ZUU-31992-44831

3 vaccinations 13 coded responses 37 check-ins 13 free-text entries 1 call case

Sex: Female
Age at first dose: 41-45
ZIP prefix: 992 / WA
Registered: 2021-04-23

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

2021-04-22
Dose 1 — Moderna
2021-04-23
Registered in v-safe
2021-04-23
Survey response — days 1–6 daily, dose 1
MedDRA: Cough, Discomfort, Malaise, Photosensitivity reaction — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: Cough, light sensitivity, skin sensitivity, discomfort and general malaise

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-24
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness, Feeling abnormal — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to work, Be unable to do your normal daily activities

Free text: Lightheaded, dizzy, brain fog

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-25
Survey response — days 1–6 daily, dose 1
MedDRA: Blepharospasm, Dizziness — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: Eye twitching, lightheaded, dizzy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-26
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness, Feeling abnormal, Head discomfort — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Dizziness, lightheaded, pressure in head, brain fog

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-04-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-04-29
Health check-in — day 7, dose 1
Feeling: Good · Fatigue or tiredness, Nausea

Adult check-in
2021-05-06
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-05-14
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-05-20
Dose 2 — Moderna
2021-05-20
Survey response — day 0, dose 2
MedDRA: Dizziness, Heart rate increased — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Nausea

Free text: Lightheadedness, rapid heart rate, BP ok

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-21
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Photophobia, Sensitive skin — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activities

Free text: Lightheaded, light sensitivity and skin/touch sensitivity

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-22
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Hyperaesthesia, Photophobia — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: Lightheaded, dizzy, light sensitivity, touch sensitivity

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-23
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Heart rate increased, Paraesthesia — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: Rapid heart rate, facial tingling, lightheaded, feeling faint

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-24
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Palpitations — Feeling: Fair · Site: Pain · Fatigue or tiredness, Nausea, Diarrhea · Be unable to work

Free text: Lightheaded, heart palpitations

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-25
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness, Nausea, Diarrhea

Adult check-in
2021-05-26
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Good · Joint pains, Nausea

Free text: Lightheaded, dizzy spells

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-27
Survey response — day 7, dose 2
MedDRA: Dizziness, Vertigo — Feeling: Good · Nausea, Diarrhea

Free text: Lightheaded, a little vertigo

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-03
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-06-10
Survey response — day 21, dose 2
MedDRA: Cough, Palpitations, Respiratory tract irritation — Feeling: Fair · 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: Lung rawness, cough. Hear palpitations but all vitals seem ok

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-10
Report sent to call center — day 21, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-19
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-06-21
Call successful
Participant prefers to complete VAERS report online
2021-06-24
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-07-01
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-08-19
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-11-18
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-29
Dose 3 — Moderna
2021-12-01
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-12-03
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea

Adult check-in
2021-12-04
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-12-05
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Headache, Nausea, Diarrhea

Adult check-in
2021-12-06
Health check-in — day 7, dose 3
Feeling: Good · Fatigue or tiredness, Nausea

Adult check-in
2021-12-13
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-12-20
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-12-27
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-01-03
Survey response — day 35, dose 3
MedDRA: Cardiac flutter, Dizziness, Nausea — Feeling: Fair

Free text: Heart flutters, occasionally lightheaded and nausea

MedDRA releases: 2024-11 · check-in free text available
2022-01-10
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-02-28
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-05-30
Health check-in — 6 months, dose 3
Feeling: Fair

Adult check-in
2022-11-29
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-22	Moderna
2	2021-05-20	Moderna
3	2021-11-29	Moderna	No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-23

Systemic reaction (other): Cough, light sensitivity, skin sensitivity, discomfort and general malaise

2021-04-24

Systemic reaction (other): Lightheaded, dizzy, brain fog

2021-04-25

Systemic reaction (other): Eye twitching, lightheaded, dizzy

Release 8 — days 1–6 daily, dose 1

2021-04-26

Systemic reaction (other): Dizziness, lightheaded, pressure in head, brain fog

Release 8 — day 0, dose 2

2021-05-20

Systemic reaction (other): Lightheadedness, rapid heart rate, BP ok

Release 8 — days 1–6 daily, dose 2

2021-05-21

Systemic reaction (other): Lightheaded, light sensitivity and skin/touch sensitivity

2021-05-22

Systemic reaction (other): Lightheaded, dizzy, light sensitivity, touch sensitivity

2021-05-23

Systemic reaction (other): Rapid heart rate, facial tingling, lightheaded, feeling faint

2021-05-24

Systemic reaction (other): Lightheaded, heart palpitations

2021-05-26

Systemic reaction (other): Lightheaded, dizzy spells

Release 8 — day 7, dose 2

2021-05-27

Systemic reaction (other): Lightheaded, a little vertigo

Release 9 — day 21, dose 2

2021-06-10

Symptoms: Lung rawness, cough. Hear palpitations but all vitals seem ok

Release 10 — day 35, dose 3

2022-01-03

Symptoms: Heart flutters, occasionally lightheaded and nausea

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	Cardiac flutter	·	·	✓
SD	Cough	✓	✓	✓
SD	Dizziness	·	·	✓
SD	Nausea	·	·	✓
SD	Palpitations	✓	✓	✓
SD	Respiratory tract irritation	✓	✓	✓
SRO	Blepharospasm	✓	✓	✓
SRO	Cough	✓	✓	✓
SRO	Discomfort	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Head discomfort	✓	✓	✓
SRO	Heart rate increased	✓	✓	✓
SRO	Hyperaesthesia	✓	✓	✓
SRO	Malaise	✓	✓	✓
SRO	Palpitations	✓	✓	✓
SRO	Paraesthesia	✓	✓	✓
SRO	Photophobia	✓	✓	✓
SRO	Photosensitivity reaction	✓	✓	✓
SRO	Sensitive skin	✓	✓	✓
SRO	Vertigo	✓	✓	✓

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