534-31443-72838

5 vaccinations 20 coded responses 56 check-ins 19 free-text entries 5 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 930 / CA
Registered: 2021-01-12

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

2021-01-12
Registered in v-safe
2021-01-12
Dose 1 — Moderna
2021-01-12
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-01-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling · Diarrhea

Adult check-in
2021-01-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Joint pains, Diarrhea

Adult check-in
2021-01-15
Survey response — days 1–6 daily, dose 1
MedDRA: Epistaxis — Feeling: Good · Headache

Free text: Bloody nose

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

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

Adult check-in
2021-01-19
Health check-in — day 7, dose 1
Feeling: Good · Diarrhea

Adult check-in
2021-01-26
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-02
Survey response — day 21, dose 1
MedDRA: Back pain, Diarrhoea — Feeling: Fair · Be unable to work

Free text: Back pain, diarrhea

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-09
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-02-12
Dose 2 — Moderna
2021-02-13
Survey response — days 1–6 daily, dose 2
MedDRA: Cold sweat, Feeling abnormal — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · 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, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Cloudy Head, Clammy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-13
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)
2021-02-14
Survey response — days 1–6 daily, dose 2
MedDRA: Polymenorrhoea — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain

Free text: My menstruation period started up sporadically today. I just had my last cycle finish a few days before I got the 2nd shot on 2/12/21.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Swelling, Itching · Fever · Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-02-16
Survey response — days 1–6 daily, dose 2
MedDRA: Heavy menstrual bleeding — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain

Free text: Still very heavy and seemingly unending menstrual period after both shots one and two.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-17
Survey response — days 1–6 daily, dose 2
MedDRA: Heavy menstrual bleeding — Feeling: Fair · Site: Itching · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Still menstruating heavily again today

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-18
Survey response — days 1–6 daily, dose 2
MedDRA: Unevaluable event — Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Still menstruating

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-19
Survey response — day 7, dose 2
MedDRA: Unevaluable event — Feeling: Fair · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Free text: Still having a menstrual period

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-26
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-03-07
Survey response — day 21, dose 2
MedDRA: Diarrhoea, Paraesthesia oral, Taste disorder — Feeling: Fair

Free text: Diarrhea, odd feeling tongue and little taste.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-12
Survey response — day 28, dose 2
MedDRA: Vulvovaginal mycotic infection — Feeling: Fair

Free text: Vaginal yeast infection

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-19
Survey response — day 35, dose 2
MedDRA: Sinus headache — Feeling: Fair · Be unable to work

Free text: Sinus headaches daily

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-16
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-07-31
Call 1 — Requested Callback
2021-08-15
Survey response — 6 months, dose 2
MedDRA: Ear infection, Sinusitis — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Sinus and ear infection right now

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-15
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-19
Call 1 — Left Voicemail
2021-08-23
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2021-08-23
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2021-10-28
Dose 3 — Pfizer-BioNTech
2021-10-30
Survey response — days 1–6 daily, dose 3
MedDRA: Vulvovaginal mycotic infection — Feeling: Good · Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to work or attend school

Free text: Vaginal yeast infection

MedDRA releases: 2024-11 · check-in free text available
2021-10-31
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea

Adult check-in
2021-11-01
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-02
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-03
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea

Adult check-in
2021-11-05
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-11-11
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-18
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-25
Survey response — day 28, dose 3
MedDRA: Haemorrhoids, Pain — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Enlarged and extremely painful hemorrhoid.

MedDRA releases: 2024-11 · check-in free text available
2021-12-02
Survey response — day 35, dose 3
MedDRA: Haemorrhoids, Proctalgia, Pruritus, Rash — 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 consultation, Outpatient clinic or urgent care clinic visit

Free text: Bulging and extremely painful hemorrhoid the size of a golf ball as well as full body very itchy and painful skin rash.

MedDRA releases: 2024-11 · check-in free text available
2021-12-02
Report sent to call center — day 35, 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

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-12-06
Call 3 — Left Voicemail
2021-12-10
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2022-01-27
Survey response — 3 months, dose 3
MedDRA: Back pain — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Back aches

MedDRA releases: 2024-11 · check-in free text available
2022-01-27
Report sent to call center — 3 months, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-01-31
Call 1 — Left Voicemail
2022-04-03
Dose 4 — Moderna
2022-04-04
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea

Adult check-in
2022-04-06
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Muscle or body aches

Adult check-in
2022-04-07
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Muscle or body aches

Adult check-in
2022-04-08
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Muscle or body aches

Adult check-in
2022-04-09
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-04-10
Health check-in — day 7, dose 4
Feeling: Good · Joint pains, Muscle or body aches

Adult check-in
2022-04-17
Survey response — day 14, dose 4
MedDRA: Ear congestion, Ear pain, Oral herpes, Sinus congestion, Sinus pain, Vulvovaginal mycotic infection — Feeling: Fair

Free text: Sinus and ear congestion and pain. Also vaginal yeast infections as well as herpes lesions on my lips.

MedDRA releases: 2024-11 · check-in free text available
2022-04-24
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-05-03
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-05-08
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-05-15
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-07-03
Survey response — 3 months, dose 4
MedDRA: Ear infection, Sinusitis — Feeling: Good · Be unable to do your normal daily activities

Free text: Chronic ear and sinus infections

MedDRA releases: 2024-11 · check-in free text available
2022-09-09
Dose 5 — Pfizer-BioNTech
2022-09-16
Health check-in — day 7, dose 5
Feeling: Good · None

Adult check-in
2022-09-23
Health check-in — day 14, dose 5
Feeling: Good

Adult check-in
2022-09-30
Survey response — day 21, dose 5
MedDRA: Herpes zoster — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: Shingles is coming back

MedDRA releases: 2024-11 · check-in free text available
2022-09-30
Report sent to call center — day 21, dose 5
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-10-04
Call 1 — Left Voicemail
2022-10-04
Call 2 — Left Voicemail
2022-10-04
Call 1 — Left Voicemail
2022-10-07
Health check-in — day 28, dose 5
Feeling: Fair

Adult check-in
2022-10-07
Call 2 — Left Voicemail
2022-10-07
Call 3 — Left Voicemail
2022-10-07
Call 2 — Left Voicemail
2022-10-07
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-10-07
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-10-07
Call successful
Participant prefers to complete VAERS report online
2022-10-14
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2022-10-21
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2022-12-09
Health check-in — 3 months, dose 5
Feeling: Good

Adult check-in
2023-03-10
Survey response — 6 months, dose 5
MedDRA: COVID-19, Ear infection, Sinusitis — Feeling: Poor · Be unable to work or attend school

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-12	Moderna
2	2021-02-12	Moderna
3	2021-10-28	Pfizer-BioNTech	No
4	2022-04-03	Moderna	No
5	2022-09-09	Pfizer-BioNTech	No

Call center

5 call center cases

5 successful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-15

Systemic reaction (other): Bloody nose

Release 3 — day 21, dose 1

2021-02-02

Symptoms: Back pain, diarrhea

Release 4 — days 1–6 daily, dose 2

2021-02-13

Systemic reaction (other): Cloudy Head, Clammy

2021-02-14

Systemic reaction (other): My menstruation period started up sporadically today. I just had my last cycle finish a few days before I got the 2nd shot on 2/12/21.

2021-02-16

Systemic reaction (other): Still very heavy and seemingly unending menstrual period after both shots one and two.

2021-02-17

Systemic reaction (other): Still menstruating heavily again today

2021-02-18

Systemic reaction (other): Still menstruating

Release 4 — day 7, dose 2

2021-02-19

Systemic reaction (other): Still having a menstrual period

Release 5 — day 21, dose 2

2021-03-07

Symptoms: Diarrhea, odd feeling tongue and little taste.

Release 5 — day 28, dose 2

2021-03-12

Symptoms: Vaginal yeast infection

Release 5 — day 35, dose 2

2021-03-19

Symptoms: Sinus headaches daily

Release 9 — 6 months, dose 2

2021-08-15

Symptoms: Sinus and ear infection right now

Release 10 — days 1–6 daily, dose 3

2021-10-30

Systemic reaction (other): Vaginal yeast infection

Release 10 — day 28, dose 3

2021-11-25

Symptoms: Enlarged and extremely painful hemorrhoid.

Release 10 — day 35, dose 3

2021-12-02

Symptoms: Bulging and extremely painful hemorrhoid the size of a golf ball as well as full body very itchy and painful skin rash.

Release 11 — 3 months, dose 3

2022-01-27

Symptoms: Back aches

Release 11 — day 14, dose 4

2022-04-17

Symptoms: Sinus and ear congestion and pain. Also vaginal yeast infections as well as herpes lesions on my lips.

Release 12 — 3 months, dose 4

2022-07-03

Symptoms: Chronic ear and sinus infections

Release 12 — day 21, dose 5

2022-09-30

Symptoms: Shingles is coming back

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	Back pain	✓	✓	✓
SD	COVID-19	·	·	✓
SD	Diarrhoea	✓	✓	✓
SD	Ear congestion	·	·	✓
SD	Ear infection	✓	·	✓
SD	Ear pain	·	·	✓
SD	Haemorrhoids	·	·	✓
SD	Herpes zoster	·	·	✓
SD	Oral herpes	·	·	✓
SD	Pain	·	·	✓
SD	Paraesthesia oral	✓	✓	✓
SD	Proctalgia	·	·	✓
SD	Pruritus	·	·	✓
SD	Rash	·	·	✓
SD	Sinus congestion	·	·	✓
SD	Sinus headache	✓	✓	✓
SD	Sinus pain	·	·	✓
SD	Sinusitis	✓	·	✓
SD	Taste disorder	✓	✓	✓
SD	Vulvovaginal mycotic infection	✓	✓	✓
SRO	Cold sweat	✓	✓	✓
SRO	Epistaxis	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Heavy menstrual bleeding	✓	✓	✓
SRO	Polymenorrhoea	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓
SRO	Vulvovaginal mycotic infection	·	·	✓

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