WRK-20004-17627

2 vaccinations 15 coded responses 22 check-ins 15 free-text entries 1 call case

Sex: Female
Age at first dose: 36-40
ZIP prefix: 921 / CA
Registered: 2021-06-04

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

2021-06-04
Registered in v-safe
2021-06-04
Dose 1 — Moderna
2021-06-04
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · Chills

Adult check-in
2021-06-05
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-06-06
Survey response — days 1–6 daily, dose 1
MedDRA: Nausea — Feeling: Good · Site: Pain · Nausea

Free text: Intermittent, brief episodes of nausea

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-07
Survey response — days 1–6 daily, dose 1
MedDRA: Migraine — Feeling: Good · Fatigue or tiredness

Free text: Had a migraine yesterday afternoon, could be unrelated as I get them frequently

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-06-09
Survey response — days 1–6 daily, dose 1
MedDRA: Migraine, Pre-existing disease — Feeling: Good · Headache

Free text: Migraine this am (typically have so may be unrelated)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-12
Survey response — day 7, dose 1
MedDRA: Menstruation irregular, Migraine — Feeling: Good · Headache, Abdominal pain

Free text: I am also on my period so hard to say what the cause is.. Migraine but this is part of daily life for me, may or may not be triggered by vaccine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-18
Survey response — day 14, dose 1
MedDRA: Condition aggravated, Migraine, Pre-existing disease — Feeling: Good

Free text: These are chronic symptoms which are likely unrelated but I did have a flare of my neck pain the last 2 days and 2 migraines. Overall fairly typical of my life but

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-27
Survey response — day 21, dose 1
MedDRA: Migraine — Feeling: Good

Free text: Just migraines which is semi typical

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-02
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-07-09
Dose 2 — Moderna
2021-07-09
Survey response — day 0, dose 2
MedDRA: Condition aggravated, Pre-existing disease — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Free text: Sore neck and fatigue prior to vaccine, slightly worse after but could all be part of migraine and PMS

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-10
Survey response — days 1–6 daily, dose 2
MedDRA: Chills, Feeling hot, Neck pain — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: After chills, felt and feel very hot but dont actually have a fever. Temp read on places other than my forehead (like neck which is painful) is 99.7F

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-11
Survey response — days 1–6 daily, dose 2
MedDRA: Hot flush, Migraine, Pyrexia — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Fever 101.7 occurred all day yesterday from post last checkin to this morning. Still hot flashes today. Also had migraines yesterday and today. Rate in below is for yesterday since the worst of it had yet to come yesterday when i last did my check in

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-15
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-07-18
Survey response — day 7, dose 2
MedDRA: Neck pain — Feeling: Poor · Muscle or body aches · Be unable to do your normal daily activities

Free text: Neck pain, may be unrelated

MedDRA releases: 2024-11 · check-in free text available
2021-07-29
Survey response — day 14, dose 2
MedDRA: Neck pain — Feeling: Fair · Be unable to work or attend school

Free text: Ive had a flare up of neck pain which may be and probably is entirely unrelated

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-01
Survey response — day 21, dose 2
MedDRA: Arthralgia, Neck pain — Feeling: Good · Be unable to work or attend school

Free text: Ongoing neck and shoulder pain. Prob unrelated

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-08
Survey response — day 28, dose 2
MedDRA: Hypoaesthesia, Muscle spasms — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Neck spasm, loss of sensation in my right shoulder, chest, upper arm, may or may not be related to vaccine

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-14
Survey response — day 35, dose 2
MedDRA: Migraine — Feeling: Fair

Free text: Migraines, may or may not be related

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-22
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2022-01-09
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-07-09
Survey response — 12 months, dose 2
MedDRA: Abortion spontaneous, Office visit, Orthostatic hypotension, Rash, Supraventricular extrasystoles, Syncope — 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 · Outpatient clinic or urgent care clinic visit

Free text: Premature atrial contractions began 2 weeks post my 2nd injection officially diagnosed Jan 2022. Also diagnosed orthostatic hypotension and vasovagal syncope. Also recurrent rash that drs can't determine cause. Also miscarried in feb at 2m pregnant

MedDRA releases: 2024-11 · check-in free text available
2022-07-09
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

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-07-11
Call 1 — Left Voicemail
2022-07-11
Call successful
Participant prefers to complete VAERS report online

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-06-04	Moderna
2	2021-07-09	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2022-07-09	Successful 2022-07-11	Participant prefers to complete VAERS report online

Free text

Release 8 — days 1–6 daily, dose 1

2021-06-06

Systemic reaction (other): Intermittent, brief episodes of nausea

2021-06-07

Systemic reaction (other): Had a migraine yesterday afternoon, could be unrelated as I get them frequently

2021-06-09

Systemic reaction (other): Migraine this am (typically have so may be unrelated)

Release 9 — day 7, dose 1

2021-06-12

Systemic reaction (other): I am also on my period so hard to say what the cause is.. Migraine but this is part of daily life for me, may or may not be triggered by vaccine

Release 9 — day 14, dose 1

2021-06-18

Symptoms: These are chronic symptoms which are likely unrelated but I did have a flare of my neck pain the last 2 days and 2 migraines. Overall fairly typical of my life but

Release 9 — day 21, dose 1

2021-06-27

Symptoms: Just migraines which is semi typical

Release 9 — day 0, dose 2

2021-07-09

Systemic reaction (other): Sore neck and fatigue prior to vaccine, slightly worse after but could all be part of migraine and PMS

Release 9 — days 1–6 daily, dose 2

2021-07-10

Systemic reaction (other): After chills, felt and feel very hot but dont actually have a fever. Temp read on places other than my forehead (like neck which is painful) is 99.7F

2021-07-11

Systemic reaction (other): Fever 101.7 occurred all day yesterday from post last checkin to this morning. Still hot flashes today. Also had migraines yesterday and today. Rate in below is for yesterday since the worst of it had yet to come yesterday when i last did my check in cut off by CDC

Release 9 — day 7, dose 2

2021-07-18

Systemic reaction (other): Neck pain, may be unrelated

Release 9 — day 14, dose 2

2021-07-29

Symptoms: Ive had a flare up of neck pain which may be and probably is entirely unrelated

Release 9 — day 21, dose 2

2021-08-01

Symptoms: Ongoing neck and shoulder pain. Prob unrelated

Release 9 — day 28, dose 2

2021-08-08

Symptoms: Neck spasm, loss of sensation in my right shoulder, chest, upper arm, may or may not be related to vaccine

Release 9 — day 35, dose 2

2021-08-14

Symptoms: Migraines, may or may not be related

Release 12 — 12 months, dose 2

2022-07-09

Symptoms: Premature atrial contractions began 2 weeks post my 2nd injection officially diagnosed Jan 2022. Also diagnosed orthostatic hypotension and vasovagal syncope. Also recurrent rash that drs can't determine cause. Also miscarried in feb at 2m pregnant cut off by CDC

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	Abortion spontaneous	·	·	✓
SD	Arthralgia	✓	·	✓
SD	Condition aggravated	✓	✓	✓
SD	Hypoaesthesia	✓	·	✓
SD	Migraine	✓	✓	✓
SD	Muscle spasms	✓	·	✓
SD	Neck pain	✓	·	✓
SD	Office visit	·	·	✓
SD	Orthostatic hypotension	·	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Rash	·	·	✓
SD	Supraventricular extrasystoles	·	·	✓
SD	Syncope	·	·	✓
SRO	Chills	✓	✓	✓
SRO	Condition aggravated	✓	✓	✓
SRO	Feeling hot	✓	✓	✓
SRO	Hot flush	✓	✓	✓
SRO	Menstruation irregular	✓	✓	✓
SRO	Migraine	✓	✓	✓
SRO	Nausea	✓	✓	✓
SRO	Neck pain	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Pyrexia	✓	✓	✓

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