25E-28232-44989

2 vaccinations 7 coded responses 23 check-ins 7 free-text entries 2 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 300 / GA
Registered: 2021-06-08

Relationship: Self
Race: Black or African American
Ethnicity: Not Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-06-08
Registered in v-safe
2021-06-08
Dose 1 — Moderna
2021-06-08
Health check-in — day 0, dose 1
Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Muscle or body aches, Diarrhea, Rash, not including the immediate area around the injection site · Be unable to work

Adult check-in
2021-06-09
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Muscle or body aches, Diarrhea

Adult check-in
2021-06-11
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-06-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Joint pains, Muscle or body aches

Adult check-in
2021-06-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache, Muscle or body aches

Adult check-in
2021-06-15
Health check-in — day 7, dose 1
Feeling: Good · Muscle or body aches

Adult check-in
2021-06-24
Survey response — day 14, dose 1
MedDRA: Rash pruritic — Feeling: Good

Free text: A itchy rash between my breast, that is still itching

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-29
Survey response — day 21, dose 1
MedDRA: Rash — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: I have went from rash on my chest to getting risings under my arm and on my thigh which is the weirdest thing to because I dont ever get them and to have more than one at time is beyond unusual

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-29
Report sent to call center — day 21, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-02
Call successful
Participant prefers to complete VAERS report online
2021-07-06
Dose 2 — Moderna
2021-07-06
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Headache, Diarrhea

Adult check-in
2021-07-08
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Fatigue or tiredness, Rash, not including the immediate area around the injection site

Adult check-in
2021-07-09
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Joint pains, Muscle or body aches, Diarrhea, Rash, not including the immediate area around the injection site

Adult check-in
2021-07-10
Survey response — days 1–6 daily, dose 2
MedDRA: Nasopharyngitis, Respiratory tract congestion, Throat irritation — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site

Free text: Cold symptoms itchy throat, congestion

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-11
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Redness, Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site

Adult check-in
2021-07-12
Survey response — days 1–6 daily, dose 2
MedDRA: Amenorrhoea — Feeling: Fair · Site: Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: Im not sure if its the vaccine or not but I gotten a implant in my arm back in February and havent gotten a period since March and now all of a sudden I have one , but Im going to my doctor on the 15 to get checked out because even my vision is

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-13
Health check-in — day 7, dose 2
Feeling: Good · Site: Itching · Fatigue or tiredness, Rash, not including the immediate area around the injection site

Adult check-in
2021-07-20
Survey response — day 14, dose 2
MedDRA: Fatigue, Pain, Restlessness — Feeling: Fair

Free text: Thanks are hurting really bad and no matter even if I drink coffee or whatever by noon I am beyond tired but I didnt get any rest and Ill make sure I get my rest every night because I drive Im a driver I drive the bus for the facility that I

MedDRA releases: 2024-11 · check-in free text available
2021-07-27
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-08-03
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-08-10
Survey response — day 35, dose 2
MedDRA: Rash — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: The rash is still on my chest , it was going away but seems to be flaring up again

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-10
Report sent to call center — day 35, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-17
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-08-17
Call 1 — Left Voicemail
2021-10-05
Survey response — 3 months, dose 2
MedDRA: Asthenia, Rash, Rash pruritic — Feeling: Poor · Be unable to do your normal daily activities

Free text: The area that had the rash still itches every now and then , and I've never seemed to get my energy back

MedDRA releases: 2024-11 · check-in free text available
2022-01-04
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-07-06
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-06-08	Moderna
2	2021-07-06	Moderna	No

Call center

2 call center cases

1 successful · 1 unsuccessful

See the call center timeline

Free text

Release 9 — day 14, dose 1

2021-06-24

Symptoms: A itchy rash between my breast, that is still itching

Release 9 — day 21, dose 1

2021-06-29

Symptoms: I have went from rash on my chest to getting risings under my arm and on my thigh which is the weirdest thing to because I dont ever get them and to have more than one at time is beyond unusual

Release 9 — days 1–6 daily, dose 2

2021-07-10

Systemic reaction (other): Cold symptoms itchy throat, congestion

2021-07-12

Systemic reaction (other): Im not sure if its the vaccine or not but I gotten a implant in my arm back in February and havent gotten a period since March and now all of a sudden I have one , but Im going to my doctor on the 15 to get checked out because even my vision is

Release 9 — day 14, dose 2

2021-07-20

Symptoms: Thanks are hurting really bad and no matter even if I drink coffee or whatever by noon I am beyond tired but I didnt get any rest and Ill make sure I get my rest every night because I drive Im a driver I drive the bus for the facility that I

Release 9 — day 35, dose 2

2021-08-10

Symptoms: The rash is still on my chest , it was going away but seems to be flaring up again

Release 10 — 3 months, dose 2

2021-10-05

Symptoms: The area that had the rash still itches every now and then , and I've never seemed to get my energy back

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	Asthenia	·	·	✓
SD	Fatigue	·	·	✓
SD	Pain	·	·	✓
SD	Rash	✓	✓	✓
SD	Rash pruritic	✓	✓	✓
SD	Restlessness	·	·	✓
SRO	Amenorrhoea	✓	✓	✓
SRO	Nasopharyngitis	✓	✓	✓
SRO	Respiratory tract congestion	✓	✓	✓
SRO	Throat irritation	✓	✓	✓

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