45V-29025-20938

4 vaccinations 13 coded responses 33 check-ins 13 free-text entries 2 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 432 / OH
Registered: 2021-03-17

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

2021-03-17
Registered in v-safe
2021-03-17
Dose 1 — Moderna
2021-03-17
Survey response — day 0, dose 1
MedDRA: Atrial flutter, Dizziness — Feeling: Good · Site: Pain

Free text: I felt dizzy and had a fluttery feeling in my chest while waiting after receiving my shot. It passed after they gave me some juice.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-03-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-20
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

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 — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-31
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-09
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-14
Dose 2 — Moderna
2021-04-14
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-04-15
Survey response — days 1–6 daily, dose 2
MedDRA: Nasopharyngitis, Sinus operation — Feeling: Good · Site: Pain · Fatigue or tiredness

Free text: Cold Ike symptoms resulting from drainage.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Nasopharyngitis, Rhinorrhoea, Upper-airway cough syndrome — Feeling: Good · Site: Pain · Chills

Free text: Cold like symptoms - runny nose, post nasal drainage, light headedness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-17
Survey response — days 1–6 daily, dose 2
MedDRA: Discharge, Nasopharyngitis — Feeling: Good

Free text: Slide cold like symptoms - drainage

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-18
Survey response — days 1–6 daily, dose 2
MedDRA: Nasopharyngitis, Oropharyngeal pain, Paranasal sinus hypersecretion — Feeling: Fair · Muscle or body aches

Free text: Cold like symptoms - sinus drainage / sore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-19
Survey response — days 1–6 daily, dose 2
MedDRA: Nasopharyngitis — Feeling: Good

Free text: Slight cold like symptoms that seem to be resolving

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 — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-05-07
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-13
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-19
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-26
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-14
Survey response — 3 months, dose 2
MedDRA: Abdominal pain upper — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Stomach pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-14
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-22
Call 2 — Left Voicemail
2021-10-13
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-14
Dose 3 — Moderna
2022-04-14
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-05-27
Dose 4 — Moderna
2022-06-07
Survey response — day 7, dose 4
MedDRA: Chills, Pain — Feeling: Good

Free text: On the day I got my vaccination in May, I ended up with body aches and chills. That lasted 2 days and I've been fine since.

MedDRA releases: 2024-11 · check-in free text available
2022-06-10
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-06-17
Survey response — day 21, dose 4
MedDRA: Oropharyngeal pain, Rhinorrhoea — Feeling: Good

Free text: Runny nose Sore throat

MedDRA releases: 2024-11 · check-in free text available
2022-06-24
Survey response — day 28, dose 4
MedDRA: Musculoskeletal stiffness, Oropharyngeal pain, Pain, Respiratory tract congestion, Rhinorrhoea — Feeling: Fair

Free text: Sore throat, runny nose, congestion, stiff neck and body aches.

MedDRA releases: 2024-11 · check-in free text available
2022-07-01
Survey response — day 35, dose 4
MedDRA: Asthma, Dyspnoea — Feeling: Fair

Free text: Asthma like symptoms - hard to breath at times. Need to use inhaler.

MedDRA releases: 2024-11 · check-in free text available
2022-07-08
Survey response — day 42, dose 4
MedDRA: Emergency care, Tachycardia — 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, Emergency room or emergency department visit

Free text: Tachycardia - ended up in ER after I had a heart rate of 209 due to light exercise.

MedDRA releases: 2024-11 · check-in free text available
2022-07-08
Report sent to call center — day 42, dose 4
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 · Emergency room or emergency department visit · 1 call case(s)
2022-07-11
Call 1 — Left Voicemail
2022-07-11
Call 1 — Left Voicemail
2022-07-11
Call successful
Participant prefers to complete VAERS report online
2022-07-11
Call successful
Participant prefers to complete VAERS report online
2022-08-28
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-11-27
Survey response — 6 months, dose 4
MedDRA: Cough, Influenza, Oropharyngeal pain, Respiratory tract congestion, Rhinorrhoea — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Flu - sore throat, head congestion, runny nose, persistent cough

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-17	Moderna
2	2021-04-14	Moderna
3	2021-11-14	Moderna	No
4	2022-05-27	Moderna	No

Call center

2 call center cases

2 successful

See the call center timeline

Free text

Release 5 — day 0, dose 1

2021-03-17

Systemic reaction (other): I felt dizzy and had a fluttery feeling in my chest while waiting after receiving my shot. It passed after they gave me some juice.

Release 7 — days 1–6 daily, dose 2

2021-04-15

Systemic reaction (other): Cold Ike symptoms resulting from drainage.

2021-04-16

Systemic reaction (other): Cold like symptoms - runny nose, post nasal drainage, light headedness

2021-04-17

Systemic reaction (other): Slide cold like symptoms - drainage

2021-04-18

Systemic reaction (other): Cold like symptoms - sinus drainage / sore throat

2021-04-19

Systemic reaction (other): Slight cold like symptoms that seem to be resolving

Release 9 — 3 months, dose 2

2021-07-14

Symptoms: Stomach pain

Release 11 — day 7, dose 4

2022-06-07

Systemic reaction (other): On the day I got my vaccination in May, I ended up with body aches and chills. That lasted 2 days and I've been fine since.

Release 12 — day 21, dose 4

2022-06-17

Symptoms: Runny nose Sore throat

Release 12 — day 28, dose 4

2022-06-24

Symptoms: Sore throat, runny nose, congestion, stiff neck and body aches.

Release 12 — day 35, dose 4

2022-07-01

Symptoms: Asthma like symptoms - hard to breath at times. Need to use inhaler.

Release 12 — day 42, dose 4

2022-07-08

Symptoms: Tachycardia - ended up in ER after I had a heart rate of 209 due to light exercise.

Release 12 — 6 months, dose 4

2022-11-27

Symptoms: Flu - sore throat, head congestion, runny nose, persistent cough

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 pain upper	✓	✓	✓
SD	Asthma	·	·	✓
SD	Cough	·	·	✓
SD	Dyspnoea	·	·	✓
SD	Emergency care	·	·	✓
SD	Influenza	·	·	✓
SD	Musculoskeletal stiffness	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pain	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	Rhinorrhoea	·	·	✓
SD	Tachycardia	·	·	✓
SRO	Atrial flutter	✓	✓	✓
SRO	Chills	·	·	✓
SRO	Discharge	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Nasopharyngitis	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Pain	·	·	✓
SRO	Paranasal sinus hypersecretion	✓	✓	✓
SRO	Rhinorrhoea	✓	✓	✓
SRO	Sinus operation	✓	✓	✓
SRO	Upper-airway cough syndrome	✓	✓	✓

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