55G-32228-26129

3 vaccinations 8 coded responses 28 check-ins 8 free-text entries 3 call cases

Sex: Female
Age at first dose: 31-35
ZIP prefix: 148 / NY
Registered: 2021-04-02

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

2021-04-02
Registered in v-safe
2021-04-02
Dose 1 — Moderna
2021-04-02
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · Nausea

Adult check-in
2021-04-03
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

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

Adult check-in
2021-04-05
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-06
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site bruising — Feeling: Good

Free text: Very mild bruising at injection site

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-07
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site bruising — Feeling: Good

Free text: Very light bruise at injection site

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Survey response — days 1–6 daily, dose 1
MedDRA: Lymphadenopathy, Muscle strain, Unevaluable event — Feeling: Good

Free text: Possible swollen lymph node in armpit of injection arm. Mighy just be a muscle strain.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-10
Health check-in — day 7, dose 1
Feeling: Good · Muscle or body aches

Adult check-in
2021-04-16
Survey response — day 14, dose 1
MedDRA: Abdominal pain, Fatigue — Feeling: Fair

Free text: Abdominal cramps, fatigue. Cramps likely PMS related.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-23
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-30
Dose 2 — Moderna
2021-04-30
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain, Swelling · None

Adult check-in
2021-05-01
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-05-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness · Headache, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site

Adult check-in
2021-05-03
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache, Fatigue or tiredness, Rash, not including the immediate area around the injection site

Adult check-in
2021-05-04
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-05-05
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-05-06
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Muscle or body aches

Adult check-in
2021-05-07
Health check-in — day 7, dose 2
Feeling: Good · Fatigue or tiredness, Nausea

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

Adult check-in
2021-05-23
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-28
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-04
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-11
Survey response — day 42, dose 2
MedDRA: Dyspnoea — Feeling: Fair

Free text: Shortness of breath. May be related to seasonal allergies.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-30
Survey response — 3 months, dose 2
MedDRA: Dyspnoea, Hypersensitivity, Office visit, Throat tightness — 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: Symptoms: Allergies seem to be different/worse this year. I now experience shortness of breath or throat tightness when exposed to certain allergens. Worsening may be due to regular exposure to mold at work since there is likely hidden mold growth in my offic · Healthcare visit (other): General practitioner

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-30
Report sent to call center — 3 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-11
Call successful
Participant prefers to complete VAERS report online
2021-10-29
Survey response — 6 months, dose 2
MedDRA: Asthma, Dyspnoea, Exposure to fungus, Pre-existing disease, Unevaluable event — Feeling: Fair · 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: Symptoms: Now diagnosed with asthma. It is related to the shortness of breath I reported last time. Believe it is due to mold outbreak at work + pre-existing allergies. · Healthcare visit (other): Allergy and lung function tests

MedDRA releases: 2024-11 · check-in free text available
2021-10-29
Report sent to call center — 6 months, dose 2
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)
2021-11-01
Call 1 — Left Voicemail
2021-12-15
Dose 3 — Moderna
2022-04-30
Survey response — 12 months, dose 2
MedDRA: Reflux laryngitis — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Was diagnosed with laryngopharyngeal reflux.

MedDRA releases: 2024-11 · check-in free text available
2022-04-30
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)
2022-05-03
Call successful
Does not wish to fill out VAERS report
2022-06-15
Health check-in — 6 months, dose 3
Feeling: Good

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

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-02	Moderna
2	2021-04-30	Moderna
3	2021-12-15	Moderna	No

Call center

3 call center cases

3 successful

See the call center timeline

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-06

Systemic reaction (other): Very mild bruising at injection site

2021-04-07

Systemic reaction (other): Very light bruise at injection site

2021-04-08

Systemic reaction (other): Possible swollen lymph node in armpit of injection arm. Mighy just be a muscle strain.

Release 7 — day 14, dose 1

2021-04-16

Symptoms: Abdominal cramps, fatigue. Cramps likely PMS related.

Release 9 — day 42, dose 2

2021-06-11

Symptoms: Shortness of breath. May be related to seasonal allergies.

Release 9 — 3 months, dose 2

2021-07-30

Symptoms: Allergies seem to be different/worse this year. I now experience shortness of breath or throat tightness when exposed to certain allergens. Worsening may be due to regular exposure to mold at work since there is likely hidden mold growth in my offic cut off by CDC

Healthcare visit (other): General practitioner

Release 10 — 6 months, dose 2

2021-10-29

Symptoms: Now diagnosed with asthma. It is related to the shortness of breath I reported last time. Believe it is due to mold outbreak at work + pre-existing allergies.

Healthcare visit (other): Allergy and lung function tests

Release 11 — 12 months, dose 2

2022-04-30

Symptoms: Was diagnosed with laryngopharyngeal reflux.

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	✓	·	✓
HCVO	Unevaluable event	·	·	✓
SD	Abdominal pain	✓	✓	✓
SD	Asthma	·	·	✓
SD	Dyspnoea	✓	✓	✓
SD	Exposure to fungus	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Hypersensitivity	✓	·	✓
SD	Pre-existing disease	·	·	✓
SD	Reflux laryngitis	·	·	✓
SD	Throat tightness	✓	·	✓
SRO	Injection site bruising	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	○
SRO	Muscle strain	✓	✓	○
SRO	Unevaluable event	·	·	✓

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