45L-24277-46173
5 vaccinations
11 coded responses
53 check-ins
10 free-text entries
4 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 980 / WA
- Registered
- 2021-01-20
- Relationship
- Self
- Race
- Other
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-20
Registered in v-safe
-
2021-01-20
Dose 1 — Moderna
- 2021-01-20
- 2021-01-21
-
2021-01-22
Survey response — days 1–6 daily, dose 1MedDRA: Abdominal distension, Sleep disorder — Feeling: Good · Abdominal painFree text: I woke up at 4:00am with a very bloated gut but Im not sure it was from the vaccine or some cucumbers I ate with dinner. It took me a couple of hours before I could go back to sleep.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-23
-
2021-01-24
Survey response — days 1–6 daily, dose 1MedDRA: Rhinorrhoea, Sneezing — Feeling: FairFree text: Sneezing and runny nose since last nightMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-25
- 2021-01-26
- 2021-01-27
- 2021-02-03
- 2021-02-10
-
2021-02-17
Dose 2 — Moderna
- 2021-02-17
-
2021-02-18
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessAdult check-in
-
2021-02-19
Survey response — days 1–6 daily, dose 2MedDRA: Asthenia, Peripheral coldness — Feeling: Good · Site: PainFree text: Very cold hands and no t much energyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-20
Survey response — days 1–6 daily, dose 2MedDRA: Feeling cold, Peripheral coldness — Feeling: Fair · ChillsFree text: Very cold hands and feeling chilled even with wearing two sweaters and covering with two blanketsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-21
-
2021-02-22
Survey response — days 1–6 daily, dose 2MedDRA: Chills, Discomfort, Hyperhidrosis, Peripheral coldness — Feeling: Good · ChillsFree text: Woke up around 5:00am because I was sweating a lot even though the heat is always turned off at night. - I keep the house at 60 at night. I took my temperature but it was normal 98.2. I was very uncomfortable . I get the chills in the early evening and my hands stay really cold for a while.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-23
-
2021-02-24
Health check-in — day 7, dose 2Feeling: Good · Rash, not including the immediate area around the injection siteAdult check-in
- 2021-03-03
- 2021-03-11
-
2021-03-18
Survey response — day 28, dose 2MedDRA: Abdominal distension, Asthenia, Decreased appetite, Flank pain, Unevaluable event — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Symptoms: Extreme bloating in my gut, sharp pain in my right side and loss of appetite and not much energy. · Healthcare visit (other): I have an appointment in the clinic tomorrow to be physically checked by a doctor.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-18
Report sent to call center — day 28, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-03-24
- 2021-04-01
- 2021-05-20
- 2021-08-18
-
2021-10-23
Dose 3 — Moderna
- 2021-10-24
- 2021-10-25
- 2021-10-26
-
2021-10-27
Survey response — days 1–6 daily, dose 3MedDRA: Ear discomfort, Eye pain, Odynophagia — Feeling: Fair · Fever · ChillsFree text: My ears hurt and i felt pressure in both ears and especially when I swallow. I felt pain when swallowing.MedDRA releases: 2024-11 · check-in free text available
-
2021-10-28
Survey response — days 1–6 daily, dose 3MedDRA: Ear discomfort, Medical counselling, Office visit, Oropharyngeal pain, Salivary gland enlargement — Feeling: Poor · Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): Have a sore throat and pressure in my ears, and my salivary glands are swollen. Doctor thinks it could be related to going up to higher elevation at (b)(6) last week. · Healthcare visit (other): Walk in clinicMedDRA releases: 2024-11 · check-in free text available
-
2021-10-28
Report sent to call center — days 1–6 daily, dose 3Get care from a doctor or other healthcare professional1 call case(s)
- 2021-10-30
-
2021-11-01
Call successfulParticipant prefers to complete VAERS report online
- 2021-11-13
- 2021-11-20
- 2021-11-27
- 2021-12-04
- 2022-01-22
- 2022-04-25
-
2022-04-26
Dose 4 — Moderna
- 2022-05-14
- 2022-05-17
- 2022-05-24
- 2022-05-31
- 2022-06-07
- 2022-07-26
-
2022-09-29
Dose 5 — Moderna
- 2022-09-29
-
2022-09-30
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Site: Pain · Chills, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2022-10-01
- 2022-10-02
-
2022-10-03
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Chills, Headache, Abdominal painAdult check-in
- 2022-10-04
- 2022-10-05
-
2022-10-06
Survey response — day 7, dose 5MedDRA: Abdominal discomfort — Feeling: GoodFree text: Still some stomach upsetMedDRA releases: 2024-11 · check-in free text available
-
2022-12-29
Survey response — 3 months, dose 5MedDRA: Headache — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Unexplained severe headaches centered in the top part of my headache and my eyes.MedDRA releases: 2024-11 · check-in free text available
-
2022-12-29
Report sent to call center — 3 months, dose 5Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-12-30
-
2023-03-30
Survey response — 6 months, dose 5MedDRA: Headache, Office visit — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitMedDRA releases: 2024-11
-
2023-03-30
Report sent to call center — 6 months, dose 5Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2023-03-31
- 2023-03-31
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-20 | Moderna | |
| 2 | 2021-02-17 | Moderna | |
| 3 | 2021-10-23 | Moderna | No |
| 4 | 2022-04-26 | Moderna | No |
| 5 | 2022-09-29 | Moderna | No |
Call center
4 call center cases
2 successful · 2 unsuccessful
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): I woke up at 4:00am with a very bloated gut but Im not sure it was from the vaccine or some cucumbers I ate with dinner. It took me a couple of hours before I could go back to sleep.
Systemic reaction (other): Sneezing and runny nose since last night
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Very cold hands and no t much energy
Systemic reaction (other): Very cold hands and feeling chilled even with wearing two sweaters and covering with two blankets
Systemic reaction (other): Woke up around 5:00am because I was sweating a lot even though the heat is always turned off at night. - I keep the house at 60 at night. I took my temperature but it was normal 98.2. I was very uncomfortable . I get the chills in the early evening and my hands stay really cold for a while.
Release 5 — day 28, dose 2
Symptoms: Extreme bloating in my gut, sharp pain in my right side and loss of appetite and not much energy.
Healthcare visit (other): I have an appointment in the clinic tomorrow to be physically checked by a doctor.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): My ears hurt and i felt pressure in both ears and especially when I swallow. I felt pain when swallowing.
Systemic reaction (other): Have a sore throat and pressure in my ears, and my salivary glands are swollen. Doctor thinks it could be related to going up to higher elevation at (b)(6) last week.
Healthcare visit (other): Walk in clinic
redacted (b)(6)
Release 12 — day 7, dose 5
Systemic reaction (other): Still some stomach upset
Release 12 — 3 months, dose 5
Symptoms: Unexplained severe headaches centered in the top part of my headache and my eyes.
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 | Office visit | · | · | ✓ |
| HCVO | Unevaluable event | ✓ | ✓ | ✓ |
| SD | Abdominal distension | ✓ | ✓ | ✓ |
| SD | Asthenia | ✓ | ✓ | ✓ |
| SD | Decreased appetite | ✓ | ✓ | ✓ |
| SD | Flank pain | ✓ | ✓ | ✓ |
| SD | Headache | · | · | ✓ |
| SRO | Abdominal discomfort | · | · | ✓ |
| SRO | Abdominal distension | ✓ | ✓ | ✓ |
| SRO | Asthenia | ✓ | ✓ | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Discomfort | ✓ | ✓ | ✓ |
| SRO | Ear discomfort | · | · | ✓ |
| SRO | Eye pain | · | · | ✓ |
| SRO | Feeling cold | ✓ | ✓ | ✓ |
| SRO | Hyperhidrosis | ✓ | ✓ | ✓ |
| SRO | Medical counselling | · | · | ✓ |
| SRO | Odynophagia | · | · | ✓ |
| SRO | Oropharyngeal pain | · | · | ✓ |
| SRO | Peripheral coldness | ✓ | ✓ | ✓ |
| SRO | Rhinorrhoea | ✓ | ✓ | ✓ |
| SRO | Salivary gland enlargement | · | · | ✓ |
| SRO | Sleep disorder | ✓ | ✓ | ✓ |
| SRO | Sneezing | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release