2C8-26747-85439

2 vaccinations 10 coded responses 20 check-ins 10 free-text entries 2 call cases

Sex: Female
Age at first dose: 26-30
ZIP prefix: 240 / VA
Registered: 2021-08-17

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

2021-08-17
Registered in v-safe
2021-08-17
Dose 1 — Moderna
2021-08-17
Health check-in — day 0, dose 1
Feeling: Fair · Site: Pain · Nausea

Adult check-in
2021-08-18
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-08-19
Survey response — days 1–6 daily, dose 1
MedDRA: Asthenia, Axillary pain, Heart rate increased, Oedema peripheral — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · 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

Free text: Elevated heart rate, severe armpit pain and swelling, weakness

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-19
Report sent to call center — days 1–6 daily, dose 1
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

1 call case(s)
2021-08-20
Survey response — days 1–6 daily, dose 1
MedDRA: Asthenia, Chest pain — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Chest pain, weakness

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-21
Survey response — days 1–6 daily, dose 1
MedDRA: Abdominal pain upper, Axillary pain, Oedema peripheral — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities

Free text: Armpit swelling and pain, stomach cramps

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-22
Survey response — days 1–6 daily, dose 1
MedDRA: Axillary pain, Oedema peripheral — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Free text: Armpit pain and swelling

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-24
Survey response — day 7, dose 1
MedDRA: Chest pain — Feeling: Good · Site: Redness, Swelling · Diarrhea, Abdominal pain

Free text: Sharp chest pains

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-26
Call 1 — Left Voicemail
2021-09-03
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-09-09
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-09-21
Call successful
Participant prefers to complete VAERS report online
2021-09-28
Health check-in — day 42, dose 1
Feeling: Good

Adult check-in
2022-01-26
Dose 2 — Moderna
2022-01-26
Survey response — day 0, dose 2
MedDRA: Dizziness — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Dizziness, lightheaded

MedDRA releases: 2024-11 · check-in free text available
2022-01-27
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Free text: Occasional lightheaded/dizziness

MedDRA releases: 2024-11 · check-in free text available
2022-01-29
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Ear discomfort, Oedema peripheral — Feeling: Good · Site: Pain, Swelling · Abdominal pain

Free text: Armpit swelling, some dizziness, ear feels stopped up on the side of injection

MedDRA releases: 2024-11 · check-in free text available
2022-01-30
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-01-31
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Swelling · Headache, Fatigue or tiredness

Adult check-in
2022-02-02
Health check-in — day 7, dose 2
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2022-02-10
Survey response — day 14, dose 2
MedDRA: Abdominal pain upper, Axillary pain, Chills, Diarrhoea, Fatigue, Nausea, Pyrexia, Vomiting — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: I had a 24 hour period of severe diarrhea, vomiting, nausea, chills, stomach pain, and fever. Additionally, I have had some armpit pain on the side of injection and fatigue.

MedDRA releases: 2024-11 · check-in free text available
2022-02-10
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

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-02-10
Call 1 — Left Voicemail
2022-02-18
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2022-02-23
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2022-03-04
Survey response — day 35, dose 2
MedDRA: Injection site discolouration — Feeling: Fair

Free text: Small deep purple spot appeared at the injection site.

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-08-17	Moderna	No
2	2022-01-26	Moderna	No

Call center

2 call center cases

1 successful · 1 unsuccessful

See the call center timeline

Free text

Release 9 — days 1–6 daily, dose 1

2021-08-19

Systemic reaction (other): Elevated heart rate, severe armpit pain and swelling, weakness

2021-08-20

Systemic reaction (other): Chest pain, weakness

2021-08-21

Systemic reaction (other): Armpit swelling and pain, stomach cramps

2021-08-22

Systemic reaction (other): Armpit pain and swelling

Release 9 — day 7, dose 1

2021-08-24

Systemic reaction (other): Sharp chest pains

Release 11 — day 0, dose 2

2022-01-26

Systemic reaction (other): Dizziness, lightheaded

Release 11 — days 1–6 daily, dose 2

2022-01-27

Systemic reaction (other): Occasional lightheaded/dizziness

2022-01-29

Systemic reaction (other): Armpit swelling, some dizziness, ear feels stopped up on the side of injection

Release 11 — day 14, dose 2

2022-02-10

Symptoms: I had a 24 hour period of severe diarrhea, vomiting, nausea, chills, stomach pain, and fever. Additionally, I have had some armpit pain on the side of injection and fatigue.

Release 11 — day 35, dose 2

2022-03-04

Symptoms: Small deep purple spot appeared at the injection site.

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	Abdominal pain upper	·	·	✓
SD	Axillary pain	·	·	✓
SD	Chills	·	·	✓
SD	Diarrhoea	·	·	✓
SD	Fatigue	·	·	✓
SD	Injection site discolouration	·	·	✓
SD	Nausea	·	·	✓
SD	Pyrexia	·	·	✓
SD	Vomiting	·	·	✓
SRO	Abdominal pain upper	✓	·	✓
SRO	Asthenia	✓	·	✓
SRO	Axillary pain	✓	·	✓
SRO	Chest pain	✓	·	✓
SRO	Dizziness	·	·	✓
SRO	Ear discomfort	·	·	✓
SRO	Heart rate increased	✓	·	✓
SRO	Oedema peripheral	✓	·	✓

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