TDP-12328-45668

5 vaccinations 7 coded responses 61 check-ins 7 free-text entries 7 call cases

Sex: Female
Age at first dose: 21-25
ZIP prefix: 956 / CA
Registered: 2021-01-25

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

2021-01-25
Registered in v-safe
2021-01-25
Dose 1 — Moderna
2021-01-25
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-01-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Itching · None

Adult check-in
2021-01-29
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-30
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-31
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-01
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-08
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-15
Survey response — day 21, dose 1
MedDRA: Chills, Pain, Pyrexia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Fever, chills, body aches

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-22
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-02-25
Dose 2 — Moderna
2021-02-25
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain, Redness · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-02-26
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-02-27
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-02-28
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-03-01
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Itching · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-03-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Itching · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-03
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Itching · Fatigue or tiredness, Abdominal pain

Adult check-in
2021-03-04
Health check-in — day 7, dose 2
Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-11
Survey response — day 14, dose 2
MedDRA: Arthralgia, Pain, Pain in extremity — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Pain radiating from shoulder to fingers in the arm I got the shot in

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-11
Report sent to call center — day 14, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-18
Survey response — day 21, dose 2
MedDRA: Asthenia, Pain — Feeling: Good · 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: Pain radiating down arm into elbow and fingers especially. Also have had some weakness in my hand of the arm that got the shot in it

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-18
Report sent to call center — day 21, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-25
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-01
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-08
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-27
Survey response — 3 months, dose 2
MedDRA: Coagulopathy, Haemorrhage — 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: Bleeding/clotting issues

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-27
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-26
Survey response — 6 months, dose 2
MedDRA: Deafness — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Hearing loss

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-26
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-27
Call 1 — Left Voicemail
2021-11-05
Dose 3 — Moderna
2021-11-05
Health check-in — day 0, dose 3
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2021-11-06
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Itching · Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-11-07
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-11-08
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Itching · Joint pains, Muscle or body aches, Diarrhea

Adult check-in
2021-11-09
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Itching · Diarrhea

Adult check-in
2021-11-11
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-12
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-11-19
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-26
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-12-05
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-10
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-17
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2022-02-04
Survey response — 3 months, dose 3
MedDRA: Sinusitis — Feeling: Fair · 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: Sinus infection

MedDRA releases: 2024-11 · check-in free text available
2022-02-04
Report sent to call center — 3 months, dose 3
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-02-08
Call 1 — Left Voicemail
2022-05-06
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-06-12
Dose 4 — Moderna
2022-06-26
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-07-03
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-07-10
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-07-17
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-07-24
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-09-11
Survey response — 3 months, dose 4
MedDRA: COVID-19 — 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

Free text: Positive Covid 19 on 8/12/2022

MedDRA releases: 2024-11 · check-in free text available
2022-09-11
Report sent to call center — 3 months, dose 4
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 · 1 call case(s)
2022-09-13
Call 1 — Left Voicemail
2022-09-13
Call 1 — Left Voicemail
2022-09-13
Call 1 — Left Voicemail
2022-09-13
Call 2 — Left Voicemail
2022-09-13
Call 2 — Left Voicemail
2022-09-13
Call 1 — Left Voicemail
2022-09-14
Call successful
Not applicable - Accidental Reporting
2022-09-14
Call successful
Not applicable - Accidental Reporting
2022-09-14
Call successful
Not applicable - Accidental Reporting
2022-09-14
Call successful
Not applicable - Accidental Reporting
2022-09-14
Call successful
Not applicable - Accidental Reporting
2022-09-14
Call successful
Participant prefers to complete VAERS report online
2022-10-20
Dose 5 — Moderna
2022-10-20
Health check-in — day 0, dose 5
Feeling: Good · Site: Pain · None

Adult check-in
2022-10-21
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2022-10-22
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Site: Pain, Itching · Muscle or body aches, Diarrhea · Be unable to work or attend school

Adult check-in
2022-10-23
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Headache

Adult check-in
2022-10-24
Health check-in — days 1–6 daily, dose 5
Feeling: Poor · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Diarrhea, Abdominal pain · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Adult check-in
2022-10-24
Report sent to call center — days 1–6 daily, dose 5
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)
2022-10-25
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Fever · Headache, Muscle or body aches, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2022-10-26
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-10-26
Call 1 — Left Voicemail
2022-10-27
Health check-in — day 7, dose 5
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-11-03
Health check-in — day 14, dose 5
Feeling: Good

Adult check-in
2022-11-10
Health check-in — day 21, dose 5
Feeling: Fair

Adult check-in
2022-11-17
Health check-in — day 28, dose 5
Feeling: Good

Adult check-in
2022-11-24
Health check-in — day 35, dose 5
Feeling: Fair

Adult check-in
2022-12-01
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2023-01-19
Health check-in — 3 months, dose 5
Feeling: Good

Adult check-in
2023-04-20
Health check-in — 6 months, dose 5
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-25	Moderna
2	2021-02-25	Moderna
3	2021-11-05	Moderna	No
4	2022-06-12	Moderna	No
5	2022-10-20	Moderna	No

Call center

7 call center cases

6 successful · 1 unsuccessful

3 waits over 3 months for a first call

See the call center timeline

Free text

Release 4 — day 21, dose 1

2021-02-15

Symptoms: Fever, chills, body aches

Release 5 — day 14, dose 2

2021-03-11

Symptoms: Pain radiating from shoulder to fingers in the arm I got the shot in

Release 5 — day 21, dose 2

2021-03-18

Symptoms: Pain radiating down arm into elbow and fingers especially. Also have had some weakness in my hand of the arm that got the shot in it

Release 8 — 3 months, dose 2

2021-05-27

Symptoms: Bleeding/clotting issues

Release 9 — 6 months, dose 2

2021-08-26

Symptoms: Hearing loss

Release 11 — 3 months, dose 3

2022-02-04

Symptoms: Sinus infection

Release 12 — 3 months, dose 4

2022-09-11

Symptoms: Positive Covid 19 on 8/12/2022

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	Arthralgia	✓	✓	✓
SD	Asthenia	✓	✓	✓
SD	Chills	✓	✓	✓
SD	Coagulopathy	✓	✓	✓
SD	COVID-19	·	·	✓
SD	Deafness	✓	·	✓
SD	Haemorrhage	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SD	Pyrexia	✓	✓	✓
SD	Sinusitis	·	·	✓

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