SZ8-31343-94136

2 vaccinations 5 coded responses 15 check-ins 5 free-text entries 2 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 980 / WA
Registered: 2021-05-28

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

2021-04-30
Dose 1 — Moderna
2021-05-28
Registered in v-safe
2021-05-28
Dose 2 — Moderna
2021-05-28
Survey response — day 0, dose 2
MedDRA: Adverse reaction, Injection site pain, Injection site pruritus, Self-medication — Feeling: Good · Site: Pain, Redness, Itching · Fatigue or tiredness

Free text: All of my symptoms are mild with the use of over the counter medication so far including my Covid arm reaction that I had after the first vaccine but got sooner this time. Last time I got it 8 days after the vaccine and today I reacted 4 hours after. I got the vaccine in my right arm instead this time and both of my arms reacted with pain and itching at both injection sites.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-29
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Itching · Headache, Joint pains, Fatigue or tiredness

Adult check-in
2021-05-30
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Itching · Chills, Headache, Fatigue or tiredness, Abdominal pain · Be unable to work

Adult check-in
2021-05-31
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Joint pains, Muscle or body aches, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-06-01
Survey response — days 1–6 daily, dose 2
MedDRA: Erythema, Feeling hot, Pruritus, Self-medication — Feeling: Good · Site: Redness, Itching · Fatigue or tiredness

Free text: Itching and redness/heat would be moderate to severe if not for over the counter allergy medicine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Itching · None

Adult check-in
2021-06-03
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-06-04
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-06-11
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-06-18
Survey response — day 21, dose 2
MedDRA: Aphasia, Headache, Hunger, Menstrual disorder, Menstruation irregular, Pregnancy — Feeling: Fair

Free text: Extreme increase in hunger ever since my 2nd vaccine, missed menstrual cycle (cant possibly be pregnant), constant headaches since 2nd vaccine and when I think a word I say the wrong one repeatedly.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-04
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-07-09
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-08-27
Survey response — 3 months, dose 2
MedDRA: Abdominal pain, Diarrhoea, Dizziness, Headache, Heavy menstrual bleeding, Nausea, Palpitations, Unevaluable event, 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: Symptoms: Diarrhea, abdominal pain and cramps, dizziness and spins, headaches, longer than usual period, heart palpitations and nausea. · Healthcare visit (other): Running tests like blood analysis and stool samples.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-27
Report sent to call center — 3 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)
2021-11-26
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-12-15
Call successful
Does not wish to fill out VAERS report
2022-05-29
Survey response — 12 months, dose 2
MedDRA: Appendicectomy, Appendicitis, Complication of device removal, Food allergy, Surgery, Urticaria, Uterine haemorrhage — 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, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit, Hospitalization

Free text: Symptoms: 11 days after my Covid booster I developed full body hives-chronic hives since January 2022. In that time, developed allergies to citrus + citrate. Then hemorrhage bleeding of uterus after IUD removal-needed meds.After appendicitis with appendectomy. · Healthcare visit (other): Medication and Surgery

MedDRA releases: 2024-11 · check-in free text available
2022-05-29
Report sent to call center — 12 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

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · Hospitalization · 1 call case(s)
2022-05-31
Call successful
Participant prefers to complete VAERS report online

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-30	Moderna
2	2021-05-28	Moderna

Call center

2 call center cases

2 successful

See the call center timeline

Free text

Release 8 — day 0, dose 2

2021-05-28

Systemic reaction (other): All of my symptoms are mild with the use of over the counter medication so far including my Covid arm reaction that I had after the first vaccine but got sooner this time. Last time I got it 8 days after the vaccine and today I reacted 4 hours after. I got the vaccine in my right arm instead this time and both of my arms reacted with pain and itching at both injection sites.

Release 8 — days 1–6 daily, dose 2

2021-06-01

Systemic reaction (other): Itching and redness/heat would be moderate to severe if not for over the counter allergy medicine.

Release 9 — day 21, dose 2

2021-06-18

Symptoms: Extreme increase in hunger ever since my 2nd vaccine, missed menstrual cycle (cant possibly be pregnant), constant headaches since 2nd vaccine and when I think a word I say the wrong one repeatedly.

Release 9 — 3 months, dose 2

2021-08-27

Symptoms: Diarrhea, abdominal pain and cramps, dizziness and spins, headaches, longer than usual period, heart palpitations and nausea.

Healthcare visit (other): Running tests like blood analysis and stool samples.

Release 11 — 12 months, dose 2

2022-05-29

Symptoms: 11 days after my Covid booster I developed full body hives-chronic hives since January 2022. In that time, developed allergies to citrus + citrate. Then hemorrhage bleeding of uterus after IUD removal-needed meds.After appendicitis with appendectomy. cut off by CDC

Healthcare visit (other): Medication and Surgery

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
HCVO	Surgery	·	·	✓
HCVO	Unevaluable event	✓	·	✓
SD	Abdominal pain	✓	·	✓
SD	Aphasia	·	·	✓
SD	Appendicectomy	·	·	✓
SD	Appendicitis	·	·	✓
SD	Complication of device removal	·	·	✓
SD	Diarrhoea	✓	·	✓
SD	Dizziness	✓	·	✓
SD	Food allergy	·	·	✓
SD	Headache	✓	✓	✓
SD	Heavy menstrual bleeding	✓	·	✓
SD	Hunger	✓	✓	✓
SD	Menstrual disorder	✓	✓	○
SD	Menstruation irregular	·	·	✓
SD	Nausea	✓	·	✓
SD	Palpitations	✓	·	✓
SD	Pregnancy	✓	✓	○
SD	Urticaria	·	·	✓
SD	Uterine haemorrhage	·	·	✓
SD	Vertigo	✓	·	✓
SRO	Adverse reaction	✓	✓	✓
SRO	Erythema	✓	✓	✓
SRO	Feeling hot	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Injection site pruritus	✓	✓	✓
SRO	Pruritus	✓	✓	✓
SRO	Self-medication	✓	✓	✓

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