5JM-30934-11195

2 vaccinations 9 coded responses 22 check-ins 9 free-text entries 1 call case

Sex: Female
Age at first dose: 41-45
ZIP prefix: 924 / CA
Registered: 2021-01-22

Relationship: Self
Race: Other
Ethnicity: Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-01-22
Registered in v-safe
2021-01-22
Dose 1 — Moderna
2021-01-24
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-01-25
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-01-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-27
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Fatigue or tiredness, Diarrhea

Adult check-in
2021-01-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-01-29
Health check-in — day 7, dose 1
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-02-05
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-12
Survey response — day 21, dose 1
MedDRA: Fatigue, Feeling abnormal, Headache, Somnolence — Feeling: Fair · Be unable to do your normal daily activities

Free text: I have been experiencing exhaustion/ fatigue sleepiness, headaches and a feeling a bit foggy. Daily shores a hassle from being so tired when I get home.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-19
Dose 2 — Moderna
2021-02-21
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-02-22
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Feeling abnormal — Feeling: Fair · Site: Pain, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Dizzy, cant think straight (foggy brain)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-23
Survey response — days 1–6 daily, dose 2
MedDRA: Brain fog, Dizziness, Feeling abnormal — Feeling: Fair · Site: Itching · Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Free text: Dizziness, brain fog

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-24
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Thinking abnormal — Feeling: Fair · Site: Pain, Itching · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Free text: Dizziness, cant think straight,

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-25
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Fair · Site: Itching · Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain

Free text: Dizzy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-26
Health check-in — day 7, dose 2
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain

Adult check-in
2021-03-07
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-12
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-03-19
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-26
Survey response — day 35, dose 2
MedDRA: Headache, Palpitations — Feeling: Fair · Be unable to do your normal daily activities

Free text: Headaches and heart palpitations

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Survey response — day 42, dose 2
MedDRA: Fatigue, Migraine — Feeling: Fair · Be unable to work

Free text: Migraine and fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-21
Survey response — 3 months, dose 2
MedDRA: Brain fog, Fatigue, Headache, Palpitations — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Heart palpitations, headaches and fatigue. Brain fog.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-21
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-23
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2022-02-19
Survey response — 12 months, dose 2
MedDRA: Arthralgia, Dizziness, Fatigue, Headache, Vomiting — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Exhaustion, dizziness, headaches, joint pain. Vomiting., faintness.

MedDRA releases: 2024-11 · check-in free text available
2022-05-06
Call 1 — Could Not Reach Participant
2022-05-09
Call successful
Participant prefers to complete VAERS report online

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-22	Moderna
2	2021-02-19	Moderna

Call center

1 call center case

1 successful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 4 — day 21, dose 1

2021-02-12

Symptoms: I have been experiencing exhaustion/ fatigue sleepiness, headaches and a feeling a bit foggy. Daily shores a hassle from being so tired when I get home.

Release 4 — days 1–6 daily, dose 2

2021-02-22

Systemic reaction (other): Dizzy, cant think straight (foggy brain)

2021-02-23

Systemic reaction (other): Dizziness, brain fog

2021-02-24

Systemic reaction (other): Dizziness, cant think straight,

2021-02-25

Systemic reaction (other): Dizzy

Release 6 — day 35, dose 2

2021-03-26

Symptoms: Headaches and heart palpitations

Release 6 — day 42, dose 2

2021-04-02

Symptoms: Migraine and fatigue

Release 8 — 3 months, dose 2

2021-05-21

Symptoms: Heart palpitations, headaches and fatigue. Brain fog.

Release 11 — 12 months, dose 2

2022-02-19

Symptoms: Exhaustion, dizziness, headaches, joint pain. Vomiting., faintness.

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	Arthralgia	·	·	✓
SD	Brain fog	✓	✓	✓
SD	Dizziness	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Feeling abnormal	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Migraine	✓	✓	✓
SD	Palpitations	✓	✓	✓
SD	Somnolence	✓	✓	✓
SD	Vomiting	·	·	✓
SRO	Brain fog	·	·	✓
SRO	Dizziness	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Thinking abnormal	✓	✓	✓

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