K67-24061-61283

4 vaccinations 5 coded responses 38 check-ins 5 free-text entries 1 call case

Sex: Female
Age at first dose: 31-35
ZIP prefix: 223 / VA
Registered: 2021-01-18

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

2021-01-18
Registered in v-safe
2021-01-18
Dose 1 — Moderna
2021-01-18
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Itching · None

Adult check-in
2021-01-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-25
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-01
Survey response — day 14, dose 1
MedDRA: Chills, Cold sweat, Confusional state, Emergency care, Hypoaesthesia, Migraine — Feeling: Good

Free text: I had two migraines. Chills and clamy one night. I believe this to be unrelated, but was rushed the to ER for right side numbness and confusion. Labeled with parenthesis.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-10
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-15
Dose 2 — Moderna
2021-02-15
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-16
Survey response — days 1–6 daily, dose 2
MedDRA: Retching — Feeling: Poor · Site: Pain, Itching · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Dry heaving

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Itching · None

Adult check-in
2021-02-18
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Diarrhea, Abdominal pain

Adult check-in
2021-02-19
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-20
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-02-21
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Nausea

Adult check-in
2021-02-22
Health check-in — day 7, dose 2
Feeling: Good · Muscle or body aches

Adult check-in
2021-03-01
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-08
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-15
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-24
Survey response — day 35, dose 2
MedDRA: Migraine — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Two migraines this week

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-24
Report sent to call center — day 35, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-29
Survey response — day 42, dose 2
MedDRA: Migraine — Feeling: Good

Free text: 1 migraine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-17
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-16
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-05
Dose 3 — Moderna
Co-administered: Flu
2022-01-12
Call successful
Participant prefers to complete VAERS report online
2022-02-17
Health check-in — 12 months, dose 2
Feeling: Fair

Adult check-in
2022-05-11
Dose 4 — Moderna
2022-05-14
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Headache · Be unable to do your normal daily activities

Adult check-in
2022-05-15
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-05-16
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-05-17
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Fever · Headache, Muscle or body aches

Adult check-in
2022-05-18
Health check-in — day 7, dose 4
Feeling: Fair · Headache

Adult check-in
2022-05-25
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-06-03
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-06-08
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-06-15
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-06-22
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-08-10
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-11-09
Survey response — 6 months, dose 4
MedDRA: Pregnancy — Feeling: Good

Free text: Pregnancy

MedDRA releases: 2024-11 · check-in free text available
2023-05-14
Health check-in — 12 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-18	Moderna
2	2021-02-15	Moderna
3	2021-11-05	Moderna	Flu
4	2022-05-11	Moderna	No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 3 — day 14, dose 1

2021-02-01

Symptoms: I had two migraines. Chills and clamy one night. I believe this to be unrelated, but was rushed the to ER for right side numbness and confusion. Labeled with parenthesis.

Release 4 — days 1–6 daily, dose 2

2021-02-16

Systemic reaction (other): Dry heaving

Release 6 — day 35, dose 2

2021-03-24

Symptoms: Two migraines this week

Release 6 — day 42, dose 2

2021-03-29

Symptoms: 1 migraine

Release 12 — 6 months, dose 4

2022-11-09

Symptoms: Pregnancy

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	Chills	✓	✓	✓
SD	Cold sweat	✓	✓	✓
SD	Confusional state	✓	✓	✓
SD	Emergency care	✓	✓	✓
SD	Hypoaesthesia	✓	✓	✓
SD	Migraine	✓	✓	✓
SD	Pregnancy	·	·	✓
SRO	Retching	✓	✓	✓

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