5VC-20819-80113
4 vaccinations
12 coded responses
55 check-ins
11 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 814 / CO
- Registered
- 2021-03-18
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-18
Registered in v-safe
-
2021-03-18
Dose 1 — Janssen/Johnson & Johnson
- 2021-03-18
-
2021-03-19
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
-
2021-03-20
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-03-21
- 2021-03-22
- 2021-03-23
- 2021-03-24
- 2021-03-25
- 2021-04-01
-
2021-04-08
Survey response — day 21, single doseMedDRA: Skin exfoliation — Feeling: GoodFree text: Skin on my face exfoliated from the nose down. Light peeling/flaking.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-15
- 2021-04-22
- 2021-04-29
- 2021-06-17
- 2021-09-16
-
2021-10-28
Dose 2 — Moderna
-
2021-10-29
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-10-30
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-10-31
Survey response — days 1–6 daily, dose 2MedDRA: Parosmia — Feeling: Good · Site: Pain · HeadacheFree text: Enhanced sense of smell - hyperosmiaMedDRA releases: 2024-11 · check-in free text available
-
2021-11-01
Survey response — days 1–6 daily, dose 2MedDRA: Parosmia — Feeling: Good · Site: PainFree text: Enhanced sense of smellMedDRA releases: 2024-11 · check-in free text available
-
2021-11-02
Survey response — days 1–6 daily, dose 2MedDRA: Parosmia — Feeling: GoodFree text: Enhanced smellMedDRA releases: 2024-11 · check-in free text available
- 2021-11-03
- 2021-11-04
- 2021-11-11
- 2021-11-18
- 2021-11-25
- 2021-12-02
- 2021-12-09
-
2022-01-27
Survey response — 3 months, dose 2MedDRA: Amenorrhoea — Feeling: GoodFree text: Did not menstruate for three months after receiving my moderna booster. I think I'm back to normal now. I have never had such a disruption in my life.MedDRA releases: 2024-11 · check-in free text available
-
2022-04-29
Survey response — 6 months, dose 2MedDRA: Hand dermatitis — Feeling: GoodFree text: Eczema on fingersMedDRA releases: 2024-11 · check-in free text available
-
2022-05-11
Dose 3 — Moderna
-
2022-05-12
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
- 2022-05-13
- 2022-05-14
- 2022-05-15
-
2022-05-16
Survey response — days 1–6 daily, dose 3MedDRA: Pain in extremity, Paraesthesia — Feeling: GoodFree text: Strange tingling pain on right small toe.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-17
- 2022-05-18
-
2022-05-25
Survey response — day 14, dose 3MedDRA: Myalgia — Feeling: GoodFree text: Muscle pain around my eyes, like eye strain. It lasted about 3 days and I feel fine now.MedDRA releases: 2024-11 · check-in free text available
- 2022-06-01
-
2022-06-08
Survey response — day 28, dose 3MedDRA: Menstruation irregular — Feeling: GoodFree text: Missed menstrual period.MedDRA releases: 2024-11 · check-in free text available
- 2022-06-15
- 2022-06-22
-
2022-08-10
Survey response — 3 months, dose 3MedDRA: Amenorrhoea — Feeling: GoodFree text: No period since the shot.MedDRA releases: 2024-11 · check-in free text available
-
2022-09-29
Dose 4 — Moderna
- 2022-09-29
-
2022-10-01
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain · Headache, Muscle or body achesAdult check-in
- 2022-10-03
- 2022-10-04
- 2022-10-05
- 2022-10-06
-
2022-10-13
Survey response — day 14, dose 4MedDRA: Skin exfoliation — Feeling: GoodFree text: Skin on my face lightly peeled.MedDRA releases: 2024-11 · check-in free text available
- 2022-10-20
- 2022-10-27
- 2022-11-03
- 2022-11-10
- 2022-12-29
-
2023-03-30
Survey response — 6 months, dose 4MedDRA: Dyspepsia, Gastritis, Nausea — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitMedDRA releases: 2024-11
-
2023-03-30
Report sent to call center — 6 months, dose 4Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2023-03-31
-
2023-04-05
Callback requested for01:00PM ET
-
2023-04-05
Call successfulCompleted over the phone
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-18 | Janssen/Johnson & Johnson | |
| 2 | 2021-10-28 | Moderna | No |
| 3 | 2022-05-11 | Moderna | No |
| 4 | 2022-09-29 | Moderna | No |
Call center
1 call center case
1 successful
VAERS report filed, before or during a call: 1
Free text
Release 7 — day 21, single dose
Symptoms: Skin on my face exfoliated from the nose down. Light peeling/flaking.
Release 10 — days 1–6 daily, dose 2
Systemic reaction (other): Enhanced sense of smell - hyperosmia
Systemic reaction (other): Enhanced sense of smell
Systemic reaction (other): Enhanced smell
Release 11 — 3 months, dose 2
Symptoms: Did not menstruate for three months after receiving my moderna booster. I think I'm back to normal now. I have never had such a disruption in my life.
Release 11 — 6 months, dose 2
Symptoms: Eczema on fingers
Release 11 — days 1–6 daily, dose 3
Systemic reaction (other): Strange tingling pain on right small toe.
Release 11 — day 14, dose 3
Symptoms: Muscle pain around my eyes, like eye strain. It lasted about 3 days and I feel fine now.
Release 11 — day 28, dose 3
Symptoms: Missed menstrual period.
Release 12 — 3 months, dose 3
Symptoms: No period since the shot.
Release 12 — day 14, dose 4
Symptoms: Skin on my face lightly peeled.
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 | Amenorrhoea | · | · | ✓ |
| SD | Dyspepsia | · | · | ✓ |
| SD | Gastritis | · | · | ✓ |
| SD | Hand dermatitis | · | · | ✓ |
| SD | Menstruation irregular | · | · | ✓ |
| SD | Myalgia | · | · | ✓ |
| SD | Nausea | · | · | ✓ |
| SD | Skin exfoliation | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | · | · | ✓ |
| SRO | Paraesthesia | · | · | ✓ |
| SRO | Parosmia | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release