66B-53417-28513

2 vaccinations 7 coded responses 24 check-ins 7 free-text entries 2 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 380 / TN
Registered: 2021-03-19

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

2021-03-18
Dose 1 — Moderna
2021-03-19
Registered in v-safe
2021-03-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Itching · Fatigue or tiredness

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

Adult check-in
2021-03-21
Survey response — days 1–6 daily, dose 1
MedDRA: Adverse reaction, No adverse event — Feeling: Good · Site: Pain · Chills, Nausea, Vomiting

Free text: The above symptoms were over night.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-25
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-01
Survey response — day 14, dose 1
MedDRA: Decreased appetite, Migraine, Nausea, Vomiting — Feeling: Good · Be unable to do your normal daily activities

Free text: Massive migraine, nausea, vomiting lack of appetite. These lasted for two days. Except the migraine which lasted three days.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-15
Dose 2 — Moderna
2021-04-15
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-04-16
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-04-17
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling, Itching · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-19
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-20
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Swelling, Itching · Headache

Adult check-in
2021-04-21
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Swelling · Fatigue or tiredness

Adult check-in
2021-04-22
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-29
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-05-06
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-05-13
Survey response — day 28, dose 2
MedDRA: Diarrhoea, Fatigue, Nausea — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities

Free text: Diarrhea, nausea, extreme fatigue.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-20
Survey response — day 35, dose 2
MedDRA: Dehydration, Diarrhoea, Fatigue — Feeling: Fair · Be unable to do your normal daily activities

Free text: Dehydration, diarrhea and fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-27
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-15
Survey response — 3 months, dose 2
MedDRA: Aggression, Arthralgia, Migraine, Mood swings, Myalgia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Extreme muscle and joint pain bad migraines and agresdive mood swings

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-10-14
Survey response — 6 months, dose 2
MedDRA: Decreased appetite, Headache, Nausea — 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: Severe headache on a daily basis. Lack of appetite and nausea.

MedDRA releases: 2024-11 · check-in free text available
2021-10-14
Report sent to call center — 6 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-10-19
Call 1 — Left Voicemail
2022-04-15
Survey response — 12 months, dose 2
MedDRA: Bronchitis, Hypersensitivity, Office visit, Pre-existing disease, Sinusitis — 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 visit

Free text: Symptoms: My seasonal allergies have gotten much worse with no relief from my allergy shot. I developed a sinus infection and bronchitis. · Healthcare visit (other): With our family doctor

MedDRA releases: 2024-11 · check-in free text available
2022-04-15
Report sent to call center — 12 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

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-04-19
Call 1 — Left Voicemail
2022-04-20
Call successful
Participant prefers to complete VAERS report online

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-18	Moderna
2	2021-04-15	Moderna

Call center

2 call center cases

2 successful

See the call center timeline

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-21

Systemic reaction (other): The above symptoms were over night.

Release 6 — day 14, dose 1

2021-04-01

Symptoms: Massive migraine, nausea, vomiting lack of appetite. These lasted for two days. Except the migraine which lasted three days.

Release 8 — day 28, dose 2

2021-05-13

Symptoms: Diarrhea, nausea, extreme fatigue.

Release 8 — day 35, dose 2

2021-05-20

Symptoms: Dehydration, diarrhea and fatigue

Release 9 — 3 months, dose 2

2021-07-15

Symptoms: Extreme muscle and joint pain bad migraines and agresdive mood swings

Release 10 — 6 months, dose 2

2021-10-14

Symptoms: Severe headache on a daily basis. Lack of appetite and nausea.

Release 11 — 12 months, dose 2

2022-04-15

Symptoms: My seasonal allergies have gotten much worse with no relief from my allergy shot. I developed a sinus infection and bronchitis.

Healthcare visit (other): With our family doctor

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	·	·	✓
SD	Aggression	✓	·	✓
SD	Arthralgia	✓	·	✓
SD	Bronchitis	·	·	✓
SD	Decreased appetite	✓	✓	✓
SD	Dehydration	✓	✓	✓
SD	Diarrhoea	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Headache	·	·	✓
SD	Hypersensitivity	·	·	✓
SD	Migraine	✓	✓	✓
SD	Mood swings	✓	·	✓
SD	Myalgia	✓	·	✓
SD	Nausea	✓	✓	✓
SD	Pre-existing disease	·	·	✓
SD	Sinusitis	·	·	✓
SD	Vomiting	✓	✓	✓
SRO	Adverse reaction	·	·	✓
SRO	No adverse event	✓	✓	○

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