522-11097-33217

3 vaccinations 13 coded responses 41 check-ins 13 free-text entries 4 call cases

Sex: Female
Age at first dose: 26-30
ZIP prefix: 802 / CO
Registered: 2021-01-29

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

2021-01-29
Registered in v-safe
2021-02-18
Dose 1 — Moderna
2021-02-18
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-02-19
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · Headache

Adult check-in
2021-02-20
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-02-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Rash, not including the immediate area around the injection site

Adult check-in
2021-02-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Rash, not including the immediate area around the injection site

Adult check-in
2021-02-25
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-04
Survey response — day 14, dose 1
MedDRA: Fatigue, Nausea — Feeling: Good

Free text: Fatigue and nausea this week

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-11
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-18
Survey response — day 28, dose 1
MedDRA: Oropharyngeal pain — Feeling: Good

Free text: Sore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-19
Dose 2 — Moderna
2021-03-19
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Headache

Adult check-in
2021-03-20
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-03-21
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-03-22
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache

Adult check-in
2021-03-23
Survey response — days 1–6 daily, dose 2
MedDRA: Dysmenorrhoea — Feeling: Good · Fatigue or tiredness

Free text: Severe period cramping

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-24
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fever · Headache, Fatigue or tiredness, Diarrhea

Adult check-in
2021-03-25
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-03-26
Survey response — day 7, dose 2
MedDRA: Malaise — Feeling: Fair · Headache, Fatigue or tiredness

Free text: General feeling unwell

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-09
Survey response — day 21, dose 2
MedDRA: Ear pain, Fatigue, Headache, Nasopharyngitis, Rhinorrhoea — Feeling: Good

Free text: Cold-like symptoms - runny nose, ear pain, headache, fatigue.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
Survey response — day 28, dose 2
MedDRA: Lymphadenopathy, Oropharyngeal pain — Feeling: Fair

Free text: Swollen glands, sore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-23
Survey response — day 35, dose 2
MedDRA: Headache, Lymphadenopathy, Office visit, Oropharyngeal pain, Rhinorrhoea — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Headaches, runny nose, cold-like symptoms, swollen glands, sore throat · Healthcare visit (other): Dentist for teeth clenching/grinding symptoms ruled out infection

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-23
Report sent to call center — day 35, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-30
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-18
Survey response — 3 months, dose 2
MedDRA: Polymenorrhoea, Tinnitus — Feeling: Good

Free text: Tinnitus, shorter menstrual cycles

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-09-17
Survey response — 6 months, dose 2
MedDRA: Ear discomfort, Oropharyngeal pain, Tinnitus — Feeling: Good

Free text: Sore throat, one ear clogged, ringing in ears

MedDRA releases: 2024-11 · check-in free text available
2021-11-22
Dose 3 — Moderna
2021-11-23
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-11-24
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-11-25
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Headache

Adult check-in
2021-11-26
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-27
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-28
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-29
Health check-in — day 7, dose 3
Feeling: Fair · Headache, Nausea

Adult check-in
2021-12-06
Survey response — day 14, dose 3
MedDRA: Chest pain, Dyspepsia, Fatigue, Headache, Medical counselling, Pain, Viral infection — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Fatigued and headache starting 11/29. Heartburn and dull ache in my chest starting 12/1. Tested negative by PCR, specimen collected 11/30. Spoke with my PCP on 12/3 about symptoms. Advised she thinks it's a viral bug.

MedDRA releases: 2024-11 · check-in free text available
2021-12-06
Report sent to call center — day 14, dose 3
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2021-12-07
Call 1 — Left Voicemail
2021-12-15
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-12-22
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-27
Survey response — day 35, dose 3
MedDRA: Fatigue, Oropharyngeal pain — Feeling: Fair

Free text: Sore throat and fatigue

MedDRA releases: 2024-11 · check-in free text available
2022-01-03
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-02-21
Survey response — 3 months, dose 3
MedDRA: Anxiety, COVID-19, Depression — 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 · Outpatient clinic or urgent care clinic visit

Free text: Covid-19, depression, anxiety

MedDRA releases: 2024-11 · check-in free text available
2022-02-21
Report sent to call center — 3 months, dose 3
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-03-02
Call successful
Participant prefers to complete VAERS report online
2022-03-02
Call successful
Participant prefers to complete VAERS report online
2022-03-02
Call successful
Participant prefers to complete VAERS report online
2022-05-23
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-11-22
Survey response — 12 months, dose 3
MedDRA: Sinusitis — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: 6 week long sinus infection

MedDRA releases: 2024-11 · check-in free text available
2022-11-22
Report sent to call center — 12 months, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-11-23
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-18	Moderna
2	2021-03-19	Moderna
3	2021-11-22	Moderna	No

Call center

4 call center cases

3 successful · 1 unsuccessful

See the call center timeline

Free text

Release 5 — day 14, dose 1

2021-03-04

Symptoms: Fatigue and nausea this week

Release 5 — day 28, dose 1

2021-03-18

Symptoms: Sore throat

Release 6 — days 1–6 daily, dose 2

2021-03-23

Systemic reaction (other): Severe period cramping

Release 6 — day 7, dose 2

2021-03-26

Systemic reaction (other): General feeling unwell

Release 7 — day 21, dose 2

2021-04-09

Symptoms: Cold-like symptoms - runny nose, ear pain, headache, fatigue.

Release 7 — day 28, dose 2

2021-04-16

Symptoms: Swollen glands, sore throat

Release 7 — day 35, dose 2

2021-04-23

Symptoms: Headaches, runny nose, cold-like symptoms, swollen glands, sore throat

Healthcare visit (other): Dentist for teeth clenching/grinding symptoms ruled out infection

Release 9 — 3 months, dose 2

2021-06-18

Symptoms: Tinnitus, shorter menstrual cycles

Release 9 — 6 months, dose 2

2021-09-17

Symptoms: Sore throat, one ear clogged, ringing in ears

Release 10 — day 14, dose 3

2021-12-06

Symptoms: Fatigued and headache starting 11/29. Heartburn and dull ache in my chest starting 12/1. Tested negative by PCR, specimen collected 11/30. Spoke with my PCP on 12/3 about symptoms. Advised she thinks it's a viral bug.

Release 10 — day 35, dose 3

2021-12-27

Symptoms: Sore throat and fatigue

Release 11 — 3 months, dose 3

2022-02-21

Symptoms: Covid-19, depression, anxiety

Release 12 — 12 months, dose 3

2022-11-22

Symptoms: 6 week long sinus infection

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	Anxiety	·	·	✓
SD	Chest pain	·	·	✓
SD	COVID-19	·	·	✓
SD	Depression	·	·	✓
SD	Dyspepsia	·	·	✓
SD	Ear discomfort	·	·	✓
SD	Ear pain	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Lymphadenopathy	✓	✓	✓
SD	Medical counselling	·	·	✓
SD	Nasopharyngitis	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Pain	·	·	✓
SD	Polymenorrhoea	✓	✓	✓
SD	Rhinorrhoea	✓	✓	✓
SD	Sinusitis	·	·	✓
SD	Tinnitus	✓	✓	✓
SD	Viral infection	·	·	✓
SRO	Dysmenorrhoea	✓	✓	✓
SRO	Malaise	✓	✓	✓

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