7TT-30808-88991

4 vaccinations 12 coded responses 42 check-ins 11 free-text entries 2 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 463 / IN
Registered: 2021-04-22

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

2021-04-22
Registered in v-safe
2021-04-22
Dose 1 — Moderna
2021-04-22
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-04-23
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Muscle or body aches

Adult check-in
2021-04-24
Survey response — days 1–6 daily, dose 1
MedDRA: Abdominal pain upper, Migraine, Self-medication — Feeling: Fair · Site: Pain · Headache, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Free text: I took advil for a migraine and I think it caused a stomachache.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-25
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Abdominal pain

Adult check-in
2021-04-27
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Headache · Be unable to do your normal daily activities

Adult check-in
2021-04-28
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Abdominal pain

Adult check-in
2021-04-29
Health check-in — day 7, dose 1
Feeling: Fair · None

Adult check-in
2021-05-06
Survey response — day 14, dose 1
MedDRA: Depression, Respiratory tract congestion, Weight increased — Feeling: Fair · Be unable to do your normal daily activities

Free text: Depression, weight gain, congestion

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-13
Survey response — day 21, dose 1
MedDRA: Migraine — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities

Free text: Migraine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-20
Dose 2 — Moderna
2021-05-20
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Headache, Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2021-05-21
Survey response — days 1–6 daily, dose 2
MedDRA: Hot flush — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Hot flashes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-22
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-05-23
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache

Adult check-in
2021-05-24
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-05-25
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Headache, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-05-26
Survey response — days 1–6 daily, dose 2
MedDRA: Hot flush — Feeling: Fair · Headache

Free text: Hot flashes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-27
Survey response — day 7, dose 2
MedDRA: Colitis ulcerative, Condition aggravated, Pre-existing disease — Feeling: Fair · Fatigue or tiredness, Diarrhea · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Ulcerative colitis flare

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-27
Report sent to call center — day 7, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-03
Survey response — day 14, dose 2
MedDRA: Fatigue, Rash, Skin discolouration — Feeling: Good

Free text: Started lexapro and now have purple rash and fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-10
Survey response — day 21, dose 2
MedDRA: Unevaluable event — Feeling: Good

Free text: Tired from Lexapro

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-17
Survey response — day 28, dose 2
MedDRA: Colitis ulcerative, Condition aggravated, Pre-existing disease — Feeling: Good · Be unable to do your normal daily activities

Free text: Ulcerative colitis flare

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-24
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-07-01
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-08-19
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-11-16
Dose 3 — Moderna
2021-11-18
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-20
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-21
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-22
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Headache, Nausea · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-11-23
Health check-in — day 7, dose 3
Feeling: Poor · Headache · Be unable to work or attend school

Adult check-in
2021-11-30
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-12-07
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-12-14
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-21
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-28
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-02-15
Health check-in — 3 months, dose 3
Feeling: Fair

Adult check-in
2022-04-27
Call successful
Not applicable - Accidental Reporting
2022-05-17
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-09-07
Dose 4 — Moderna
2022-10-01
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-10-05
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-10-12
Survey response — day 35, dose 4
MedDRA: Dyspnoea, Fatigue, Night sweats, Pain, Skin disorder — Feeling: Fair · Be unable to do your normal daily activities

Free text: Shortness of breath,achy,tired, night sweats, skin problems

MedDRA releases: 2024-11 · check-in free text available
2022-10-19
Health check-in — day 42, dose 4
Feeling: Fair

Adult check-in
2022-12-07
Survey response — 3 months, dose 4
MedDRA: Nasopharyngitis, Unevaluable event — Feeling: Fair

Free text: Long lasting cold and sinus

MedDRA releases: 2024-11 · check-in free text available
2023-03-08
Survey response — 6 months, dose 4
MedDRA: Tendonitis — Feeling: Good · 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
2023-03-08
Report sent to call center — 6 months, dose 4
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)
2023-03-09
Call successful
Not applicable - Accidental Reporting

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-22	Moderna
2	2021-05-20	Moderna
3	2021-11-16	Moderna	No
4	2022-09-07	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2021-05-27	Successful 2022-04-27	Not applicable - Accidental Reporting
2023-03-08	Successful 2023-03-09	Not applicable - Accidental Reporting

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-24

Systemic reaction (other): I took advil for a migraine and I think it caused a stomachache.

Release 8 — day 14, dose 1

2021-05-06

Symptoms: Depression, weight gain, congestion

Release 8 — day 21, dose 1

2021-05-13

Symptoms: Migraine

Release 8 — days 1–6 daily, dose 2

2021-05-21

Systemic reaction (other): Hot flashes

2021-05-26

Systemic reaction (other): Hot flashes

Release 8 — day 7, dose 2

2021-05-27

Systemic reaction (other): Ulcerative colitis flare

Release 8 — day 14, dose 2

2021-06-03

Symptoms: Started lexapro and now have purple rash and fatigue

Release 9 — day 21, dose 2

2021-06-10

Symptoms: Tired from Lexapro

Release 9 — day 28, dose 2

2021-06-17

Symptoms: Ulcerative colitis flare

Release 12 — day 35, dose 4

2022-10-12

Symptoms: Shortness of breath,achy,tired, night sweats, skin problems

Release 12 — 3 months, dose 4

2022-12-07

Symptoms: Long lasting cold and sinus

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
SD	Colitis ulcerative	✓	✓	✓
SD	Condition aggravated	✓	✓	✓
SD	Depression	✓	✓	✓
SD	Dyspnoea	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Macule	○	○	○
SD	Migraine	✓	✓	✓
SD	Nasopharyngitis	·	·	✓
SD	Night sweats	·	·	✓
SD	Pain	·	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Rash	✓	✓	✓
SD	Respiratory tract congestion	✓	✓	✓
SD	Skin discolouration	✓	✓	✓
SD	Skin disorder	·	·	✓
SD	Tendonitis	·	·	✓
SD	Unevaluable event	✓	✓	✓
SD	Weight increased	✓	✓	✓
SRO	Abdominal pain upper	✓	✓	○
SRO	Colitis ulcerative	✓	✓	✓
SRO	Condition aggravated	✓	✓	✓
SRO	Hot flush	✓	✓	✓
SRO	Migraine	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Self-medication	·	·	✓

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