BEN-23485-31828

3 vaccinations 8 coded responses 36 check-ins 8 free-text entries 3 call cases

Sex: Female
Age at first dose: 31-35
ZIP prefix: 286 / NC
Registered: 2021-02-12

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

2021-02-10
Dose 1 — Moderna
2021-02-12
Registered in v-safe
2021-02-12
Health check-in — days 1–6 daily, dose 1
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
2021-02-13
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-17
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-26
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-03
Survey response — day 21, dose 1
MedDRA: Chest discomfort, Ear pain, Fatigue, Palpitations — Feeling: Fair · Be unable to do your normal daily activities

Free text: Chest tightness, ear ache, heart palpitations, fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-12
Dose 2 — Moderna
2021-03-12
Survey response — day 0, dose 2
MedDRA: Feeling jittery, Tremor — Feeling: Fair · Site: Pain · Muscle or body aches

Free text: Jittery feeling/legs trembling

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-13
Survey response — days 1–6 daily, dose 2
MedDRA: Tachycardia — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Tachycardia (increased resting heart rate)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2021-03-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-18
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-19
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-26
Survey response — day 14, dose 2
MedDRA: Chest discomfort, Cough, Fatigue, Influenza virus test, Laryngitis, Myalgia, Pain, Pyrexia, SARS-CoV-2 test — Feeling: Fair · Be unable to work, 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: Fever, muscle/body aches, fatigue, laryngitis, chest tightness, cough · Healthcare visit (other): COVID and flu testing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
Report sent to call center — day 14, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-02
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-09
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-16
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-25
Survey response — day 42, dose 2
MedDRA: Gastroenteritis — Feeling: Poor · Be unable to do your normal daily activities

Free text: Gastroenteritis

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-16
Survey response — 3 months, dose 2
MedDRA: Bronchitis viral, Sinusitis — Feeling: Good · Be unable to work or attend school

Free text: Viral bronchitis and sinusitis

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-09-12
Survey response — 6 months, dose 2
MedDRA: Nasopharyngitis — 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

Free text: Colds

MedDRA releases: 2024-11 · check-in free text available
2021-09-12
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

1 call case(s)
2021-09-14
Call 1 — Left Voicemail
2021-11-01
Dose 3 — Moderna
2021-11-02
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-11-03
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache, Muscle or body aches

Adult check-in
2021-11-04
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Headache

Adult check-in
2021-11-05
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Headache

Adult check-in
2021-11-06
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-07
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Headache

Adult check-in
2021-11-08
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-11-15
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-22
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-29
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-06
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-13
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-31
Survey response — 3 months, dose 3
MedDRA: Pregnancy, Supraventricular tachycardia — Feeling: Good · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, Hospitalization

Free text: Supraventricular tachycardia (during pregnancy; possibly triggered by a medication; positive family history of the condition)

MedDRA releases: 2024-11 · check-in free text available
2022-01-31
Report sent to call center — 3 months, dose 3
Get care from a doctor or other healthcare professional

Emergency room or emergency department visit · Hospitalization · 1 call case(s)
2022-02-01
Call successful
Participant prefers to complete VAERS report online
2022-05-04
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-10	Moderna
2	2021-03-12	Moderna
3	2021-11-01	Moderna	No

Call center

3 call center cases

3 successful

See the call center timeline

Free text

Release 5 — day 21, dose 1

2021-03-03

Symptoms: Chest tightness, ear ache, heart palpitations, fatigue

Release 5 — day 0, dose 2

2021-03-12

Systemic reaction (other): Jittery feeling/legs trembling

Release 5 — days 1–6 daily, dose 2

2021-03-13

Systemic reaction (other): Tachycardia (increased resting heart rate)

Release 6 — day 14, dose 2

2021-03-26

Symptoms: Fever, muscle/body aches, fatigue, laryngitis, chest tightness, cough

Healthcare visit (other): COVID and flu testing

Release 7 — day 42, dose 2

2021-04-25

Symptoms: Gastroenteritis

Release 9 — 3 months, dose 2

2021-06-16

Symptoms: Viral bronchitis and sinusitis

Release 9 — 6 months, dose 2

2021-09-12

Symptoms: Colds

Release 11 — 3 months, dose 3

2022-01-31

Symptoms: Supraventricular tachycardia (during pregnancy; possibly triggered by a medication; positive family history of the condition)

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	Influenza virus test	✓	✓	✓
HCVO	SARS-CoV-2 test	✓	✓	✓
SD	Bronchitis viral	✓	✓	✓
SD	Chest discomfort	✓	✓	✓
SD	Cough	✓	✓	✓
SD	Ear pain	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Gastroenteritis	✓	✓	✓
SD	Laryngitis	✓	✓	✓
SD	Myalgia	✓	✓	✓
SD	Nasopharyngitis	·	·	✓
SD	Pain	✓	✓	✓
SD	Palpitations	✓	✓	✓
SD	Pregnancy	·	·	✓
SD	Pyrexia	✓	✓	✓
SD	Sinusitis	✓	✓	✓
SD	Supraventricular tachycardia	·	·	✓
SRO	Feeling jittery	✓	✓	✓
SRO	Tachycardia	✓	✓	✓
SRO	Tremor	✓	✓	✓

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