22Q-27965-48734

1 vaccination 7 coded responses 12 check-ins 7 free-text entries 1 call case

Sex: Female
Age at first dose: 56-60
ZIP prefix: 304 / GA
Registered: 2021-03-17

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

2021-03-17
Registered in v-safe
2021-03-17
Dose 1 — Moderna
2021-03-17
Survey response — day 0, dose 1
MedDRA: Immediate post-injection reaction, Oral pruritus, Self-medication, Throat irritation — Feeling: Fair · Site: Pain

Free text: Mouth and throat started itching within 5 minutes of shot. Took 50mg benadryl when I got home. No further symptoms.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-18
Survey response — days 1–6 daily, dose 1
MedDRA: Abdominal pain, Injection site pain, Malaise — Feeling: Poor · Site: Pain · Headache, Muscle or body aches, Abdominal pain

Free text: Extreme abdominal cramping. Shot lication feels like I've been hit with a bat. General malaise.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-19
Survey response — days 1–6 daily, dose 1
MedDRA: Gastrointestinal pain, Oral pruritus, Throat irritation — Feeling: Poor · Site: Pain, Itching · Fever · Chills, Headache, Muscle or body aches, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Free text: If I had insurance, I would have gone to the er 2 nights ago for gut pain. The itching in throat & mouth are persistent.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-20
Survey response — days 1–6 daily, dose 1
MedDRA: Abdominal pain, Diverticulitis, Oral pruritus, Throat irritation — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: Taking Toradol for abdominal pain. Still have mild itching in mouth & throat.full blown case of diverticulitis. Not sure I'll take shot 2.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-21
Survey response — days 1–6 daily, dose 1
MedDRA: Abdominal pain, Oral pruritus, Throat irritation — Feeling: Poor · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: Mouth/throat itch. Still taking toradol for abdominal pain. If I had known I'd feel this bad, I wouldn't have gotten the 1st shot. I have no insurance, so I have not sought out medical care.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-22
Survey response — days 1–6 daily, dose 1
MedDRA: Abdominal pain upper, Office visit — Feeling: Poor · Fever · Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Taking toradol for gut pain. · Healthcare visit (other): PCP

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-22
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-23
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fever · Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-03-24
Survey response — day 7, dose 1
MedDRA: Abdominal discomfort, Appetite disorder, Nausea — Feeling: Fair · Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: Today is the 1st day since shot that I have been able to eat 'normal' food. Still queasy and have gut discomfort.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-31
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-04-07
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-06-16
Health check-in — 3 months, dose 1
Feeling: Fair

Adult check-in
2021-09-15
Health check-in — 6 months, dose 1
Feeling: Fair

Adult check-in
2022-03-04
Call 1 — Could Not Reach Participant
2022-03-09
Call successful
Participant prefers to complete VAERS report online

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-17	Moderna

Call center

1 call center case

1 successful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 5 — day 0, dose 1

2021-03-17

Systemic reaction (other): Mouth and throat started itching within 5 minutes of shot. Took 50mg benadryl when I got home. No further symptoms.

Release 5 — days 1–6 daily, dose 1

2021-03-18

Systemic reaction (other): Extreme abdominal cramping. Shot lication feels like I've been hit with a bat. General malaise.

2021-03-19

Systemic reaction (other): If I had insurance, I would have gone to the er 2 nights ago for gut pain. The itching in throat & mouth are persistent.

Release 6 — days 1–6 daily, dose 1

2021-03-20

Systemic reaction (other): Taking Toradol for abdominal pain. Still have mild itching in mouth & throat.full blown case of diverticulitis. Not sure I'll take shot 2.

2021-03-21

Systemic reaction (other): Mouth/throat itch. Still taking toradol for abdominal pain. If I had known I'd feel this bad, I wouldn't have gotten the 1st shot. I have no insurance, so I have not sought out medical care.

2021-03-22

Systemic reaction (other): Taking toradol for gut pain.

Healthcare visit (other): PCP

Release 6 — day 7, dose 1

2021-03-24

Systemic reaction (other): Today is the 1st day since shot that I have been able to eat 'normal' food. Still queasy and have gut discomfort.

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	Office visit	✓	✓	✓
SRO	Abdominal discomfort	✓	✓	✓
SRO	Abdominal pain	✓	✓	✓
SRO	Abdominal pain upper	✓	✓	✓
SRO	Appetite disorder	✓	✓	✓
SRO	Diverticulitis	✓	✓	✓
SRO	Gastrointestinal pain	✓	✓	✓
SRO	Immediate post-injection reaction	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Malaise	✓	✓	✓
SRO	Nausea	✓	✓	✓
SRO	Oral pruritus	✓	✓	✓
SRO	Self-medication	✓	✓	✓
SRO	Throat irritation	✓	✓	✓

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