4VP-23526-09692

5 vaccinations 8 coded responses 34 check-ins 7 free-text entries 5 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 787 / TX
Registered: 2021-01-16

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

2021-01-15
Dose 1 — Moderna
2021-01-16
Registered in v-safe
2021-01-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-22
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-29
Survey response — day 14, dose 1
MedDRA: Rhinorrhoea, Sneezing — Feeling: Good

Free text: Sniffles and sneezing. Possibly allergies.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-05
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-12
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-02-19
Health check-in — day 35, dose 1
Feeling: Good

Adult check-in
2021-02-21
Dose 2 — Moderna
2021-02-25
Survey response — days 1–6 daily, dose 2
MedDRA: Influenza — Feeling: Good · Site: Pain · Fatigue or tiredness

Free text: I had flu symptoms the day after my second shot.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-26
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-27
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-28
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-07
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-14
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-21
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-28
Survey response — day 35, dose 2
MedDRA: Office visit, Unevaluable event — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Bad yeast infection. I actually got it about a week after my second shot but didnt think to mention it and have no idea if its related. · Healthcare visit (other): I saw a nurse practitioner in person.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-28
Report sent to call center — day 35, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-04
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-23
Survey response — 3 months, dose 2
MedDRA: Asthma, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Asthma. · Healthcare visit (other): Office visit with pulmonologist

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-23
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-22
Survey response — 6 months, dose 2
MedDRA: Office visit, Pain in extremity, Precancerous skin lesion, Sinus headache — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Leg pains, precancerous spots on lips, sinus headache today. · Healthcare visit (other): In-person visits to doctor

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-22
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)
2021-08-24
Call 1 — Left Voicemail
2021-10-29
Dose 3 — Moderna
2022-02-21
Survey response — 12 months, dose 2
MedDRA: Bladder discomfort — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Bladder discomfort

MedDRA releases: 2024-11 · check-in free text available
2022-02-21
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)
2022-02-22
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-02-22
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-02-22
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-02-22
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-04-18
Dose 4 — Moderna
2022-04-27
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-05-02
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-05-09
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-05-16
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-05-23
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-05-30
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-07-18
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-09-15
Dose 5 — Moderna
2022-10-09
Health check-in — day 21, dose 5
Feeling: Good

Adult check-in
2022-10-13
Health check-in — day 28, dose 5
Feeling: Good

Adult check-in
2022-10-20
Survey response — day 35, dose 5
MedDRA: Pain, Pre-existing disease, Self-medication, Sinus congestion — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Sinus congestion, body aches. I think it's just allergies because antihistamine helped a lot.

MedDRA releases: 2024-11 · check-in free text available
2022-10-27
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2022-12-15
Health check-in — 3 months, dose 5
Feeling: Good

Adult check-in
2023-03-16
Survey response — 6 months, dose 5
MedDRA: COVID-19 — Feeling: Good · 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

MedDRA releases: 2024-11
2023-03-16
Report sent to call center — 6 months, dose 5
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)
2023-03-17
Call 1 — Left Voicemail
2023-03-22
Call successful
Participant prefers to complete VAERS report online

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-15	Moderna
2	2021-02-21	Moderna
3	2021-10-29	Moderna	No
4	2022-04-18	Moderna	No
5	2022-09-15	Moderna	No

Call center

5 call center cases

5 successful

See the call center timeline

Free text

Release 3 — day 14, dose 1

2021-01-29

Symptoms: Sniffles and sneezing. Possibly allergies.

Release 4 — days 1–6 daily, dose 2

2021-02-25

Systemic reaction (other): I had flu symptoms the day after my second shot.

Release 6 — day 35, dose 2

2021-03-28

Symptoms: Bad yeast infection. I actually got it about a week after my second shot but didnt think to mention it and have no idea if its related.

Healthcare visit (other): I saw a nurse practitioner in person.

Release 8 — 3 months, dose 2

2021-05-23

Symptoms: Asthma.

Healthcare visit (other): Office visit with pulmonologist

Release 9 — 6 months, dose 2

2021-08-22

Symptoms: Leg pains, precancerous spots on lips, sinus headache today.

Healthcare visit (other): In-person visits to doctor

Release 11 — 12 months, dose 2

2022-02-21

Symptoms: Bladder discomfort

Release 12 — day 35, dose 5

2022-10-20

Symptoms: Sinus congestion, body aches. I think it's just allergies because antihistamine helped a lot.

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	✓	✓	✓
SD	Asthma	✓	✓	✓
SD	Bladder discomfort	·	·	✓
SD	COVID-19	·	·	✓
SD	Pain	·	·	✓
SD	Pain in extremity	✓	·	✓
SD	Pre-existing disease	·	·	✓
SD	Precancerous skin lesion	✓	·	✓
SD	Rhinorrhoea	✓	✓	✓
SD	Self-medication	·	·	✓
SD	Sinus congestion	·	·	✓
SD	Sinus headache	✓	·	✓
SD	Sneezing	✓	✓	✓
SD	Unevaluable event	✓	✓	✓
SRO	Influenza	✓	✓	✓

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