5SE-15056-66239

3 vaccinations 10 coded responses 28 check-ins 9 free-text entries 1 call case

Sex: Female
Age at first dose: 41-45
ZIP prefix: 982 / WA
Registered: 2021-01-12

Relationship: Self
Race: Black or African American
Ethnicity: Not Hispanic or Latino

Registered dependents

XRM-92613-35643 Child or adolescent in my care · Female · 2021-06-21

Timeline

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

2021-01-07
Dose 1 — Moderna
2021-01-12
Registered in v-safe
2021-01-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-14
Health check-in — day 7, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-01-21
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-28
Survey response — day 21, dose 1
MedDRA: Fatigue, Myalgia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Very, very tired. Muscle soreness.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-04
Dose 2 — Moderna
2021-02-04
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-02-05
Survey response — days 1–6 daily, dose 2
MedDRA: Eye pain, Pain — Feeling: Poor · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Feels like hot pokers all over body, eyes hurt tremendously

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-06
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-02-07
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-02-08
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-09
Survey response — days 1–6 daily, dose 2
MedDRA: Hallucination, Skin odour abnormal — Feeling: Good · Site: Redness, Swelling, Itching · Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Hallucinations. Odd body odor

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-10
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-11
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-02-18
Survey response — day 14, dose 2
MedDRA: Fatigue — Feeling: Good · Be unable to work, Be unable to do your normal daily activities

Free text: Lingering fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-25
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-04
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-11
Survey response — day 35, dose 2
MedDRA: Abdominal discomfort, Dyspepsia, Fatigue — Feeling: Fair · Be unable to do your normal daily activities

Free text: Fatigue, GI distress, feels hard to digest foods easily

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-18
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-06
Survey response — 3 months, dose 2
MedDRA: Menstrual disorder, Muscle spasms — Feeling: Good

Free text: Abnormal menstrual cycle, flatulence, leg cramps

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-05
Survey response — 6 months, dose 2
MedDRA: Gastrointestinal pain, Muscle spasms — Feeling: Fair · Be unable to do your normal daily activities

Free text: Cramping and intense GI pain

MedDRA releases: 2021-09,2024-11 · check-in free text available
2022-02-04
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-11-10
Dose 3 — Novavax
2022-11-22
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2022-11-25
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-12-01
Survey response — day 21, dose 3
MedDRA: Heavy menstrual bleeding, Vaginal odour — Feeling: Good

Free text: Unusually long period and odd vaginal odor

MedDRA releases: 2024-11 · check-in free text available
2022-12-08
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-12-15
Survey response — day 35, dose 3
MedDRA: Abdominal pain, Abdominal pain upper, Fatigue, Nausea — Feeling: Poor · Be unable to do your normal daily activities

Free text: Extreme fatigue and stomach pains that I experienced after having the vaccine in Feb 2021. They are distinct stomach pains that feel like slight nausea mixed with upper abdominal cramps.

MedDRA releases: 2024-11 · check-in free text available
2022-12-24
Health check-in — day 42, dose 3
Feeling: Poor

Adult check-in
2023-02-09
Survey response — 3 months, dose 3
MedDRA: Abdominal pain, Fatigue — Feeling: Poor · 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

MedDRA releases: 2024-11
2023-02-09
Report sent to call center — 3 months, dose 3
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)
2023-02-10
Call successful
Reported to VAERS voluntarily prior to GDIT contact
2023-05-11
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-07	Moderna
2	2021-02-04	Moderna
3	2022-11-10	Novavax	No

Call center

1 call center case

1 successful

VAERS report filed, before or during a call: 1

See the call center timeline

Free text

Release 2 — day 21, dose 1

2021-01-28

Symptoms: Very, very tired. Muscle soreness.

Release 3 — days 1–6 daily, dose 2

2021-02-05

Systemic reaction (other): Feels like hot pokers all over body, eyes hurt tremendously

2021-02-09

Systemic reaction (other): Hallucinations. Odd body odor

Release 4 — day 14, dose 2

2021-02-18

Symptoms: Lingering fatigue

Release 5 — day 35, dose 2

2021-03-11

Symptoms: Fatigue, GI distress, feels hard to digest foods easily

Release 8 — 3 months, dose 2

2021-05-06

Symptoms: Abnormal menstrual cycle, flatulence, leg cramps

Release 9 — 6 months, dose 2

2021-08-05

Symptoms: Cramping and intense GI pain

Release 12 — day 21, dose 3

2022-12-01

Symptoms: Unusually long period and odd vaginal odor

Release 12 — day 35, dose 3

2022-12-15

Symptoms: Extreme fatigue and stomach pains that I experienced after having the vaccine in Feb 2021. They are distinct stomach pains that feel like slight nausea mixed with upper abdominal cramps.

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	Abdominal discomfort	✓	✓	✓
SD	Abdominal pain	·	·	✓
SD	Abdominal pain upper	·	·	✓
SD	Dyspepsia	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Gastrointestinal pain	✓	·	✓
SD	Heavy menstrual bleeding	·	·	✓
SD	Menstrual disorder	✓	✓	✓
SD	Muscle spasms	✓	✓	✓
SD	Myalgia	✓	✓	✓
SD	Nausea	·	·	✓
SD	Vaginal odour	·	·	✓
SRO	Eye pain	✓	✓	✓
SRO	Hallucination	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Skin odour abnormal	✓	✓	✓

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