VLZ-70357-91439

3 vaccinations 14 coded responses 39 check-ins 14 free-text entries 2 call cases

Sex: Female
Age at first dose: 31-35
ZIP prefix: 665 / KS
Registered: 2021-01-21

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Registered dependents

E7T-82848-72978 Child or adolescent in my care · Female · 2022-06-24

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-01-21
Registered in v-safe
2021-01-21
Dose 1 — Moderna
2021-01-21
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-01-22
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site bruising — Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness

Free text: Small bruise at site

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-24
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site bruising — Feeling: Good

Free text: Small nontender bruise persists at site (approx 1 inch diameter)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-28
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-04
Survey response — day 14, dose 1
MedDRA: Tenderness — Feeling: Good

Free text: Slight tenderness to axilla region of vaccine arm approx day 7-9 after vaccination.

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
2021-02-18
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-02-19
Dose 2 — Moderna
2021-02-19
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-20
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-02-21
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-22
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-23
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-24
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-25
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-26
Survey response — day 7, dose 2
MedDRA: Dysgeusia, Headache — Feeling: Good · Headache

Free text: Woke with metallic like taste in mouth, resolved after approx 30 min. Headache intermittent throughout day

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-05
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-12
Survey response — day 21, dose 2
MedDRA: Fatigue, Nausea, Rhinorrhoea — Feeling: Fair · Be unable to do your normal daily activities

Free text: Today with slight runny nose, intermittent nausea, fatigue. Stayed home from a physical therapy appt just in case

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-19
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-26
Survey response — day 35, dose 2
MedDRA: Eye pruritus, Headache, Rhinorrhoea, Seasonal allergy — Feeling: Good

Free text: Mild Seasonal allergiesintermittent runny nose, itchy eyes and headache, resolved with citirizine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-21
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-20
Survey response — 6 months, dose 2
MedDRA: Breast feeding, Oligomenorrhoea — Feeling: Good

Free text: Likely completely unrelated, but significantly lengthened menstrual cycle (thought not menstruation itself) the last few months. No irregular or heavier bleeding. Also finished breastfeeding a few weeks after second vaccination.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-11-04
Dose 3 — Moderna
2021-11-05
Survey response — days 1–6 daily, dose 3
MedDRA: Induration, Lymph node pain, Lymphadenopathy — Feeling: Fair · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness

Free text: Golf ball size, firm and tender axillary lymph node on vaccine side

MedDRA releases: 2024-11 · check-in free text available
2021-11-06
Survey response — days 1–6 daily, dose 3
MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Fair · Site: Pain, Redness, Swelling · Fatigue or tiredness, Diarrhea

Free text: Swollen tender axillary lymph node persists but much less and no longer firm

MedDRA releases: 2024-11 · check-in free text available
2021-11-07
Survey response — days 1–6 daily, dose 3
MedDRA: Induration, Lymph node pain, Lymphadenopathy — Feeling: Good · Site: Redness

Free text: Swollen axillary lymph node persists, continues to decrease in tenderness and size, no longer firm

MedDRA releases: 2024-11 · check-in free text available
2021-11-08
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-09
Survey response — days 1–6 daily, dose 3
MedDRA: Oropharyngeal pain, Respiratory tract congestion — Feeling: Fair

Free text: Intermittent Sore throat and slight congestion

MedDRA releases: 2024-11 · check-in free text available
2021-11-10
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

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

Adult check-in
2021-11-18
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-25
Survey response — day 21, dose 3
MedDRA: Abdominal pain, Dizziness, Nausea — Feeling: Poor · Be unable to do your normal daily activities

Free text: Last two days with nausea, lightheadedness, abdominal cramping

MedDRA releases: 2024-11 · check-in free text available
2021-12-02
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-09
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-16
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-02-03
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-05-06
Survey response — 6 months, dose 3
MedDRA: COVID-19, Cough, Fatigue, Oropharyngeal pain, Respiratory tract congestion, SARS-CoV-2 test negative — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Diagnosed with Covid in February. Currently have cough, congestion, sore throat and fatigue but Covid negative x 2

MedDRA releases: 2024-11 · check-in free text available
2022-05-06
Report sent to call center — 6 months, dose 3
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)
2022-05-09
Call 1 — Could Not Reach Participant
2022-05-13
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-11-04
Survey response — 12 months, dose 3
MedDRA: Abortion spontaneous, Chest pain — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Intermittent chest pain. Early miscarriage

MedDRA releases: 2024-11 · check-in free text available
2022-11-04
Report sent to call center — 12 months, dose 3
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)
2022-11-08
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-21	Moderna
2	2021-02-19	Moderna
3	2021-11-04	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2022-05-06	Successful 2022-05-13	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-11-04	Successful 2022-11-08	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-22

Systemic reaction (other): Small bruise at site

2021-01-24

Systemic reaction (other): Small nontender bruise persists at site (approx 1 inch diameter)

Release 3 — day 14, dose 1

2021-02-04

Symptoms: Slight tenderness to axilla region of vaccine arm approx day 7-9 after vaccination.

Release 4 — day 7, dose 2

2021-02-26

Systemic reaction (other): Woke with metallic like taste in mouth, resolved after approx 30 min. Headache intermittent throughout day

Release 5 — day 21, dose 2

2021-03-12

Symptoms: Today with slight runny nose, intermittent nausea, fatigue. Stayed home from a physical therapy appt just in case

Release 6 — day 35, dose 2

2021-03-26

Symptoms: Mild Seasonal allergiesintermittent runny nose, itchy eyes and headache, resolved with citirizine

Release 9 — 6 months, dose 2

2021-08-20

Symptoms: Likely completely unrelated, but significantly lengthened menstrual cycle (thought not menstruation itself) the last few months. No irregular or heavier bleeding. Also finished breastfeeding a few weeks after second vaccination.

Release 10 — days 1–6 daily, dose 3

2021-11-05

Systemic reaction (other): Golf ball size, firm and tender axillary lymph node on vaccine side

2021-11-06

Systemic reaction (other): Swollen tender axillary lymph node persists but much less and no longer firm

2021-11-07

Systemic reaction (other): Swollen axillary lymph node persists, continues to decrease in tenderness and size, no longer firm

2021-11-09

Systemic reaction (other): Intermittent Sore throat and slight congestion

Release 10 — day 21, dose 3

2021-11-25

Symptoms: Last two days with nausea, lightheadedness, abdominal cramping

Release 11 — 6 months, dose 3

2022-05-06

Symptoms: Diagnosed with Covid in February. Currently have cough, congestion, sore throat and fatigue but Covid negative x 2

Release 12 — 12 months, dose 3

2022-11-04

Symptoms: Intermittent chest pain. Early miscarriage

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	Abdominal pain	·	·	✓
SD	Abortion spontaneous	·	·	✓
SD	Breast feeding	✓	·	✓
SD	Chest pain	·	·	✓
SD	Cough	·	·	✓
SD	COVID-19	·	·	✓
SD	Dizziness	·	·	✓
SD	Eye pruritus	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Lymph node pain	○	○	○
SD	Nausea	✓	✓	✓
SD	Oligomenorrhoea	✓	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	Rhinorrhoea	✓	✓	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	Seasonal allergy	✓	✓	✓
SD	Tenderness	✓	✓	✓
SRO	Dysgeusia	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Induration	·	·	✓
SRO	Injection site bruising	✓	✓	✓
SRO	Lymph node pain	·	·	✓
SRO	Lymphadenopathy	·	·	✓
SRO	Oropharyngeal pain	·	·	✓
SRO	Respiratory tract congestion	·	·	✓

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