TZL-21795-50132

3 vaccinations 11 coded responses 22 check-ins 11 free-text entries 2 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 787 / TX
Registered: 2021-01-30

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

2021-01-21
Dose 1 — Moderna
2021-01-30
Registered in v-safe
2021-01-30
Survey response — day 7, dose 1
MedDRA: Pre-existing condition improved — Feeling: Good · Site: Pain · Headache, Fatigue or tiredness

Free text: I was diagnosed with Grovers Disease and the vaccine cleared up my rash

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-06
Survey response — day 14, dose 1
MedDRA: Fatigue, Nausea — Feeling: Good

Free text: Nausea , tired

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-11
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-19
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 · Fatigue or tiredness

Adult check-in
2021-02-26
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work

Adult check-in
2021-02-27
Survey response — days 1–6 daily, dose 2
MedDRA: Fatigue, Feeling abnormal, Irritability — Feeling: Poor · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Brain fog, irritability, exhaustion

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-28
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-01
Survey response — days 1–6 daily, dose 2
MedDRA: Decreased appetite, Haematochezia — Feeling: Fair · Fatigue or tiredness, Abdominal pain

Free text: Not hungry, Bloody stool

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-03
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-04
Survey response — day 7, dose 2
MedDRA: Confusional state — Feeling: Fair · Fever · Fatigue or tiredness · Be unable to work

Free text: Confusion, not thinking clearly

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-11
Survey response — day 14, dose 2
MedDRA: Dizziness, Fatigue — Feeling: Good

Free text: Dizziness, tiredness.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-18
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-27
Survey response — day 28, dose 2
MedDRA: Dizziness, Fatigue, Neuralgia, Rash — Feeling: Fair

Free text: Rash, dizziness, fatigue, tiredness, exhaustion, nerve pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-05
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-08
Survey response — day 42, dose 2
MedDRA: Dizziness, Unevaluable event, Vertigo — Feeling: Poor · Get care from a doctor or other healthcare professional

Free text: Symptoms: I am extremely dizzy, It feels like vertigo. I can not look up abruptly and or look down or lay down without my brain feeling like there are brains out. · Healthcare visit (other): I need to see a doctor.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Report sent to call center — day 42, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-27
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-26
Survey response — 6 months, dose 2
MedDRA: Brain fog, Dizziness, Headache — Feeling: Fair

Free text: Brain fog, dizziness, headache

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-12-26
Dose 3 — Moderna
2022-02-15
Call 1 — Left Voicemail
2022-02-18
Call successful
Participant prefers to complete VAERS report online
2022-02-25
Survey response — 12 months, dose 2
MedDRA: Migraine, Rash, Vertigo — Feeling: Fair

Free text: Vertigo, rash, migraines, since my third vaccine.

MedDRA releases: 2024-11 · check-in free text available
2022-06-26
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-12-28
Survey response — 12 months, dose 3
MedDRA: Acne, Anosmia, COVID-19, Dermatitis acneiform, Swelling, Thunderclap headache — Feeling: Good · 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: Raised acne pimple like rash was gone after third full dose of Moderna, thunderclap headaches caused by COVID vaccine are gone, still do not have my full sense of smell back after I had COVID in July 2022.

MedDRA releases: 2024-11 · check-in free text available
2022-12-28
Report sent to call center — 12 months, dose 3
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)
2022-12-29
Call successful
Participant prefers to complete VAERS report online

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-21	Moderna
2	2021-02-25	Moderna
3	2021-12-26	Moderna	No

Call center

2 call center cases

2 successful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 3 — day 7, dose 1

2021-01-30

Systemic reaction (other): I was diagnosed with Grovers Disease and the vaccine cleared up my rash

Release 3 — day 14, dose 1

2021-02-06

Symptoms: Nausea , tired

Release 4 — days 1–6 daily, dose 2

2021-02-27

Systemic reaction (other): Brain fog, irritability, exhaustion

2021-03-01

Systemic reaction (other): Not hungry, Bloody stool

Release 5 — day 7, dose 2

2021-03-04

Systemic reaction (other): Confusion, not thinking clearly

Release 5 — day 14, dose 2

2021-03-11

Symptoms: Dizziness, tiredness.

Release 6 — day 28, dose 2

2021-03-27

Symptoms: Rash, dizziness, fatigue, tiredness, exhaustion, nerve pain

Release 7 — day 42, dose 2

2021-04-08

Symptoms: I am extremely dizzy, It feels like vertigo. I can not look up abruptly and or look down or lay down without my brain feeling like there are brains out.

Healthcare visit (other): I need to see a doctor.

Release 9 — 6 months, dose 2

2021-08-26

Symptoms: Brain fog, dizziness, headache

Release 11 — 12 months, dose 2

2022-02-25

Symptoms: Vertigo, rash, migraines, since my third vaccine.

Release 12 — 12 months, dose 3

2022-12-28

Symptoms: Raised acne pimple like rash was gone after third full dose of Moderna, thunderclap headaches caused by COVID vaccine are gone, still do not have my full sense of smell back after I had COVID in July 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
HCVO	Unevaluable event	✓	✓	✓
SD	Acne	·	·	✓
SD	Anosmia	·	·	✓
SD	Brain fog	✓	·	✓
SD	COVID-19	·	·	✓
SD	Dermatitis acneiform	·	·	✓
SD	Dizziness	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	·	✓
SD	Migraine	·	·	✓
SD	Nausea	✓	✓	✓
SD	Neuralgia	✓	✓	✓
SD	Rash	✓	✓	✓
SD	Swelling	·	·	✓
SD	Thunderclap headache	·	·	✓
SD	Vertigo	✓	✓	✓
SRO	Confusional state	✓	✓	✓
SRO	Decreased appetite	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Haematochezia	✓	✓	✓
SRO	Irritability	✓	✓	✓
SRO	Pre-existing condition improved	✓	✓	✓

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