46A-18025-66375

3 vaccinations 11 coded responses 39 check-ins 11 free-text entries 1 call case

Sex: Female
Age at first dose: 51-55
ZIP prefix: 021 / MA
Registered: 2021-04-06

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

2021-04-06
Registered in v-safe
2021-04-06
Dose 1 — Moderna
2021-04-06
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-07
Survey response — days 1–6 daily, dose 1
MedDRA: Intermenstrual bleeding — Feeling: Good · Site: Pain · Muscle or body aches

Free text: Menstrual spotting (Period not due for a while but Im in perimenopause so who knows.)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-09
Survey response — days 1–6 daily, dose 1
MedDRA: Unevaluable event — Feeling: Fair · Fever · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Menstrual Period in full force for 2nd day (misse yesterday check in).

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-10
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-04-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Muscle or body aches

Adult check-in
2021-04-13
Health check-in — day 7, dose 1
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-04-20
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-27
Survey response — day 21, dose 1
MedDRA: Intermenstrual bleeding, Pre-existing disease — Feeling: Fair

Free text: My period is spotting today & I feel PMS-y. This would be my regular period time but I got it unexpectedly the day after 1st vax shot so this is early again. No idea if this is vax related or just perimenopause, but thought I should report it.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-04
Dose 2 — Moderna
2021-05-04
Health check-in — day 0, dose 2
Feeling: Good · Fatigue or tiredness · Be unable to work or attend school

Adult check-in
2021-05-05
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-05-06
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain

Adult check-in
2021-05-07
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-05-08
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-05-09
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fever · Headache, Fatigue or tiredness, Diarrhea, Abdominal pain

Adult check-in
2021-05-10
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fever · Headache, Fatigue or tiredness

Adult check-in
2021-05-11
Health check-in — day 7, dose 2
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-05-18
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-25
Survey response — day 21, dose 2
MedDRA: Diarrhoea, Feeling abnormal, Insomnia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Ive had some insomnia, diarrhea and felt pretty blah.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-01
Survey response — day 28, dose 2
MedDRA: Night sweats, Pain, SARS-CoV-2 test, Throat irritation — Feeling: Fair

Free text: Aches, scratchy throat this past weekend (sat/sun); night sweats earlier in the week (last wed/thurs). I have not had a Covid test but considered getting one.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-08
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-15
Survey response — day 42, dose 2
MedDRA: Peripheral swelling — Feeling: Good

Free text: Swelling in my legs

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-03
Survey response — 3 months, dose 2
MedDRA: Hot flush, Night sweats — Feeling: Good

Free text: Hot flashes or night sweats. Not sure if perimenopausal or weather related (its been HOT), but this just started in the last month.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-11-02
Survey response — 6 months, dose 2
MedDRA: Office visit, Pruritus — Feeling: Good

Free text: I have a recurring itchy patch on my sternum. No idea if related to vax. Am checking it out with doctor but no details yet.

MedDRA releases: 2024-11 · check-in free text available
2021-11-11
Dose 3 — Moderna
2021-11-11
Health check-in — day 0, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-11-12
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school

Adult check-in
2021-11-13
Survey response — days 1–6 daily, dose 3
MedDRA: Abdominal pain, Feeling hot — Feeling: Fair · Site: Pain · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain

Free text: Abdominal Paine May have been menstrual related. My feet got really warm last night.

MedDRA releases: 2024-11 · check-in free text available
2021-11-14
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-11-15
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-16
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-17
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-18
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-11-25
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-12-02
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-12-09
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-16
Survey response — day 35, dose 3
MedDRA: Headache — Feeling: Fair · Be unable to work or attend school

Free text: I've had some headaches. May not be vax related.

MedDRA releases: 2024-11 · check-in free text available
2021-12-23
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-02-10
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-05-12
Survey response — 6 months, dose 3
MedDRA: Fatigue, Headache, Hot flush, Insomnia, Lymphadenopathy, Malaise, Nasal congestion, Office visit, Oropharyngeal pain, Pre-existing disease, Pyrexia, SARS-CoV-2 test, SARS-CoV-2 test negative, Sinus pain, Telemedicine — Feeling: Good · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Symptoms: Stuffy nose, headache, sinus pain, swollen glands, slight sore throat, malaise, tiredness, insomnia. Fever, hot flashes, seasonal allergies. (Not all at same time. All home and pcr tests for COVID were negative.) · Healthcare visit (other): Telehealth that referred to in person clinician administered pcr covid test.

MedDRA releases: 2024-11 · check-in free text available
2022-05-12
Report sent to call center — 6 months, dose 3
Be unable to work or attend school · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-05-13
Call 1 — Left Voicemail
2022-05-13
Call successful
Does not wish to fill out VAERS report
2022-11-11
Health check-in — 12 months, dose 3
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-06	Moderna
2	2021-05-04	Moderna
3	2021-11-11	Moderna	No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-07

Systemic reaction (other): Menstrual spotting (Period not due for a while but Im in perimenopause so who knows.)

2021-04-09

Systemic reaction (other): Menstrual Period in full force for 2nd day (misse yesterday check in).

Release 8 — day 21, dose 1

2021-04-27

Symptoms: My period is spotting today & I feel PMS-y. This would be my regular period time but I got it unexpectedly the day after 1st vax shot so this is early again. No idea if this is vax related or just perimenopause, but thought I should report it.

Release 8 — day 21, dose 2

2021-05-25

Symptoms: Ive had some insomnia, diarrhea and felt pretty blah.

Release 8 — day 28, dose 2

2021-06-01

Symptoms: Aches, scratchy throat this past weekend (sat/sun); night sweats earlier in the week (last wed/thurs). I have not had a Covid test but considered getting one.

Release 9 — day 42, dose 2

2021-06-15

Symptoms: Swelling in my legs

Release 9 — 3 months, dose 2

2021-08-03

Symptoms: Hot flashes or night sweats. Not sure if perimenopausal or weather related (its been HOT), but this just started in the last month.

Release 10 — 6 months, dose 2

2021-11-02

Symptoms: I have a recurring itchy patch on my sternum. No idea if related to vax. Am checking it out with doctor but no details yet.

Release 10 — days 1–6 daily, dose 3

2021-11-13

Systemic reaction (other): Abdominal Paine May have been menstrual related. My feet got really warm last night.

Release 10 — day 35, dose 3

2021-12-16

Symptoms: I've had some headaches. May not be vax related.

Release 11 — 6 months, dose 3

2022-05-12

Symptoms: Stuffy nose, headache, sinus pain, swollen glands, slight sore throat, malaise, tiredness, insomnia. Fever, hot flashes, seasonal allergies. (Not all at same time. All home and pcr tests for COVID were negative.)

Healthcare visit (other): Telehealth that referred to in person clinician administered pcr covid test.

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	SARS-CoV-2 test	·	·	✓
HCVO	Telemedicine	·	·	✓
SD	Diarrhoea	✓	✓	✓
SD	Fatigue	·	·	✓
SD	Feeling abnormal	✓	✓	✓
SD	Headache	·	·	✓
SD	Hot flush	✓	·	✓
SD	Insomnia	✓	✓	✓
SD	Intermenstrual bleeding	✓	✓	✓
SD	Lymphadenopathy	·	·	✓
SD	Malaise	·	·	✓
SD	Nasal congestion	·	·	✓
SD	Night sweats	✓	✓	✓
SD	Office visit	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pain	✓	✓	✓
SD	Peripheral swelling	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Pruritus	·	·	✓
SD	Pyrexia	·	·	✓
SD	SARS-CoV-2 test	✓	✓	○
SD	SARS-CoV-2 test negative	·	·	✓
SD	Sinus pain	·	·	✓
SD	Throat irritation	✓	✓	✓
SRO	Abdominal pain	·	·	✓
SRO	Feeling hot	·	·	✓
SRO	Intermenstrual bleeding	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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