4UW-25778-55594

4 vaccinations 10 coded responses 43 check-ins 10 free-text entries 2 call cases

Sex: Female
Age at first dose: 26-30
ZIP prefix: 039 / ME
Registered: 2021-04-19

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

2021-04-19
Registered in v-safe
2021-04-19
Dose 1 — Moderna
2021-04-19
Health check-in — day 0, dose 1
Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-20
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Adult check-in
2021-04-21
Survey response — days 1–6 daily, dose 1
MedDRA: Rash — Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: Rash is slowly getting larger but doesnt itch

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness — Feeling: Good · Site: Pain · Fatigue or tiredness, Rash, not including the immediate area around the injection site

Free text: lightheaded

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-27
Survey response — day 7, dose 1
MedDRA: Rash — Feeling: Good · Rash, not including the immediate area around the injection site

Free text: Rash was almost completely gone then came back

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-03
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-05-10
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-05-17
Dose 2 — Moderna
2021-05-17
Survey response — day 0, dose 2
MedDRA: Anxiety, Syncope — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: It could be anxiety related, but I fainted briefly with zero respiratory issues and it improved.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-18
Survey response — days 1–6 daily, dose 2
MedDRA: Tremor — Feeling: Fair · 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: Uncontrollable shaking that went away

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-19
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-05-20
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-05-21
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-05-22
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-23
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-24
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-05-31
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-06-07
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-06-14
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-21
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-28
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-08-16
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-12-10
Dose 3 — Moderna
2021-12-10
Health check-in — day 0, dose 3
Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-12-11
Survey response — days 1–6 daily, dose 3
MedDRA: Adverse reaction, Fatigue — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: brief period of these symptoms and then mostly just tired

MedDRA releases: 2024-11 · check-in free text available
2021-12-12
Survey response — days 1–6 daily, dose 3
MedDRA: Immediate post-injection reaction, Menstruation irregular — Feeling: Good · Site: Pain · Fatigue or tiredness

Free text: Got my period one week early immediately after vaccine which is unusual for my cycle as I'm pretty regular.

MedDRA releases: 2024-11 · check-in free text available
2021-12-13
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-12-14
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-12-15
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-12-16
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-12-17
Survey response — day 7, dose 3
MedDRA: Tinnitus — Feeling: Good

Free text: I have had tinnitus since I got the shot, but just assumed it was stress. It's gradually reduced since

MedDRA releases: 2024-11 · check-in free text available
2021-12-24
Survey response — day 14, dose 3
MedDRA: Emergency care, Heart rate increased, Tinnitus — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: I had rapid heartbeat and tinnitus for a while, but I was checked at the ER and they couldn't find anything wrong. Still not sure why it happened, but I'm thinking it's not related to the vaccine if no myocarditis or clot was found

MedDRA releases: 2024-11 · check-in free text available
2021-12-24
Report sent to call center — day 14, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
2021-12-27
Call successful
Participant prefers to complete VAERS report online
2021-12-31
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2022-01-07
Survey response — day 28, dose 3
MedDRA: Emergency care, Heart rate increased, Hyperthyroidism — Feeling: Fair · 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: Went to the ER again 175bpm. They did a ct scan, ruled out pulmonary embolism. They suspect hyperthyroidism. I still don't think the vaccine caused this, but if there are other cases of it triggering hyperthyroidism it's worth noting.

MedDRA releases: 2024-11 · check-in free text available
2022-01-07
Report sent to call center — day 28, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Emergency room or emergency department visit · 1 call case(s)
2022-01-10
Call successful
Does not wish to fill out VAERS report
2022-01-14
Health check-in — day 35, dose 3
Feeling: Poor

Adult check-in
2022-01-21
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2022-03-13
Health check-in — 3 months, dose 3
Feeling: Fair

Adult check-in
2022-09-23
Dose 4 — Pfizer-BioNTech
2022-10-14
Health check-in — day 21, dose 4
Feeling: Good

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

Adult check-in
2022-11-04
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-12-23
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2023-03-24
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-19	Moderna
2	2021-05-17	Moderna
3	2021-12-10	Moderna	No
4	2022-09-23	Pfizer-BioNTech	No

Call center

2 call center cases

2 successful

See the call center timeline

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-21

Systemic reaction (other): Rash is slowly getting larger but doesnt itch

2021-04-22

Systemic reaction (other): lightheaded

Release 8 — day 7, dose 1

2021-04-27

Systemic reaction (other): Rash was almost completely gone then came back

Release 8 — day 0, dose 2

2021-05-17

Systemic reaction (other): It could be anxiety related, but I fainted briefly with zero respiratory issues and it improved.

Release 8 — days 1–6 daily, dose 2

2021-05-18

Systemic reaction (other): Uncontrollable shaking that went away

Release 10 — days 1–6 daily, dose 3

2021-12-11

Systemic reaction (other): brief period of these symptoms and then mostly just tired

2021-12-12

Systemic reaction (other): Got my period one week early immediately after vaccine which is unusual for my cycle as I'm pretty regular.

Release 10 — day 7, dose 3

2021-12-17

Systemic reaction (other): I have had tinnitus since I got the shot, but just assumed it was stress. It's gradually reduced since

Release 10 — day 14, dose 3

2021-12-24

Symptoms: I had rapid heartbeat and tinnitus for a while, but I was checked at the ER and they couldn't find anything wrong. Still not sure why it happened, but I'm thinking it's not related to the vaccine if no myocarditis or clot was found

Release 10 — day 28, dose 3

2022-01-07

Symptoms: Went to the ER again 175bpm. They did a ct scan, ruled out pulmonary embolism. They suspect hyperthyroidism. I still don't think the vaccine caused this, but if there are other cases of it triggering hyperthyroidism it's worth noting.

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
SD	Emergency care	·	·	✓
SD	Heart rate increased	·	·	✓
SD	Hyperthyroidism	·	·	✓
SD	Tinnitus	·	·	✓
SRO	Adverse reaction	·	·	✓
SRO	Anxiety	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Fatigue	·	·	✓
SRO	Immediate post-injection reaction	·	·	✓
SRO	Menstruation irregular	·	·	✓
SRO	Rash	✓	✓	✓
SRO	Syncope	✓	✓	✓
SRO	Tinnitus	·	·	✓
SRO	Tremor	✓	✓	✓

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