ZA2-28217-32574

4 vaccinations 8 coded responses 52 check-ins 8 free-text entries 1 call case

Sex: Female
Age at first dose: 31-35
ZIP prefix: 936 / CA
Registered: 2021-02-25

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

2021-02-25
Registered in v-safe
2021-02-25
Dose 1 — Moderna
2021-02-25
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain, Redness, Swelling, Itching · Headache, Fatigue or tiredness

Adult check-in
2021-02-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling · Headache, Fatigue or tiredness

Adult check-in
2021-02-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-01
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-03
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-03-04
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-11
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-18
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-25
Dose 2 — Moderna
2021-03-25
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness

Adult check-in
2021-03-26
Survey response — days 1–6 daily, dose 2
MedDRA: Feeling abnormal — Feeling: Poor · Site: Pain, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work

Free text: Brain fog

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-27
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Itching · None

Adult check-in
2021-03-28
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-29
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-30
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Nausea

Adult check-in
2021-03-31
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-01
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-08
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-16
Survey response — day 21, dose 2
MedDRA: Menstruation delayed — Feeling: Fair

Free text: Menstrual cycle 8 days late. DEF not pregnant (no sex. We're in a pandemic). It's usually so on time I can predict it to the hour.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-29
Survey response — day 35, dose 2
MedDRA: Menstruation delayed, Pregnancy — Feeling: Fair

Free text: STILL NO PERIOD. I'm 21 days late and definitely not pregnant

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-06
Survey response — day 42, dose 2
MedDRA: Dysmenorrhoea, Heavy menstrual bleeding, Menstruation delayed — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: FINALLY started my period, 26 days late. I'm never late. It's much heavier and much more painful than usual.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-24
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-23
Survey response — 6 months, dose 2
MedDRA: Dysmenorrhoea, Heavy menstrual bleeding, Impaired work ability — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: I'm still having heavier and more painful than normal periods that I've had to take days off for

MedDRA releases: 2024-11 · check-in free text available
2021-12-07
Dose 3 — Moderna
2021-12-09
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Redness, Swelling · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-12-10
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Itching · Fatigue or tiredness

Adult check-in
2021-12-11
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Itching · Fatigue or tiredness, Nausea

Adult check-in
2021-12-12
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-12-13
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-12-14
Survey response — day 7, dose 3
MedDRA: Menstruation irregular — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: Started period 4 days early (normally exact. 28 days). All symptoms are prob menstruation related

MedDRA releases: 2024-11 · check-in free text available
2021-12-21
Health check-in — day 14, dose 3
Feeling: Fair

Adult check-in
2021-12-28
Survey response — day 21, dose 3
MedDRA: Arthralgia, Asthenia, Cough, Headache, Lung disorder, Myalgia, Oropharyngeal pain — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Headache, sore throat, lungs feel like i chain smoked 3 packs of cigarettes, cough, achey muscles/joints, no energy. Got a pcr test this morning

MedDRA releases: 2024-11 · check-in free text available
2022-01-04
Survey response — day 28, dose 3
MedDRA: Asthenia, Brain fog, Burning sensation, Cough, Dizziness, Dyspepsia, Headache, Mobility decreased, Nasal inflammation, Palpitations — 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

Free text: I started getting covid symptoms Dec 25th. Ive been stuck in bed with symptoms since. Dizziness, awful headache, heart palpitations, my lungs burn, cough, inflamed nasal passages, heartburn, weakness, brain fog

MedDRA releases: 2024-11 · check-in free text available
2022-01-04
Report sent to call center — day 28, 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

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-01-05
Call 1 — Left Voicemail
2022-01-05
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-01-11
Health check-in — day 35, dose 3
Feeling: Poor

Adult check-in
2022-01-18
Health check-in — day 42, dose 3
Feeling: Poor

Adult check-in
2022-03-08
Health check-in — 3 months, dose 3
Feeling: Poor

Adult check-in
2022-06-09
Health check-in — 6 months, dose 3
Feeling: Fair

Adult check-in
2022-09-20
Dose 4 — Pfizer-BioNTech
Co-administered: Flu
2022-09-20
Health check-in — day 0, dose 4
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness, Nausea

Adult check-in
2022-09-21
Health check-in — days 1–6 daily, dose 4
Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2022-09-22
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Swelling, Itching · Headache, Fatigue or tiredness, Nausea

Adult check-in
2022-09-23
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-09-24
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness

Adult check-in
2022-09-26
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea

Adult check-in
2022-09-27
Health check-in — day 7, dose 4
Feeling: Fair · Fatigue or tiredness, Diarrhea

Adult check-in
2022-10-04
Health check-in — day 14, dose 4
Feeling: Fair

Adult check-in
2022-10-11
Health check-in — day 21, dose 4
Feeling: Fair

Adult check-in
2022-10-18
Health check-in — day 28, dose 4
Feeling: Fair

Adult check-in
2022-10-25
Health check-in — day 35, dose 4
Feeling: Poor

Adult check-in
2022-11-01
Health check-in — day 42, dose 4
Feeling: Fair

Adult check-in
2022-12-20
Health check-in — 3 months, dose 4
Feeling: Fair

Adult check-in
2023-03-21
Health check-in — 6 months, dose 4
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-25	Moderna
2	2021-03-25	Moderna
3	2021-12-07	Moderna	No
4	2022-09-20	Pfizer-BioNTech	Flu

Call center

Reported	Outcome	VAERS-related outcome
2022-01-04	Successful 2022-01-05	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Free text

Release 6 — days 1–6 daily, dose 2

2021-03-26

Systemic reaction (other): Brain fog

Release 7 — day 21, dose 2

2021-04-16

Symptoms: Menstrual cycle 8 days late. DEF not pregnant (no sex. We're in a pandemic). It's usually so on time I can predict it to the hour.

Release 8 — day 35, dose 2

2021-04-29

Symptoms: STILL NO PERIOD. I'm 21 days late and definitely not pregnant

Release 8 — day 42, dose 2

2021-05-06

Symptoms: FINALLY started my period, 26 days late. I'm never late. It's much heavier and much more painful than usual.

Release 9 — 6 months, dose 2

2021-09-23

Symptoms: I'm still having heavier and more painful than normal periods that I've had to take days off for

Release 10 — day 7, dose 3

2021-12-14

Systemic reaction (other): Started period 4 days early (normally exact. 28 days). All symptoms are prob menstruation related

Release 10 — day 21, dose 3

2021-12-28

Symptoms: Headache, sore throat, lungs feel like i chain smoked 3 packs of cigarettes, cough, achey muscles/joints, no energy. Got a pcr test this morning

Release 10 — day 28, dose 3

2022-01-04

Symptoms: I started getting covid symptoms Dec 25th. Ive been stuck in bed with symptoms since. Dizziness, awful headache, heart palpitations, my lungs burn, cough, inflamed nasal passages, heartburn, weakness, brain fog

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	Arthralgia	·	·	✓
SD	Asthenia	·	·	✓
SD	Brain fog	·	·	✓
SD	Burning sensation	·	·	✓
SD	Cough	·	·	✓
SD	Dizziness	·	·	✓
SD	Dysmenorrhoea	✓	✓	✓
SD	Dyspepsia	·	·	✓
SD	Headache	·	·	✓
SD	Heavy menstrual bleeding	✓	✓	✓
SD	Impaired work ability	·	·	✓
SD	Lung disorder	·	·	✓
SD	Menstruation delayed	✓	✓	✓
SD	Mobility decreased	·	·	✓
SD	Myalgia	·	·	✓
SD	Nasal inflammation	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Palpitations	·	·	✓
SD	Pregnancy	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Menstruation irregular	·	·	✓

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