555-25349-31934

2 vaccinations 5 coded responses 14 check-ins 5 free-text entries 2 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 229 / VA
Registered: 2021-03-25

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

2021-03-09
Dose 1 — Moderna
2021-03-25
Registered in v-safe
2021-03-25
Survey response — day 14, dose 1
MedDRA: Abdominal pain, Chills, Diarrhoea, Pyrexia — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities

Free text: Fever, chills, abdominal pain, diarrhea

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-30
Survey response — day 21, dose 1
MedDRA: Abdominal pain, Diarrhoea, Injection site erythema, Injection site reaction, Injection site warmth, Pain in extremity — Feeling: Good · Be unable to work, Be unable to do your normal daily activities

Free text: At first my arm was sore for 1 day. On Day 9 the injection site was red and warm and about 4. On Day 14 i had fever(99.4), chills, abdominal pain, and diarrhea. It lasted for about 36 hrs. On Day 17 the injection site was larger and very red

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-06
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-04-09
Dose 2 — Moderna
2021-04-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Swelling · None

Adult check-in
2021-04-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness · None

Adult check-in
2021-04-18
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-23
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-30
Survey response — day 21, dose 2
MedDRA: Abdominal pain, Fatigue, Malaise — Feeling: Good · Be unable to work, Be unable to do your normal daily activities

Free text: On 26-Apr-2021 I had profound fatigue, malaise, and abdominal pain, similar to my previous rxns to both vaccines, except no fever. Continued through 27-Apr-2021, and was resolved on 28-Apr-2021. No remaining symptoms.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-07
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-14
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-23
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-09
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-08
Survey response — 6 months, dose 2
MedDRA: Appendicitis, Nephrolithiasis, Pericarditis — 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 · Emergency room or emergency department visit, Hospitalization

Free text: Appendicitis, pericarditis, nephrolothiasis

MedDRA releases: 2024-11 · check-in free text available
2021-10-08
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

Emergency room or emergency department visit · Hospitalization · 1 call case(s)
2021-10-12
Call successful
Does not wish to fill out VAERS report
2022-04-09
Survey response — 12 months, dose 2
MedDRA: Abdominal pain, Blood alkaline phosphatase increased, Pain, Pyrexia, Vaccine positive rechallenge — 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: After each vaccination, I had the expected fever and body aches, but also severe abdominal pain. Since Jan 2022 I have had 2 episodes of fever and abdominal pain just like I had post-vaccination, but with ALP up to 2.5 x ULN. U/S and CT both negative

MedDRA releases: 2024-11 · check-in free text available
2022-04-09
Report sent to call center — 12 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

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-04-13
Call successful
Reported to VAERS voluntarily prior to GDIT contact

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-09	Moderna
2	2021-04-09	Moderna

Call center

2 call center cases

2 successful

VAERS report filed, before or during a call: 1

See the call center timeline

Free text

Release 6 — day 14, dose 1

2021-03-25

Symptoms: Fever, chills, abdominal pain, diarrhea

Release 6 — day 21, dose 1

2021-03-30

Symptoms: At first my arm was sore for 1 day. On Day 9 the injection site was red and warm and about 4. On Day 14 i had fever(99.4), chills, abdominal pain, and diarrhea. It lasted for about 36 hrs. On Day 17 the injection site was larger and very red

Release 8 — day 21, dose 2

2021-04-30

Symptoms: On 26-Apr-2021 I had profound fatigue, malaise, and abdominal pain, similar to my previous rxns to both vaccines, except no fever. Continued through 27-Apr-2021, and was resolved on 28-Apr-2021. No remaining symptoms.

Release 10 — 6 months, dose 2

2021-10-08

Symptoms: Appendicitis, pericarditis, nephrolothiasis

Release 11 — 12 months, dose 2

2022-04-09

Symptoms: After each vaccination, I had the expected fever and body aches, but also severe abdominal pain. Since Jan 2022 I have had 2 episodes of fever and abdominal pain just like I had post-vaccination, but with ALP up to 2.5 x ULN. U/S and CT both negative cut off by CDC

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	Abdominal pain	✓	✓	✓
SD	Appendicitis	·	·	✓
SD	Blood alkaline phosphatase increased	·	·	✓
SD	Chills	✓	✓	✓
SD	Diarrhoea	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Injection site erythema	✓	✓	✓
SD	Injection site reaction	✓	✓	✓
SD	Injection site warmth	✓	✓	✓
SD	Malaise	✓	✓	✓
SD	Nephrolithiasis	·	·	✓
SD	Pain	·	·	✓
SD	Pain in extremity	✓	✓	✓
SD	Pericarditis	·	·	✓
SD	Pyrexia	✓	✓	✓
SD	Vaccine positive rechallenge	·	·	✓

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