4RC-12160-58546

2 vaccinations 6 coded responses 12 check-ins 6 free-text entries 2 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 079 / NJ
Registered: 2021-03-10

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

2021-03-01
Dose 1 — Moderna
2021-03-10
Registered in v-safe
2021-03-10
Survey response — day 7, dose 1
MedDRA: Chills, Decreased appetite, Diarrhoea, Fatigue, Nausea, Rash, Rash erythematous — Feeling: Good · Site: Redness, Itching · Be unable to do your normal daily activities

Free text: This is day 9 since vaccine. Had some fatigue, chills, lack of appetite and mild nausea from day 1 to day day 3. Day 3 had mild diarrhea. Tiredness subsided by day 4-5. Day 3 had red arm rash and disappeared on day 4. Day 8 mild diarrhea. Today is day 9 and red/itchy small arm rash. No diarhea today. Feel fine except for that mild arm rash near injection site

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-16
Survey response — day 14, dose 1
MedDRA: Headache, Irritable bowel syndrome, Medical counselling, Pre-existing disease, Rash, Rash erythematous — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: IBS symptoms for approx 10-11 days after getting 1st dose of Moderna Covid vaccine, had a headache lasting 24 hours on day 10.Today is 14 days since 1st vaccine dose and red arm rash is 99% gone.I am feeling fine now. · Healthcare visit (other): Emailed with my dermatologist & texted with my gastroenterologist

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-16
Report sent to call center — day 14, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-24
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-03-31
Dose 2 — Moderna
2021-04-03
Survey response — days 1–6 daily, dose 2
MedDRA: Body temperature increased, Chills, Fatigue, Frequent bowel movements, Gastrointestinal disorder, Headache, Influenza like illness, Malaise, Medical counselling, Nausea, Pain, Sleep disorder — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Today is 3 days past my 2nd Moderna shot.That first evening after getting shot felt tired. Woke up at 2am day 2 with horrible chills and exhaustion. Fell back to sleep and woke up with temp 100.4. Had horrible flu like symptoms, terrible body aches, terrible headache, terrible nausea, was worse one of the worse feelings Ive ever had! Day 2 after shot, started to feel better. Temp reduced to 99.4. Headache still horrible. Nausea gone. Still malaise but no more body aches. Frequent bowel movements. The first shot caused me to have IBS symptoms for 3 weeks. Feel like its happening again with second shot. Today is 3 days past the shot and feel better. Headache gone, no malaise, a bit tired, no nausea but frequent bowel movements · Healthcare visit (other): Texted with general practioner

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-03
Report sent to call center — days 1–6 daily, 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)
2021-04-05
Survey response — days 1–6 daily, dose 2
MedDRA: Fatigue — Feeling: Fair

Free text: Day 4 feel fine except tired. Today is day 5. Feel fine except a bit tired

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-12
Survey response — day 7, dose 2
MedDRA: Adverse reaction — Feeling: Good

Free text: Still have mild ibs symptoms that occur several days a week since getting first moderna shot. I received my first shot on 3/1/21, 2nd shot on 3/31 and today is 4/12/21

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-25
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-28
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-05
Survey response — day 35, dose 2
MedDRA: Myalgia — Feeling: Fair

Free text: Muscle ache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-14
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-10
Call successful
Participant prefers to complete VAERS report online
2021-06-10
Call successful
Participant prefers to complete VAERS report online
2021-06-30
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-01	Moderna
2	2021-03-31	Moderna

Call center

2 call center cases

2 successful

See the call center timeline

Free text

Release 5 — day 7, dose 1

2021-03-10

Systemic reaction (other): This is day 9 since vaccine. Had some fatigue, chills, lack of appetite and mild nausea from day 1 to day day 3. Day 3 had mild diarrhea. Tiredness subsided by day 4-5. Day 3 had red arm rash and disappeared on day 4. Day 8 mild diarrhea. Today is day 9 and red/itchy small arm rash. No diarhea today. Feel fine except for that mild arm rash near injection site

Release 5 — day 14, dose 1

2021-03-16

Symptoms: IBS symptoms for approx 10-11 days after getting 1st dose of Moderna Covid vaccine, had a headache lasting 24 hours on day 10.Today is 14 days since 1st vaccine dose and red arm rash is 99% gone.I am feeling fine now.

Healthcare visit (other): Emailed with my dermatologist & texted with my gastroenterologist

Release 6 — days 1–6 daily, dose 2

2021-04-03

Systemic reaction (other): Today is 3 days past my 2nd Moderna shot.That first evening after getting shot felt tired. Woke up at 2am day 2 with horrible chills and exhaustion. Fell back to sleep and woke up with temp 100.4. Had horrible flu like symptoms, terrible body aches, terrible headache, terrible nausea, was worse one of the worse feelings Ive ever had! Day 2 after shot, started to feel better. Temp reduced to 99.4. Headache still horrible. Nausea gone. Still malaise but no more body aches. Frequent bowel movements. The first shot caused me to have IBS symptoms for 3 weeks. Feel like its happening again with second shot. Today is 3 days past the shot and feel better. Headache gone, no malaise, a bit tired, no nausea but frequent bowel movements

Healthcare visit (other): Texted with general practioner

2021-04-05

Systemic reaction (other): Day 4 feel fine except tired. Today is day 5. Feel fine except a bit tired

Release 7 — day 7, dose 2

2021-04-12

Systemic reaction (other): Still have mild ibs symptoms that occur several days a week since getting first moderna shot. I received my first shot on 3/1/21, 2nd shot on 3/31 and today is 4/12/21

Release 8 — day 35, dose 2

2021-05-05

Symptoms: Muscle ache

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	Medical counselling	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Irritable bowel syndrome	✓	✓	✓
SD	Myalgia	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Rash	✓	✓	✓
SD	Rash erythematous	✓	✓	✓
SRO	Adverse reaction	✓	✓	✓
SRO	Body temperature increased	✓	✓	✓
SRO	Chills	✓	✓	✓
SRO	Decreased appetite	✓	✓	✓
SRO	Diarrhoea	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Frequent bowel movements	✓	✓	✓
SRO	Gastrointestinal disorder	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Influenza like illness	✓	✓	✓
SRO	Malaise	✓	✓	✓
SRO	Nausea	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Rash	✓	✓	✓
SRO	Rash erythematous	✓	✓	✓
SRO	Sleep disorder	✓	✓	✓

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