476-17708-71986

4 vaccinations 12 coded responses 39 check-ins 12 free-text entries 6 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 799 / TX
Registered: 2021-01-25

Relationship: Self
Race: White
Ethnicity: Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-01-25
Registered in v-safe
2021-01-25
Dose 1 — Moderna
2021-01-25
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-01-26
Survey response — days 1–6 daily, dose 1
MedDRA: Rhinorrhoea — Feeling: Fair · Site: Pain, Swelling · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Sniffing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2021-01-28
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain

Adult check-in
2021-01-31
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-02-01
Health check-in — day 7, dose 1
Feeling: Good · Abdominal pain

Adult check-in
2021-02-08
Survey response — day 14, dose 1
MedDRA: Fatigue, Headache — Feeling: Fair

Free text: Headache and feel tired.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-15
Survey response — day 21, dose 1
MedDRA: Condition aggravated, Fatigue, Headache, Office visit, Pre-existing disease — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: Headache, fatigue, lump under my left and right arm pits. Right side is larger. Had a mammogram in December of 2020. Lumps were found. Right side has gotten larger after vaccine. · Healthcare visit (other): Had appointment with surgeon. Was made aware that I had my first vaccine. I will be seen again in September.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-15
Report sent to call center — day 21, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-22
Health check-in — day 28, dose 1
Feeling: Fair

Adult check-in
2021-02-26
Dose 2 — Moderna
2021-02-27
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-02-28
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Headache, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-03-01
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-03-02
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-03-03
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-04
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Poor · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-05
Survey response — day 7, dose 2
MedDRA: Dizziness — Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-12
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-03-19
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-26
Survey response — day 28, dose 2
MedDRA: Ear pain, Fatigue, Migraine, Sinus headache — 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: Sinus headache/migraine, ear ache. Fatigue.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
Report sent to call center — day 28, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-02
Survey response — day 35, dose 2
MedDRA: Axillary mass, Axillary pain, Mass, Specialist consultation — Feeling: Poor · Get care from a doctor or other healthcare professional

Free text: Symptoms: Lump(s) under my right and left arm pit(s). Feels very sore. Both Injections were given on left side. · Healthcare visit (other): I was referred to a surgeon after my 2019 Mammogram. Lumps have grown after each vaccine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Report sent to call center — day 35, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-09
Survey response — day 42, dose 2
MedDRA: Ear pain, Migraine, Sinus headache — Feeling: Poor · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Sinus headache/migraine. Pain in ears.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-09
Report sent to call center — day 42, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-30
Survey response — 3 months, dose 2
MedDRA: Migraine, Office visit, Sinus headache — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: Sinus headaches/migraines · Healthcare visit (other): Visit to Neurologist

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-30
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-11
Call successful
Participant prefers to complete VAERS report online
2021-06-11
Call successful
Participant prefers to complete VAERS report online
2021-06-11
Call successful
Participant prefers to complete VAERS report online
2021-06-11
Call successful
Participant prefers to complete VAERS report online
2021-06-11
Call successful
Participant prefers to complete VAERS report online
2021-08-16
Dose 3 — Moderna
2021-08-27
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2021-11-16
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-02-14
Health check-in — 6 months, dose 3
Feeling: Fair

Adult check-in
2022-02-25
Dose 4 — Moderna
2022-02-26
Health check-in — days 1–6 daily, dose 4
Feeling: Poor · Site: Pain, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-02-27
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-02-28
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Redness, Swelling, Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-03-01
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Headache · Be unable to do your normal daily activities

Adult check-in
2022-03-02
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-03-03
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-03-04
Health check-in — day 7, dose 4
Feeling: Good · Fatigue or tiredness

Adult check-in
2022-03-11
Survey response — day 14, dose 4
MedDRA: Fatigue, Headache, Upper respiratory tract infection, Upper-airway cough syndrome — Feeling: Fair · Be unable to do your normal daily activities

Free text: Upper respiratory infection; post nasal drip; fatigue and headache

MedDRA releases: 2024-11 · check-in free text available
2022-03-18
Health check-in — day 21, dose 4
Feeling: Fair

Adult check-in
2022-03-26
Survey response — day 28, dose 4
MedDRA: Back pain, Pelvic pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Back and pelvic pain.

MedDRA releases: 2024-11 · check-in free text available
2022-04-03
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-05-27
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-08-31
Survey response — 6 months, dose 4
MedDRA: Office visit, Sinus headache — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: Sinus headaches · Healthcare visit (other): Doctors visit with specialist

MedDRA releases: 2024-11 · check-in free text available
2022-08-31
Report sent to call center — 6 months, dose 4
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-09-02
Call 1 — Left Voicemail
2023-02-27
Health check-in — 12 months, dose 4
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-25	Moderna
2	2021-02-26	Moderna
3	2021-08-16	Moderna	No
4	2022-02-25	Moderna	No

Call center

6 call center cases

5 successful · 1 unsuccessful

See the call center timeline

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-26

Systemic reaction (other): Sniffing

Release 3 — day 14, dose 1

2021-02-08

Symptoms: Headache and feel tired.

Release 4 — day 21, dose 1

2021-02-15

Symptoms: Headache, fatigue, lump under my left and right arm pits. Right side is larger. Had a mammogram in December of 2020. Lumps were found. Right side has gotten larger after vaccine.

Healthcare visit (other): Had appointment with surgeon. Was made aware that I had my first vaccine. I will be seen again in September.

Release 5 — days 1–6 daily, dose 2

2021-03-04

Systemic reaction (other): Dizziness

Release 5 — day 7, dose 2

2021-03-05

Systemic reaction (other): Dizziness

Release 6 — day 28, dose 2

2021-03-26

Symptoms: Sinus headache/migraine, ear ache. Fatigue.

Release 6 — day 35, dose 2

2021-04-02

Symptoms: Lump(s) under my right and left arm pit(s). Feels very sore. Both Injections were given on left side.

Healthcare visit (other): I was referred to a surgeon after my 2019 Mammogram. Lumps have grown after each vaccine.

Release 7 — day 42, dose 2

2021-04-09

Symptoms: Sinus headache/migraine. Pain in ears.

Release 8 — 3 months, dose 2

2021-05-30

Symptoms: Sinus headaches/migraines

Healthcare visit (other): Visit to Neurologist

Release 11 — day 14, dose 4

2022-03-11

Symptoms: Upper respiratory infection; post nasal drip; fatigue and headache

Release 11 — day 28, dose 4

2022-03-26

Symptoms: Back and pelvic pain.

Release 12 — 6 months, dose 4

2022-08-31

Symptoms: Sinus headaches

Healthcare visit (other): Doctors visit with specialist

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	Mass	✓	✓	✓
HCVO	Office visit	✓	✓	✓
HCVO	Specialist consultation	○	✓	○
SD	Axillary mass	✓	✓	✓
SD	Axillary pain	✓	✓	✓
SD	Back pain	·	·	✓
SD	Condition aggravated	✓	✓	✓
SD	Ear pain	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Migraine	✓	✓	✓
SD	Pelvic pain	·	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Sinus headache	✓	✓	✓
SD	Upper respiratory tract infection	·	·	✓
SD	Upper-airway cough syndrome	·	·	✓
SRO	Dizziness	✓	✓	✓
SRO	Rhinorrhoea	✓	✓	✓

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