QQH-11263-35201

4 vaccinations 17 coded responses 46 check-ins 17 free-text entries 2 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 303 / GA
Registered: 2021-01-17

Relationship: Self
Race: Asian
Ethnicity: Not Hispanic or Latino

Registered dependents

8S2-17793-79281 Child or adolescent in my care · Male · 2021-12-08

TUN-32346-57673 Child or adolescent in my care · Female · 2021-12-08

Timeline

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

2021-01-16
Dose 1 — Moderna
2021-01-17
Registered in v-safe
2021-01-17
Survey response — days 1–6 daily, dose 1
MedDRA: Lymphadenopathy — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Swollen lymph nodes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-17
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)
2021-01-18
Survey response — days 1–6 daily, dose 1
MedDRA: Constipation, Insomnia, Loss of personal independence in daily activities, Pain, Pain in extremity, Proctalgia, Pyrexia — Feeling: Good · Site: Pain, Redness, Swelling · Muscle or body aches

Free text: Yesterday, fever went up to 101.7 and spent all day in bed due to symptoms. Last night, woke up multiple times to rectal muscle pain. Had an overwhelming feeling to go to the bathroom (more severe then constipation would feel) with no results. This morning, feel 85% better all around. No fever, chills, tiredness, or weakness but still sore on the left arm to shoulder blades and back.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Redness, Swelling · Headache

Adult check-in
2021-01-21
Survey response — days 1–6 daily, dose 1
MedDRA: Abdominal distension, Decreased appetite — Feeling: Good · Site: Pain, Redness, Swelling, Itching · Nausea

Free text: Ever since the vaccine, my stomach has felt strangely full. Strong lack of appetite.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-22
Survey response — days 1–6 daily, dose 1
MedDRA: Decreased appetite — Feeling: Good · Site: Pain, Redness, Swelling, Itching · Headache, Fatigue or tiredness

Free text: Still feeling a lack of appetite and not wanting to eat.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-23
Survey response — day 7, dose 1
MedDRA: Decreased appetite — Feeling: Good · Site: Pain, Swelling, Itching · Headache

Free text: Lack of appetite.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-30
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-06
Survey response — day 21, dose 1
MedDRA: Abdominal distension, Abdominal pain, Menstruation delayed — Feeling: Good · Be unable to do your normal daily activities

Free text: My menstrual cycle is very regular; however, after the vaccine, my period came 2 weeks late with extreme bloating and abdominal pain.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-13
Dose 2 — Moderna
2021-02-13
Survey response — day 0, dose 2
MedDRA: Abdominal discomfort — Feeling: Good · Site: Pain, Redness, Swelling · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Stomach feels uneasy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-14
Survey response — days 1–6 daily, dose 2
MedDRA: Decreased appetite — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: No appetite

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-15
Survey response — days 1–6 daily, dose 2
MedDRA: Abdominal distension, Decreased appetite — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Loss of appetite and stomach feels full when there's nothing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-16
Survey response — days 1–6 daily, dose 2
MedDRA: Decreased appetite — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: No appetite

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-17
Survey response — days 1–6 daily, dose 2
MedDRA: Decreased appetite, Taste disorder — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: Taste buds are off. Lack of appetite.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-06
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-13
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-03-22
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-27
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-15
Survey response — 3 months, dose 2
MedDRA: Migraine — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities

Free text: Migraines

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-14
Survey response — 6 months, dose 2
MedDRA: Abortion spontaneous, Menstruation irregular — Feeling: Good · 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: After vaccination, menstruation was off by a week or so. Had first miscarriage ever after two healthy deliveries.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-14
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-18
Call successful
Participant prefers to complete VAERS report online
2021-10-25
Dose 3 — Moderna
2021-10-25
Health check-in — day 0, dose 3
Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-10-26
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain, Redness, Swelling · 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
2021-10-27
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain, Redness, Swelling · 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
2021-10-28
Survey response — days 1–6 daily, dose 3
MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: Lymph nodes in my armpits and around my throat are visibly swollen and extremely painful.

MedDRA releases: 2024-11 · check-in free text available
2021-10-29
Survey response — days 1–6 daily, dose 3
MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: Lymph nodes in armpits and throat are swollen and extremely sore

MedDRA releases: 2024-11 · check-in free text available
2021-10-30
Survey response — days 1–6 daily, dose 3
MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Free text: Swollen lymph nodes under arms and neck

MedDRA releases: 2024-11 · check-in free text available
2021-11-01
Health check-in — day 7, dose 3
Feeling: Fair · Site: Itching · Chills, Headache, Joint pains, Muscle or body aches

Adult check-in
2021-11-08
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-15
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-24
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-29
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-06
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-24
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-04-25
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-09-17
Dose 4 — Moderna
2022-09-18
Health check-in — days 1–6 daily, dose 4
Feeling: Poor · Site: Pain, Redness, Swelling · 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
2022-09-19
Survey response — days 1–6 daily, dose 4
MedDRA: Burning sensation, Sensitive skin — Feeling: Poor · Site: Pain, Redness, Swelling · 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

Free text: Feels like my back is burned with hot water. It is not red or irritated but it is extremely sensitive as if burned with liquid.

MedDRA releases: 2024-11 · check-in free text available
2022-09-21
Health check-in — days 1–6 daily, dose 4
Feeling: Poor · Site: Pain, Swelling, Itching · Fever · 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
2022-09-22
Health check-in — days 1–6 daily, dose 4
Feeling: Poor · Site: Pain, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school

Adult check-in
2022-09-23
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-09-24
Health check-in — day 7, dose 4
Feeling: Fair · Site: Itching · Headache, Fatigue or tiredness

Adult check-in
2022-10-03
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-10-08
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-10-15
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-10-22
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-10-31
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-12-17
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2023-03-20
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-16	Moderna
2	2021-02-13	Moderna
3	2021-10-25	Moderna	No
4	2022-09-17	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2021-01-17	priority 2/3
2021-08-14	Successful 2021-08-18	Participant prefers to complete VAERS report online

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-17

Systemic reaction (other): Swollen lymph nodes

2021-01-18

Systemic reaction (other): Yesterday, fever went up to 101.7 and spent all day in bed due to symptoms. Last night, woke up multiple times to rectal muscle pain. Had an overwhelming feeling to go to the bathroom (more severe then constipation would feel) with no results. This morning, feel 85% better all around. No fever, chills, tiredness, or weakness but still sore on the left arm to shoulder blades and back.

2021-01-21

Systemic reaction (other): Ever since the vaccine, my stomach has felt strangely full. Strong lack of appetite.

2021-01-22

Systemic reaction (other): Still feeling a lack of appetite and not wanting to eat.

Release 2 — day 7, dose 1

2021-01-23

Systemic reaction (other): Lack of appetite.

Release 3 — day 21, dose 1

2021-02-06

Symptoms: My menstrual cycle is very regular; however, after the vaccine, my period came 2 weeks late with extreme bloating and abdominal pain.

Release 4 — day 0, dose 2

2021-02-13

Systemic reaction (other): Stomach feels uneasy

Release 4 — days 1–6 daily, dose 2

2021-02-14

Systemic reaction (other): No appetite

2021-02-15

Systemic reaction (other): Loss of appetite and stomach feels full when there's nothing

2021-02-16

Systemic reaction (other): No appetite

2021-02-17

Systemic reaction (other): Taste buds are off. Lack of appetite.

Release 8 — 3 months, dose 2

2021-05-15

Symptoms: Migraines

Release 9 — 6 months, dose 2

2021-08-14

Symptoms: After vaccination, menstruation was off by a week or so. Had first miscarriage ever after two healthy deliveries.

Release 10 — days 1–6 daily, dose 3

2021-10-28

Systemic reaction (other): Lymph nodes in my armpits and around my throat are visibly swollen and extremely painful.

2021-10-29

Systemic reaction (other): Lymph nodes in armpits and throat are swollen and extremely sore

2021-10-30

Systemic reaction (other): Swollen lymph nodes under arms and neck

Release 12 — days 1–6 daily, dose 4

2022-09-19

Systemic reaction (other): Feels like my back is burned with hot water. It is not red or irritated but it is extremely sensitive as if burned with liquid.

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 distension	✓	✓	✓
SD	Abdominal pain	✓	✓	✓
SD	Abortion spontaneous	✓	·	✓
SD	Menstruation delayed	✓	✓	✓
SD	Menstruation irregular	✓	·	✓
SD	Migraine	✓	✓	✓
SRO	Abdominal discomfort	✓	✓	✓
SRO	Abdominal distension	✓	✓	✓
SRO	Burning sensation	·	·	✓
SRO	Constipation	✓	✓	✓
SRO	Decreased appetite	✓	✓	✓
SRO	Insomnia	✓	✓	✓
SRO	Loss of personal independence in daily activities	✓	✓	✓
SRO	Lymph node pain	·	·	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Proctalgia	✓	✓	✓
SRO	Pyrexia	✓	✓	✓
SRO	Sensitive skin	·	·	✓
SRO	Taste disorder	✓	✓	✓

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