64Y-29566-75373
3 vaccinations
3 coded responses
20 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 21-25
- ZIP prefix
- 921 / CA
- Registered
- 2021-04-24
- Relationship
- Self
- Race
- Asian
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-20
Dose 1 — Moderna
-
2021-04-24
Registered in v-safe
-
2021-04-24
Dose 2 — Moderna
- 2021-04-24
-
2021-04-26
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2021-04-27
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
- 2021-05-01
- 2021-05-08
- 2021-05-17
- 2021-05-22
- 2021-06-02
- 2021-06-05
- 2021-07-26
-
2022-04-19
Dose 3 — Moderna
- 2022-04-24
- 2022-04-28
-
2022-05-05
Survey response — day 14, dose 3MedDRA: Dysmenorrhoea, Menstruation delayed, Vertigo — 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 · Outpatient clinic or urgent care clinic visitFree text: On Monday, I just got me period (which was 5 days late). It was very painful, just like my first period after my last vaccine. I believe that my body's inflammatory response caused me to have vertigo (which I've experienced since my period on Monday)MedDRA releases: 2024-11 · check-in free text available
-
2022-05-05
Report sent to call center — day 14, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-05-06
-
2022-05-06
Call successfulParticipant prefers to complete VAERS report online
- 2022-05-10
- 2022-05-19
- 2022-05-26
-
2022-05-31
Survey response — day 42, dose 3MedDRA: Fatigue — Feeling: Fair · Be unable to do your normal daily activitiesFree text: My second period after my booster has made me really tired.MedDRA releases: 2024-11 · check-in free text available
- 2022-07-21
-
2022-10-18
Survey response — 6 months, dose 3MedDRA: Vaccination site erythema, Vaccination site pruritus, Vaccination site swelling — Feeling: GoodFree text: I got the bivalent booster last week. The vaccination area on my arm was raised, red, and itchy.MedDRA releases: 2024-11 · check-in free text available
- 2023-04-19
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-20 | Moderna | |
| 2 | 2021-04-24 | Moderna | |
| 3 | 2022-04-19 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 11 — day 14, dose 3
Symptoms: On Monday, I just got me period (which was 5 days late). It was very painful, just like my first period after my last vaccine. I believe that my body's inflammatory response caused me to have vertigo (which I've experienced since my period on Monday) cut off by CDC
Release 11 — day 42, dose 3
Symptoms: My second period after my booster has made me really tired.
Release 12 — 6 months, dose 3
Symptoms: I got the bivalent booster last week. The vaccination area on my arm was raised, red, and itchy.
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 | Dysmenorrhoea | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Menstruation delayed | · | · | ✓ |
| SD | Vaccination site erythema | · | · | ✓ |
| SD | Vaccination site pruritus | · | · | ✓ |
| SD | Vaccination site swelling | · | · | ✓ |
| SD | Vertigo | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release