RRF-28555-30029

4 vaccinations 10 coded responses 52 check-ins 9 free-text entries 3 call cases

Sex: Female
Age at first dose: 31-35
ZIP prefix: 217 / MD
Registered: 2021-03-02

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

Registered dependents

5W6-51821-49989 Child or adolescent in my care · Male · 2022-06-24

Timeline

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

2021-03-02
Registered in v-safe
2021-03-02
Dose 1 — Moderna
2021-03-02
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · None

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

Adult check-in
2021-03-04
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-03-05
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-03-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-03-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-09
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-16
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-23
Survey response — day 21, dose 1
MedDRA: Dyspepsia, Headache — Feeling: Fair · Be unable to do your normal daily activities

Free text: Daily headache, severe heartburn today

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-30
Dose 2 — Moderna
2021-03-30
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-03-31
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-04-01
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness · 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
Survey response — days 1–6 daily, dose 2
MedDRA: Musculoskeletal stiffness — Feeling: Fair · Site: Pain · Headache

Free text: Stiff neck & shoulder muscles last night into this morning

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-03
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-04
Survey response — days 1–6 daily, dose 2
MedDRA: Ear pain, Sinus disorder — Feeling: Good · Headache

Free text: Sinus symptoms, ear pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-05
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-06
Health check-in — day 7, dose 2
Feeling: Good · Headache

Adult check-in
2021-04-13
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-20
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-27
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-04
Survey response — day 35, dose 2
MedDRA: Eye pruritus, Headache, Paranasal sinus discomfort — Feeling: Fair

Free text: Allergies, daily headache, itchy eyes, sinus pressure

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-11
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-29
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-28
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-12-03
Dose 3 — Moderna
2021-12-05
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain, Redness · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-12-06
Survey response — days 1–6 daily, dose 3
MedDRA: Hot flush, Neck pain — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Hot flashes & neck pain

MedDRA releases: 2024-11 · check-in free text available
2021-12-08
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Headache

Adult check-in
2021-12-09
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-12-10
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-12-17
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-12-24
Survey response — day 21, dose 3
MedDRA: Headache, Nasal congestion, Nasopharyngitis, Paranasal sinus discomfort, Rhinorrhoea — Feeling: Poor · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Cold symptoms, sinus pressure, runny & stuffy nose, headache

MedDRA releases: 2024-11 · check-in free text available
2021-12-24
Report sent to call center — day 21, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-12-27
Call successful
Participant prefers to complete VAERS report online
2021-12-31
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-01-07
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-01-14
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-03-04
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-06-03
Survey response — 6 months, dose 3
MedDRA: Condition aggravated, Headache, Pre-existing disease — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Headaches have returned, seborrheic dermatitis has returned

MedDRA releases: 2024-11 · check-in free text available
2022-06-03
Report sent to call center — 6 months, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-06-06
Call successful
Participant prefers to complete VAERS report online
2022-10-07
Dose 4 — Moderna
Co-administered: Flu
2022-10-07
Health check-in — day 0, dose 4
Feeling: Good · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-10-08
Health check-in — days 1–6 daily, dose 4
Feeling: Poor · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2022-10-09
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2022-10-10
Survey response — days 1–6 daily, dose 4
MedDRA: Oropharyngeal pain, Respiratory tract congestion — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Free text: Congestion, sore throat

MedDRA releases: 2024-11 · check-in free text available
2022-10-11
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Headache, Diarrhea

Adult check-in
2022-10-12
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · None

Adult check-in
2022-10-13
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · None

Adult check-in
2022-10-14
Health check-in — day 7, dose 4
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2022-10-21
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-10-28
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-11-04
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-11-11
Health check-in — day 35, dose 4
Feeling: Poor

Adult check-in
2022-11-18
Health check-in — day 42, dose 4
Feeling: Fair

Adult check-in
2023-01-06
Survey response — 3 months, dose 4
MedDRA: Aphonia, Bronchitis, Ear infection, Sinusitis — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

MedDRA releases: 2024-11
2023-01-06
Report sent to call center — 3 months, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2023-01-09
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2023-04-07
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-02	Moderna
2	2021-03-30	Moderna
3	2021-12-03	Moderna	No
4	2022-10-07	Moderna	Flu

Call center

3 call center cases

3 successful

See the call center timeline

Free text

Release 6 — day 21, dose 1

2021-03-23

Symptoms: Daily headache, severe heartburn today

Release 6 — days 1–6 daily, dose 2

2021-04-01

Systemic reaction (other): Dizziness

2021-04-02

Systemic reaction (other): Stiff neck & shoulder muscles last night into this morning

2021-04-04

Systemic reaction (other): Sinus symptoms, ear pain

Release 8 — day 35, dose 2

2021-05-04

Symptoms: Allergies, daily headache, itchy eyes, sinus pressure

Release 10 — days 1–6 daily, dose 3

2021-12-06

Systemic reaction (other): Hot flashes & neck pain

Release 10 — day 21, dose 3

2021-12-24

Symptoms: Cold symptoms, sinus pressure, runny & stuffy nose, headache

Release 11 — 6 months, dose 3

2022-06-03

Symptoms: Headaches have returned, seborrheic dermatitis has returned

Release 12 — days 1–6 daily, dose 4

2022-10-10

Systemic reaction (other): Congestion, sore throat

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	Aphonia	·	·	✓
SD	Bronchitis	·	·	✓
SD	Condition aggravated	·	·	✓
SD	Dyspepsia	✓	✓	✓
SD	Ear infection	·	·	✓
SD	Eye pruritus	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Nasal congestion	·	·	✓
SD	Nasopharyngitis	·	·	✓
SD	Paranasal sinus discomfort	✓	✓	✓
SD	Pre-existing disease	·	·	✓
SD	Rhinorrhoea	·	·	✓
SD	Sinusitis	·	·	✓
SRO	Dizziness	✓	✓	✓
SRO	Ear pain	✓	✓	✓
SRO	Hot flush	·	·	✓
SRO	Musculoskeletal stiffness	✓	✓	✓
SRO	Neck pain	·	·	✓
SRO	Oropharyngeal pain	·	·	✓
SRO	Respiratory tract congestion	·	·	✓
SRO	Sinus disorder	✓	✓	✓

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