4VD-78444-18135
5 vaccinations
14 coded responses
61 check-ins
13 free-text entries
5 call cases
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 561 / MN
- Registered
- 2021-03-31
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-31
Registered in v-safe
-
2021-03-31
Dose 1 — Moderna
-
2021-03-31
Health check-in — day 0, dose 1Feeling: Good · Site: Pain, Swelling · Fatigue or tirednessAdult check-in
-
2021-04-01
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
-
2021-04-02
Survey response — days 1–6 daily, dose 1MedDRA: Respiratory tract congestion — Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessFree text: CongestionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-03
Health check-in — days 1–6 daily, dose 1Feeling: Good · Diarrhea · Be unable to do your normal daily activitiesAdult check-in
- 2021-04-04
- 2021-04-05
- 2021-04-06
- 2021-04-07
-
2021-04-14
Survey response — day 14, dose 1MedDRA: Fatigue, Headache — Feeling: Fair · Be unable to work, Be unable to do your normal daily activitiesFree text: Fatigue and headacheMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-21
-
2021-04-28
Dose 2 — Moderna
- 2021-04-28
-
2021-04-29
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2021-04-30
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
- 2021-05-01
-
2021-05-02
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-05-03
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activitiesAdult check-in
- 2021-05-04
- 2021-05-05
- 2021-05-12
- 2021-05-19
- 2021-05-26
-
2021-06-02
Survey response — day 35, dose 2MedDRA: Fatigue, Malaise, Oropharyngeal pain, Upper-airway cough syndrome — 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 consultationFree text: Post nasal dripFatigueFeeling unwellSore throatMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-06-02
Report sent to call center — day 35, dose 2Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-06-09
Survey response — day 42, dose 2MedDRA: Fatigue, Nausea, Oropharyngeal pain, Respiratory tract congestion, SARS-CoV-2 test negative — 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 visitFree text: Extreme fatigue Congestion Sore throatNauseous Negative covid testAntibioticsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-06-09
Report sent to call center — day 42, dose 2Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-06-25
-
2021-06-25
Call successfulCompleted over the phone
-
2021-07-29
Survey response — 3 months, dose 2MedDRA: Dizziness, Parosmia, Taste disorder — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Phantom smell of smokeAltered other smells and tastesDizzyMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-07-29
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-09
-
2021-08-09
Call successfulParticipant prefers to complete VAERS report online
-
2021-10-27
Survey response — 6 months, dose 2MedDRA: Gastroenteritis viral — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Stomach fluMedDRA releases: 2024-11 · check-in free text available
-
2021-12-03
Dose 3 — Moderna
-
2021-12-04
Survey response — days 1–6 daily, dose 3MedDRA: Feeling cold, Pain, Pain in extremity, Paraesthesia — Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Injection arm, left, has throbbed and tingled from shoulder to below elbow. Also had a cold sensation.MedDRA releases: 2024-11 · check-in free text available
-
2021-12-05
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-12-06
- 2021-12-07
- 2021-12-08
- 2021-12-09
- 2021-12-10
- 2021-12-17
-
2021-12-24
Survey response — day 21, dose 3MedDRA: Parosmia — Feeling: FairFree text: Phantom smell of constant cigarette smoke.MedDRA releases: 2024-11 · check-in free text available
-
2021-12-31
Survey response — day 28, dose 3MedDRA: Parosmia — Feeling: GoodFree text: Still constant phantom cigarette smoke smell.MedDRA releases: 2024-11 · check-in free text available
-
2022-01-07
Survey response — day 35, dose 3MedDRA: Headache — Feeling: FairFree text: HeadachesMedDRA releases: 2024-11 · check-in free text available
-
2022-01-14
Survey response — day 42, dose 3MedDRA: Diarrhoea, Parosmia — Feeling: GoodFree text: Diarrhea Cigarette smoke smell- phantom smellMedDRA releases: 2024-11 · check-in free text available
- 2022-03-04
-
2022-05-06
Dose 4 — Moderna
- 2022-05-06
-
2022-05-07
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2022-05-08
- 2022-05-09
- 2022-05-10
-
2022-05-11
Health check-in — days 1–6 daily, dose 4Feeling: Good · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2022-05-12
Health check-in — days 1–6 daily, dose 4Feeling: Good · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2022-05-13
- 2022-05-20
- 2022-05-27
- 2022-06-03
-
2022-06-10
Survey response — day 35, dose 4MedDRA: Cough, Fatigue, Headache, Pyrexia, Upper-airway cough syndrome — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Fever, post nasal drip, headache, fatigue, coughMedDRA releases: 2024-11 · check-in free text available
-
2022-06-17
Survey response — day 42, dose 4MedDRA: Cough, Dizziness, Fatigue, Headache, Pyrexia, Upper-airway cough syndrome — 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 visitFree text: Post nasal drip Fatigue Headache Fever Cough WoozyMedDRA releases: 2024-11 · check-in free text available
-
2022-06-17
Report sent to call center — day 42, dose 4Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-06-21
- 2022-06-21
- 2022-06-21
- 2022-06-21
- 2022-08-05
- 2022-11-04
-
2022-12-07
Dose 5 — Moderna
- 2022-12-16
- 2022-12-21
- 2022-12-28
- 2023-01-04
- 2023-01-11
- 2023-01-18
- 2023-03-08
-
2023-06-07
Survey response — 6 months, dose 5MedDRA: Malaise, Oral herpes, Sinusitis, Viral infection — 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 consultationMedDRA releases: 2024-11
-
2023-06-07
Call case (no matching report) — SuccessfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2023-06-08
- 2023-06-08
-
2023-06-08
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
-
2023-06-08
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-31 | Moderna | |
| 2 | 2021-04-28 | Moderna | |
| 3 | 2021-12-03 | Moderna | No |
| 4 | 2022-05-06 | Moderna | No |
| 5 | 2022-12-07 | Moderna | No |
Call center
5 call center cases
5 successful
VAERS report filed, before or during a call: 2
1 wait over 3 months for a first call
Free text
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): Congestion
Release 7 — day 14, dose 1
Symptoms: Fatigue and headache
Release 8 — day 35, dose 2
Symptoms: Post nasal dripFatigueFeeling unwellSore throat
Release 9 — day 42, dose 2
Symptoms: Extreme fatigue Congestion Sore throatNauseous Negative covid testAntibiotics
Release 9 — 3 months, dose 2
Symptoms: Phantom smell of smokeAltered other smells and tastesDizzy
Release 10 — 6 months, dose 2
Symptoms: Stomach flu
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Injection arm, left, has throbbed and tingled from shoulder to below elbow. Also had a cold sensation.
Release 10 — day 21, dose 3
Symptoms: Phantom smell of constant cigarette smoke.
Release 10 — day 28, dose 3
Symptoms: Still constant phantom cigarette smoke smell.
Release 10 — day 35, dose 3
Symptoms: Headaches
Release 10 — day 42, dose 3
Symptoms: Diarrhea Cigarette smoke smell- phantom smell
Release 12 — day 35, dose 4
Symptoms: Fever, post nasal drip, headache, fatigue, cough
Release 12 — day 42, dose 4
Symptoms: Post nasal drip Fatigue Headache Fever Cough Woozy
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 | Cough | · | · | ✓ |
| SD | Diarrhoea | · | · | ✓ |
| SD | Dizziness | ✓ | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Gastroenteritis viral | · | · | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Malaise | ✓ | ✓ | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Oral herpes | · | · | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SD | Parosmia | ✓ | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Respiratory tract congestion | ✓ | ✓ | ✓ |
| SD | SARS-CoV-2 test negative | ✓ | ✓ | ✓ |
| SD | Sinusitis | · | · | ✓ |
| SD | Taste disorder | ✓ | · | ✓ |
| SD | Upper-airway cough syndrome | ✓ | ✓ | ✓ |
| SD | Viral infection | · | · | ✓ |
| SRO | Feeling cold | · | · | ✓ |
| SRO | Pain | · | · | ✓ |
| SRO | Pain in extremity | · | · | ✓ |
| SRO | Paraesthesia | · | · | ✓ |
| SRO | Respiratory tract congestion | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release