228-27661-25791

2 vaccinations 13 coded responses 25 check-ins 13 free-text entries 1 call case

Sex: Female
Age at first dose: 66+
ZIP prefix: 786 / TX
Registered: 2021-02-26

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

2021-02-26
Registered in v-safe
2021-02-26
Dose 1 — Moderna
2021-02-26
Survey response — day 0, dose 1
MedDRA: Neck pain, Paraesthesia oral — Feeling: Good · Site: Pain · Headache, Fatigue or tiredness, Nausea

Free text: Sore neck. Right Side only; Slight tingling of lips Right side only.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-27
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

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

Adult check-in
2021-03-01
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Joint pains, Fatigue or tiredness

Adult check-in
2021-03-02
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-03
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness — Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Free text: Dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-06
Survey response — day 7, dose 1
MedDRA: Dizziness postural — Feeling: Good · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Free text: Dizzy when turning over in horizontal position

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-12
Survey response — day 14, dose 1
MedDRA: Arthralgia, Dizziness, Fatigue, Myalgia, Nausea — Feeling: Fair · Be unable to do your normal daily activities

Free text: Pain in muscles and joints. Some days, including today, very fatigued. Slight nausea. Some lightheaded ness.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-19
Survey response — day 21, dose 1
MedDRA: Self-medication, Vision blurred — Feeling: Good · Be unable to do your normal daily activities

Free text: Blurred vision in left eye. More fatigue today. Side effects seem to be intermittent and varying intensities. I take Tylenol.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
Dose 2 — Moderna
2021-03-26
Survey response — day 0, dose 2
MedDRA: Gait disturbance, Paraesthesia, Paraesthesia oral — Feeling: Good · Site: Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Free text: Tingling Lips and Right Arm also Slightly unsteady on my feet.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-27
Survey response — days 1–6 daily, dose 2
MedDRA: Balance disorder, Headache — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Free text: Unsteady in my feet. Sudden pain on my right side of head at back...sudden as though I had been struck my a deeply penetrating knife. Sudden and painful Painful

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-28
Survey response — days 1–6 daily, dose 2
MedDRA: Balance disorder, Dental discomfort, Gingival swelling, Paraesthesia — Feeling: Good · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Free text: Not steady on my feet. Everything a little better than yesterday. Some slight tingling. Right side gums and teeth feel enlarged.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-29
Survey response — days 1–6 daily, dose 2
MedDRA: Gait disturbance — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Very slow on my feet, somewhat unsteady if I walk at my normal pace

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-30
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-31
Survey response — days 1–6 daily, dose 2
MedDRA: Balance disorder — Feeling: Good · Site: Pain, Redness, Swelling, Itching · Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain

Free text: Not completely steady on my feet but better.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-01
Survey response — days 1–6 daily, dose 2
MedDRA: Balance disorder, Limb discomfort — Feeling: Good · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Uneasy on feet but better ie balance

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Survey response — day 7, dose 2
MedDRA: Dizziness, Gait disturbance — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: Very unsteady on my feet. Dizzy. Worst day.

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

Adult check-in
2021-04-16
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-23
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-30
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-07
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-25
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-09-24
Survey response — 6 months, dose 2
MedDRA: Muscle strain, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: Muscle pulls and joint · Healthcare visit (other): Hope to see chiropractor.

MedDRA releases: 2024-11 · check-in free text available
2021-09-24
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-09-28
Call successful
Participant prefers to complete VAERS report online
2022-03-28
Health check-in — 12 months, dose 2
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-26	Moderna
2	2021-03-26	Moderna

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 4 — day 0, dose 1

2021-02-26

Systemic reaction (other): Sore neck. Right Side only; Slight tingling of lips Right side only.

Release 5 — days 1–6 daily, dose 1

2021-03-03

Systemic reaction (other): Dizziness

Release 5 — day 7, dose 1

2021-03-06

Systemic reaction (other): Dizzy when turning over in horizontal position

Release 5 — day 14, dose 1

2021-03-12

Symptoms: Pain in muscles and joints. Some days, including today, very fatigued. Slight nausea. Some lightheaded ness.

Release 5 — day 21, dose 1

2021-03-19

Symptoms: Blurred vision in left eye. More fatigue today. Side effects seem to be intermittent and varying intensities. I take Tylenol.

Release 6 — day 0, dose 2

2021-03-26

Systemic reaction (other): Tingling Lips and Right Arm also Slightly unsteady on my feet.

Release 6 — days 1–6 daily, dose 2

2021-03-27

Systemic reaction (other): Unsteady in my feet. Sudden pain on my right side of head at back...sudden as though I had been struck my a deeply penetrating knife. Sudden and painful Painful

2021-03-28

Systemic reaction (other): Not steady on my feet. Everything a little better than yesterday. Some slight tingling. Right side gums and teeth feel enlarged.

2021-03-29

Systemic reaction (other): Very slow on my feet, somewhat unsteady if I walk at my normal pace

2021-03-31

Systemic reaction (other): Not completely steady on my feet but better.

2021-04-01

Systemic reaction (other): Uneasy on feet but better ie balance

Release 6 — day 7, dose 2

2021-04-02

Systemic reaction (other): Very unsteady on my feet. Dizzy. Worst day.

Release 9 — 6 months, dose 2

2021-09-24

Symptoms: Muscle pulls and joint

Healthcare visit (other): Hope to see chiropractor.

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
HCVO	Unevaluable event	·	·	✓
SD	Arthralgia	✓	✓	✓
SD	Dizziness	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Muscle strain	·	·	✓
SD	Myalgia	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Self-medication	✓	✓	✓
SD	Unevaluable event	·	·	✓
SD	Vision blurred	✓	✓	✓
SRO	Balance disorder	✓	✓	✓
SRO	Dental discomfort	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Dizziness postural	✓	✓	✓
SRO	Gait disturbance	✓	✓	✓
SRO	Gingival swelling	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Limb discomfort	✓	✓	○
SRO	Neck pain	✓	✓	✓
SRO	Paraesthesia	✓	✓	✓
SRO	Paraesthesia oral	✓	✓	✓

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