694-81651-26101

3 vaccinations 13 coded responses 29 check-ins 13 free-text entries 3 call cases

Sex: Female
Age at first dose: 31-35
ZIP prefix: 761 / TX
Registered: 2021-01-07

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

2021-01-07
Registered in v-safe
2021-01-07
Dose 1 — Moderna
2021-01-07
Health check-in — day 0, dose 1
Feeling: Fair · Site: Pain · None

Adult check-in
2021-01-08
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Itching · None

Adult check-in
2021-01-11
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · None

Adult check-in
2021-01-12
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Redness, Itching · Headache

Adult check-in
2021-01-13
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-14
Health check-in — day 7, dose 1
Feeling: Fair · None

Adult check-in
2021-01-21
Survey response — day 14, dose 1
MedDRA: Diarrhoea, Dyspepsia, Nausea — Feeling: Poor · Be unable to do your normal daily activities

Free text: I have had horrible heartburn throughout the day and am very nauseated every evening with diarrhea as well.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-28
Survey response — day 21, dose 1
MedDRA: Abdominal pain upper, Fatigue, Frequent bowel movements, Nausea, SARS-CoV-2 test negative — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: The nausea, stomach pain, and multiple urgent daily bowel movements have continued. I am also very fatigued and am exhausted throughout the day and am going to bed when I get home from work. · Healthcare visit (other): I got checked for covid, the rapid and pcr tests were both negative.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-28
Report sent to call center — day 21, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-04
Dose 2 — Moderna
2021-02-04
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-02-05
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-02-07
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-02-08
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Poor · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Free text: Dizzy spells

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-09
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Fair · Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Free text: Dizzy spells

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-11
Survey response — day 7, dose 2
MedDRA: Dizziness — Feeling: Poor · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Dizzy spells

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-27
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-05-06
Survey response — 3 months, dose 2
MedDRA: Epistaxis, Tongue discomfort — Feeling: Poor · 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: My tongue constantly feels like I just burned it so I have trouble enjoying food, and my nose is bleeding throughout the day every day.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-06
Report sent to call center — 3 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-10
Call 1 — Left Voicemail
2021-10-24
Dose 3 — Moderna
2021-10-25
Survey response — days 1–6 daily, dose 3
MedDRA: Hot flush — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea

Free text: Hot flashes

MedDRA releases: 2024-11 · check-in free text available
2021-10-26
Survey response — days 1–6 daily, dose 3
MedDRA: Insomnia — Feeling: Fair · Site: Pain, Redness, Swelling · Fatigue or tiredness

Free text: I've had trouble sleeping these past two nights

MedDRA releases: 2024-11 · check-in free text available
2021-10-28
Survey response — days 1–6 daily, dose 3
MedDRA: Erythema, Swelling — Feeling: Fair · Site: Pain, Redness, Swelling · Muscle or body aches, Fatigue or tiredness

Free text: I was just really surprised how big the redness and swelling has gotten.

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

Adult check-in
2021-10-30
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain, Redness, Swelling · Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-11-09
Health check-in — day 14, dose 3
Feeling: Fair

Adult check-in
2021-11-14
Survey response — day 21, dose 3
MedDRA: Condition aggravated, Dyspnoea, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities

Free text: My breathing has been getting worse, and I have been using my rescue inhaler a lot more.

MedDRA releases: 2024-11 · check-in free text available
2021-11-23
Survey response — day 28, dose 3
MedDRA: Gait disturbance, Reaction to previous exposure to any vaccine, Syncope — Feeling: Fair · Be unable to do your normal daily activities

Free text: I fainted after getting a shot, and it took 2 hours for them to get me able to walk on my own again. I have only fainted one other time after getting a shot (between the 2nd shot and the booster), but I recovered much quicker.

MedDRA releases: 2024-11 · check-in free text available
2021-11-28
Health check-in — day 35, dose 3
Feeling: Fair

Adult check-in
2021-12-07
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-23
Health check-in — 3 months, dose 3
Feeling: Fair

Adult check-in
2022-04-24
Survey response — 6 months, dose 3
MedDRA: Cough, Lung disorder, Respiratory disorder — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: Because people are no longer wearing masks, I got sick, and I can't get rid of it. It is in my chest/lungs, and I'm constantly coughing and my breathing is worse.

MedDRA releases: 2024-11 · check-in free text available
2022-04-24
Report sent to call center — 6 months, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-04-26
Call successful
Participant prefers to complete VAERS report online
2022-10-24
Survey response — 12 months, dose 3
MedDRA: COVID-19, Malaise — Feeling: Poor · Be unable to do your normal daily activities

Free text: I got covid in September, and I have been sick since.

MedDRA releases: 2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-07	Moderna
2	2021-02-04	Moderna
3	2021-10-24	Moderna	No

Call center

3 call center cases

3 successful

See the call center timeline

Free text

Release 2 — day 14, dose 1

2021-01-21

Symptoms: I have had horrible heartburn throughout the day and am very nauseated every evening with diarrhea as well.

Release 2 — day 21, dose 1

2021-01-28

Symptoms: The nausea, stomach pain, and multiple urgent daily bowel movements have continued. I am also very fatigued and am exhausted throughout the day and am going to bed when I get home from work.

Healthcare visit (other): I got checked for covid, the rapid and pcr tests were both negative.

Release 3 — days 1–6 daily, dose 2

2021-02-08

Systemic reaction (other): Dizzy spells

2021-02-09

Systemic reaction (other): Dizzy spells

Release 4 — day 7, dose 2

2021-02-11

Systemic reaction (other): Dizzy spells

Release 8 — 3 months, dose 2

2021-05-06

Symptoms: My tongue constantly feels like I just burned it so I have trouble enjoying food, and my nose is bleeding throughout the day every day.

Release 10 — days 1–6 daily, dose 3

2021-10-25

Systemic reaction (other): Hot flashes

2021-10-26

Systemic reaction (other): I've had trouble sleeping these past two nights

2021-10-28

Systemic reaction (other): I was just really surprised how big the redness and swelling has gotten.

Release 10 — day 21, dose 3

2021-11-14

Symptoms: My breathing has been getting worse, and I have been using my rescue inhaler a lot more.

Release 10 — day 28, dose 3

2021-11-23

Symptoms: I fainted after getting a shot, and it took 2 hours for them to get me able to walk on my own again. I have only fainted one other time after getting a shot (between the 2nd shot and the booster), but I recovered much quicker.

Release 11 — 6 months, dose 3

2022-04-24

Symptoms: Because people are no longer wearing masks, I got sick, and I can't get rid of it. It is in my chest/lungs, and I'm constantly coughing and my breathing is worse.

Release 12 — 12 months, dose 3

2022-10-24

Symptoms: I got covid in September, and I have been sick since.

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	SARS-CoV-2 test negative	✓	✓	✓
SD	Abdominal pain upper	✓	✓	✓
SD	Condition aggravated	·	·	✓
SD	Cough	·	·	✓
SD	COVID-19	·	·	✓
SD	Diarrhoea	✓	✓	✓
SD	Dyspepsia	✓	✓	✓
SD	Dyspnoea	·	·	✓
SD	Epistaxis	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Frequent bowel movements	✓	✓	✓
SD	Gait disturbance	·	·	✓
SD	Lung disorder	·	·	✓
SD	Malaise	·	·	✓
SD	Nausea	✓	✓	✓
SD	Pre-existing disease	·	·	✓
SD	Reaction to previous exposure to any vaccine	·	·	✓
SD	Respiratory disorder	·	·	✓
SD	Syncope	·	·	✓
SD	Tongue discomfort	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Erythema	·	·	✓
SRO	Hot flush	·	·	✓
SRO	Insomnia	·	·	✓
SRO	Swelling	·	·	✓

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