6JC-10538-20649

4 vaccinations 9 coded responses 34 check-ins 8 free-text entries 2 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 229 / VA
Registered: 2021-03-12

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

2021-03-11
Dose 1 — Moderna
2021-03-12
Registered in v-safe
2021-03-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-15
Survey response — days 1–6 daily, dose 1
MedDRA: Dysmenorrhoea, Heavy menstrual bleeding, Menstrual disorder, Menstruation irregular — Feeling: Fair

Free text: My monthly cycle started on Friday after my jab. It is early and extremely heavy with cramps all unusual. Is there any correlation?

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-16
Survey response — days 1–6 daily, dose 1
MedDRA: Menstruation irregular — Feeling: Good

Free text: Possible difference in monthly period.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-17
Survey response — days 1–6 daily, dose 1
MedDRA: Diarrhoea, Fatigue — Feeling: Fair · Fatigue or tiredness, Diarrhea

Free text: Yesterday after submitting I had the onset of diarrhea. I have it today as well. I should have checked tiredness Monday also.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-18
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-25
Survey response — day 14, dose 1
MedDRA: Diarrhoea, Headache, Vomiting — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: I had diarrhea and vomiting last night along with a headache in my right temple.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-08
Dose 2 — Moderna
2021-04-08
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-04-09
Survey response — days 1–6 daily, dose 2
MedDRA: Heavy menstrual bleeding — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work

Free text: Again my menstrual cycle is very heavy.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-10
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-11
Survey response — days 1–6 daily, dose 2
MedDRA: Headache, Sleep disorder — Feeling: Good · Site: Pain · Headache, Fatigue or tiredness

Free text: The headache kept me from sleeping and woke me in the night.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-12
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-04-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-15
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-22
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-01
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-06
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-13
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-22
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-10
Survey response — 3 months, dose 2
MedDRA: Arthralgia, Back pain, Office visit — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Sore joints. Hip and back pain. · Healthcare visit (other): Chiropractor

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-10
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)
2021-07-19
Call successful
Participant prefers to complete VAERS report online
2021-10-07
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-15
Dose 3 — Moderna
2022-04-16
Dose 4 — Moderna
2022-04-16
Health check-in — day 0, dose 4
Feeling: Good · None

Adult check-in
2022-04-17
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-04-18
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Joint pains, Fatigue or tiredness

Adult check-in
2022-04-19
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2022-04-21
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Fatigue or tiredness

Adult check-in
2022-04-22
Survey response — days 1–6 daily, dose 4
MedDRA: Heavy menstrual bleeding, Vaccine positive rechallenge — Feeling: Good · Fatigue or tiredness

Free text: Very heavy menstrual cycle. This had happened after each Moderna jab.

MedDRA releases: 2024-11 · check-in free text available
2022-05-07
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-05-21
Health check-in — day 35, dose 4
Feeling: Fair

Adult check-in
2022-05-28
Health check-in — day 42, dose 4
Feeling: Fair

Adult check-in
2022-07-16
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2023-04-17
Survey response — 12 months, dose 4
MedDRA: COVID-19, Cough, Fatigue, Hypersensitivity, Parosmia, Pre-existing disease, Pyrexia — 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 · Outpatient clinic or urgent care clinic visit

MedDRA releases: 2024-11
2023-04-17
Report sent to call center — 12 months, dose 4
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)
2023-04-18
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-11	Moderna
2	2021-04-08	Moderna
3	2021-11-15	Moderna	No
4	2022-04-16	Moderna	No

Call center

2 call center cases

2 successful

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-15

Systemic reaction (other): My monthly cycle started on Friday after my jab. It is early and extremely heavy with cramps all unusual. Is there any correlation?

2021-03-16

Systemic reaction (other): Possible difference in monthly period.

2021-03-17

Systemic reaction (other): Yesterday after submitting I had the onset of diarrhea. I have it today as well. I should have checked tiredness Monday also.

Release 6 — day 14, dose 1

2021-03-25

Symptoms: I had diarrhea and vomiting last night along with a headache in my right temple.

Release 7 — days 1–6 daily, dose 2

2021-04-09

Systemic reaction (other): Again my menstrual cycle is very heavy.

2021-04-11

Systemic reaction (other): The headache kept me from sleeping and woke me in the night.

Release 9 — 3 months, dose 2

2021-07-10

Symptoms: Sore joints. Hip and back pain.

Healthcare visit (other): Chiropractor

Release 11 — days 1–6 daily, dose 4

2022-04-22

Systemic reaction (other): Very heavy menstrual cycle. This had happened after each Moderna jab.

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	Arthralgia	✓	✓	✓
SD	Back pain	✓	✓	✓
SD	Cough	·	·	✓
SD	COVID-19	·	·	✓
SD	Diarrhoea	✓	✓	✓
SD	Fatigue	·	·	✓
SD	Headache	✓	✓	✓
SD	Hypersensitivity	·	·	✓
SD	Parosmia	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Pyrexia	·	·	✓
SD	Vomiting	✓	✓	✓
SRO	Diarrhoea	✓	✓	✓
SRO	Dysmenorrhoea	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Heavy menstrual bleeding	✓	✓	✓
SRO	Menstrual disorder	✓	✓	✓
SRO	Menstruation irregular	✓	✓	✓
SRO	Sleep disorder	✓	✓	✓
SRO	Vaccine positive rechallenge	·	·	✓

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