 1–6 daily, dose 3

2021-11-04

Systemic reaction (other): No

2021-11-05

Systemic reaction (other): Head stuffiness

2021-11-07

Systemic reaction (other): Dizziness

Release 10 — day 42, dose 3

2021-12-15

Symptoms: Headache

Release 11 — days 1–6 daily, dose 4

2022-05-21

Systemic reaction (other): Metallic taste in mouth

2022-05-26

Systemic reaction (other): Ongoing headache

Release 11 — day 7, dose 4

2022-05-27

Systemic reaction (other): Upset stomach

Release 12 — day 28, dose 4

2022-06-17

Symptoms: Bothersome, lingering upset stomach and headache.

Release 12 — day 42, dose 4

2022-07-01

Symptoms: URI Headache Fatigue diarrhea

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	Abdominal discomfort	·	·	✓
SD	Diarrhoea	·	·	✓
SD	Fatigue	·	·	✓
SD	Headache	✓	✓	✓
SD	Sinusitis	·	·	✓
SD	Upper respiratory tract infection	·	·	✓
SRO	Abdominal discomfort	·	·	✓
SRO	Dizziness	·	·	✓
SRO	Dysgeusia	✓	✓	✓
SRO	Headache	·	·	✓
SRO	Hypoaesthesia	✓	✓	✓
SRO	Hypoaesthesia oral	✓	✓	✓
SRO	Nasal congestion	✓	✓	✓
SRO	No adverse event	·	·	✓
SRO	Respiratory tract congestion	·	·	✓
SRO	Vision blurred	·	·	✓

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