YTL-59932-95844

3 vaccinations 13 coded responses 40 check-ins 13 free-text entries 3 call cases

Sex: Female
Age at first dose: 26-30
ZIP prefix: 238 / VA
Registered: 2021-01-23

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

2021-01-23
Registered in v-safe
2021-01-23
Dose 1 — Moderna
2021-01-23
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain, Swelling · Headache

Adult check-in
2021-01-24
Survey response — days 1–6 daily, dose 1
MedDRA: Bradyphrenia, Feeling abnormal — Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Mental fog, slower reactions

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-25
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness, Vertigo — Feeling: Fair · Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Dizziness/vertigo, moderate to severe, started last night

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-27
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
2021-01-30
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-06
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-14
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-20
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-02-27
Dose 2 — Moderna
2021-02-27
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-28
Survey response — days 1–6 daily, dose 2
MedDRA: Malaise, Pain, Pre-existing disease — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: My entire body hurts worse than with the flu. I felt like I was dying last night.

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: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-03-02
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-03-03
Survey response — days 1–6 daily, dose 2
MedDRA: Feeling abnormal, Thinking abnormal — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Moderate to severe Brain fog/trouble thinking the past few days

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-04
Survey response — days 1–6 daily, dose 2
MedDRA: Feeling abnormal — Feeling: Fair · Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Still feeling like my head is full of molasses and brain isnt working right

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-05
Survey response — days 1–6 daily, dose 2
MedDRA: Feeling abnormal — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Still having some brain fog

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-06
Survey response — day 7, dose 2
MedDRA: Feeling abnormal — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Still some brain fog

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

Adult check-in
2021-03-21
Survey response — day 21, dose 2
MedDRA: Cough, Enlarged uvula, Hypersensitivity, Throat irritation — Feeling: Good · Be unable to do your normal daily activities

Free text: I believe its allergies. My uvula was distended and I had a scratchy throat for a day or two and some coughing. Its continued for several days. Trees just started showering pollen where I live.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-27
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-03
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-10
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-29
Survey response — 3 months, dose 2
MedDRA: Lower limb fracture — Feeling: Good · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Hospitalization

Free text: I broke my leg when I stepped on some unstable ground and my foot slid. Doesnt seem like it should have resulted in a break.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-29
Report sent to call center — 3 months, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-30
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-14
Dose 3 — Pfizer-BioNTech
Co-administered: Flu
2021-11-14
Survey response — day 0, dose 3
MedDRA: Flatulence — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: Gas

MedDRA releases: 2024-11 · check-in free text available
2021-11-15
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Nausea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-11-16
Survey response — days 1–6 daily, dose 3
MedDRA: Brain fog — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Nausea · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Mental fuzziness

MedDRA releases: 2024-11 · check-in free text available
2021-11-17
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · 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

Adult check-in
2021-11-17
Report sent to call center — days 1–6 daily, 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

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-11-18
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-18
Call successful
Participant prefers to complete VAERS report online
2021-11-19
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Diarrhea

Adult check-in
2021-11-20
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-21
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-11-28
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-12-05
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-12-12
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-19
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-26
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-02-13
Survey response — 3 months, dose 3
MedDRA: Fatigue, Headache, Nausea, Oropharyngeal pain, Pyrexia, Vomiting — 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 · Outpatient clinic or urgent care clinic visit

Free text: I had a sore throat for a few hours, headache, fatigue for a few days, and fever for about 24 hours. Also nausea and vomiting for a few days.

MedDRA releases: 2024-11 · check-in free text available
2022-02-13
Report sent to call center — 3 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

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-02-15
Call 1 — Left Voicemail
2022-05-15
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-11-17
Survey response — 12 months, dose 3
MedDRA: Brain fog, Chills, Dizziness, Nasopharyngitis, Pain, Pyrexia, SARS-CoV-2 test negative — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Had a cold (tested negative for COVID repeatedly) a month or two ago. Had fever aches and chills, dizziness, and fogginess in response to bivalent COVID booster this week.

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-23	Moderna
2	2021-02-27	Moderna
3	2021-11-14	Pfizer-BioNTech	Flu

Call center

Reported	Outcome	VAERS-related outcome
2021-05-29	Successful	Participant prefers to complete VAERS report online
2021-11-17	Successful 2021-11-18	Participant prefers to complete VAERS report online
2022-02-13	Unsuccessful

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-24

Systemic reaction (other): Mental fog, slower reactions

2021-01-25

Systemic reaction (other): Dizziness/vertigo, moderate to severe, started last night

Release 4 — days 1–6 daily, dose 2

2021-02-28

Systemic reaction (other): My entire body hurts worse than with the flu. I felt like I was dying last night.

Release 5 — days 1–6 daily, dose 2

2021-03-03

Systemic reaction (other): Moderate to severe Brain fog/trouble thinking the past few days

2021-03-04

Systemic reaction (other): Still feeling like my head is full of molasses and brain isnt working right

2021-03-05

Systemic reaction (other): Still having some brain fog

Release 5 — day 7, dose 2

2021-03-06

Systemic reaction (other): Still some brain fog

Release 6 — day 21, dose 2

2021-03-21

Symptoms: I believe its allergies. My uvula was distended and I had a scratchy throat for a day or two and some coughing. Its continued for several days. Trees just started showering pollen where I live.

Release 8 — 3 months, dose 2

2021-05-29

Symptoms: I broke my leg when I stepped on some unstable ground and my foot slid. Doesnt seem like it should have resulted in a break.

Release 10 — day 0, dose 3

2021-11-14

Systemic reaction (other): Gas

Release 10 — days 1–6 daily, dose 3

2021-11-16

Systemic reaction (other): Mental fuzziness

Release 11 — 3 months, dose 3

2022-02-13

Symptoms: I had a sore throat for a few hours, headache, fatigue for a few days, and fever for about 24 hours. Also nausea and vomiting for a few days.

Release 12 — 12 months, dose 3

2022-11-17

Symptoms: Had a cold (tested negative for COVID repeatedly) a month or two ago. Had fever aches and chills, dizziness, and fogginess in response to bivalent COVID booster this week.

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	Brain fog	·	·	✓
SD	Chills	·	·	✓
SD	Cough	✓	✓	✓
SD	Dizziness	·	·	✓
SD	Enlarged uvula	✓	✓	✓
SD	Fatigue	·	·	✓
SD	Headache	·	·	✓
SD	Hypersensitivity	✓	✓	✓
SD	Lower limb fracture	✓	✓	✓
SD	Nasopharyngitis	·	·	✓
SD	Nausea	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pain	·	·	✓
SD	Pyrexia	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	Throat irritation	✓	✓	✓
SD	Vomiting	·	·	✓
SRO	Bradyphrenia	✓	✓	✓
SRO	Brain fog	·	·	✓
SRO	Confusional state	·	·	○
SRO	Dizziness	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Flatulence	·	·	✓
SRO	Malaise	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Thinking abnormal	✓	✓	✓
SRO	Vertigo	✓	✓	✓

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