5W4-30081-31328

4 vaccinations 23 coded responses 54 check-ins 22 free-text entries 2 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 190 / PA
Registered: 2021-02-12

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

2021-02-12
Registered in v-safe
2021-02-12
Dose 1 — Moderna
2021-02-12
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-02-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-14
Survey response — days 1–6 daily, dose 1
MedDRA: Mood altered — Feeling: Good · Site: Pain

Free text: Moody

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-16
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Light headed

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-19
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-26
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-05
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-12
Dose 2 — Moderna
2021-03-12
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-03-13
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-03-14
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-15
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-16
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Itching · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-17
Survey response — days 1–6 daily, dose 2
MedDRA: Insomnia — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Sleeplessness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-18
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness, Swelling, Itching · Joint pains

Adult check-in
2021-03-19
Health check-in — day 7, dose 2
Feeling: Fair · Site: Redness, Swelling, Itching · Fever · Headache, Diarrhea

Adult check-in
2021-03-26
Survey response — day 14, dose 2
MedDRA: Fatigue — Feeling: Good

Free text: Tired

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

Adult check-in
2021-04-09
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-16
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-23
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-11
Survey response — 3 months, dose 2
MedDRA: Meniscus injury — Feeling: Good · 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: Miniscus tear right knee

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-11
Report sent to call center — 3 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-22
Call 1 — Left Voicemail
2021-09-10
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-12-10
Dose 3 — Moderna
2021-12-11
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain, Redness · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-12-12
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain, Redness · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-12-13
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Redness, Itching · Chills, Headache, Joint pains, Fatigue or tiredness, Nausea

Adult check-in
2021-12-14
Survey response — days 1–6 daily, dose 3
MedDRA: Night sweats — Feeling: Fair · Site: Pain, Redness, Itching · Headache, Fatigue or tiredness

Free text: Night sweats

MedDRA releases: 2024-11 · check-in free text available
2021-12-15
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Redness, Itching · Headache

Adult check-in
2021-12-16
Survey response — days 1–6 daily, dose 3
MedDRA: Eye pruritus — Feeling: Good · Site: Itching

Free text: Itchy eyes

MedDRA releases: 2024-11 · check-in free text available
2021-12-17
Survey response — day 7, dose 3
MedDRA: Eye pruritus — Feeling: Good · Site: Itching · Headache

Free text: Eye itching

MedDRA releases: 2024-11 · check-in free text available
2021-12-24
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-12-31
Survey response — day 21, dose 3
MedDRA: Heart rate increased — Feeling: Fair

Free text: Rapid heart beat

MedDRA releases: 2024-11 · check-in free text available
2022-01-07
Survey response — day 28, dose 3
MedDRA: Back pain, Headache, Malaise — Feeling: Fair · Be unable to work or attend school

Free text: Back ache Malaise Headache

MedDRA releases: 2024-11 · check-in free text available
2022-01-14
Survey response — day 35, dose 3
MedDRA: Cough, Fatigue, Oropharyngeal pain — Feeling: Fair

Free text: Cough, fatigue, sore throat

MedDRA releases: 2024-11 · check-in free text available
2022-01-21
Survey response — day 42, dose 3
MedDRA: Insomnia — Feeling: Good

Free text: Sleeplessness

MedDRA releases: 2024-11 · check-in free text available
2022-03-11
Survey response — 3 months, dose 3
MedDRA: Malaise — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Had first shingles vax shot Was in bed for 2 days Not feeling well for about a week

MedDRA releases: 2024-11 · check-in free text available
2022-06-10
Health check-in — 6 months, dose 3
Feeling: Fair

Adult check-in
2022-09-20
Dose 4 — Moderna
2022-09-20
Health check-in — day 0, dose 4
Feeling: Good · Site: Pain · Headache

Adult check-in
2022-09-21
Health check-in — days 1–6 daily, dose 4
Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school

Adult check-in
2022-09-22
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-09-23
Survey response — days 1–6 daily, dose 4
MedDRA: Brain fog, Taste disorder — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Brain fog and sense of taste is off I can taste but things don't taste right

MedDRA releases: 2024-11 · check-in free text available
2022-09-24
Survey response — days 1–6 daily, dose 4
MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Fair · Site: Pain, Redness, Swelling, Itching

Free text: Lymph node swelling and tender

MedDRA releases: 2024-11 · check-in free text available
2022-09-25
Survey response — days 1–6 daily, dose 4
MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Good · Site: Pain, Itching

Free text: Lymph node swelling and pain

MedDRA releases: 2024-11 · check-in free text available
2022-09-26
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Itching · Headache, Joint pains, Fatigue or tiredness

Adult check-in
2022-09-27
Survey response — day 7, dose 4
MedDRA: Lymphadenopathy — Feeling: Good · Site: Itching · Headache, Fatigue or tiredness

Free text: Lymph node swelling

MedDRA releases: 2024-11 · check-in free text available
2022-10-04
Health check-in — day 14, dose 4
Feeling: Fair

Adult check-in
2022-10-11
Survey response — day 21, dose 4
MedDRA: Headache, Insomnia — Feeling: Good

Free text: Insomnia Headaches

MedDRA releases: 2024-11 · check-in free text available
2022-10-18
Survey response — day 28, dose 4
MedDRA: Heart rate increased — Feeling: Fair

Free text: Fast heart beat

MedDRA releases: 2024-11 · check-in free text available
2022-10-25
Survey response — day 35, dose 4
MedDRA: Headache — Feeling: Good

Free text: Daily headache

MedDRA releases: 2024-11 · check-in free text available
2022-11-01
Survey response — day 42, dose 4
MedDRA: Dizziness, Insomnia — Feeling: Good · Be unable to work or attend school

Free text: Sleeplessness Dizziness

MedDRA releases: 2024-11 · check-in free text available
2022-12-20
Survey response — 3 months, dose 4
MedDRA: Myalgia, Rash, Rash vesicular — 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: Shingles like rash on chest Muscle aches

MedDRA releases: 2024-11 · check-in free text available
2022-12-20
Report sent to call center — 3 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

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-12-21
Call successful
Participant prefers to complete VAERS report online
2022-12-21
Call successful
Participant prefers to complete VAERS report online
2023-03-21
Survey response — 6 months, dose 4
MedDRA: Palpitations, Viral infection — Feeling: Good · Be unable to work or attend school

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-12	Moderna
2	2021-03-12	Moderna
3	2021-12-10	Moderna	No
4	2022-09-20	Moderna	No

Call center

2 call center cases

2 successful

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-14

Systemic reaction (other): Moody

2021-02-16

Systemic reaction (other): Light headed

Release 5 — days 1–6 daily, dose 2

2021-03-17

Systemic reaction (other): Sleeplessness

Release 6 — day 14, dose 2

2021-03-26

Symptoms: Tired

Release 9 — 3 months, dose 2

2021-06-11

Symptoms: Miniscus tear right knee

Release 10 — days 1–6 daily, dose 3

2021-12-14

Systemic reaction (other): Night sweats

2021-12-16

Systemic reaction (other): Itchy eyes

Release 10 — day 7, dose 3

2021-12-17

Systemic reaction (other): Eye itching

Release 10 — day 21, dose 3

2021-12-31

Symptoms: Rapid heart beat

Release 10 — day 28, dose 3

2022-01-07

Symptoms: Back ache Malaise Headache

Release 10 — day 35, dose 3

2022-01-14

Symptoms: Cough, fatigue, sore throat

Release 11 — day 42, dose 3

2022-01-21

Symptoms: Sleeplessness

Release 11 — 3 months, dose 3

2022-03-11

Symptoms: Had first shingles vax shot Was in bed for 2 days Not feeling well for about a week

Release 12 — days 1–6 daily, dose 4

2022-09-23

Systemic reaction (other): Brain fog and sense of taste is off I can taste but things don't taste right

2022-09-24

Systemic reaction (other): Lymph node swelling and tender

2022-09-25

Systemic reaction (other): Lymph node swelling and pain

Release 12 — day 7, dose 4

2022-09-27

Systemic reaction (other): Lymph node swelling

Release 12 — day 21, dose 4

2022-10-11

Symptoms: Insomnia Headaches

Release 12 — day 28, dose 4

2022-10-18

Symptoms: Fast heart beat

Release 12 — day 35, dose 4

2022-10-25

Symptoms: Daily headache

Release 12 — day 42, dose 4

2022-11-01

Symptoms: Sleeplessness Dizziness

Release 12 — 3 months, dose 4

2022-12-20

Symptoms: Shingles like rash on chest Muscle aches

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	Back pain	·	·	✓
SD	Cough	·	·	✓
SD	Dizziness	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Headache	·	·	✓
SD	Heart rate increased	·	·	✓
SD	Insomnia	·	·	✓
SD	Malaise	·	·	✓
SD	Meniscus injury	✓	✓	✓
SD	Myalgia	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Palpitations	·	·	✓
SD	Rash	·	·	✓
SD	Rash vesicular	·	·	✓
SD	Viral infection	·	·	✓
SRO	Brain fog	·	·	✓
SRO	Dizziness	✓	✓	✓
SRO	Eye pruritus	·	·	✓
SRO	Insomnia	✓	✓	✓
SRO	Lymph node pain	·	·	✓
SRO	Lymphadenopathy	·	·	✓
SRO	Mood altered	✓	✓	✓
SRO	Night sweats	·	·	✓
SRO	Taste disorder	·	·	✓

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