269-70231-85951

2 vaccinations 6 coded responses 17 check-ins 6 free-text entries 3 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 191 / PA
Registered: 2021-02-19

Relationship: Self
Race: Other
Ethnicity: Not Hispanic or Latino

Timeline

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

2021-02-18
Dose 1 — Moderna
2021-02-19
Registered in v-safe
2021-02-19
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-02-20
Survey response — days 1–6 daily, dose 1
MedDRA: Adverse reaction — Feeling: Good · Site: Pain · Headache, Abdominal pain

Free text: Both symptoms have gone away as the day has gone on

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-16
Dose 2 — Moderna
2021-03-18
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-19
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Itching · Muscle or body aches

Adult check-in
2021-03-20
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-21
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-22
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache

Adult check-in
2021-03-24
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-31
Survey response — day 14, dose 2
MedDRA: Eye pruritus, Fatigue, Rhinorrhoea, Sneezing — Feeling: Fair · Be unable to do your normal daily activities

Free text: I think they are related to seasonal allergies. Slight nose running and sneezing, itchy eyes. Also feeling generally tired.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-06
Survey response — day 21, dose 2
MedDRA: Acupuncture, Arthralgia, Neck pain — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Neck and shoulder pain · Healthcare visit (other): Acupuncture

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

1 call case(s)
2021-04-13
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-04-23
Survey response — day 35, dose 2
MedDRA: Fatigue, Headache, Herpes zoster, Neck pain, Office visit, Oropharyngeal pain, Pruritus, Urticaria — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Weepy sore on back of neck that also itches a lot. Started Sunday 4/18, really uncomfortable Mon/Tues . Brief pain into head and down neck. Short bouts of fatigue. Random 2 hives on left thigh. Diagnosed with shingles yesterday 4/22. · Healthcare visit (other): My primary physician's office

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-23
Report sent to call center — day 35, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-09-14
Survey response — 6 months, dose 2
MedDRA: Acupuncture, Immune system disorder, Oral herpes — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Felt like my immune system was always agitated; working against something like a fever blister, for instance, but never resolving. · Healthcare visit (other): Acupuncturist and herbalist

MedDRA releases: 2024-11 · check-in free text available
2021-09-14
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-09-15
Call 1 — Left Voicemail
2021-09-22
Call 2 — Requested Callback
2021-09-22
Callback requested for
2021-09-22
Call successful
Participant prefers to complete VAERS report online
2022-03-16
Survey response — 12 months, dose 2
MedDRA: Fatigue, Rhinorrhoea — Feeling: Good · Be unable to do your normal daily activities

Free text: Runny nose, fatigue

MedDRA releases: 2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-18	Moderna
2	2021-03-16	Moderna

Call center

3 call center cases

3 successful

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-20

Systemic reaction (other): Both symptoms have gone away as the day has gone on

Release 6 — day 14, dose 2

2021-03-31

Symptoms: I think they are related to seasonal allergies. Slight nose running and sneezing, itchy eyes. Also feeling generally tired.

Release 7 — day 21, dose 2

2021-04-06

Symptoms: Neck and shoulder pain

Healthcare visit (other): Acupuncture

Release 7 — day 35, dose 2

2021-04-23

Symptoms: Weepy sore on back of neck that also itches a lot. Started Sunday 4/18, really uncomfortable Mon/Tues . Brief pain into head and down neck. Short bouts of fatigue. Random 2 hives on left thigh. Diagnosed with shingles yesterday 4/22.

Healthcare visit (other): My primary physician's office

Release 9 — 6 months, dose 2

2021-09-14

Symptoms: Felt like my immune system was always agitated; working against something like a fever blister, for instance, but never resolving.

Healthcare visit (other): Acupuncturist and herbalist

Release 11 — 12 months, dose 2

2022-03-16

Symptoms: Runny nose, fatigue

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	Acupuncture	✓	✓	✓
HCVO	Office visit	✓	✓	✓
SD	Arthralgia	✓	✓	✓
SD	Eye pruritus	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Herpes zoster	✓	✓	✓
SD	Immune system disorder	·	·	✓
SD	Neck pain	✓	✓	✓
SD	Oral herpes	·	·	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Pruritus	✓	✓	✓
SD	Rhinorrhoea	✓	✓	✓
SD	Sneezing	✓	✓	✓
SD	Urticaria	✓	✓	✓
SRO	Adverse reaction	✓	✓	✓

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