6FP-88953-47697

3 vaccinations 12 coded responses 28 check-ins 11 free-text entries 5 call cases

Sex: Female
Age at first dose: 31-35
ZIP prefix: 420 / KY
Registered: 2021-03-17

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

2021-03-17
Registered in v-safe
2021-03-17
Dose 1 — Moderna
2021-03-17
Health check-in — day 0, dose 1
Feeling: Good · Site: Swelling · Headache, Nausea

Adult check-in
2021-03-18
Survey response — days 1–6 daily, dose 1
MedDRA: Ear discomfort, Ear pain — Feeling: Good · Site: Pain, Redness, Swelling · Headache

Free text: Excessive inner ear pressure/earache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-19
Survey response — days 1–6 daily, dose 1
MedDRA: Ear pain — Feeling: Good · Site: Pain, Redness, Swelling · Headache, Fatigue or tiredness

Free text: Ear ache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-20
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Redness · Headache

Adult check-in
2021-03-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-03-23
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness, Ear discomfort, Tinnitus — Feeling: Good · Headache, Fatigue or tiredness

Free text: Dizziness, high ear pressure, ears ringing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-24
Health check-in — day 7, dose 1
Feeling: Good · Headache

Adult check-in
2021-03-31
Survey response — day 14, dose 1
MedDRA: Fatigue, Headache, Office visit, Pyrexia, Rash, Swelling — Feeling: Fair · Be unable to work, Get care from a doctor or other healthcare professional

Free text: Symptoms: Swollen-Feverish rash; extreme itching; bad headache; tiredness · Healthcare visit (other): In person visit

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-31
Report sent to call center — day 14, dose 1
Be unable to work · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-09
Survey response — day 21, dose 1
MedDRA: Ear discomfort, Paraesthesia, Tinnitus — Feeling: Fair

Free text: Weird high ear pressure accompanied with a tingling sensation. Loud ear ringing during the episodes of high ear pressure.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-14
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-04-15
Dose 2 — Moderna
2021-04-15
Survey response — day 0, dose 2
MedDRA: Ear pain — Feeling: Good · Site: Pain, Redness, Swelling · Headache

Free text: Severe Ear ache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-04-17
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-04-18
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Headache, Fatigue or tiredness, Nausea, Diarrhea · 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 · Headache, Fatigue or tiredness, Rash, not including the immediate area around the injection site

Adult check-in
2021-04-20
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Redness, Swelling, Itching · Headache, Fatigue or tiredness, Rash, not including the immediate area around the injection site

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

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

Adult check-in
2021-05-08
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-05-15
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-20
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-29
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-07-15
Survey response — 3 months, dose 2
MedDRA: Kidney infection, Migraine, Pyrexia — Feeling: Fair · 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: Fever, kidney infection, bad migraines

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-15
Report sent to call center — 3 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

1 call case(s)
2021-07-23
Call 3 — Left Voicemail
2021-10-16
Survey response — 6 months, dose 2
MedDRA: Cardiac disorder, Kidney infection, Office visit, Presyncope — Feeling: Fair · 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: Kidney infection, presyncope episodes, heart issues. · Healthcare visit (other): In person visit with PCP

MedDRA releases: 2024-11 · check-in free text available
2021-10-16
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

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-10-19
Call 2 — Left Voicemail
2022-03-17
Dose 3 — Moderna
2022-04-16
Survey response — 12 months, dose 2
MedDRA: Fatigue, Injection site erythema, Injection site pain, Injection site pruritus, Pain, Pyrexia — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: With the booster I had high fever, extreme fatigue, body aches, injection sore soreness/redness. Injection site was very itchy for two weeks.

MedDRA releases: 2024-11 · check-in free text available
2022-06-18
Survey response — 3 months, dose 3
MedDRA: Hypoaesthesia — 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: Unexplained numbness in hands and legs.

MedDRA releases: 2024-11 · check-in free text available
2022-06-18
Report sent to call center — 3 months, dose 3
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)
2022-06-21
Call 2 — Left Voicemail
2022-06-21
Call 2 — Left Voicemail
2022-06-21
Call 1 — Left Voicemail
2022-06-21
Call 2 — Left Voicemail
2022-09-17
Survey response — 6 months, dose 3
MedDRA: Abortion threatened, Pregnancy — Feeling: Poor · Be unable to do your normal daily activities

Free text: Pregnancy with threatened miscarriage

MedDRA releases: 2024-11 · check-in free text available
2023-03-18
Survey response — 12 months, dose 3
MedDRA: Pregnancy — Feeling: Good · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

MedDRA releases: 2024-11
2023-03-18
Report sent to call center — 12 months, dose 3
Get care from a doctor or other healthcare professional

Emergency room or emergency department visit · 1 call case(s)
2023-03-20
Call 1 — Left Voicemail
2023-03-20
Call 1 — Left Voicemail
2023-03-20
Call 1 — Left Voicemail
2023-03-20
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-17	Moderna
2	2021-04-15	Moderna
3	2022-03-17	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2021-03-31	Unsuccessful
2021-07-15	Unsuccessful
2021-10-16	Unsuccessful
2022-06-18	Unsuccessful
2023-03-18	Unsuccessful

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-18

Systemic reaction (other): Excessive inner ear pressure/earache

2021-03-19

Systemic reaction (other): Ear ache

Release 6 — days 1–6 daily, dose 1

2021-03-23

Systemic reaction (other): Dizziness, high ear pressure, ears ringing

Release 6 — day 14, dose 1

2021-03-31

Symptoms: Swollen-Feverish rash; extreme itching; bad headache; tiredness

Healthcare visit (other): In person visit

Release 7 — day 21, dose 1

2021-04-09

Symptoms: Weird high ear pressure accompanied with a tingling sensation. Loud ear ringing during the episodes of high ear pressure.

Release 7 — day 0, dose 2

2021-04-15

Systemic reaction (other): Severe Ear ache

Release 9 — 3 months, dose 2

2021-07-15

Symptoms: Fever, kidney infection, bad migraines

Release 10 — 6 months, dose 2

2021-10-16

Symptoms: Kidney infection, presyncope episodes, heart issues.

Healthcare visit (other): In person visit with PCP

Release 11 — 12 months, dose 2

2022-04-16

Symptoms: With the booster I had high fever, extreme fatigue, body aches, injection sore soreness/redness. Injection site was very itchy for two weeks.

Release 12 — 3 months, dose 3

2022-06-18

Symptoms: Unexplained numbness in hands and legs.

Release 12 — 6 months, dose 3

2022-09-17

Symptoms: Pregnancy with threatened miscarriage

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	Abortion threatened	·	·	✓
SD	Cardiac disorder	·	·	✓
SD	Ear discomfort	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Hypoaesthesia	·	·	✓
SD	Injection site erythema	·	·	✓
SD	Injection site pain	·	·	✓
SD	Injection site pruritus	·	·	✓
SD	Kidney infection	✓	·	✓
SD	Migraine	✓	·	✓
SD	Pain	·	·	✓
SD	Paraesthesia	✓	✓	✓
SD	Pregnancy	·	·	✓
SD	Presyncope	·	·	✓
SD	Pyrexia	✓	✓	✓
SD	Rash	✓	✓	✓
SD	Swelling	✓	✓	✓
SD	Tinnitus	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Ear discomfort	✓	✓	✓
SRO	Ear pain	✓	✓	✓
SRO	Tinnitus	✓	✓	✓

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