4M8-31860-72821

4 vaccinations 8 coded responses 30 check-ins 8 free-text entries 5 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 430 / OH
Registered: 2021-03-23

Relationship: Self
Race: Black or African American
Ethnicity: Not Hispanic or Latino

Timeline

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

2021-03-23
Registered in v-safe
2021-03-23
Dose 1 — Moderna
2021-03-23
Health check-in — day 0, dose 1
Feeling: Fair · Site: Pain · None

Adult check-in
2021-03-24
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · None

Adult check-in
2021-03-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-28
Survey response — days 1–6 daily, dose 1
MedDRA: Dysmenorrhoea — Feeling: Fair

Free text: Bad menstrual cramps.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-29
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · None

Adult check-in
2021-03-30
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-06
Survey response — day 14, dose 1
MedDRA: Gastrooesophageal reflux disease — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Acid reflux

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-06
Report sent to call center — day 14, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-13
Survey response — day 21, dose 1
MedDRA: Office visit, Platelet count increased — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Elevated platelets · Healthcare visit (other): follow up with physician

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-13
Report sent to call center — day 21, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-20
Dose 2 — Moderna
2021-04-20
Health check-in — day 0, dose 2
Feeling: Good · Nausea

Adult check-in
2021-04-21
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Nausea · Be unable to work

Adult check-in
2021-04-22
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Joint pains, Fatigue or tiredness

Adult check-in
2021-04-24
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-04-25
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-27
Health check-in — day 7, dose 2
Feeling: Good · Joint pains, Fatigue or tiredness

Adult check-in
2021-05-04
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-11
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-18
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-25
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-01
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-20
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-19
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-04
Dose 3 — Moderna
2022-02-10
Call 1 — Left Voicemail
2022-04-20
Survey response — 12 months, dose 2
MedDRA: Menopause — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Menopause

MedDRA releases: 2024-11 · check-in free text available
2022-04-20
Report sent to call center — 12 months, dose 2
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-04-21
Call successful
Participant prefers to complete VAERS report online
2022-05-05
Survey response — 6 months, dose 3
MedDRA: Headache, Parosmia, SARS-CoV-2 test — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Parosmia, headache since return from trip to London last week. LFTs were all negative. Had PCR test few hours ago. Awaiting results. · Healthcare visit (other): Covid test this morning pending outcome

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

1 call case(s)
2022-05-06
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-09-16
Dose 4 — Moderna
2022-10-16
Survey response — day 28, dose 4
MedDRA: Fatigue, Hypersomnia — Feeling: Good · Be unable to do your normal daily activities

Free text: Fatigue. I had it for 2 days 3 days after I received booster. It resolved by 27-Oct. I slept really hard for two days and was fine.

MedDRA releases: 2024-11 · check-in free text available
2022-10-23
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-10-28
Survey response — day 42, dose 4
MedDRA: Fatigue — Feeling: Fair · Be unable to do your normal daily activities

Free text: Fatigue. But it's due to raking lots of leaves.

MedDRA releases: 2024-11 · check-in free text available
2022-12-16
Survey response — 3 months, dose 4
MedDRA: Cough, Oropharyngeal pain, Rhinorrhoea — Feeling: Good · 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: Runny nose, cough, sore throat

MedDRA releases: 2024-11 · check-in free text available
2022-12-16
Report sent to call center — 3 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 · 1 call case(s)
2022-12-20
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2023-03-17
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-23	Moderna
2	2021-04-20	Moderna
3	2021-11-04	Moderna	No
4	2022-09-16	Moderna	No

Call center

5 call center cases

5 successful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-28

Systemic reaction (other): Bad menstrual cramps.

Release 7 — day 14, dose 1

2021-04-06

Symptoms: Acid reflux

Release 7 — day 21, dose 1

2021-04-13

Symptoms: Elevated platelets

Healthcare visit (other): follow up with physician

Release 11 — 12 months, dose 2

2022-04-20

Symptoms: Menopause

Release 11 — 6 months, dose 3

2022-05-05

Symptoms: Parosmia, headache since return from trip to London last week. LFTs were all negative. Had PCR test few hours ago. Awaiting results.

Healthcare visit (other): Covid test this morning pending outcome

Release 12 — day 28, dose 4

2022-10-16

Symptoms: Fatigue. I had it for 2 days 3 days after I received booster. It resolved by 27-Oct. I slept really hard for two days and was fine.

Release 12 — day 42, dose 4

2022-10-28

Symptoms: Fatigue. But it's due to raking lots of leaves.

Release 12 — 3 months, dose 4

2022-12-16

Symptoms: Runny nose, cough, sore throat

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	·	·	✓
SD	Cough	·	·	✓
SD	Fatigue	·	·	✓
SD	Gastrooesophageal reflux disease	✓	✓	✓
SD	Headache	·	·	✓
SD	Hypersomnia	·	·	✓
SD	Menopause	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Parosmia	·	·	✓
SD	Platelet count increased	✓	✓	✓
SD	Rhinorrhoea	·	·	✓
SRO	Dysmenorrhoea	✓	✓	✓

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