2AA-13383-90391

3 vaccinations 9 coded responses 30 check-ins 9 free-text entries 4 call cases

Sex: Female
Age at first dose: 21-25
ZIP prefix: 900 / CA
Registered: 2021-03-06

Relationship: Self
Race: N/A
Ethnicity: Hispanic or Latino

Timeline

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

2021-03-05
Dose 1 — Moderna
2021-03-06
Registered in v-safe
2021-03-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Itching · Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2021-03-07
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Rash, not including the immediate area around the injection site

Adult check-in
2021-03-08
Survey response — days 1–6 daily, dose 1
MedDRA: Chest pain, Painful respiration — Feeling: Fair · Muscle or body aches · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Chest pain when breathing deeply

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-08
Report sent to call center — days 1–6 daily, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Joint pains, Muscle or body aches

Adult check-in
2021-03-11
Survey response — days 1–6 daily, dose 1
MedDRA: Lymph node pain — Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Free text: Lymph node pain has moved to opposite side

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-12
Health check-in — day 7, dose 1
Feeling: Good · Muscle or body aches

Adult check-in
2021-03-19
Survey response — day 14, dose 1
MedDRA: Fatigue, Rash, Rash pruritic, Swelling — Feeling: Good

Free text: On March 16, a rash on the same arm as the injection site formed. It got bigger and slightly swollen for a couple days, w/ occasional itching. It was also accompanied by some fatigue.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-04-02
Dose 2 — Moderna
2021-04-02
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-04-03
Survey response — days 1–6 daily, dose 2
MedDRA: Back pain, Chest pain — Feeling: Fair · Site: Pain, Swelling · Fever · Muscle or body aches, Fatigue or tiredness

Free text: Chest aching in same area as with first dose, extends to back

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-04
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Adult check-in
2021-04-04
Report sent to call center — days 1–6 daily, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-05
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness · Fatigue or tiredness

Adult check-in
2021-04-06
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-04-07
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-04-08
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Joint pains, Fatigue or tiredness

Adult check-in
2021-04-09
Survey response — day 7, dose 2
MedDRA: Seasonal allergy — Feeling: Fair · Headache, Fatigue or tiredness

Free text: More seasonal allergy symptoms than usual

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-04-23
Survey response — day 21, dose 2
MedDRA: Chapped lips, Conjunctivitis — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Conjunctivitis, severely chapped lips

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-23
Report sent to call center — day 21, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-30
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-05-07
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-14
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-15
Call 1 — Left Voicemail
2021-07-02
Survey response — 3 months, dose 2
MedDRA: Abdominal distension, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Symptoms: Noted frequent bloating a couple weeks after second vaccine that still persists: Did not seem related at first · Healthcare visit (other): Laboratory in person visits

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-02
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-14
Call successful
Participant prefers to complete VAERS report online
2021-10-01
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-04-20
Dose 3 — Pfizer-BioNTech
2022-04-22
Survey response — days 1–6 daily, dose 3
MedDRA: Muscle twitching — Feeling: Good · Site: Pain, Redness, Swelling, Itching

Free text: Muscle twitching

MedDRA releases: 2024-11 · check-in free text available
2022-04-24
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Redness, Swelling · None

Adult check-in
2022-04-25
Survey response — days 1–6 daily, dose 3
MedDRA: Lymph node pain — Feeling: Good · Muscle or body aches

Free text: Underarm lymph nodes pain

MedDRA releases: 2024-11 · check-in free text available
2022-04-26
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Muscle or body aches

Adult check-in
2022-04-27
Health check-in — day 7, dose 3
Feeling: Good · Headache

Adult check-in
2022-06-01
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-05	Moderna
2	2021-04-02	Moderna
3	2022-04-20	Pfizer-BioNTech	No

Call center

4 call center cases

3 successful · 1 unsuccessful

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-08

Systemic reaction (other): Chest pain when breathing deeply

2021-03-11

Systemic reaction (other): Lymph node pain has moved to opposite side

Release 6 — day 14, dose 1

2021-03-19

Symptoms: On March 16, a rash on the same arm as the injection site formed. It got bigger and slightly swollen for a couple days, w/ occasional itching. It was also accompanied by some fatigue.

Release 6 — days 1–6 daily, dose 2

2021-04-03

Systemic reaction (other): Chest aching in same area as with first dose, extends to back

Release 7 — day 7, dose 2

2021-04-09

Systemic reaction (other): More seasonal allergy symptoms than usual

Release 7 — day 21, dose 2

2021-04-23

Symptoms: Conjunctivitis, severely chapped lips

Release 9 — 3 months, dose 2

2021-07-02

Symptoms: Noted frequent bloating a couple weeks after second vaccine that still persists: Did not seem related at first

Healthcare visit (other): Laboratory in person visits

Release 11 — days 1–6 daily, dose 3

2022-04-22

Systemic reaction (other): Muscle twitching

2022-04-25

Systemic reaction (other): Underarm lymph nodes pain

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	Office visit	✓	✓	✓
SD	Abdominal distension	✓	✓	✓
SD	Chapped lips	✓	✓	✓
SD	Conjunctivitis	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Rash	✓	✓	✓
SD	Rash pruritic	✓	✓	✓
SD	Swelling	✓	✓	✓
SRO	Back pain	✓	✓	✓
SRO	Chest pain	✓	✓	✓
SRO	Lymph node pain	✓	✓	✓
SRO	Muscle twitching	·	·	✓
SRO	Painful respiration	✓	✓	✓
SRO	Seasonal allergy	✓	✓	✓

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