62C-27359-78883

2 vaccinations 15 coded responses 24 check-ins 15 free-text entries 5 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 327 / FL
Registered: 2021-04-13

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

2021-04-13
Registered in v-safe
2021-04-13
Dose 1 — Moderna
2021-04-13
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · Headache, Joint pains

Adult check-in
2021-04-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache, Joint pains, Muscle or body aches

Adult check-in
2021-04-15
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache

Adult check-in
2021-04-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-18
Survey response — days 1–6 daily, dose 1
MedDRA: Condition aggravated, Pre-existing disease — Feeling: Fair · Site: Pain · Muscle or body aches

Free text: P.O.T.S. flare

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-20
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-29
Survey response — day 14, dose 1
MedDRA: Migraine, Tinnitus — Feeling: Fair

Free text: Migraine, ringing ears

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-04
Survey response — day 21, dose 1
MedDRA: Dizziness, Headache, Migraine, Nausea, Tinnitus — Feeling: Poor

Free text: Migraine/headaches, dizziness, nausea, tinnitus

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-11
Dose 2 — Moderna
2021-05-11
Survey response — day 0, dose 2
MedDRA: Burning sensation, Neuralgia, Tinnitus — Feeling: Fair · Headache, Muscle or body aches

Free text: Nerve pain, burning sensation, tinnitus

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-12
Survey response — days 1–6 daily, dose 2
MedDRA: Tinnitus — Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Tinnitus

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-13
Survey response — days 1–6 daily, dose 2
MedDRA: Insomnia, Migraine, Migraine with aura, Tinnitus — Feeling: Poor · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work

Free text: Migraine with aura, tinnitus

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-14
Survey response — days 1–6 daily, dose 2
MedDRA: Migraine with aura — Feeling: Fair · Site: Pain · Headache, Muscle or body aches · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Multiple migraine aura episodes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-14
Report sent to call center — days 1–6 daily, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-15
Survey response — days 1–6 daily, dose 2
MedDRA: Aura — Feeling: Fair · Headache

Free text: Aura

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-16
Survey response — days 1–6 daily, dose 2
MedDRA: Aura — Feeling: Fair · Headache

Free text: Aura

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-18
Health check-in — day 7, dose 2
Feeling: Fair · Headache

Adult check-in
2021-05-25
Survey response — day 14, dose 2
MedDRA: Aura, Headache — Feeling: Fair · Be unable to do your normal daily activities

Free text: Headache and/or aura every day.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-01
Survey response — day 21, dose 2
MedDRA: Condition aggravated, Pre-existing disease — Feeling: Good

Free text: Restless leg syndrome has flared up.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-08
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-17
Survey response — day 35, dose 2
MedDRA: Fatigue, Headache, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Headaches and fatigue · Healthcare visit (other): Neurologist scheduled

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-17
Report sent to call center — day 35, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-22
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-06-22
Call 1 — Could Not Reach Participant
2021-07-06
Call 2 — Could Not Reach Participant
2021-07-08
Call 3 — Could Not Reach Participant
2021-08-12
Survey response — 3 months, dose 2
MedDRA: Arthritis, Hypoaesthesia, Migraine, Neuralgia, Tinnitus — 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, Emergency room or emergency department visit

Free text: Worsening migraines, nerve pain, joint inflammation, increased tinnitus, numb hands

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-12
Report sent to call center — 3 months, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

1 call case(s)
2021-08-17
Call 1 — Could Not Reach Participant
2021-08-20
Call 2 — Could Not Reach Participant
2021-11-09
Survey response — 6 months, dose 2
MedDRA: Medical counselling, Pain in extremity, Vascular pain — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Hand pain, described to the Dr that it velt like my veins hurt. It is very odd. Referred to Hematologist, still waiting for appointment.

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

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-11-10
Call 1 — Could Not Reach Participant
2021-11-15
Call 2 — Could Not Reach Participant
2022-05-13
Survey response — 12 months, dose 2
MedDRA: Intracranial aneurysm, Renal aneurysm, Tricuspid valve incompetence — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Cerebral aneurysm, renal aneurysm, mild tricuspid regurgitation

MedDRA releases: 2024-11 · check-in free text available
2022-05-13
Report sent to call center — 12 months, dose 2
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-05-16
Call successful
Participant prefers to complete VAERS report online
2022-05-16
Call successful
Participant prefers to complete VAERS report online
2022-05-16
Call successful
Participant prefers to complete VAERS report online
2022-05-16
Call successful
Participant prefers to complete VAERS report online
2022-05-16
Call successful
Participant prefers to complete VAERS report online

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-13	Moderna
2	2021-05-11	Moderna

Call center

5 call center cases

5 successful

See the call center timeline

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-18

Systemic reaction (other): P.O.T.S. flare

Release 8 — day 14, dose 1

2021-04-29

Symptoms: Migraine, ringing ears

Release 8 — day 21, dose 1

2021-05-04

Symptoms: Migraine/headaches, dizziness, nausea, tinnitus

Release 8 — day 0, dose 2

2021-05-11

Systemic reaction (other): Nerve pain, burning sensation, tinnitus

Release 8 — days 1–6 daily, dose 2

2021-05-12

Systemic reaction (other): Tinnitus

2021-05-13

Systemic reaction (other): Migraine with aura, tinnitus

2021-05-14

Systemic reaction (other): Multiple migraine aura episodes

2021-05-15

Systemic reaction (other): Aura

2021-05-16

Systemic reaction (other): Aura

Release 8 — day 14, dose 2

2021-05-25

Symptoms: Headache and/or aura every day.

Release 8 — day 21, dose 2

2021-06-01

Symptoms: Restless leg syndrome has flared up.

Release 9 — day 35, dose 2

2021-06-17

Symptoms: Headaches and fatigue

Healthcare visit (other): Neurologist scheduled

Release 9 — 3 months, dose 2

2021-08-12

Symptoms: Worsening migraines, nerve pain, joint inflammation, increased tinnitus, numb hands

Release 10 — 6 months, dose 2

2021-11-09

Symptoms: Hand pain, described to the Dr that it velt like my veins hurt. It is very odd. Referred to Hematologist, still waiting for appointment.

Release 11 — 12 months, dose 2

2022-05-13

Symptoms: Cerebral aneurysm, renal aneurysm, mild tricuspid regurgitation

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	Unevaluable event	✓	✓	✓
SD	Arthritis	✓	·	✓
SD	Aura	✓	✓	✓
SD	Condition aggravated	✓	✓	✓
SD	Dizziness	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Hypoaesthesia	✓	·	✓
SD	Intracranial aneurysm	·	·	✓
SD	Medical counselling	·	·	✓
SD	Migraine	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Neuralgia	✓	·	✓
SD	Pain in extremity	·	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Renal aneurysm	·	·	✓
SD	Tinnitus	✓	✓	✓
SD	Tricuspid valve incompetence	·	·	✓
SD	Vascular pain	·	·	✓
SRO	Aura	✓	✓	✓
SRO	Burning sensation	✓	✓	✓
SRO	Condition aggravated	✓	✓	✓
SRO	Insomnia	✓	✓	○
SRO	Migraine	✓	✓	○
SRO	Migraine with aura	✓	✓	✓
SRO	Neuralgia	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Tinnitus	✓	✓	✓

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