5P4-23407-42603

4 vaccinations 7 coded responses 31 check-ins 6 free-text entries 2 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 787 / TX
Registered: 2021-02-26

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

2021-02-26
Registered in v-safe
2021-02-26
Dose 1 — Moderna
2021-02-27
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-28
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-02
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-03-04
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-03-13
Survey response — day 14, dose 1
MedDRA: Injection site pain — Feeling: Fair

Free text: Soreness at vax site returned to arm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-19
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-03-26
Dose 2 — Moderna
2021-03-26
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain, Swelling · None

Adult check-in
2021-03-27
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-28
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches

Adult check-in
2021-03-30
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-31
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-04-03
Health check-in — day 7, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-09
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-16
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-23
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-30
Survey response — day 35, dose 2
MedDRA: Menopause, Menstruation irregular — Feeling: Good

Free text: I'm in menopause. But I had a 2 periods in a 4 week span. (Every 2 weeks) after vaccine. Super strange.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-07
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-25
Survey response — 3 months, dose 2
MedDRA: Intermenstrual bleeding — Feeling: Good

Free text: I have been and man a pause for about 3 years or more. After the 1st vaccine I had spotting. Since the 2nd vaccine, I've had regular monthly cycles that last 5 days or more.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-09-24
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-19
Dose 3 — Moderna
2022-03-26
Survey response — 12 months, dose 2
MedDRA: Ear pruritus, Eye pruritus, Lacrimation increased, Unevaluable event — Feeling: Fair

Free text: Itchy watery eyes. Itchy inner ear and sinuses

MedDRA releases: 2024-11 · check-in free text available
2022-04-30
Dose 4 — Moderna
2022-05-04
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Redness, Swelling · Headache

Adult check-in
2022-05-05
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Redness, Swelling · Headache

Adult check-in
2022-05-06
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-05-09
Health check-in — day 7, dose 4
Feeling: Fair · Fatigue or tiredness · Be unable to work or attend school

Adult check-in
2022-05-14
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-05-21
Survey response — day 21, dose 4
MedDRA: Intermenstrual bleeding, Menopause — Feeling: Good

Free text: Menstrual blood 'breakthrough'. I'm menopausal so this isn't normal

MedDRA releases: 2024-11 · check-in free text available
2022-05-30
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-06-05
Survey response — day 35, dose 4
MedDRA: Postmenopausal haemorrhage — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Period #2 began since the shot. I'm in menopause.

MedDRA releases: 2024-11 · check-in free text available
2022-06-05
Report sent to call center — day 35, dose 4
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-06-06
Call 1 — Left Voicemail
2022-06-11
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-06-21
Call successful
Participant prefers to complete VAERS report online
2022-10-31
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in
2023-04-30
Survey response — 12 months, dose 4
MedDRA: COVID-19 — 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 · Emergency room or emergency department visit

MedDRA releases: 2024-11
2023-04-30
Report sent to call center — 12 months, dose 4
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Emergency room or emergency department visit · 1 call case(s)
2023-05-02
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-26	Moderna
2	2021-03-26	Moderna
3	2021-11-19	Moderna	No
4	2022-04-30	Moderna	No

Call center

2 call center cases

2 successful

See the call center timeline

Free text

Release 5 — day 14, dose 1

2021-03-13

Symptoms: Soreness at vax site returned to arm

Release 8 — day 35, dose 2

2021-04-30

Symptoms: I'm in menopause. But I had a 2 periods in a 4 week span. (Every 2 weeks) after vaccine. Super strange.

Release 9 — 3 months, dose 2

2021-06-25

Symptoms: I have been and man a pause for about 3 years or more. After the 1st vaccine I had spotting. Since the 2nd vaccine, I've had regular monthly cycles that last 5 days or more.

Release 11 — 12 months, dose 2

2022-03-26

Symptoms: Itchy watery eyes. Itchy inner ear and sinuses

Release 11 — day 21, dose 4

2022-05-21

Symptoms: Menstrual blood 'breakthrough'. I'm menopausal so this isn't normal

Release 11 — day 35, dose 4

2022-06-05

Symptoms: Period #2 began since the shot. I'm in menopause.

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	Ear pruritus	·	·	✓
SD	Eye pruritus	·	·	✓
SD	Injection site pain	✓	✓	✓
SD	Intermenstrual bleeding	✓	✓	✓
SD	Lacrimation increased	·	·	✓
SD	Menopause	✓	✓	✓
SD	Menstruation irregular	✓	✓	✓
SD	Postmenopausal haemorrhage	·	·	✓
SD	Unevaluable event	·	·	✓

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