298-27376-63983

4 vaccinations 10 coded responses 31 check-ins 10 free-text entries 1 call case

Sex: Female
Age at first dose: 56-60
ZIP prefix: 300 / GA
Registered: 2021-01-14

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

2021-01-14
Registered in v-safe
2021-01-14
Dose 1 — Moderna
2021-01-14
Survey response — day 0, dose 1
MedDRA: Limb discomfort, Peripheral swelling, Skin tightness — Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Heaviness feeling in arm that got vaccine, skin tightness, slight swelling

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-15
Survey response — days 1–6 daily, dose 1
MedDRA: Skin tightness — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Rash, not including the immediate area around the injection site

Free text: Tightness feeling in forearm. Awareness of lymph on left side from neck to knee

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 · Site: Pain · None

Adult check-in
2021-01-21
Survey response — day 7, dose 1
MedDRA: Occupational therapy, Rash papular — Feeling: Fair · Muscle or body aches

Free text: I have a raised area of the skin with depth, (b)(6) doc said I should report it as it could be allergic Ron of some kind

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-29
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-04
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-11
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-02-16
Dose 2 — Moderna
2021-02-25
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-02
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-09
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-16
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-03-23
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-30
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-05-18
Survey response — 3 months, dose 2
MedDRA: Rash — Feeling: Good

Free text: Bumps on arm skin

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-17
Survey response — 6 months, dose 2
MedDRA: Rash — Feeling: Good

Free text: I may have mentioned before a few bumps on my arms that appeared after the vaccinations that have never gone away

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-11-09
Dose 3 — Moderna
2022-02-16
Survey response — 12 months, dose 2
MedDRA: Abnormal sensation in eye, Conjunctivitis viral — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: I experienced viral conjunctivitis for 2 months and have increased eye sensitivity.

MedDRA releases: 2024-11 · check-in free text available
2022-02-16
Report sent to call center — 12 months, dose 2
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-02-17
Call successful
Participant prefers to complete VAERS report online
2022-05-10
Survey response — 6 months, dose 3
MedDRA: Cough, Oropharyngeal pain, Pyrexia, Rhinorrhoea — Feeling: Good

Free text: Sore throat, cough, fever, runny nose

MedDRA releases: 2024-11 · check-in free text available
2022-06-21
Dose 4 — Moderna
2022-06-23
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Fever · Fatigue or tiredness

Adult check-in
2022-06-24
Survey response — days 1–6 daily, dose 4
MedDRA: Nervous system disorder, Paraesthesia — Feeling: Good · Site: Pain, Redness, Itching · Fever · Fatigue or tiredness

Free text: I can feel the nerves in my upper forearm, just a little tingly, no pain

MedDRA releases: 2024-11 · check-in free text available
2022-06-25
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Redness, Itching · Fever · Abdominal pain

Adult check-in
2022-06-26
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-06-27
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain, Itching · None

Adult check-in
2022-06-28
Health check-in — day 7, dose 4
Feeling: Fair · Site: Itching · Headache

Adult check-in
2022-07-05
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-07-12
Survey response — day 21, dose 4
MedDRA: Arthralgia, Fluid retention, Inflammation, Nervous system disorder, Swelling — Feeling: Fair

Free text: Joint pain and nerve awareness and general systemic inflammation/swelling/fluid retention

MedDRA releases: 2024-11 · check-in free text available
2022-07-20
Health check-in — day 28, dose 4
Feeling: Fair

Adult check-in
2022-07-26
Health check-in — day 35, dose 4
Feeling: Fair

Adult check-in
2022-08-02
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-09-20
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-12-20
Survey response — 6 months, dose 4
MedDRA: Ageusia, Anosmia, Cough, Fatigue, Headache, Influenza like illness, Oropharyngeal pain, Paranasal sinus hypersecretion, Respiratory tract congestion, SARS-CoV-2 test negative, Sinus congestion — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Had flu/Covid like symptoms, sore throat, cough, chest and sinus congestion and drainage, loss of taste/smell, headache, fatigue, but tested negative for Covid by home test.

MedDRA releases: 2024-11 · check-in free text available
2023-06-21
Health check-in — 12 months, dose 4
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-14	Moderna
2	2021-02-16	Moderna
3	2021-11-09	Moderna	No
4	2022-06-21	Moderna	No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 2 — day 0, dose 1

2021-01-14

Systemic reaction (other): Heaviness feeling in arm that got vaccine, skin tightness, slight swelling

Release 2 — days 1–6 daily, dose 1

2021-01-15

Systemic reaction (other): Tightness feeling in forearm. Awareness of lymph on left side from neck to knee

Release 2 — day 7, dose 1

2021-01-21

Systemic reaction (other): I have a raised area of the skin with depth, (b)(6) doc said I should report it as it could be allergic Ron of some kind

redacted (b)(6)

Release 8 — 3 months, dose 2

2021-05-18

Symptoms: Bumps on arm skin

Release 9 — 6 months, dose 2

2021-08-17

Symptoms: I may have mentioned before a few bumps on my arms that appeared after the vaccinations that have never gone away

Release 11 — 12 months, dose 2

2022-02-16

Symptoms: I experienced viral conjunctivitis for 2 months and have increased eye sensitivity.

Release 11 — 6 months, dose 3

2022-05-10

Symptoms: Sore throat, cough, fever, runny nose

Release 12 — days 1–6 daily, dose 4

2022-06-24

Systemic reaction (other): I can feel the nerves in my upper forearm, just a little tingly, no pain

Release 12 — day 21, dose 4

2022-07-12

Symptoms: Joint pain and nerve awareness and general systemic inflammation/swelling/fluid retention

Release 12 — 6 months, dose 4

2022-12-20

Symptoms: Had flu/Covid like symptoms, sore throat, cough, chest and sinus congestion and drainage, loss of taste/smell, headache, fatigue, but tested negative for Covid by home test.

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	Abnormal sensation in eye	·	·	✓
SD	Ageusia	·	·	✓
SD	Anosmia	·	·	✓
SD	Arthralgia	·	·	✓
SD	Conjunctivitis viral	·	·	✓
SD	Cough	·	·	✓
SD	Fatigue	·	·	✓
SD	Fluid retention	·	·	✓
SD	Headache	·	·	✓
SD	Inflammation	·	·	✓
SD	Influenza like illness	·	·	✓
SD	Nervous system disorder	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Paranasal sinus hypersecretion	·	·	✓
SD	Pyrexia	·	·	✓
SD	Rash	✓	✓	✓
SD	Respiratory tract congestion	·	·	✓
SD	Rhinorrhoea	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	Sinus congestion	·	·	✓
SD	Swelling	·	·	✓
SRO	Limb discomfort	✓	✓	✓
SRO	Nervous system disorder	·	·	✓
SRO	Occupational therapy	✓	✓	✓
SRO	Paraesthesia	·	·	✓
SRO	Peripheral swelling	✓	✓	✓
SRO	Rash papular	✓	✓	✓
SRO	Skin tightness	✓	✓	✓

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