L9P-33875-70650

2 vaccinations 5 coded responses 18 check-ins 5 free-text entries 5 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 390 / MS
Registered: 2021-01-07

Relationship: Self
Race: N/A
Ethnicity: N/A

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-01-07
Registered in v-safe
2021-01-07
Dose 1 — Moderna
2021-01-07
Survey response — day 0, dose 1
MedDRA: Unevaluable event — Feeling: Good · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Prob from the chaos of terrorist yesterday than the actual vaccine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-08
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling · Muscle or body aches

Adult check-in
2021-01-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Muscle or body aches

Adult check-in
2021-01-12
Survey response — days 1–6 daily, dose 1
MedDRA: Unevaluable event — Feeling: Poor · Site: Pain, Swelling · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Feels similar to an early miscarriage.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-12
Report sent to call center — days 1–6 daily, dose 1
Be unable to work · Be unable to do your normal daily activities

1 call case(s)
2021-01-13
Survey response — days 1–6 daily, dose 1
MedDRA: Dehydration, Emergency care, White blood cell count increased — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Went to ER for dehydration. White blood cell count high.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-13
Report sent to call center — days 1–6 daily, dose 1
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)
2021-01-14
Health check-in — day 7, dose 1
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to work

Adult check-in
2021-01-14
Report sent to call center — day 7, dose 1
Be unable to work

1 call case(s)
2021-01-22
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-29
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-04
Dose 2 — Moderna
2021-02-12
Health check-in — day 7, dose 2
Feeling: Good · Site: Pain, Redness, Swelling, Itching · None

Adult check-in
2021-02-18
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-25
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-03
Call 1 — Left Voicemail
2021-03-06
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-11
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-18
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-06
Survey response — 3 months, dose 2
MedDRA: Ophthalmic migraine, Pre-existing disease, Sinus congestion — 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: Chronic sinus congestion and began taking topamax for chronic 3 week optical migraines

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-06
Report sent to call center — 3 months, 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)
2021-06-17
Call 1 — Left Voicemail
2021-08-05
Survey response — 6 months, dose 2
MedDRA: Aura, Dissociation, Fatigue, Hypoaesthesia, Migraine — Feeling: Poor · 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, Outpatient clinic or urgent care clinic visit

Free text: Chronic migraines. All types including auras. 2.5 weeks straight. And frequently other days as well. Cognitive fatigue and disassociation. Numb hands and my right thigh has a section that is numb.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-05
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)
2021-08-16
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-07	Moderna
2	2021-02-04	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-01-12	Unsuccessful
2021-01-13	Unsuccessful
2021-01-14	Unsuccessful
2021-05-06	Unsuccessful
2021-08-05	Unsuccessful

Free text

Release 1 — day 0, dose 1

2021-01-07

Systemic reaction (other): Prob from the chaos of terrorist yesterday than the actual vaccine.

Release 1 — days 1–6 daily, dose 1

2021-01-12

Systemic reaction (other): Feels similar to an early miscarriage.

2021-01-13

Systemic reaction (other): Went to ER for dehydration. White blood cell count high.

Release 8 — 3 months, dose 2

2021-05-06

Symptoms: Chronic sinus congestion and began taking topamax for chronic 3 week optical migraines

Release 9 — 6 months, dose 2

2021-08-05

Symptoms: Chronic migraines. All types including auras. 2.5 weeks straight. And frequently other days as well. Cognitive fatigue and disassociation. Numb hands and my right thigh has a section that is numb.

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	Aura	✓	·	✓
SD	Dissociation	✓	·	✓
SD	Fatigue	✓	·	✓
SD	Hypoaesthesia	✓	·	✓
SD	Migraine	✓	·	✓
SD	Ophthalmic migraine	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Sinus congestion	✓	✓	✓
SRO	Dehydration	✓	✓	✓
SRO	Emergency care	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓
SRO	White blood cell count increased	✓	✓	✓

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