25E-79570-87327

2 vaccinations 6 coded responses 26 check-ins 6 free-text entries 1 call case

Sex: Female
Age at first dose: 66+
ZIP prefix: 303 / GA
Registered: 2021-01-12

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

2021-01-12
Registered in v-safe
2021-01-12
Dose 1 — Moderna
2021-01-12
Health check-in — day 0, dose 1
Feeling: Good · Site: Itching · None

Adult check-in
2021-01-13
Survey response — days 1–6 daily, dose 1
MedDRA: Hypersomnia — Feeling: Good · Site: Pain · Muscle or body aches

Free text: Slept deeply and longer as though healing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-14
Survey response — days 1–6 daily, dose 1
MedDRA: Fatigue, Mood altered — Feeling: Good

Free text: Grumpy and tired

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Muscle or body aches

Adult check-in
2021-01-16
Survey response — days 1–6 daily, dose 1
MedDRA: Anxiety, Chills, Pain — Feeling: Good · Chills, Joint pains

Free text: I was chilly, aching, anxious during night. Like I feel when inflamed. I felt my immune system was activated.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-19
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-26
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-02
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-09
Dose 2 — Moderna
2021-02-09
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain, Swelling · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-10
Survey response — days 1–6 daily, dose 2
MedDRA: Energy increased, Insomnia, Restlessness, Systemic immune activation — Feeling: Fair · Site: Pain, Redness, Swelling · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: I could not sleep last night. I was wired and restless. I could feel my immune system responding. It was like I was on steroids.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-11
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-12
Survey response — days 1–6 daily, dose 2
MedDRA: Muscle spasms — Feeling: Good · Muscle or body aches

Free text: I forgot to report painful muscle cramps on night 1.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-16
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-02-23
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-02
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-09
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-16
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-23
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-11
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-10
Survey response — 6 months, dose 2
MedDRA: Cold urticaria, Erythema, Rash, Urticaria — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Cold uticaria. Bad red welts and rash and itching on my groin, and legs, and arms and hands, and feet after jumping in cold water of (b)(6). I have been swimming in cold lakes all my life without any reaction other than pleasure!

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-10
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-17
Call 1 — Left Voicemail
2021-08-20
Call 2 — Left Voicemail
2021-08-20
Call successful
Participant prefers to complete VAERS report online
2022-02-09
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-12	Moderna
2	2021-02-09	Moderna

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-13

Systemic reaction (other): Slept deeply and longer as though healing

2021-01-14

Systemic reaction (other): Grumpy and tired

Release 2 — days 1–6 daily, dose 1

2021-01-16

Systemic reaction (other): I was chilly, aching, anxious during night. Like I feel when inflamed. I felt my immune system was activated.

Release 3 — days 1–6 daily, dose 2

2021-02-10

Systemic reaction (other): I could not sleep last night. I was wired and restless. I could feel my immune system responding. It was like I was on steroids.

Release 4 — days 1–6 daily, dose 2

2021-02-12

Systemic reaction (other): I forgot to report painful muscle cramps on night 1.

Release 9 — 6 months, dose 2

2021-08-10

Symptoms: Cold uticaria. Bad red welts and rash and itching on my groin, and legs, and arms and hands, and feet after jumping in cold water of (b)(6). I have been swimming in cold lakes all my life without any reaction other than pleasure!

redacted (b)(6)

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	Cold urticaria	✓	·	✓
SD	Erythema	✓	·	✓
SD	Rash	✓	·	✓
SD	Urticaria	✓	·	✓
SRO	Anxiety	✓	✓	✓
SRO	Chills	✓	✓	✓
SRO	Energy increased	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Hypersomnia	✓	✓	✓
SRO	Insomnia	✓	✓	✓
SRO	Mood altered	✓	✓	✓
SRO	Muscle spasms	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Restlessness	✓	✓	✓
SRO	Sleep disorder	○	○	○
SRO	Systemic immune activation	✓	✓	✓

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