VAW-15462-78709

2 vaccinations 12 coded responses 23 check-ins 12 free-text entries 4 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 972 / OR
Registered: 2021-08-18

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

2021-08-18
Registered in v-safe
2021-08-18
Dose 1 — Moderna
2021-08-18
Survey response — day 0, dose 1
MedDRA: Dizziness, Tremor — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Free text: Dizziness and body vibrating

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-19
Survey response — days 1–6 daily, dose 1
MedDRA: Night sweats — Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Free text: Night sweats left me completely soaked.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-20
Survey response — days 1–6 daily, dose 1
MedDRA: Acupuncture, Spinal pain — Feeling: Fair · Site: Pain · Headache, Joint pains · Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Spinal cord hurts · Healthcare visit (other): Acupuncture

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-20
Report sent to call center — days 1–6 daily, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-21
Survey response — days 1–6 daily, dose 1
MedDRA: Brain fog — Feeling: Fair · Site: Pain · Headache, Joint pains, Fatigue or tiredness

Free text: Brain fog

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-22
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Joint pains, Fatigue or tiredness

Adult check-in
2021-08-23
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-08-24
Survey response — days 1–6 daily, dose 1
MedDRA: Hypersensitivity, Pre-existing disease — Feeling: Fair · Headache, Fatigue or tiredness

Free text: Allergies going wild like never before.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-25
Survey response — day 7, dose 1
MedDRA: Acupuncture — Feeling: Fair · Headache, Fatigue or tiredness · Get care from a doctor or other healthcare professional

Free text: Acupuncture

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-25
Report sent to call center — day 7, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-30
Call 1 — Left Voicemail
2021-09-01
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-09-08
Survey response — day 21, dose 1
MedDRA: Fatigue, Headache, Insomnia, Middle insomnia, Night sweats — Feeling: Fair · Be unable to do your normal daily activities

Free text: Headache when I wake up. Every night since I received the vaccine, I wake up between 3-4am with night sweats and have a hard time falling back asleep. This is making me exhausted during the day.

MedDRA releases: 2024-11 · check-in free text available
2021-09-15
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-09-17
Dose 2 — Moderna
2021-09-17
Health check-in — day 0, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-09-18
Survey response — days 1–6 daily, dose 2
MedDRA: Insomnia, Nocturia — Feeling: Poor · Site: Pain, Redness, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Unable to sleep and urinating every 30 minutes at night

MedDRA releases: 2024-11 · check-in free text available
2021-09-19
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-09-21
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-09-22
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Fair · Fatigue or tiredness

Free text: Dizziness last night.

MedDRA releases: 2024-11 · check-in free text available
2021-09-23
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-09-24
Survey response — day 7, dose 2
MedDRA: Night sweats — Feeling: Fair · Fatigue or tiredness

Free text: Night sweats

MedDRA releases: 2024-11 · check-in free text available
2021-10-01
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-10-08
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-10-15
Survey response — day 28, dose 2
MedDRA: Acupuncture, Headache — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Weird stabbing pain in the left side of my head. · Healthcare visit (other): Acupuncture

MedDRA releases: 2024-11 · check-in free text available
2021-10-15
Report sent to call center — day 28, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-10-19
Call 1 — Left Voicemail
2021-10-22
Survey response — day 35, dose 2
MedDRA: Acupuncture, Histamine intolerance — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Histamine intolerance · Healthcare visit (other): Acupuncture

MedDRA releases: 2024-11 · check-in free text available
2021-10-22
Report sent to call center — day 35, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-10-27
Call successful
Participant prefers to complete VAERS report online
2021-12-19
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-08-18	Moderna	No
2	2021-09-17	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2021-08-20	Successful	Participant prefers to complete VAERS report online
2021-08-25	Successful	Participant prefers to complete VAERS report online
2021-10-15	Successful	Participant prefers to complete VAERS report online
2021-10-22	Successful 2021-10-27	Participant prefers to complete VAERS report online

Free text

Release 9 — day 0, dose 1

2021-08-18

Systemic reaction (other): Dizziness and body vibrating

Release 9 — days 1–6 daily, dose 1

2021-08-19

Systemic reaction (other): Night sweats left me completely soaked.

2021-08-20

Systemic reaction (other): Spinal cord hurts

Healthcare visit (other): Acupuncture

2021-08-21

Systemic reaction (other): Brain fog

2021-08-24

Systemic reaction (other): Allergies going wild like never before.

Release 9 — day 7, dose 1

2021-08-25

Healthcare visit (other): Acupuncture

Release 9 — day 21, dose 1

2021-09-08

Symptoms: Headache when I wake up. Every night since I received the vaccine, I wake up between 3-4am with night sweats and have a hard time falling back asleep. This is making me exhausted during the day.

Release 9 — days 1–6 daily, dose 2

2021-09-18

Systemic reaction (other): Unable to sleep and urinating every 30 minutes at night

2021-09-22

Systemic reaction (other): Dizziness last night.

Release 9 — day 7, dose 2

2021-09-24

Systemic reaction (other): Night sweats

Release 10 — day 28, dose 2

2021-10-15

Symptoms: Weird stabbing pain in the left side of my head.

Healthcare visit (other): Acupuncture

Release 10 — day 35, dose 2

2021-10-22

Symptoms: Histamine intolerance

Healthcare visit (other): Acupuncture

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	Acupuncture	✓	·	✓
SD	Fatigue	·	·	✓
SD	Headache	·	·	✓
SD	Histamine intolerance	·	·	✓
SD	Insomnia	·	·	✓
SD	Middle insomnia	·	·	✓
SD	Night sweats	·	·	✓
SRO	Brain fog	✓	·	✓
SRO	Dizziness	✓	·	✓
SRO	Hypersensitivity	✓	·	✓
SRO	Insomnia	·	·	✓
SRO	Night sweats	✓	·	✓
SRO	Nocturia	·	·	✓
SRO	Pre-existing disease	✓	·	✓
SRO	Spinal pain	✓	·	✓
SRO	Tremor	✓	·	✓

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