5KF-95706-79145

2 vaccinations 7 coded responses 24 check-ins 7 free-text entries 1 call case

Sex: Female
Age at first dose: 36-40
ZIP prefix: 303 / GA
Registered: 2021-03-15

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

2021-03-15
Registered in v-safe
2021-03-15
Dose 1 — Moderna
2021-03-15
Health check-in — day 0, dose 1
Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain

Adult check-in
2021-03-16
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain

Adult check-in
2021-03-17
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-03-18
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Diarrhea, Abdominal pain

Adult check-in
2021-03-19
Survey response — days 1–6 daily, dose 1
MedDRA: Anxiety — Feeling: Fair · Fatigue or tiredness

Free text: I forgot to mention Ive had moderate then mild anxiety each night

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-20
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Joint pains, Muscle or body aches, Abdominal pain

Adult check-in
2021-03-22
Health check-in — day 7, dose 1
Feeling: Good · Muscle or body aches, Abdominal pain

Adult check-in
2021-03-30
Survey response — day 14, dose 1
MedDRA: Rash — Feeling: Good

Free text: Developed a rash around the arm around day 8. It was gone the next day but when I exercised it came back again. It has since gone away.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-05
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-12
Dose 2 — Moderna
2021-04-12
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-13
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness · Fever · Chills, Headache, Joint pains, Muscle or body aches, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Swelling · Headache, Abdominal pain

Adult check-in
2021-04-15
Survey response — days 1–6 daily, dose 2
MedDRA: Anxiety, Insomnia — Feeling: Good · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Abdominal pain

Free text: Anxiety/sleeplessness.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-19
Health check-in — day 7, dose 2
Feeling: Fair · Site: Pain · Headache, Nausea, Diarrhea, Rash, not including the immediate area around the injection site

Adult check-in
2021-04-26
Survey response — day 14, dose 2
MedDRA: Inflammation, Vision blurred — Feeling: Good

Free text: I had some inflammation markers including blurred vision that went away after about 2 weeks.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-03
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-10
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-20
Survey response — day 35, dose 2
MedDRA: Diplopia, Ecchymosis, Menstrual disorder, Menstruation irregular, Vision blurred — Feeling: Good

Free text: Weird accumulations of clusters of broken blood vessels. My period was also several days early. All minor but lends to some bleeding/clotting differentials. also not sure if I ever mentioned the double vision/blurred vision but ok after 2 wks

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-25
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-12
Survey response — 3 months, dose 2
MedDRA: Respiratory disorder — Feeling: Poor · Be unable to work or attend school

Free text: Summer cold. Upper respiratory virus of some sort. I dont imagine its covid related but you didnt ask that.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-10-13
Survey response — 6 months, dose 2
MedDRA: COVID-19, Menstrual disorder — 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 · Telehealth, virtual health, or email health consultation

Free text: Developed COVID. Also had menstruation issues about a month after vaccination and it has gotten progressively worse.

MedDRA releases: 2024-11 · check-in free text available
2021-10-13
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

Telehealth, virtual health, or email health consultation · 1 call case(s)
2021-11-16
Call successful
Participant prefers to complete VAERS report online
2022-04-12
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-15	Moderna
2	2021-04-12	Moderna

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-19

Systemic reaction (other): I forgot to mention Ive had moderate then mild anxiety each night

Release 6 — day 14, dose 1

2021-03-30

Symptoms: Developed a rash around the arm around day 8. It was gone the next day but when I exercised it came back again. It has since gone away.

Release 7 — days 1–6 daily, dose 2

2021-04-15

Systemic reaction (other): Anxiety/sleeplessness.

Release 8 — day 14, dose 2

2021-04-26

Symptoms: I had some inflammation markers including blurred vision that went away after about 2 weeks.

Release 8 — day 35, dose 2

2021-05-20

Symptoms: Weird accumulations of clusters of broken blood vessels. My period was also several days early. All minor but lends to some bleeding/clotting differentials. also not sure if I ever mentioned the double vision/blurred vision but ok after 2 wks

Release 9 — 3 months, dose 2

2021-07-12

Symptoms: Summer cold. Upper respiratory virus of some sort. I dont imagine its covid related but you didnt ask that.

Release 10 — 6 months, dose 2

2021-10-13

Symptoms: Developed COVID. Also had menstruation issues about a month after vaccination and it has gotten progressively worse.

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	COVID-19	·	·	✓
SD	Diplopia	✓	✓	✓
SD	Ecchymosis	✓	✓	✓
SD	Inflammation	✓	✓	✓
SD	Menstrual disorder	✓	✓	✓
SD	Menstruation irregular	✓	✓	✓
SD	Rash	✓	✓	✓
SD	Respiratory disorder	✓	✓	✓
SD	Vision blurred	✓	✓	✓
SRO	Anxiety	✓	✓	✓
SRO	Insomnia	✓	✓	✓

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