6VS-13819-86572

4 vaccinations 11 coded responses 43 check-ins 9 free-text entries 8 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 498 / MI
Registered: 2020-12-30

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

2020-12-30
Registered in v-safe
2020-12-30
Dose 1 — Moderna
2020-12-30
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2020-12-31
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-01-01
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-01-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-01-03
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Fatigue or tiredness, Nausea

Adult check-in
2021-01-04
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-01-05
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-01-06
Health check-in — day 7, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-01-13
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-20
Survey response — day 21, dose 1
MedDRA: Back pain — Feeling: Fair

Free text: Lower back pain for 3 days

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-27
Dose 2 — Moderna
2021-01-27
Survey response — day 0, dose 2
MedDRA: Oral herpes — Feeling: Good

Free text: I have had a cold sore for 7 days.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-28
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-29
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fever · Headache, Fatigue or tiredness

Adult check-in
2021-01-30
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Itching · Fever · Headache, Fatigue or tiredness, Diarrhea

Adult check-in
2021-01-31
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Redness, Itching · Headache, Fatigue or tiredness

Adult check-in
2021-02-02
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache

Adult check-in
2021-02-03
Health check-in — day 7, dose 2
Feeling: Fair · Headache

Adult check-in
2021-02-10
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-18
Survey response — day 21, dose 2
MedDRA: Gastritis — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Gastritis

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-18
Report sent to call center — day 21, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-24
Survey response — day 28, dose 2
MedDRA: Medical observation, Migraine, Oral herpes — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Symptoms: Cold sore, migraine · Healthcare visit (other): Medication refill request

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-24
Report sent to call center — day 28, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-03
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-10
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-04-28
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-07-28
Survey response — 6 months, dose 2
MedDRA: Dizziness — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: I had dizziness for 2 weeks in April.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-28
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-02
Call 1 — Left Voicemail
2022-01-27
Survey response — 12 months, dose 2
MedDRA: Eustachian tube dysfunction, Viral upper respiratory tract infection — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Dec 14 Eustachian tube dysfunction Jan 6 upper respiratory virus

MedDRA releases: 2024-11 · check-in free text available
2022-01-27
Report sent to call center — 12 months, dose 2
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-01-28
Call 1 — Left Voicemail
2022-03-31
Dose 3 — Moderna
2022-04-26
Survey response — day 21, dose 3
MedDRA: COVID-19, Condition aggravated, Fatigue, Migraine, Myalgia — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: I had Covid infection Dec 2021. Since then I've had worse migraines, muscle aches and spasms, and fatigue easily.

MedDRA releases: 2024-11 · check-in free text available
2022-04-26
Report sent to call center — day 21, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-04-27
Call 1 — Left Voicemail
2022-04-28
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-05-05
Survey response — day 35, dose 3
MedDRA: Migraine, Pre-existing disease — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Chronic migraines are worse.

MedDRA releases: 2024-11 · check-in free text available
2022-05-05
Report sent to call center — day 35, dose 3
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-05-06
Call successful
Participant prefers to complete VAERS report online
2022-05-06
Call successful
Participant prefers to complete VAERS report online
2022-05-12
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2022-06-30
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-09-29
Health check-in — 6 months, dose 3
Feeling: Fair

Adult check-in
2022-10-12
Dose 4 — Moderna
Co-administered: Flu
2022-10-14
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · None

Adult check-in
2022-10-16
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Headache, Muscle or body aches

Adult check-in
2022-10-17
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Muscle or body aches

Adult check-in
2022-10-18
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Headache, Muscle or body aches

Adult check-in
2022-10-19
Health check-in — day 7, dose 4
Feeling: Good · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-10-26
Health check-in — day 14, dose 4
Feeling: Fair

Adult check-in
2022-11-02
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-11-09
Health check-in — day 28, dose 4
Feeling: Fair

Adult check-in
2022-11-16
Survey response — day 35, dose 4
MedDRA: Arthralgia, Arthropod bite, Fatigue, Headache, Myalgia, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Symptoms: Knee pain, increased muscle aches, fatigue, headaches, but had recent a tick bite so being tested for tick diseases. · Healthcare visit (other): Tick panel labs ordered

MedDRA releases: 2024-11 · check-in free text available
2022-11-16
Report sent to call center — day 35, dose 4
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-11-17
Call 2 — Left Voicemail
2022-11-23
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-11-23
Call successful
Participant prefers to complete VAERS report online
2022-11-23
Call successful
Participant prefers to complete VAERS report online
2022-11-23
Call successful
Participant prefers to complete VAERS report online
2022-11-23
Call successful
Participant prefers to complete VAERS report online
2023-01-12
Survey response — 3 months, dose 4
MedDRA: Viral upper respiratory tract infection — Feeling: Good

MedDRA releases: 2024-11
2023-04-14
Survey response — 6 months, dose 4
MedDRA: Vulvovaginal mycotic infection — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

MedDRA releases: 2024-11
2023-04-14
Report sent to call center — 6 months, dose 4
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2023-04-17
Call 1 — Left Voicemail
2023-04-17
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-30	Moderna
2	2021-01-27	Moderna
3	2022-03-31	Moderna	No
4	2022-10-12	Moderna	Flu

Call center

8 call center cases

6 successful · 2 unsuccessful

See the call center timeline

Free text

Release 2 — day 21, dose 1

2021-01-20

Symptoms: Lower back pain for 3 days

Release 2 — day 0, dose 2

2021-01-27

Systemic reaction (other): I have had a cold sore for 7 days.

Release 4 — day 21, dose 2

2021-02-18

Symptoms: Gastritis

Release 4 — day 28, dose 2

2021-02-24

Symptoms: Cold sore, migraine

Healthcare visit (other): Medication refill request

Release 9 — 6 months, dose 2

2021-07-28

Symptoms: I had dizziness for 2 weeks in April.

Release 11 — 12 months, dose 2

2022-01-27

Symptoms: Dec 14 Eustachian tube dysfunction Jan 6 upper respiratory virus

Release 11 — day 21, dose 3

2022-04-26

Symptoms: I had Covid infection Dec 2021. Since then I've had worse migraines, muscle aches and spasms, and fatigue easily.

Release 11 — day 35, dose 3

2022-05-05

Symptoms: Chronic migraines are worse.

Release 12 — day 35, dose 4

2022-11-16

Symptoms: Knee pain, increased muscle aches, fatigue, headaches, but had recent a tick bite so being tested for tick diseases.

Healthcare visit (other): Tick panel labs ordered

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	Medical observation	✓	✓	✓
HCVO	Unevaluable event	·	·	✓
SD	Arthralgia	·	·	✓
SD	Arthropod bite	·	·	✓
SD	Back pain	✓	✓	✓
SD	Condition aggravated	·	·	✓
SD	COVID-19	·	·	✓
SD	Dizziness	✓	·	✓
SD	Eustachian tube dysfunction	·	·	✓
SD	Fatigue	·	·	✓
SD	Gastritis	✓	✓	✓
SD	Headache	·	·	✓
SD	Migraine	✓	✓	✓
SD	Myalgia	·	·	✓
SD	Oral herpes	✓	✓	✓
SD	Pre-existing disease	·	·	✓
SD	Viral upper respiratory tract infection	·	·	✓
SD	Vulvovaginal mycotic infection	·	·	✓
SRO	Oral herpes	✓	✓	✓

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