585-90794-28822

4 vaccinations 11 coded responses 41 check-ins 11 free-text entries 1 call case

Sex: Female
Age at first dose: 26-30
ZIP prefix: 468 / IN
Registered: 2021-03-30

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

2021-03-30
Registered in v-safe
2021-03-30
Dose 1 — Moderna
2021-03-30
Health check-in — day 0, dose 1
Feeling: Good · Muscle or body aches

Adult check-in
2021-03-31
Survey response — days 1–6 daily, dose 1
MedDRA: Dehydration — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Constantly feel dehydrated

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-01
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-04-02
Survey response — days 1–6 daily, dose 1
MedDRA: Feeling abnormal, Lethargy, Seasonal allergy, Sinus congestion — Feeling: Good · Fatigue or tiredness

Free text: Lethargic/brain fog, and sinus congestion, but that may be related to seasonal allergies.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-03
Survey response — days 1–6 daily, dose 1
MedDRA: Sinus congestion — Feeling: Good · Fatigue or tiredness

Free text: Sinus congestion

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-04
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-04-05
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-06
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-13
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-22
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-27
Dose 2 — Moderna
2021-04-27
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness, Nausea

Adult check-in
2021-04-28
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Poor · Site: Pain · 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

Free text: Lightheaded/almost faint

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-29
Survey response — days 1–6 daily, dose 2
MedDRA: Dehydration — Feeling: Fair · Site: Pain, Redness · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Constantly feel dehydrated

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-30
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-05-01
Survey response — days 1–6 daily, dose 2
MedDRA: Migraine — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: I dont think it is vaccine related. Ive had a migraine since 7pm last night, finally tapering today. I have a history of migraines.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache

Adult check-in
2021-05-03
Survey response — days 1–6 daily, dose 2
MedDRA: Pre-existing disease — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: I have chronic migraines, and I believe todays symptoms are due to other triggers.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-04
Health check-in — day 7, dose 2
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-05-11
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-18
Survey response — day 21, dose 2
MedDRA: Influenza, SARS-CoV-2 test negative — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: I got the flu a couple days ago. Got a covid rapid test just in case, but it was negative. Unrelated to the vaccine, but still feeling under the weather.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-25
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-01
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-06-09
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-27
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-28
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-01-03
Dose 3 — Pfizer-BioNTech
2022-01-04
Survey response — days 1–6 daily, dose 3
MedDRA: Nasopharyngitis, Pregnancy — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Not sure if these are "new"symptoms from the shot, since I am also coming off a cold and in first trimester pregnancy.

MedDRA releases: 2024-11 · check-in free text available
2022-01-06
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-01-07
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2022-01-08
Survey response — days 1–6 daily, dose 3
MedDRA: Headache, Pre-existing disease — Feeling: Good · Headache

Free text: Headache may only be chronic migraine related

MedDRA releases: 2024-11 · check-in free text available
2022-01-09
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2022-01-10
Health check-in — day 7, dose 3
Feeling: Good · Headache

Adult check-in
2022-01-17
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-01-24
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-01-31
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-02-07
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-02-14
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-04-04
Survey response — 3 months, dose 3
MedDRA: Office visit, Pregnancy — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Not related to the vaccination, but I am now 26 weeks pregnant with no complications. · Healthcare visit (other): Regular midwife checks

MedDRA releases: 2024-11 · check-in free text available
2022-04-04
Report sent to call center — 3 months, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2022-04-26
Call 1 — Left Voicemail
2022-07-04
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-11-07
Dose 4 — Moderna
2023-01-04
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in
2023-02-06
Health check-in — 3 months, dose 4
Feeling: Fair

Adult check-in
2023-05-08
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-30	Moderna
2	2021-04-27	Moderna
3	2022-01-03	Pfizer-BioNTech	No
4	2022-11-07	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2022-04-04	Unsuccessful

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-31

Systemic reaction (other): Constantly feel dehydrated

2021-04-02

Systemic reaction (other): Lethargic/brain fog, and sinus congestion, but that may be related to seasonal allergies.

2021-04-03

Systemic reaction (other): Sinus congestion

Release 8 — days 1–6 daily, dose 2

2021-04-28

Systemic reaction (other): Lightheaded/almost faint

2021-04-29

Systemic reaction (other): Constantly feel dehydrated

2021-05-01

Systemic reaction (other): I dont think it is vaccine related. Ive had a migraine since 7pm last night, finally tapering today. I have a history of migraines.

2021-05-03

Systemic reaction (other): I have chronic migraines, and I believe todays symptoms are due to other triggers.

Release 8 — day 21, dose 2

2021-05-18

Symptoms: I got the flu a couple days ago. Got a covid rapid test just in case, but it was negative. Unrelated to the vaccine, but still feeling under the weather.

Release 10 — days 1–6 daily, dose 3

2022-01-04

Systemic reaction (other): Not sure if these are "new"symptoms from the shot, since I am also coming off a cold and in first trimester pregnancy.

2022-01-08

Systemic reaction (other): Headache may only be chronic migraine related

Release 11 — 3 months, dose 3

2022-04-04

Symptoms: Not related to the vaccination, but I am now 26 weeks pregnant with no complications.

Healthcare visit (other): Regular midwife checks

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	Influenza	✓	✓	✓
SD	Pregnancy	·	·	✓
SD	SARS-CoV-2 test negative	✓	✓	✓
SRO	Dehydration	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Headache	·	·	✓
SRO	Lethargy	✓	✓	✓
SRO	Migraine	✓	✓	✓
SRO	Nasopharyngitis	·	·	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Pregnancy	·	·	✓
SRO	Seasonal allergy	✓	✓	✓
SRO	Sinus congestion	✓	✓	✓

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