5V2-25472-54660

3 vaccinations 14 coded responses 27 check-ins 14 free-text entries 5 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 308 / GA
Registered: 2020-12-30

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

2020-12-30
Registered in v-safe
2020-12-30
Dose 1 — Moderna
2020-12-30
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · Chills, Headache, Nausea, Diarrhea

Adult check-in
2020-12-31
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea

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

Adult check-in
2021-01-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling · Headache, Fatigue or tiredness

Adult check-in
2021-01-03
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain

Adult check-in
2021-01-04
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness

Adult check-in
2021-01-05
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site bruising — Feeling: Good · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Bruising to injection site.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-06
Health check-in — day 7, dose 1
Feeling: Good · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-13
Survey response — day 14, dose 1
MedDRA: Chest pain, Dizziness, Dyspnoea, Fatigue, Headache, Pain — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Extreme fatigue, dizziness, lightheaded, body aches, chest pain, shortness of breath and headache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-13
Report sent to call center — day 14, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-01-23
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-01-27
Dose 2 — Moderna
2021-01-27
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain

Adult check-in
2021-01-28
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site bruising, Injection site nodule — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Free text: knot and bruise that is increasing in size at injection site.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-29
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site bruising — Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness

Free text: Bruising at injection site

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-30
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site bruising — Feeling: Fair · Site: Pain, Swelling · Chills, Headache, Muscle or body aches, Fatigue or tiredness

Free text: Injection site bruise

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-31
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site bruising — Feeling: Fair · Site: Pain, Swelling · Chills, Headache, Muscle or body aches

Free text: Bruise at injection site

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-01
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site bruising — Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Fatigue or tiredness, Diarrhea

Free text: Bruising at injection site

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-02
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-03
Survey response — day 7, dose 2
MedDRA: Injection site bruising — Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea

Free text: Injection site bruising

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-12
Survey response — day 14, dose 2
MedDRA: Chills, Flushing, Headache, Nausea, Skin warm — Feeling: Fair

Free text: ChillsFeeling flush and warm to touch but afebrileContinuing HANausea

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-17
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-24
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-03-01
Call 1 — Left Voicemail
2021-03-03
Survey response — day 35, dose 2
MedDRA: Body temperature increased, Fatigue, Headache, Oropharyngeal pain, Pain, Respiratory tract congestion — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Sore throat, elevated temperature, headache, body aches, fatigue, congestion

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-03
Report sent to call center — day 35, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-10
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-04-28
Survey response — 3 months, dose 2
MedDRA: Migraine, Visual field defect — Feeling: Poor · Be unable to do your normal daily activities

Free text: Migraine with n/v, and loss of peripheral vision x 1 day, since resolved.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-28
Survey response — 6 months, dose 2
MedDRA: Cardiac flutter, Diarrhoea, Dizziness, Dyspnoea, Loss of consciousness, Nausea, Otitis media, Palpitations, Vomiting — Feeling: Good · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: LOC, int cp/sob, palpitations, fluttering sensations, dizziness, lightheartedness, n/v/d. Then also bilat otits media.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-28
Report sent to call center — 6 months, dose 2
Be unable to work or attend school · Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-15
Dose 3 — Moderna
2022-01-27
Survey response — 12 months, dose 2
MedDRA: COVID-19, Cough, Decreased appetite, Dyspnoea, Headache, Myalgia, Nausea, Oropharyngeal pain, Pain, Pyrexia, Syncope — Feeling: Fair · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Syncopal episode 07/2021 Clinically Dx COVID, NEG tests, CTA ground glass bilat COVID + 12/22/2021, sore throat, headache, nonproductive cough, SOB, fever, body aches, decreased appetite and nausea Currently severe muscle pain in BUE

MedDRA releases: 2024-11 · check-in free text available
2022-01-27
Report sent to call center — 12 months, dose 2
Be unable to work or attend school · Get care from a doctor or other healthcare professional

Emergency room or emergency department visit · 1 call case(s)
2022-01-28
Call 1 — Requested Callback
2022-01-28
Callback requested for
01:45PM ET
2022-01-31
Call 2 — Could Not Reach Participant
2022-01-31
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-01-31
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-01-31
Call successful
Participant prefers to complete VAERS report online
2022-08-15
Survey response — 12 months, dose 3
MedDRA: Bacterial vaginosis, Beta haemolytic streptococcal infection, Fungal infection, Pyelonephritis — 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 · Outpatient clinic or urgent care clinic visit

Free text: Pyelonephritis. Group b strep BV Chronic yeast infections

MedDRA releases: 2024-11 · check-in free text available
2022-08-15
Report sent to call center — 12 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

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-08-16
Call 2 — Left Voicemail
2022-08-16
Call 1 — Left Voicemail
2022-08-16
Call 1 — Left Voicemail
2022-08-16
Call 3 — Left Voicemail
2022-08-16
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-30	Moderna
2	2021-01-27	Moderna
3	2021-08-15	Moderna	No

Call center

5 call center cases

4 successful · 1 unsuccessful

2 waits over 3 months for a first call

See the call center timeline

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-05

Systemic reaction (other): Bruising to injection site.

Release 1 — day 14, dose 1

2021-01-13

Symptoms: Extreme fatigue, dizziness, lightheaded, body aches, chest pain, shortness of breath and headache

Release 2 — days 1–6 daily, dose 2

2021-01-28

Systemic reaction (other): knot and bruise that is increasing in size at injection site.

Release 3 — days 1–6 daily, dose 2

2021-01-29

Systemic reaction (other): Bruising at injection site

2021-01-30

Systemic reaction (other): Injection site bruise

2021-01-31

Systemic reaction (other): Bruise at injection site

2021-02-01

Systemic reaction (other): Bruising at injection site

Release 3 — day 7, dose 2

2021-02-03

Systemic reaction (other): Injection site bruising

Release 4 — day 14, dose 2

2021-02-12

Symptoms: ChillsFeeling flush and warm to touch but afebrileContinuing HANausea

Release 5 — day 35, dose 2

2021-03-03

Symptoms: Sore throat, elevated temperature, headache, body aches, fatigue, congestion

Release 8 — 3 months, dose 2

2021-04-28

Symptoms: Migraine with n/v, and loss of peripheral vision x 1 day, since resolved.

Release 9 — 6 months, dose 2

2021-07-28

Symptoms: LOC, int cp/sob, palpitations, fluttering sensations, dizziness, lightheartedness, n/v/d. Then also bilat otits media.

Release 11 — 12 months, dose 2

2022-01-27

Symptoms: Syncopal episode 07/2021 Clinically Dx COVID, NEG tests, CTA ground glass bilat COVID + 12/22/2021, sore throat, headache, nonproductive cough, SOB, fever, body aches, decreased appetite and nausea Currently severe muscle pain in BUE

Release 12 — 12 months, dose 3

2022-08-15

Symptoms: Pyelonephritis. Group b strep BV Chronic yeast infections

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	Bacterial vaginosis	·	·	✓
SD	Beta haemolytic streptococcal infection	·	·	✓
SD	Body temperature increased	✓	✓	✓
SD	Cardiac flutter	✓	·	✓
SD	Chest pain	✓	✓	✓
SD	Chills	✓	✓	✓
SD	Cough	·	·	✓
SD	COVID-19	·	·	✓
SD	Decreased appetite	·	·	✓
SD	Diarrhoea	✓	·	✓
SD	Dizziness	✓	✓	✓
SD	Dyspnoea	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Flushing	✓	✓	✓
SD	Fungal infection	·	·	✓
SD	Headache	✓	✓	✓
SD	Loss of consciousness	✓	·	✓
SD	Migraine	✓	✓	✓
SD	Myalgia	·	·	✓
SD	Nausea	✓	✓	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Otitis media	✓	·	✓
SD	Pain	✓	✓	✓
SD	Palpitations	✓	·	✓
SD	Pyelonephritis	·	·	✓
SD	Pyrexia	·	·	✓
SD	Respiratory tract congestion	✓	✓	✓
SD	Skin warm	✓	✓	✓
SD	Syncope	·	·	✓
SD	Visual field defect	✓	✓	✓
SD	Vomiting	✓	·	✓
SRO	Injection site bruising	✓	✓	✓
SRO	Injection site nodule	✓	✓	✓

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