65E-60314-38057

5 vaccinations 9 coded responses 51 check-ins 9 free-text entries 4 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 152 / PA
Registered: 2021-03-03

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

2021-02-17
Dose 1 — Moderna
2021-03-03
Registered in v-safe
2021-03-03
Survey response — day 14, dose 1
MedDRA: Headache, Injection site erythema, Injection site pruritus, Injection site warmth, Sensitivity to weather change, Urticaria — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Big red welt at injection site. Welt is warm to the touch and mildly itches. Headachy today also, but barometer is dropping so dont know whether that is related or coincidental.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-03
Report sent to call center — day 14, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-10
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-17
Dose 2 — Moderna
2021-03-17
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-18
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-03-19
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Swelling · Headache

Adult check-in
2021-03-20
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Swelling · None

Adult check-in
2021-03-21
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Swelling, Itching · Headache, Fatigue or tiredness

Adult check-in
2021-03-22
Survey response — days 1–6 daily, dose 2
MedDRA: Migraine — Feeling: Fair · Site: Pain, Redness · Fever · Be unable to do your normal daily activities

Free text: Migraine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-23
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness · None

Adult check-in
2021-03-24
Survey response — day 7, dose 2
MedDRA: Migraine — Feeling: Fair · Site: Redness · Fever · Headache · Be unable to do your normal daily activities

Free text: Migraine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-31
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-07
Survey response — day 21, dose 2
MedDRA: Gastroenteritis viral, Headache, Nausea, Vomiting — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: Nausea & vomiting Sunday night plus a headache that is still ongoing. Stomach bug?

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-14
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-04-21
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-28
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-16
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-15
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-09-29
Call successful
Participant prefers to complete VAERS report online
2021-10-28
Dose 3 — Moderna
2021-10-28
Survey response — day 0, dose 3
MedDRA: Migraine postdrome — Feeling: Fair · Headache

Free text: Mild postdrome migraine from earlier in the day

MedDRA releases: 2024-11 · check-in free text available
2021-10-29
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Redness, Swelling · Fatigue or tiredness

Adult check-in
2021-10-30
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Redness, Swelling · Headache, Fatigue or tiredness

Adult check-in
2021-10-31
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Redness, Swelling · None

Adult check-in
2021-11-01
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Redness, Swelling · Headache

Adult check-in
2021-11-02
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Redness, Swelling, Itching · Headache, Fatigue or tiredness

Adult check-in
2021-11-03
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Redness, Swelling, Itching · Headache, Fatigue or tiredness

Adult check-in
2021-11-04
Health check-in — day 7, dose 3
Feeling: Fair · Site: Redness, Swelling, Itching · Headache, Fatigue or tiredness

Adult check-in
2021-11-11
Health check-in — day 14, dose 3
Feeling: Fair

Adult check-in
2021-11-18
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-25
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-02
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-09
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-27
Survey response — 3 months, dose 3
MedDRA: Bronchitis — 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 · Telehealth, virtual health, or email health consultation

Free text: Had a bout of bronchitis

MedDRA releases: 2024-11 · check-in free text available
2022-01-27
Report sent to call center — 3 months, 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

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-02-04
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-04-12
Dose 4 — Moderna
2022-04-14
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Swelling, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-04-15
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Swelling · Muscle or body aches

Adult check-in
2022-04-16
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Redness, Swelling · None

Adult check-in
2022-04-17
Survey response — days 1–6 daily, dose 4
MedDRA: Erythema, Pruritus, Urticaria — Feeling: Good · Site: Swelling · Rash, not including the immediate area around the injection site

Free text: 2 itchy red welts developed lower on the same arm. Might be bug bites?

MedDRA releases: 2024-11 · check-in free text available
2022-04-18
Survey response — days 1–6 daily, dose 4
MedDRA: Arthropod bite, Rash — Feeling: Fair · Site: Swelling · Headache, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Rash appears to be from a pair of bug bites

MedDRA releases: 2024-11 · check-in free text available
2022-04-18
Report sent to call center — days 1–6 daily, dose 4
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-04-19
Health check-in — day 7, dose 4
Feeling: Poor · Headache, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to work or attend school

Adult check-in
2022-04-22
Call successful
Not applicable - Accidental Reporting
2022-04-26
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-05-03
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-05-10
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-05-17
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-05-24
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-07-12
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-09-22
Dose 5 — Pfizer-BioNTech
Co-administered: Flu
2022-10-04
Health check-in — day 7, dose 5
Feeling: Good · None

Adult check-in
2022-10-06
Health check-in — day 14, dose 5
Feeling: Poor

Adult check-in
2022-10-13
Health check-in — day 21, dose 5
Feeling: Good

Adult check-in
2022-10-20
Health check-in — day 28, dose 5
Feeling: Good

Adult check-in
2022-10-27
Health check-in — day 35, dose 5
Feeling: Fair

Adult check-in
2022-11-03
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2022-12-22
Survey response — 3 months, dose 5
MedDRA: Chest discomfort, Headache, Heart rate decreased, Hypertension — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: Mild chest tightness, low resting HR, high BP, intractable headache

MedDRA releases: 2024-11 · check-in free text available
2022-12-22
Report sent to call center — 3 months, dose 5
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
2022-12-23
Call 1 — Left Voicemail
2022-12-23
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2023-03-23
Health check-in — 6 months, dose 5
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-17	Moderna
2	2021-03-17	Moderna
3	2021-10-28	Moderna	No
4	2022-04-12	Moderna	No
5	2022-09-22	Pfizer-BioNTech	Flu

Call center

4 call center cases

4 successful

See the call center timeline

Free text

Release 4 — day 14, dose 1

2021-03-03

Symptoms: Big red welt at injection site. Welt is warm to the touch and mildly itches. Headachy today also, but barometer is dropping so dont know whether that is related or coincidental.

Release 6 — days 1–6 daily, dose 2

2021-03-22

Systemic reaction (other): Migraine

Release 6 — day 7, dose 2

2021-03-24

Systemic reaction (other): Migraine

Release 7 — day 21, dose 2

2021-04-07

Symptoms: Nausea & vomiting Sunday night plus a headache that is still ongoing. Stomach bug?

Release 10 — day 0, dose 3

2021-10-28

Systemic reaction (other): Mild postdrome migraine from earlier in the day

Release 11 — 3 months, dose 3

2022-01-27

Symptoms: Had a bout of bronchitis

Release 11 — days 1–6 daily, dose 4

2022-04-17

Systemic reaction (other): 2 itchy red welts developed lower on the same arm. Might be bug bites?

2022-04-18

Systemic reaction (other): Rash appears to be from a pair of bug bites

Release 12 — 3 months, dose 5

2022-12-22

Symptoms: Mild chest tightness, low resting HR, high BP, intractable headache

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	Bronchitis	·	·	✓
SD	Chest discomfort	·	·	✓
SD	Gastroenteritis viral	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Heart rate decreased	·	·	✓
SD	Hypertension	·	·	✓
SD	Injection site erythema	✓	✓	✓
SD	Injection site pruritus	✓	✓	✓
SD	Injection site warmth	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Sensitivity to weather change	✓	✓	✓
SD	Urticaria	✓	✓	✓
SD	Vomiting	✓	✓	✓
SRO	Arthropod bite	·	·	✓
SRO	Erythema	·	·	✓
SRO	Migraine	✓	✓	✓
SRO	Migraine postdrome	·	·	✓
SRO	Pruritus	·	·	✓
SRO	Rash	·	·	✓
SRO	Urticaria	·	·	✓

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