V9J-12864-31569

3 vaccinations 7 coded responses 23 check-ins 7 free-text entries 2 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 229 / VA
Registered: 2021-01-26

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
Dose 1 — Moderna
2021-01-26
Registered in v-safe
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
2021-01-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

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

Adult check-in
2021-02-01
Survey response — day 7, dose 1
MedDRA: Nasal congestion — Feeling: Good

Free text: Stuffy nose

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-08
Survey response — day 14, dose 1
MedDRA: Chills, Fatigue, Impaired work ability, Malaise, Pain, Rhinorrhoea — Feeling: Good · Be unable to work, Be unable to do your normal daily activities

Free text: On 2/3 I had runny nose, body aches, fatigue, and chills. Lasted approximately 18 hours. Unable to work that day, have not felt unwell since.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-15
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-22
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-02-23
Dose 2 — Moderna
2021-02-23
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-24
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-02-25
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · 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: Good · Site: Pain, Redness · Fatigue or tiredness

Adult check-in
2021-02-28
Survey response — days 1–6 daily, dose 2
MedDRA: Nasal congestion — Feeling: Fair · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Nasal congestion

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-01
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Itching · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-02
Health check-in — day 7, dose 2
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-09
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-03-16
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-03-23
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-03-30
Survey response — day 35, dose 2
MedDRA: Fatigue, Ocular hyperaemia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Fatigue, enough to nap during the day. Red eyes.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-06
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-25
Survey response — 3 months, dose 2
MedDRA: Amenorrhoea — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Lack of menstruation

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-25
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-24
Survey response — 6 months, dose 2
MedDRA: Fatigue, Malaise — Feeling: Fair

Free text: Malaise, fatigue

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-29
Dose 3 — Moderna
2022-02-23
Survey response — 12 months, dose 2
MedDRA: Chest pain, Dyspnoea exertional, Fatigue, Headache, Malaise, Pyrexia — Feeling: Poor · 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: Fatigue, mild fever, headache, dypsnea with exertion, malasie, chest pain

MedDRA releases: 2024-11 · check-in free text available
2022-02-23
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 · 1 call case(s)
2022-02-24
Call 1 — Left Voicemail
2022-08-29
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-25	Moderna
2	2021-02-23	Moderna
3	2021-08-29	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2021-05-25	Unsuccessful
2022-02-23	Unsuccessful

Free text

Release 3 — day 7, dose 1

2021-02-01

Systemic reaction (other): Stuffy nose

Release 3 — day 14, dose 1

2021-02-08

Symptoms: On 2/3 I had runny nose, body aches, fatigue, and chills. Lasted approximately 18 hours. Unable to work that day, have not felt unwell since.

Release 4 — days 1–6 daily, dose 2

2021-02-28

Systemic reaction (other): Nasal congestion

Release 6 — day 35, dose 2

2021-03-30

Symptoms: Fatigue, enough to nap during the day. Red eyes.

Release 8 — 3 months, dose 2

2021-05-25

Symptoms: Lack of menstruation

Release 9 — 6 months, dose 2

2021-08-24

Symptoms: Malaise, fatigue

Release 11 — 12 months, dose 2

2022-02-23

Symptoms: Fatigue, mild fever, headache, dypsnea with exertion, malasie, chest pain

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	Amenorrhoea	✓	✓	✓
SD	Chest pain	·	·	✓
SD	Chills	✓	✓	✓
SD	Dyspnoea exertional	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Headache	·	·	✓
SD	Impaired work ability	✓	✓	✓
SD	Malaise	✓	✓	✓
SD	Ocular hyperaemia	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Pyrexia	·	·	✓
SD	Rhinorrhoea	✓	✓	✓
SRO	Nasal congestion	✓	✓	✓

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