29F-14337-20805

2 vaccinations 16 coded responses 18 check-ins 16 free-text entries 8 call cases

Sex: Female
Age at first dose: 26-30
ZIP prefix: 217 / MD
Registered: 2021-05-07

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

2021-04-23
Dose 1 — Moderna
2021-05-07
Registered in v-safe
2021-05-07
Survey response — day 14, dose 1
MedDRA: Rash — Feeling: Poor · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Rash going down my arm. Rash is extremely painful. It initially started about a week post vaccination and it continues to randomly spread down my arm.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-07
Report sent to call center — day 14, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-14
Survey response — day 21, dose 1
MedDRA: Limb discomfort, Pain in extremity, Rash — Feeling: Fair

Free text: My left arm (vaccine arm) has been painful. Rash is also still there even though its very light. The whole arm aches down to my wrist and feels heavy.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-21
Dose 2 — Moderna
2021-05-21
Survey response — day 0, dose 2
MedDRA: Anaphylactic reaction, Pharyngeal swelling — Feeling: Poor · Site: Redness · Headache, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Anaphylaxis- throat swelled.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-21
Report sent to call center — day 0, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-22
Survey response — days 1–6 daily, dose 2
MedDRA: Oropharyngeal pain, Pulmonary pain — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Rash, not including the immediate area around the injection site

Free text: My lungs feel sore/like a sore throat but in my chest/lung area, my breathing is fine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-23
Survey response — days 1–6 daily, dose 2
MedDRA: Rash, Throat tightness — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: My throat also got tightness (but able to breathe fine) a few times today. My eyes keep getting foggy and they itch terribly. My entire body itches. Ive noticed sunlight brings out more rash than if Im just inside.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-24
Survey response — days 1–6 daily, dose 2
MedDRA: Chest pain, Pain, Pain in extremity, Rash, Vision blurred — Feeling: Poor · Site: Pain, Redness · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: Arm feels like dead weight. My vision is messed up. Chest pains, Rash leaves a stain on skin, pain on entire left side of body, but worst in the arm.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-25
Survey response — days 1–6 daily, dose 2
MedDRA: Contusion, Pulmonary pain, Visual impairment — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain, Rash, not including the immediate area around the injection site · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Arm still feels like dead weight, random bruising, vision changes, lungs ache.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-25
Report sent to call center — days 1–6 daily, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-26
Survey response — days 1–6 daily, dose 2
MedDRA: Chest pain, Dyspnoea, Limb discomfort, Neck pain, Pain, Visual impairment — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: Chest pain, arm heaviness and pain that radiates up my neck, visual disturbances, shortness of breath.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-27
Survey response — days 1–6 daily, dose 2
MedDRA: Chest pain, Contusion, Limb discomfort, Pulmonary pain, Rash — Feeling: Fair · Site: Pain, Itching · Headache, Fatigue or tiredness, Rash, not including the immediate area around the injection site

Free text: Arm still heavy/feels different, rash that comes and goes all over, randomized small bruising everywhere, chest pains, lungs feel sore.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-30
Survey response — day 7, dose 2
MedDRA: Chest pain, Dizziness, Dyspnoea, Malaise, Visual impairment — Feeling: Poor · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: Chest pain, shortness of breath, lightheaded, visual disturbances, dizziness, I feel absolutely terrible

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-04
Survey response — day 14, dose 2
MedDRA: Contusion, Dyspnoea, Fatigue, Nausea, Pulmonary pain, Rash, Somnolence, Swelling, Vasodilatation, Visual impairment — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Bruising for no reason, bulging veins, excessive tiredness- to the point I cant keep my eyes open, lungs hurt and shortness of breath, swelling, rash, visual changes, nausea.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-04
Report sent to call center — day 14, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-11
Survey response — day 21, dose 2
MedDRA: C-reactive protein increased, Rash, Rash pruritic — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Same conditions as previously listed, new facial rash that itches also on neck. CRP levels elevated as well.

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

1 call case(s)
2021-06-18
Survey response — day 28, dose 2
MedDRA: Lip discolouration, Lip swelling, Urticaria — Feeling: Fair

Free text: New symptoms: lips slightly swollen with welts that have red/purple patches. All my previous symptoms still exist. If the lip issue continues to worsen to proceed (its been happening for 3-4 days now) I plan on seeing my doctor.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-18
Call 1 — Left Voicemail
2021-06-25
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-07-03
Survey response — day 42, dose 2
MedDRA: Back pain, Emergency care, Eye pain, Fibrin D dimer increased, Headache, Neck pain, Visual impairment — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Emergency room or emergency department visit

Free text: Terrible neck and head pain, terrible lower back pain, eye pain with eyesight issues. D-dimer was elevated at 920. CT scans and Spinal Tap was performed at ER on 7/2/2021.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-03
Report sent to call center — day 42, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-07
Call 1 — Left Voicemail
2021-08-20
Survey response — 3 months, dose 2
MedDRA: Chest pain, Contusion, Respiratory disorder, Visceral pain — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: Continued random bruising. Breathing issues. Organ pains. Chest pains.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-20
Report sent to call center — 3 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-25
Call successful
Reported to VAERS during previous contact from GDIT
2021-11-19
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2022-05-21
Survey response — 12 months, dose 2
MedDRA: Hypersensitivity, Pharyngeal disorder, Pre-existing disease — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: Trouble with throat. Increased allergies to medicine and environment. Also potential throat abscess.

MedDRA releases: 2024-11 · check-in free text available
2022-05-21
Report sent to call center — 12 months, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
2022-05-24
Call 1 — Left Voicemail
2022-05-24
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-23	Moderna
2	2021-05-21	Moderna

Call center

8 call center cases

7 successful · 1 unsuccessful

VAERS report filed, before or during a call: 7

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 8 — day 14, dose 1

2021-05-07

Symptoms: Rash going down my arm. Rash is extremely painful. It initially started about a week post vaccination and it continues to randomly spread down my arm.

Release 8 — day 21, dose 1

2021-05-14

Symptoms: My left arm (vaccine arm) has been painful. Rash is also still there even though its very light. The whole arm aches down to my wrist and feels heavy.

Release 8 — day 0, dose 2

2021-05-21

Systemic reaction (other): Anaphylaxis- throat swelled.

Release 8 — days 1–6 daily, dose 2

2021-05-22

Systemic reaction (other): My lungs feel sore/like a sore throat but in my chest/lung area, my breathing is fine.

2021-05-23

Systemic reaction (other): My throat also got tightness (but able to breathe fine) a few times today. My eyes keep getting foggy and they itch terribly. My entire body itches. Ive noticed sunlight brings out more rash than if Im just inside.

2021-05-24

Systemic reaction (other): Arm feels like dead weight. My vision is messed up. Chest pains, Rash leaves a stain on skin, pain on entire left side of body, but worst in the arm.

2021-05-25

Systemic reaction (other): Arm still feels like dead weight, random bruising, vision changes, lungs ache.

2021-05-26

Systemic reaction (other): Chest pain, arm heaviness and pain that radiates up my neck, visual disturbances, shortness of breath.

2021-05-27

Systemic reaction (other): Arm still heavy/feels different, rash that comes and goes all over, randomized small bruising everywhere, chest pains, lungs feel sore.

Release 8 — day 7, dose 2

2021-05-30

Systemic reaction (other): Chest pain, shortness of breath, lightheaded, visual disturbances, dizziness, I feel absolutely terrible

Release 8 — day 14, dose 2

2021-06-04

Symptoms: Bruising for no reason, bulging veins, excessive tiredness- to the point I cant keep my eyes open, lungs hurt and shortness of breath, swelling, rash, visual changes, nausea.

Release 9 — day 21, dose 2

2021-06-11

Symptoms: Same conditions as previously listed, new facial rash that itches also on neck. CRP levels elevated as well.

Release 9 — day 28, dose 2

2021-06-18

Symptoms: New symptoms: lips slightly swollen with welts that have red/purple patches. All my previous symptoms still exist. If the lip issue continues to worsen to proceed (its been happening for 3-4 days now) I plan on seeing my doctor.

Release 9 — day 42, dose 2

2021-07-03

Symptoms: Terrible neck and head pain, terrible lower back pain, eye pain with eyesight issues. D-dimer was elevated at 920. CT scans and Spinal Tap was performed at ER on 7/2/2021.

Release 9 — 3 months, dose 2

2021-08-20

Symptoms: Continued random bruising. Breathing issues. Organ pains. Chest pains.

Release 11 — 12 months, dose 2

2022-05-21

Symptoms: Trouble with throat. Increased allergies to medicine and environment. Also potential throat abscess.

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	Back pain	✓	✓	✓
SD	C-reactive protein increased	✓	✓	✓
SD	Chest pain	✓	·	✓
SD	Contusion	✓	✓	✓
SD	Dyspnoea	✓	✓	✓
SD	Emergency care	✓	✓	✓
SD	Eye pain	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Fibrin D dimer increased	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Hypersensitivity	·	·	✓
SD	Limb discomfort	✓	✓	✓
SD	Lip discolouration	✓	✓	✓
SD	Lip swelling	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Neck pain	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SD	Pharyngeal disorder	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Pulmonary pain	✓	✓	✓
SD	Rash	✓	✓	✓
SD	Rash pruritic	✓	✓	✓
SD	Red blood cell abnormality	○	○	○
SD	Respiratory disorder	✓	·	✓
SD	Somnolence	✓	✓	✓
SD	Swelling	✓	✓	✓
SD	Urticaria	✓	✓	✓
SD	Vasodilatation	✓	✓	✓
SD	Visceral pain	✓	·	✓
SD	Visual impairment	✓	✓	✓
SRO	Anaphylactic reaction	✓	✓	✓
SRO	Chest pain	✓	✓	✓
SRO	Contusion	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Limb discomfort	✓	✓	✓
SRO	Malaise	✓	✓	✓
SRO	Neck pain	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Pharyngeal swelling	✓	✓	✓
SRO	Pulmonary pain	✓	✓	✓
SRO	Rash	✓	✓	✓
SRO	Throat tightness	✓	✓	✓
SRO	Vision blurred	✓	✓	✓
SRO	Visual impairment	✓	✓	✓

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