4CC-87197-56467

4 vaccinations 23 coded responses 38 check-ins 22 free-text entries 15 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 891 / NV
Registered: 2021-01-05

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

2021-01-05
Registered in v-safe
2021-01-05
Dose 1 — Moderna
2021-01-05
Survey response — day 0, dose 1
MedDRA: Dizziness — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Free text: Dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-06
Survey response — days 1–6 daily, dose 1
MedDRA: Hypoaesthesia — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: Numbness of injection arm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-06
Report sent to call center — days 1–6 daily, dose 1
Be unable to work · Be unable to do your normal daily activities

1 call case(s)
2021-01-07
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-01-07
Report sent to call center — days 1–6 daily, dose 1
Be unable to work · Be unable to do your normal daily activities

1 call case(s)
2021-01-08
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness — Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-08
Report sent to call center — days 1–6 daily, dose 1
Be unable to work · Be unable to do your normal daily activities

1 call case(s)
2021-01-09
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness, Insomnia — Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Dizziness, sleeplessness/insomnia

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-09
Report sent to call center — days 1–6 daily, dose 1
Be unable to work · Be unable to do your normal daily activities

1 call case(s)
2021-01-10
Survey response — days 1–6 daily, dose 1
MedDRA: Hypoaesthesia, Insomnia, Neuropathy peripheral, Paraesthesia, Pre-existing disease — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Sleeplessness, peripheral neuropathy worsened in lower extremities, numbness and tingling in injection arm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-10
Report sent to call center — days 1–6 daily, dose 1
Be unable to work · Be unable to do your normal daily activities

1 call case(s)
2021-01-11
Survey response — days 1–6 daily, dose 1
MedDRA: Condition aggravated, Insomnia, Pre-existing disease — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Sleeplessness, exacerbation of peripheral neuropathy symptoms

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-11
Report sent to call center — days 1–6 daily, dose 1
Be unable to work · Be unable to do your normal daily activities

1 call case(s)
2021-01-12
Survey response — day 7, dose 1
MedDRA: Burning sensation, Insomnia, Neuropathy peripheral, Pre-existing disease — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Sleeplessness, burning/peripheral neuropathy exacerbation of extremities

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-12
Report sent to call center — day 7, dose 1
Be unable to work · Be unable to do your normal daily activities

1 call case(s)
2021-01-19
Survey response — day 14, dose 1
MedDRA: Erythema, Neuropathy peripheral, Rash, Urticaria — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: Rash across chest/small hives, red face/neck/chestAlso, worsened peripheral neuropathy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-26
Survey response — day 21, dose 1
MedDRA: Muscle twitching, Myalgia, Nausea, Vomiting — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: Nausea, vomiting, uncontrollable eye twitching, muscle aches and twitching

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-02
Dose 2 — Moderna
2021-02-02
Survey response — day 0, dose 2
MedDRA: Dizziness — Feeling: Good · Site: Pain · Headache, Joint pains · Be unable to work, Be unable to do your normal daily activities

Free text: Dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-03
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, Nausea, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-02-04
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · 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
2021-02-06
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · 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
2021-02-07
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · 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
2021-02-08
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-02-09
Survey response — day 7, dose 2
MedDRA: Constipation — Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting · Be unable to work, Be unable to do your normal daily activities

Free text: Constipation

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-16
Survey response — day 14, dose 2
MedDRA: Abdominal pain upper, Nausea, Vomiting — Feeling: Poor · Be unable to work, 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

Free text: Severe nausea, vomiting and epigastric pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-16
Report sent to call center — day 14, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-23
Survey response — day 21, dose 2
MedDRA: Abdominal pain upper, Constipation, Nausea, Vomiting — Feeling: Fair · Be unable to work, 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: Nausea, Vomiting, constipation, and epigastric pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-23
Report sent to call center — day 21, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-02
Survey response — day 28, dose 2
MedDRA: Abdominal pain upper, Fatigue, Nausea, Vomiting — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: Nausea, Vomiting, fatigue, epigastric pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-09
Survey response — day 35, dose 2
MedDRA: Abdominal distension, Abdominal pain upper, Arthralgia, Constipation, Fatigue, Feeling abnormal, Gastrointestinal disorder, Headache — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities

Free text: Worsening GI symptoms: constipation, bloating, epigastric pain, fatigue, brain fog, generalized joint pain, headaches

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-18
Survey response — day 42, dose 2
MedDRA: Abdominal pain, Condition aggravated, Headache, Insomnia, Nausea, Neuropathy peripheral, Pre-existing disease, Vomiting — Feeling: Fair · Be unable to work, 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

Free text: Abdominal pain, nausea, vomiting and gallbladder attacks x 4, sleeplessness, worsening headaches and peripheral neuropathy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-18
Report sent to call center — day 42, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-04
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-07-28
Call 2 — Left Voicemail
2021-07-28
Call 2 — Left Voicemail
2021-07-28
Call 2 — Left Voicemail
2021-08-05
Survey response — 6 months, dose 2
MedDRA: Fluid replacement, Haematemesis — 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: Vomiting blood · Healthcare visit (other): IV fluids x 2 bags, antiemetic, CT scan with contrast

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-05
Report sent to call center — 6 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)
2021-08-16
Call 2 — Left Voicemail
2021-10-09
Dose 3 — Moderna
Co-administered: Flu
2021-10-23
Survey response — day 14, dose 3
MedDRA: Abdominal discomfort, Pain, Pyrexia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Achy, fever of 101.9, increased GI distress

MedDRA releases: 2024-11 · check-in free text available
2021-10-30
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2021-11-08
Health check-in — day 28, dose 3
Feeling: Fair

Adult check-in
2021-11-13
Health check-in — day 35, dose 3
Feeling: Fair

Adult check-in
2021-11-20
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2022-01-08
Survey response — 3 months, dose 3
MedDRA: Fatigue, Hypoxia, Office visit, Oxygen saturation decreased, Sleep apnoea syndrome — Feeling: Fair · 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: Hypoxia at night, sleep apnea with oxygen as low as 68-73% for over 42 min. Pulmonologist is putting me on home O2 Profound fatigue

MedDRA releases: 2024-11 · check-in free text available
2022-01-08
Report sent to call center — 3 months, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-01-17
Call successful
Participant prefers to complete VAERS report online
2022-04-11
Health check-in — 6 months, dose 3
Feeling: Fair

Adult check-in
2022-09-21
Dose 4 — Pfizer-BioNTech
Co-administered: Flu
2022-10-09
Survey response — 12 months, dose 3
MedDRA: Bronchitis, Partial seizures — 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

Free text: Complex focal seizures Bronchitis

MedDRA releases: 2024-11 · check-in free text available
2022-10-09
Report sent to call center — 12 months, dose 3
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 · 1 call case(s)
2022-10-10
Call 3 — Left Voicemail
2022-10-10
Call 3 — Left Voicemail
2022-10-10
Call 3 — Left Voicemail
2022-10-10
Call 3 — Left Voicemail
2022-10-10
Call 2 — Left Voicemail
2022-10-17
Health check-in — day 21, dose 4
Feeling: Fair

Adult check-in
2022-10-21
Health check-in — day 28, dose 4
Feeling: Fair

Adult check-in
2022-10-26
Health check-in — day 35, dose 4
Feeling: Fair

Adult check-in
2022-11-02
Survey response — day 42, dose 4
MedDRA: Brain fog, Dyspnoea, Fatigue, Lethargy — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Fogginess, fatigue, lethargy, shortness of breath

MedDRA releases: 2024-11 · check-in free text available
2022-12-23
Survey response — 3 months, dose 4
MedDRA: Vomiting — 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 · Emergency room or emergency department visit

Free text: Intractable vomiting

MedDRA releases: 2024-11 · check-in free text available
2022-12-23
Report sent to call center — 3 months, 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

Emergency room or emergency department visit · 1 call case(s)
2022-12-27
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2023-03-22
Survey response — 6 months, dose 4
MedDRA: Bronchitis, Hypoaesthesia, Insomnia, Pain in extremity — Feeling: Fair · 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

MedDRA releases: 2024-11
2023-03-22
Report sent to call center — 6 months, dose 4
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 · 1 call case(s)
2023-03-23
Call 1 — Left Voicemail
2023-03-23
Call 1 — Left Voicemail
2023-03-23
Call 1 — Left Voicemail
2023-03-23
Call 1 — Left Voicemail
2023-03-23
Call 1 — Left Voicemail
2023-03-23
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-05	Moderna
2	2021-02-02	Moderna
3	2021-10-09	Moderna	Flu
4	2022-09-21	Pfizer-BioNTech	Flu

Call center

15 call center cases

2 successful · 6 unsuccessful · 7 priority 2/3 (triaged and no follow up)

3 waits over 3 months for a first call

See the call center timeline

Free text

Release 1 — day 0, dose 1

2021-01-05

Systemic reaction (other): Dizziness

Release 1 — days 1–6 daily, dose 1

2021-01-06

Systemic reaction (other): Numbness of injection arm

2021-01-08

Systemic reaction (other): Dizziness

2021-01-09

Systemic reaction (other): Dizziness, sleeplessness/insomnia

2021-01-10

Systemic reaction (other): Sleeplessness, peripheral neuropathy worsened in lower extremities, numbness and tingling in injection arm

2021-01-11

Systemic reaction (other): Sleeplessness, exacerbation of peripheral neuropathy symptoms

Release 1 — day 7, dose 1

2021-01-12

Systemic reaction (other): Sleeplessness, burning/peripheral neuropathy exacerbation of extremities

Release 2 — day 14, dose 1

2021-01-19

Symptoms: Rash across chest/small hives, red face/neck/chestAlso, worsened peripheral neuropathy

Release 2 — day 21, dose 1

2021-01-26

Symptoms: Nausea, vomiting, uncontrollable eye twitching, muscle aches and twitching

Release 3 — day 0, dose 2

2021-02-02

Systemic reaction (other): Dizziness

Release 3 — day 7, dose 2

2021-02-09

Systemic reaction (other): Constipation

Release 4 — day 14, dose 2

2021-02-16

Symptoms: Severe nausea, vomiting and epigastric pain

Release 4 — day 21, dose 2

2021-02-23

Symptoms: Nausea, Vomiting, constipation, and epigastric pain

Release 4 — day 28, dose 2

2021-03-02

Symptoms: Nausea, Vomiting, fatigue, epigastric pain

Release 5 — day 35, dose 2

2021-03-09

Symptoms: Worsening GI symptoms: constipation, bloating, epigastric pain, fatigue, brain fog, generalized joint pain, headaches

Release 5 — day 42, dose 2

2021-03-18

Symptoms: Abdominal pain, nausea, vomiting and gallbladder attacks x 4, sleeplessness, worsening headaches and peripheral neuropathy

Release 9 — 6 months, dose 2

2021-08-05

Symptoms: Vomiting blood

Healthcare visit (other): IV fluids x 2 bags, antiemetic, CT scan with contrast

Release 10 — day 14, dose 3

2021-10-23

Symptoms: Achy, fever of 101.9, increased GI distress

Release 10 — 3 months, dose 3

2022-01-08

Symptoms: Hypoxia at night, sleep apnea with oxygen as low as 68-73% for over 42 min. Pulmonologist is putting me on home O2 Profound fatigue

Release 12 — 12 months, dose 3

2022-10-09

Symptoms: Complex focal seizures Bronchitis

Release 12 — day 42, dose 4

2022-11-02

Symptoms: Fogginess, fatigue, lethargy, shortness of breath

Release 12 — 3 months, dose 4

2022-12-23

Symptoms: Intractable vomiting

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	Fluid replacement	✓	·	✓
SD	Abdominal discomfort	·	·	✓
SD	Abdominal distension	✓	✓	✓
SD	Abdominal pain	✓	✓	✓
SD	Abdominal pain upper	✓	✓	✓
SD	Arthralgia	✓	✓	✓
SD	Brain fog	·	·	✓
SD	Bronchitis	·	·	✓
SD	Condition aggravated	✓	✓	✓
SD	Constipation	✓	✓	✓
SD	Dyspnoea	·	·	✓
SD	Erythema	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Feeling abnormal	✓	✓	✓
SD	Gastrointestinal disorder	✓	✓	✓
SD	Haematemesis	✓	·	✓
SD	Headache	✓	✓	✓
SD	Hypoaesthesia	·	·	✓
SD	Hypoxia	·	·	✓
SD	Insomnia	✓	✓	✓
SD	Lethargy	·	·	✓
SD	Muscle twitching	✓	✓	✓
SD	Myalgia	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Neuropathy peripheral	✓	✓	✓
SD	Office visit	·	·	✓
SD	Oxygen saturation decreased	·	·	✓
SD	Pain	·	·	✓
SD	Pain in extremity	·	·	✓
SD	Partial seizures	·	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Pyrexia	·	·	✓
SD	Rash	✓	✓	✓
SD	Sleep apnoea syndrome	·	·	✓
SD	Urticaria	✓	✓	✓
SD	Vomiting	✓	✓	✓
SRO	Burning sensation	✓	✓	✓
SRO	Condition aggravated	✓	✓	✓
SRO	Constipation	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Hypoaesthesia	✓	✓	✓
SRO	Insomnia	✓	✓	✓
SRO	Neuropathy peripheral	✓	✓	✓
SRO	Paraesthesia	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓

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