29Q-23273-47084

2 vaccinations 11 coded responses 16 check-ins 11 free-text entries 3 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 925 / CA
Registered: 2021-03-16

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

2021-02-16
Dose 1 — Moderna
2021-03-16
Registered in v-safe
2021-03-16
Dose 2 — Moderna
2021-03-16
Survey response — day 0, dose 2
MedDRA: No adverse event — Feeling: Good · Fatigue or tiredness, Diarrhea

Free text: No

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-17
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness, Nausea · Be unable to work

Adult check-in
2021-03-18
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia, Back pain — Feeling: Poor · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting · Be unable to do your normal daily activities

Free text: Back pain, pain in hips

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-19
Survey response — days 1–6 daily, dose 2
MedDRA: Chest discomfort, Cough, Rhinorrhoea — Feeling: Fair · Fatigue or tiredness · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Raspy cough, heaviness in chest, runny nose

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-19
Report sent to call center — days 1–6 daily, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-20
Survey response — days 1–6 daily, dose 2
MedDRA: Cough, Dyspnoea — Feeling: Poor · Site: Itching · Fatigue or tiredness, 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: Bad cough, shortness of breath

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-20
Report sent to call center — days 1–6 daily, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-21
Survey response — days 1–6 daily, dose 2
MedDRA: Cough — Feeling: Fair · Fatigue or tiredness, Diarrhea

Free text: Cough

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-22
Survey response — days 1–6 daily, dose 2
MedDRA: Cough, Rhinorrhoea — Feeling: Good

Free text: Cough, runny nose

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-23
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-30
Survey response — day 14, dose 2
MedDRA: Pruritus — Feeling: Good

Free text: A lot of itching on my outer palms and wrists. A lot of itching on inner thighs.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-06
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-13
Survey response — day 28, dose 2
MedDRA: Pruritus, Urticaria — Feeling: Fair

Free text: A lot of itching on palms, fingers and around the stomach and upper thighs. Also hives.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-20
Survey response — day 35, dose 2
MedDRA: Cough, Nasopharyngitis — Feeling: Good

Free text: A cough that will not go away.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-27
Survey response — day 42, dose 2
MedDRA: Cough, Pruritus — Feeling: Good

Free text: I still have the cough and a lot of itching..on hands legs and trunk of body.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-15
Survey response — 3 months, dose 2
MedDRA: Mass, Renal pain, Ultrasound scan, Urticaria — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: The hives and lumps are gone. Waiting for results of ultra sound for pain in right kidney area.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-15
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-22
Call successful
Participant prefers to complete VAERS report online
2021-09-14
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2022-03-16
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

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

Call center

3 call center cases

3 successful

See the call center timeline

Free text

Release 5 — day 0, dose 2

2021-03-16

Systemic reaction (other): No

Release 5 — days 1–6 daily, dose 2

2021-03-18

Systemic reaction (other): Back pain, pain in hips

2021-03-19

Systemic reaction (other): Raspy cough, heaviness in chest, runny nose

Release 6 — days 1–6 daily, dose 2

2021-03-20

Systemic reaction (other): Bad cough, shortness of breath

2021-03-21

Systemic reaction (other): Cough

2021-03-22

Systemic reaction (other): Cough, runny nose

Release 6 — day 14, dose 2

2021-03-30

Symptoms: A lot of itching on my outer palms and wrists. A lot of itching on inner thighs.

Release 7 — day 28, dose 2

2021-04-13

Symptoms: A lot of itching on palms, fingers and around the stomach and upper thighs. Also hives.

Release 7 — day 35, dose 2

2021-04-20

Symptoms: A cough that will not go away.

Release 8 — day 42, dose 2

2021-04-27

Symptoms: I still have the cough and a lot of itching..on hands legs and trunk of body.

Release 9 — 3 months, dose 2

2021-06-15

Symptoms: The hives and lumps are gone. Waiting for results of ultra sound for pain in right kidney area.

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	Cough	✓	✓	✓
SD	Mass	✓	✓	✓
SD	Nasopharyngitis	✓	✓	✓
SD	Pruritus	✓	✓	✓
SD	Renal pain	✓	✓	✓
SD	Ultrasound scan	✓	✓	✓
SD	Urticaria	✓	✓	✓
SRO	Arthralgia	✓	✓	✓
SRO	Back pain	✓	✓	✓
SRO	Chest discomfort	✓	✓	✓
SRO	Cough	✓	✓	✓
SRO	Dyspnoea	✓	✓	✓
SRO	No adverse event	✓	✓	✓
SRO	Rhinorrhoea	✓	✓	✓

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