57S-60686-27728

3 vaccinations 16 coded responses 37 check-ins 16 free-text entries 3 call cases

Sex: Female
Age at first dose: 26-30
ZIP prefix: 437 / OH
Registered: 2020-12-22

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

2020-12-22
Registered in v-safe
2020-12-22
Dose 1 — Moderna
2020-12-22
Survey response — day 0, dose 1
MedDRA: Dizziness, Heart rate increased — Feeling: Good · Site: Pain

Free text: Light headed and fast heart rate approx 5 minutes after administering vaccine. Lasted shortly. Have been fine since then.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-23
Survey response — days 1–6 daily, dose 1
MedDRA: Oropharyngeal pain — Feeling: Fair · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tiredness

Free text: Mild sore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-24
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness, Eye pain — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Light headed. Eye pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Diarrhea

Adult check-in
2020-12-26
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache

Adult check-in
2020-12-27
Survey response — days 1–6 daily, dose 1
MedDRA: Oropharyngeal pain, Paranasal sinus hypersecretion — Feeling: Fair

Free text: Drainage, mild sore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-29
Survey response — day 7, dose 1
MedDRA: Paranasal sinus discomfort, Rhinorrhoea — Feeling: Fair · Fever · Headache, Muscle or body aches

Free text: Sinus pressure and runny nose

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-06
Survey response — day 14, dose 1
MedDRA: SARS-CoV-2 test positive — Feeling: Good · Be unable to do your normal daily activities

Free text: I have covid-19. Tested 12/29/2020

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-06
Report sent to call center — day 14, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-12
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-01-19
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-01-26
Health check-in — day 35, dose 1
Feeling: Good

Adult check-in
2021-01-28
Dose 2 — Moderna
2021-02-02
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Headache, Joint pains, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-02-03
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Joint pains

Adult check-in
2021-02-04
Health check-in — day 7, dose 2
Feeling: Good · Joint pains

Adult check-in
2021-02-11
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-18
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-25
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-06
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-11
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-04-29
Survey response — 3 months, dose 2
MedDRA: Oropharyngeal pain, Sinus headache, Vision blurred — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Possibly just worse allergies than normal? My throat was sore on and off for a long time which I typically don't have. Also had horrible sinus headaches and blurred vision once which I also don't typically experience.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-29
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-09
Call successful
Participant prefers to complete VAERS report online
2021-07-29
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2021-10-29
Dose 3 — Moderna
2021-10-29
Survey response — day 0, dose 3
MedDRA: Pre-existing disease — Feeling: Good · Joint pains, Muscle or body aches

Free text: Joint and muscle pain pre existing

MedDRA releases: 2024-11 · check-in free text available
2021-10-30
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-10-31
Survey response — days 1–6 daily, dose 3
MedDRA: Respiratory tract congestion, Rhinorrhoea — Feeling: Poor · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tiredness

Free text: Congestion, runny nose

MedDRA releases: 2024-11 · check-in free text available
2021-11-01
Survey response — days 1–6 daily, dose 3
MedDRA: Respiratory tract congestion, Rhinorrhoea — Feeling: Fair · Site: Pain

Free text: Comgestion, runny nose

MedDRA releases: 2024-11 · check-in free text available
2021-11-02
Survey response — days 1–6 daily, dose 3
MedDRA: Respiratory tract congestion, Rhinorrhoea — Feeling: Fair · Fatigue or tiredness

Free text: Congestion and runny nose

MedDRA releases: 2024-11 · check-in free text available
2021-11-03
Survey response — days 1–6 daily, dose 3
MedDRA: Respiratory tract congestion — Feeling: Good

Free text: Congestion

MedDRA releases: 2024-11 · check-in free text available
2021-11-04
Survey response — days 1–6 daily, dose 3
MedDRA: Respiratory tract congestion — Feeling: Good

Free text: Congestion

MedDRA releases: 2024-11 · check-in free text available
2021-11-05
Survey response — day 7, dose 3
MedDRA: Respiratory tract congestion — Feeling: Good

Free text: Congestion

MedDRA releases: 2024-11 · check-in free text available
2021-11-14
Survey response — day 14, dose 3
MedDRA: Arthralgia, Chills, Ear pain, Myalgia, Respiratory tract congestion, Rhinorrhoea, Sinus pain, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Symptoms: Congestion, runny nose, sinus pain, ear pain, muscle aches, chills and joint pain · Healthcare visit (other): I will also be doing in person visit tomorrow

MedDRA releases: 2024-11 · check-in free text available
2021-11-14
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)
2021-11-16
Call 1 — Left Voicemail
2021-11-19
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-26
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-03
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-10
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-28
Survey response — 3 months, dose 3
MedDRA: Chest discomfort, Discharge, Dyspnoea — Feeling: Fair

Free text: Drainage, sob, chest tightness

MedDRA releases: 2024-11 · check-in free text available
2022-04-29
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-10-29
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-22	Moderna
2	2021-01-28	Moderna
3	2021-10-29	Moderna	No

Call center

3 call center cases

1 successful · 1 unsuccessful · 1 priority 2/3 (triaged and no follow up)

See the call center timeline

Free text

Release 1 — day 0, dose 1

2020-12-22

Systemic reaction (other): Light headed and fast heart rate approx 5 minutes after administering vaccine. Lasted shortly. Have been fine since then.

Release 1 — days 1–6 daily, dose 1

2020-12-23

Systemic reaction (other): Mild sore throat

2020-12-24

Systemic reaction (other): Light headed. Eye pain

2020-12-27

Systemic reaction (other): Drainage, mild sore throat

Release 1 — day 7, dose 1

2020-12-29

Systemic reaction (other): Sinus pressure and runny nose

Release 1 — day 14, dose 1

2021-01-06

Symptoms: I have covid-19. Tested 12/29/2020

Release 8 — 3 months, dose 2

2021-04-29

Symptoms: Possibly just worse allergies than normal? My throat was sore on and off for a long time which I typically don't have. Also had horrible sinus headaches and blurred vision once which I also don't typically experience.

Release 10 — day 0, dose 3

2021-10-29

Systemic reaction (other): Joint and muscle pain pre existing

Release 10 — days 1–6 daily, dose 3

2021-10-31

Systemic reaction (other): Congestion, runny nose

2021-11-01

Systemic reaction (other): Comgestion, runny nose

2021-11-02

Systemic reaction (other): Congestion and runny nose

2021-11-03

Systemic reaction (other): Congestion

2021-11-04

Systemic reaction (other): Congestion

Release 10 — day 7, dose 3

2021-11-05

Systemic reaction (other): Congestion

Release 10 — day 14, dose 3

2021-11-14

Symptoms: Congestion, runny nose, sinus pain, ear pain, muscle aches, chills and joint pain

Healthcare visit (other): I will also be doing in person visit tomorrow

Release 11 — 3 months, dose 3

2022-01-28

Symptoms: Drainage, sob, chest tightness

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	Unevaluable event	·	·	✓
SD	Arthralgia	·	·	✓
SD	Chest discomfort	·	·	✓
SD	Chills	·	·	✓
SD	COVID-19	○	○	○
SD	Discharge	·	·	✓
SD	Dyspnoea	·	·	✓
SD	Ear pain	·	·	✓
SD	Myalgia	·	·	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Respiratory tract congestion	·	·	✓
SD	Rhinorrhoea	·	·	✓
SD	SARS-CoV-2 test positive	✓	✓	✓
SD	Sinus headache	✓	✓	✓
SD	Sinus pain	·	·	✓
SD	Vision blurred	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Drainage	○	○	○
SRO	Eye pain	✓	✓	✓
SRO	Heart rate increased	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Paranasal sinus discomfort	✓	✓	✓
SRO	Paranasal sinus hypersecretion	✓	✓	✓
SRO	Pre-existing disease	·	·	✓
SRO	Respiratory tract congestion	·	·	✓
SRO	Rhinorrhoea	✓	✓	✓

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