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67F-15530-74298

3 vaccinations 5 coded responses 16 check-ins 5 free-text entries 1 call case
Sex
Female
Age at first dose
36-40
ZIP prefix
231 / VA
Registered
2021-03-08
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-03
    Dose 1 — Moderna
  2. 2021-03-08
    Registered in v-safe
  3. 2021-03-08
    Survey response — days 1–6 daily, dose 1
    MedDRA: Feeling abnormal — Feeling: Poor · Fever · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Foggy, not myself, out of body almost
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-03-11
    Health check-in — day 7, dose 1
    Feeling: Fair · Fever · Fatigue or tiredness, Diarrhea
    Adult check-in
  5. 2021-03-27
    Health check-in — day 21, dose 1
    Feeling: Fair
    Adult check-in
  6. 2021-03-31
    Health check-in — day 28, dose 1
    Feeling: Fair
    Adult check-in
  7. 2021-04-02
    Dose 2 — Moderna
  8. 2021-04-07
    Survey response — days 1–6 daily, dose 2
    MedDRA: Fatigue, Headache, Palpitations, Pyrexia — Feeling: Fair · Fever · Headache, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities
    Free text: After my vaccine I experienced a high fever of 103.6. The fever lasted for three days. It went down to 100 on the 3rd day. I had a hard time walking during my fever as my legs gave out. I felt off for days. Yesterday 5 days post dose I had a horrible headache with heart racing feelings. I feel more normal today but exhausted.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-04-09
    Health check-in — day 7, dose 2
    Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  10. 2021-04-18
    Health check-in — day 14, dose 2
    Feeling: Fair
    Adult check-in
  11. 2021-04-23
    Survey response — day 21, dose 2
    MedDRA: Breast feeding, Malaise — Feeling: Fair
    Free text: I do feel off this week. Please update this form to include lactating women! Im breastfeeding -we need more data
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-04-30
    Health check-in — day 28, dose 2
    Feeling: Fair
    Adult check-in
  13. 2021-05-10
    Health check-in — day 35, dose 2
    Feeling: Fair
    Adult check-in
  14. 2021-05-14
    Health check-in — day 42, dose 2
    Feeling: Fair
    Adult check-in
  15. 2021-07-04
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-10-03
    Survey response — 6 months, dose 2
    MedDRA: Menstruation irregular — 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: Massive periods each week ?!!?
    MedDRA releases: 2024-11 · check-in free text available
  17. 2021-10-03
    Report sent to call center — 6 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
    Telehealth, virtual health, or email health consultation · Emergency room or emergency department visit · 1 call case(s)
  18. 2021-10-06
    Call successful
    Participant prefers to complete VAERS report online
  19. 2021-10-28
    Dose 3 — Moderna
  20. 2021-10-29
    Survey response — days 1–6 daily, dose 3
    MedDRA: Bone pain, Pyrexia — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities
    Free text: Fever, bone pain
    MedDRA releases: 2024-11 · check-in free text available
  21. 2021-10-30
    Health check-in — days 1–6 daily, dose 3
    Feeling: Poor · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Diarrhea, Abdominal pain · Be unable to do your normal daily activities
    Adult check-in
  22. 2022-04-28
    Health check-in — 6 months, dose 3
    Feeling: Fair
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-03Moderna
22021-04-02Moderna
32021-10-28Moderna No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-08

Systemic reaction (other): Foggy, not myself, out of body almost

Release 7 — days 1–6 daily, dose 2

2021-04-07

Systemic reaction (other): After my vaccine I experienced a high fever of 103.6. The fever lasted for three days. It went down to 100 on the 3rd day. I had a hard time walking during my fever as my legs gave out. I felt off for days. Yesterday 5 days post dose I had a horrible headache with heart racing feelings. I feel more normal today but exhausted.

Release 7 — day 21, dose 2

2021-04-23

Symptoms: I do feel off this week. Please update this form to include lactating women! Im breastfeeding -we need more data

Release 9 — 6 months, dose 2

2021-10-03

Symptoms: Massive periods each week ?!!?

Release 10 — days 1–6 daily, dose 3

2021-10-29

Systemic reaction (other): Fever, bone pain

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

FieldPreferred term2021-092023-042024-11
SDBreast feeding ✓ ✓ ✓
SDMalaise ✓ ✓ ✓
SDMenstruation irregular · · ✓
SROBone pain · · ✓
SROFatigue ✓ ✓ ✓
SROFeeling abnormal ✓ ✓ ✓
SROHeadache ✓ ✓ ✓
SROPalpitations ✓ ✓ ✓
SROPyrexia ✓ ✓ ✓

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