5Y9-79006-80290

5 vaccinations 20 coded responses 44 check-ins 20 free-text entries 4 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 112 / NY
Registered: 2021-03-20

Relationship: Self
Race: Multiracial
Ethnicity: Not Hispanic or Latino

Timeline

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

2021-03-04
Dose 1 — Moderna
2021-03-20
Registered in v-safe
2021-03-20
Survey response — day 14, dose 1
MedDRA: Decreased appetite, Diarrhoea, Headache, Injection site rash, Malaise, Nausea, Oedema peripheral, Pain, Pyrexia, Vomiting — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: Right after Vaccine #1 had 4 days feeling very sick in bed much of the time: fevers; diarrhea; vomit/nausea; no appetite; bad headache; big angry rash around jab site; swollen armpit; extreme achiness like getting the flu; exhaustion. Fear justified!

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-25
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-04
Dose 2 — Moderna
2021-04-08
Survey response — days 1–6 daily, dose 2
MedDRA: Chills, Pyrexia — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Had all of these symptoms starting late the night of April 4 through this morning. My fever broke around 4, so no more chills or fever this afternoon. FOUR DAYS. (b)(6)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-10
Survey response — days 1–6 daily, dose 2
MedDRA: Unevaluable event — Feeling: Fair · Site: Pain, Itching · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: I had all of those symptoms and severely, from both shots but the worst of it was over by the 4th day.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-11
Survey response — day 7, dose 2
MedDRA: Night sweats — Feeling: Fair · Site: Redness, Itching · Fever · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Horrible night sweats two nights in a row but its been a week!!

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-19
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-04-25
Survey response — day 21, dose 2
MedDRA: Headache, Oropharyngeal pain, Pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Slight fever, body aches, and sore throat today.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-02
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-05-11
Survey response — day 35, dose 2
MedDRA: Oedema peripheral — Feeling: Good

Free text: Swelling under my left armpit. I had it after vaccine, and it came back.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-17
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-07-04
Survey response — 3 months, dose 2
MedDRA: Cough, Fatigue, Gastrointestinal disorder, Oropharyngeal pain, Pyrexia, SARS-CoV-2 test negative — 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: I had a week of high fevers, cough, sore throat, fatigue, and stomach issues. But going away now. I hadnt even been out much. Covid tests negative.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-04
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)
2021-07-08
Call 1 — Could Not Reach Participant
2021-11-07
Dose 3 — Moderna
2021-11-09
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-11-10
Survey response — days 1–6 daily, dose 3
MedDRA: Postmenopausal haemorrhage — Feeling: Fair · Site: Pain, Redness, Itching · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Free text: Post menopausal bleeding started after my second shot and continues with no diagnosis.

MedDRA releases: 2024-11 · check-in free text available
2021-11-11
Survey response — days 1–6 daily, dose 3
MedDRA: Heavy menstrual bleeding, Oedema peripheral, Postmenopausal haemorrhage — Feeling: Fair · Site: Pain, Itching · Fever · Chills, Muscle or body aches, Fatigue or tiredness, Diarrhea, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: Some swelling under my armpit (same side as shot, same as last two injections). Also still having post-menopausal bleeding, slightly heavier after this injection.

MedDRA releases: 2024-11 · check-in free text available
2021-11-14
Survey response — day 7, dose 3
MedDRA: Unevaluable event — Feeling: Fair · Site: Itching · Fever · Muscle or body aches, Fatigue or tiredness, Diarrhea

Free text: Much better today though

MedDRA releases: 2024-11 · check-in free text available
2021-11-22
Health check-in — day 14, dose 3
Feeling: Fair

Adult check-in
2021-11-29
Health check-in — day 21, dose 3
Feeling: Fair · Be unable to do your normal daily activities

Free text: Cough, sore throat, fever, post-menopausal bleeding

Adult check-in · check-in free text available
2021-12-07
Health check-in — day 28, dose 3
Feeling: Fair

Adult check-in
2021-12-12
Survey response — day 35, dose 3
MedDRA: Postmenopausal haemorrhage, Telemedicine — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Some unusual post menopausal bleeding. · Healthcare visit (other): telehealth and biopsy (negative)

MedDRA releases: 2024-11 · check-in free text available
2021-12-12
Report sent to call center — day 35, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2021-12-13
Call 1 — Left Voicemail
2021-12-20
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2021-12-20
Call successful
Participant prefers to complete VAERS report online
2021-12-20
Call successful
Participant prefers to complete VAERS report online
2022-04-15
Dose 4 — Moderna
2022-04-15
Health check-in — day 0, dose 4
Feeling: Fair · None

Adult check-in
2022-04-16
Health check-in — days 1–6 daily, dose 4
Feeling: Poor · 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

Adult check-in
2022-04-17
Health check-in — days 1–6 daily, dose 4
Feeling: Poor · Site: Pain, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-04-18
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Swelling, Itching · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-04-19
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Swelling, Itching · Fever · Chills, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-04-20
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Itching · Fever · Fatigue or tiredness

Adult check-in
2022-04-21
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Swelling, Itching · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-04-22
Health check-in — day 7, dose 4
Feeling: Fair · Site: Swelling · Fatigue or tiredness

Adult check-in
2022-05-02
Survey response — day 14, dose 4
MedDRA: Cough, Oropharyngeal pain, Pyrexia, Respiratory tract congestion — Feeling: Fair · Be unable to do your normal daily activities

Free text: I've had some fever, congestion, sore throat and cough...but I never leave home hardly, so no idea what it is, my rapid tests were negative.

MedDRA releases: 2024-11 · check-in free text available
2022-05-06
Survey response — day 21, dose 4
MedDRA: Cough, Fatigue, Pain, Pyrexia, Respiratory tract congestion — Feeling: Fair · Be unable to do your normal daily activities

Free text: fever, cough, congestion, body aches, exhaustion

MedDRA releases: 2024-11 · check-in free text available
2022-05-13
Health check-in — day 28, dose 4
Feeling: Fair

Adult check-in
2022-05-20
Health check-in — day 35, dose 4
Feeling: Fair

Adult check-in
2022-09-30
Dose 5 — Moderna
2022-10-01
Survey response — days 1–6 daily, dose 5
MedDRA: Sluggishness, Somnolence — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: My mind feels sluggish. Can't stay awake.

MedDRA releases: 2024-11 · check-in free text available
2022-10-02
Survey response — days 1–6 daily, dose 5
MedDRA: Feeling cold, Hyperhidrosis, Temperature regulation disorder — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Sweatiness while being so cold I can't get warm.

MedDRA releases: 2024-11 · check-in free text available
2022-10-03
Health check-in — days 1–6 daily, dose 5
Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2022-10-05
Survey response — days 1–6 daily, dose 5
MedDRA: Postmenopausal haemorrhage — Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Post-menopausal bleeding (has happened after most)

MedDRA releases: 2024-11 · check-in free text available
2022-10-07
Survey response — day 7, dose 5
MedDRA: Postmenopausal haemorrhage — Feeling: Fair · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea

Free text: Post menopausal bleeding

MedDRA releases: 2024-11 · check-in free text available
2022-10-14
Survey response — day 14, dose 5
MedDRA: Postmenopausal haemorrhage — Feeling: Fair

Free text: Post menopausal bleeding has gotten a little worse

MedDRA releases: 2024-11 · check-in free text available
2022-10-21
Survey response — day 21, dose 5
MedDRA: Postmenopausal haemorrhage — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Continued post-menopausal bleeding, though it is starting to lessen a bit.

MedDRA releases: 2024-11 · check-in free text available
2022-10-21
Report sent to call center — day 21, dose 5
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-10-24
Call 1 — Could Not Reach Participant
2022-10-27
Call 2 — Left Voicemail
2022-10-28
Health check-in — day 28, dose 5
Feeling: Good

Adult check-in
2022-11-04
Health check-in — day 35, dose 5
Feeling: Fair

Adult check-in
2022-11-12
Health check-in — day 42, dose 5
Feeling: Fair

Adult check-in
2022-12-30
Health check-in — 3 months, dose 5
Feeling: Fair

Adult check-in
2023-04-03
Survey response — 6 months, dose 5
MedDRA: Office visit, Postmenopausal haemorrhage — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

MedDRA releases: 2024-11
2023-04-03
Report sent to call center — 6 months, dose 5
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2023-04-04
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-04	Moderna
2	2021-04-04	Moderna
3	2021-11-07	Moderna	No
4	2022-04-15	Moderna	No
5	2022-09-30	Moderna	No

Call center

4 call center cases

2 successful · 2 unsuccessful

See the call center timeline

Free text

Release 6 — day 14, dose 1

2021-03-20

Symptoms: Right after Vaccine #1 had 4 days feeling very sick in bed much of the time: fevers; diarrhea; vomit/nausea; no appetite; bad headache; big angry rash around jab site; swollen armpit; extreme achiness like getting the flu; exhaustion. Fear justified! cut off by CDC

Release 7 — days 1–6 daily, dose 2

2021-04-08

Systemic reaction (other): Had all of these symptoms starting late the night of April 4 through this morning. My fever broke around 4, so no more chills or fever this afternoon. FOUR DAYS. (b)(6)

redacted (b)(6)

2021-04-10

Systemic reaction (other): I had all of those symptoms and severely, from both shots but the worst of it was over by the 4th day.

Release 7 — day 7, dose 2

2021-04-11

Systemic reaction (other): Horrible night sweats two nights in a row but its been a week!!

Release 7 — day 21, dose 2

2021-04-25

Symptoms: Slight fever, body aches, and sore throat today.

Release 8 — day 35, dose 2

2021-05-11

Symptoms: Swelling under my left armpit. I had it after vaccine, and it came back.

Release 9 — 3 months, dose 2

2021-07-04

Symptoms: I had a week of high fevers, cough, sore throat, fatigue, and stomach issues. But going away now. I hadnt even been out much. Covid tests negative.

Release 10 — days 1–6 daily, dose 3

2021-11-10

Systemic reaction (other): Post menopausal bleeding started after my second shot and continues with no diagnosis.

2021-11-11

Systemic reaction (other): Some swelling under my armpit (same side as shot, same as last two injections). Also still having post-menopausal bleeding, slightly heavier after this injection.

Release 10 — day 7, dose 3

2021-11-14

Systemic reaction (other): Much better today though

Release 10 — day 35, dose 3

2021-12-12

Symptoms: Some unusual post menopausal bleeding.

Healthcare visit (other): telehealth and biopsy (negative)

Release 11 — day 14, dose 4

2022-05-02

Symptoms: I've had some fever, congestion, sore throat and cough...but I never leave home hardly, so no idea what it is, my rapid tests were negative.

Release 11 — day 21, dose 4

2022-05-06

Symptoms: fever, cough, congestion, body aches, exhaustion

Release 12 — day 21, dose 3

2021-11-29

Symptoms: Cough, sore throat, fever, post-menopausal bleeding

Release 12 — days 1–6 daily, dose 5

2022-10-01

Systemic reaction (other): My mind feels sluggish. Can't stay awake.

2022-10-02

Systemic reaction (other): Sweatiness while being so cold I can't get warm.

2022-10-05

Systemic reaction (other): Post-menopausal bleeding (has happened after most)

Release 12 — day 7, dose 5

2022-10-07

Systemic reaction (other): Post menopausal bleeding

Release 12 — day 14, dose 5

2022-10-14

Symptoms: Post menopausal bleeding has gotten a little worse

Release 12 — day 21, dose 5

2022-10-21

Symptoms: Continued post-menopausal bleeding, though it is starting to lessen a bit.

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
HCVO	Office visit	·	·	✓
HCVO	Telemedicine	·	·	✓
SD	Cough	✓	✓	✓
SD	Decreased appetite	✓	✓	✓
SD	Diarrhoea	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Gastrointestinal disorder	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Injection site rash	✓	✓	✓
SD	Malaise	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Oedema peripheral	✓	✓	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Postmenopausal haemorrhage	·	·	✓
SD	Pyrexia	✓	✓	✓
SD	Respiratory tract congestion	·	·	✓
SD	SARS-CoV-2 test negative	✓	✓	✓
SD	Vomiting	✓	✓	✓
SRO	Chills	✓	✓	✓
SRO	Feeling cold	·	·	✓
SRO	Heavy menstrual bleeding	·	·	✓
SRO	Hyperhidrosis	·	·	✓
SRO	Night sweats	✓	✓	✓
SRO	Oedema peripheral	·	·	✓
SRO	Postmenopausal haemorrhage	·	·	✓
SRO	Pyrexia	✓	✓	✓
SRO	Sluggishness	·	·	✓
SRO	Somnolence	·	·	✓
SRO	Temperature regulation disorder	·	·	✓
SRO	Unevaluable event	✓	✓	✓

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