JFC-11364-90394

4 vaccinations 5 coded responses 40 check-ins 5 free-text entries 2 call cases

Sex: Female
Age at first dose: 31-35
ZIP prefix: 551 / MN
Registered: 2021-04-01

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

2021-04-01
Registered in v-safe
2021-04-01
Dose 1 — Moderna
2021-04-01
Survey response — day 0, dose 1
MedDRA: Dizziness — Feeling: Good · Site: Pain · Muscle or body aches, Nausea · Be unable to do your normal daily activities

Free text: Dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work

Adult check-in
2021-04-03
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

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

Adult check-in
2021-04-05
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-10
Health check-in — day 7, dose 1
Feeling: Fair · Fever · Fatigue or tiredness

Adult check-in
2021-04-15
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-22
Survey response — day 21, dose 1
MedDRA: Fatigue, Headache, Nausea — Feeling: Fair · Be unable to do your normal daily activities

Free text: Headache, fatigue, some nausea.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-29
Health check-in — day 28, dose 1
Feeling: Fair

Adult check-in
2021-04-30
Dose 2 — Moderna
2021-05-03
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache, Muscle or body aches, Fatigue or tiredness, Nausea

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

Adult check-in
2021-05-06
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-07
Health check-in — day 7, dose 2
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-05-14
Health check-in — day 14, dose 2
Feeling: Good

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

Adult check-in
2021-05-29
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-04
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-11
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-30
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-29
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-22
Dose 3 — Moderna
2021-11-23
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-11-25
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Joint pains, Muscle or body aches, Abdominal pain

Adult check-in
2021-11-27
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-28
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-29
Health check-in — day 7, dose 3
Feeling: Poor · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-12-06
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-12-13
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2021-12-20
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-27
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-01-03
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-02-21
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-05-25
Health check-in — 6 months, dose 3
Feeling: Fair

Adult check-in
2022-09-15
Dose 4 — Pfizer-BioNTech
Co-administered: Flu
2022-09-27
Health check-in — day 7, dose 4
Feeling: Good · Fatigue or tiredness, Nausea

Adult check-in
2022-09-29
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-10-06
Survey response — day 21, dose 4
MedDRA: Headache, Hyperhidrosis, Nausea, Tinnitus, Vertigo — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: I've had multiple episodes of vertigo (nauseous, headache, spinning, sweating, ringing in ears).

MedDRA releases: 2024-11 · check-in free text available
2022-10-06
Report sent to call center — day 21, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-10-07
Call 1 — Left Voicemail
2022-10-21
Health check-in — day 35, dose 4
Feeling: Fair

Adult check-in
2022-10-28
Survey response — day 42, dose 4
MedDRA: Abdominal pain — Feeling: Fair

Free text: Abdominal pain - felt like diaphragm wouldn't release. Wasn't sure if it was related to a workout or raking the lawn. Only lasted one day.

MedDRA releases: 2024-11 · check-in free text available
2022-12-15
Survey response — 3 months, dose 4
MedDRA: Abortion spontaneous, Vertigo — 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 · Telehealth, virtual health, or email health consultation

Free text: I have had two miscarriages, each at 5 weeks. I also had intense vertigo the other month and have been tested for mnire's disease (inconclusive).

MedDRA releases: 2024-11 · check-in free text available
2022-12-15
Report sent to call center — 3 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

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-12-16
Call 2 — Could Not Reach Participant
2022-12-16
Call 1 — Could Not Reach Participant
2022-12-21
Call 3 — Left Voicemail
2022-12-21
Call 2 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-01	Moderna
2	2021-04-30	Moderna
3	2021-11-22	Moderna	No
4	2022-09-15	Pfizer-BioNTech	Flu

Call center

Reported	Outcome	VAERS-related outcome
2022-10-06	Unsuccessful
2022-12-15	Unsuccessful

Free text

Release 6 — day 0, dose 1

2021-04-01

Systemic reaction (other): Dizziness

Release 7 — day 21, dose 1

2021-04-22

Symptoms: Headache, fatigue, some nausea.

Release 12 — day 21, dose 4

2022-10-06

Symptoms: I've had multiple episodes of vertigo (nauseous, headache, spinning, sweating, ringing in ears).

Release 12 — day 42, dose 4

2022-10-28

Symptoms: Abdominal pain - felt like diaphragm wouldn't release. Wasn't sure if it was related to a workout or raking the lawn. Only lasted one day.

Release 12 — 3 months, dose 4

2022-12-15

Symptoms: I have had two miscarriages, each at 5 weeks. I also had intense vertigo the other month and have been tested for mnire's disease (inconclusive).

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	Abdominal pain	·	·	✓
SD	Abortion spontaneous	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Hyperhidrosis	·	·	✓
SD	Nausea	✓	✓	✓
SD	Tinnitus	·	·	✓
SD	Vertigo	·	·	✓
SRO	Dizziness	✓	✓	✓

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