44K-37036-63137

2 vaccinations 7 coded responses 25 check-ins 7 free-text entries 3 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 857 / AZ
Registered: 2021-05-15

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

2021-05-15
Registered in v-safe
2021-05-15
Dose 1 — Moderna
2021-05-15
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-05-16
Survey response — days 1–6 daily, dose 1
MedDRA: Abdominal pain — Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Sharp pinpoint stabbing pain over abdomen

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling · None

Adult check-in
2021-05-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-05-19
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-05-20
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-05-21
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-05-24
Health check-in — day 7, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-05-31
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-06-05
Survey response — day 21, dose 1
MedDRA: Fatigue — Feeling: Poor · Be unable to do your normal daily activities

Free text: Overwhelming exhaution

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-12
Dose 2 — Moderna
2021-06-12
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain, Swelling · None

Adult check-in
2021-06-13
Survey response — days 1–6 daily, dose 2
MedDRA: Asthenia, Dysstasia — Feeling: Poor · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Very weak. Hard to stay standing.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2021-06-15
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-06-16
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Fatigue or tiredness, Abdominal pain

Adult check-in
2021-06-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-06-18
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-06-22
Health check-in — day 7, dose 2
Feeling: Fair · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-06-26
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-07-03
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-07-10
Survey response — day 28, dose 2
MedDRA: Diarrhoea, Headache, Oropharyngeal pain — Feeling: Poor · Be unable to do your normal daily activities

Free text: Frequents bouts of diarrhea and fatigue. Today I had an upset stoach, headache and sore throat.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-18
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-07-24
Survey response — day 42, dose 2
MedDRA: Dizziness, Middle ear effusion, Tooth infection, Unevaluable event — 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

Free text: Symptoms: Bad dizziness from infected molar and fluid behind eardrum on same side of face. · Healthcare visit (other): Going to get tooth pulled tomorrow.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-24
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

1 call case(s)
2021-08-02
Call 1 — Left Voicemail
2021-09-11
Survey response — 3 months, dose 2
MedDRA: Diarrhoea, Dizziness, Emergency care, Office visit — 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, Emergency room or emergency department visit

Free text: Bad diarrhea and dizziness for a couple months. Went to Urgentcare and ER sevetal times.

MedDRA releases: 2024-11 · check-in free text available
2021-09-11
Report sent to call center — 3 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

1 call case(s)
2021-09-14
Call successful
Participant prefers to complete VAERS report online
2021-12-11
Survey response — 6 months, dose 2
MedDRA: Vertigo — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, Hospitalization

Free text: Vestibular vertigo

MedDRA releases: 2024-11 · check-in free text available
2021-12-11
Report sent to call center — 6 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Emergency room or emergency department visit · Hospitalization · 1 call case(s)
2021-12-14
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-05-15	Moderna
2	2021-06-12	Moderna

Call center

3 call center cases

1 successful · 2 unsuccessful

See the call center timeline

Free text

Release 8 — days 1–6 daily, dose 1

2021-05-16

Systemic reaction (other): Sharp pinpoint stabbing pain over abdomen

Release 8 — day 21, dose 1

2021-06-05

Symptoms: Overwhelming exhaution

Release 9 — days 1–6 daily, dose 2

2021-06-13

Systemic reaction (other): Very weak. Hard to stay standing.

Release 9 — day 28, dose 2

2021-07-10

Symptoms: Frequents bouts of diarrhea and fatigue. Today I had an upset stoach, headache and sore throat.

Release 9 — day 42, dose 2

2021-07-24

Symptoms: Bad dizziness from infected molar and fluid behind eardrum on same side of face.

Healthcare visit (other): Going to get tooth pulled tomorrow.

Release 9 — 3 months, dose 2

2021-09-11

Symptoms: Bad diarrhea and dizziness for a couple months. Went to Urgentcare and ER sevetal times.

Release 10 — 6 months, dose 2

2021-12-11

Symptoms: Vestibular vertigo

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
HCVO	Unevaluable event	✓	·	✓
SD	Diarrhoea	✓	✓	✓
SD	Dizziness	✓	·	✓
SD	Emergency care	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Middle ear effusion	✓	·	✓
SD	Office visit	·	·	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Tooth infection	✓	·	✓
SD	Vertigo	·	·	✓
SRO	Abdominal pain	✓	✓	✓
SRO	Asthenia	✓	✓	✓
SRO	Dysstasia	✓	✓	✓

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