653-23239-39199

3 vaccinations 10 coded responses 19 check-ins 10 free-text entries 1 call case

Sex: Female
Age at first dose: 51-55
ZIP prefix: 977 / OR
Registered: 2021-01-26

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

2021-01-26
Registered in v-safe
2021-01-26
Dose 1 — Moderna
2021-01-26
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · None · Be unable to do your normal daily activities

Adult check-in
2021-01-27
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-01-31
Survey response — days 1–6 daily, dose 1
MedDRA: Brain fog, Feeling abnormal, Limb discomfort, Skin erosion, Tinea pedis — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Athletes foot, raw between toes, fog brain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-01
Survey response — days 1–6 daily, dose 1
MedDRA: Peripheral coldness — Feeling: Fair · Fatigue or tiredness · Be unable to work

Free text: Icey hands, on day 2 or 3, like raynalds and today

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-02
Health check-in — day 7, dose 1
Feeling: Good · Headache

Adult check-in
2021-02-09
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-16
Survey response — day 21, dose 1
MedDRA: Pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Achey

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-23
Dose 2 — Moderna
2021-02-23
Survey response — day 0, dose 2
MedDRA: Injection site pain — Feeling: Fair · Site: Pain · Be unable to do your normal daily activities

Free text: Shot hurt. Burned when it went in.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-24
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-25
Survey response — days 1–6 daily, dose 2
MedDRA: Lymph node pain, Pain in extremity — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Groin lyphnode pain, upper inner thigh

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-26
Survey response — days 1–6 daily, dose 2
MedDRA: Ear pain, Headache — Feeling: Fair · Site: Redness, Swelling, Itching · Fever · Headache, Fatigue or tiredness · Be unable to work

Free text: Headache was acute, frontal lobe left side and felt pain in left ear canal

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-27
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Redness, Itching · Fever · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-28
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Redness, Itching · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-01
Survey response — days 1–6 daily, dose 2
MedDRA: Headache, Myalgia — Feeling: Good · Site: Itching · Chills, Headache, Fatigue or tiredness

Free text: Muscle pain yesterday, day 6. Headache in am

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-04
Survey response — day 7, dose 2
MedDRA: Paraesthesia — Feeling: Fair · Fatigue or tiredness

Free text: Tingling in right hand fingers

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-11
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-03-16
Survey response — day 21, dose 2
MedDRA: Fatigue, Feeling abnormal, Hot flush — Feeling: Fair · Be unable to do your normal daily activities

Free text: Fog head, major fatigue, heat flares, flashes though could be menopause : /

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-11-09
Dose 3 — Moderna
2021-11-09
Health check-in — day 0, dose 3
Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-11-12
Survey response — days 1–6 daily, dose 3
MedDRA: COVID-19 — Feeling: Poor · Site: Pain, Redness, Itching · Headache, Fatigue or tiredness · 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: Was just diagnosed with Covid, booster shot site was crowded and no windows open.

MedDRA releases: 2024-11 · check-in free text available
2021-11-12
Report sent to call center — days 1–6 daily, dose 3
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)
2021-11-19
Call successful
Participant prefers to complete VAERS report online

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-26	Moderna
2	2021-02-23	Moderna
3	2021-11-09	Moderna	No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 3 — days 1–6 daily, dose 1

2021-01-31

Systemic reaction (other): Athletes foot, raw between toes, fog brain

2021-02-01

Systemic reaction (other): Icey hands, on day 2 or 3, like raynalds and today

Release 4 — day 21, dose 1

2021-02-16

Symptoms: Achey

Release 4 — day 0, dose 2

2021-02-23

Systemic reaction (other): Shot hurt. Burned when it went in.

Release 4 — days 1–6 daily, dose 2

2021-02-25

Systemic reaction (other): Groin lyphnode pain, upper inner thigh

2021-02-26

Systemic reaction (other): Headache was acute, frontal lobe left side and felt pain in left ear canal

2021-03-01

Systemic reaction (other): Muscle pain yesterday, day 6. Headache in am

Release 5 — day 7, dose 2

2021-03-04

Systemic reaction (other): Tingling in right hand fingers

Release 5 — day 21, dose 2

2021-03-16

Symptoms: Fog head, major fatigue, heat flares, flashes though could be menopause : /

Release 10 — days 1–6 daily, dose 3

2021-11-12

Systemic reaction (other): Was just diagnosed with Covid, booster shot site was crowded and no windows open.

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	Fatigue	✓	✓	✓
SD	Feeling abnormal	✓	✓	✓
SD	Hot flush	✓	✓	✓
SD	Pain	✓	✓	✓
SRO	Brain fog	·	·	✓
SRO	COVID-19	·	·	✓
SRO	Ear pain	✓	✓	✓
SRO	Feeling abnormal	✓	✓	○
SRO	Headache	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Limb discomfort	✓	✓	○
SRO	Lymph node pain	✓	✓	✓
SRO	Myalgia	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Paraesthesia	✓	✓	✓
SRO	Peripheral coldness	✓	✓	✓
SRO	Skin erosion	·	·	✓
SRO	Tinea pedis	·	·	✓

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