2EW-27270-01421

2 vaccinations 6 coded responses 26 check-ins 6 free-text entries 1 call case

Sex: Female
Age at first dose: 66+
ZIP prefix: 325 / FL
Registered: 2021-02-13

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

2021-02-13
Registered in v-safe
2021-02-13
Dose 1 — Moderna
2021-02-13
Health check-in — day 0, dose 1
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-02-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-20
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-27
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-06
Survey response — day 21, dose 1
MedDRA: Fatigue, Flushing, Headache, Rhinorrhoea — Feeling: Fair · Be unable to do your normal daily activities

Free text: Runny nose, somewhat tired, intermittent headaches, feeling flushed but no temp.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-13
Dose 2 — Moderna
2021-03-13
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-14
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-16
Survey response — days 1–6 daily, dose 2
MedDRA: Pain in extremity, Paraesthesia — Feeling: Fair · Site: Pain · Be unable to do your normal daily activities

Free text: Tingling in Left arm. Pain down to my elbow.

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: Good · Site: Pain · None

Adult check-in
2021-03-18
Survey response — days 1–6 daily, dose 2
MedDRA: Paraesthesia — Feeling: Good · Site: Pain

Free text: Tingling to elbow in injected arm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-19
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-20
Health check-in — day 7, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-27
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-03
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-10
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-17
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-24
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-12
Survey response — 3 months, dose 2
MedDRA: Paraesthesia — Feeling: Good

Free text: Tingling mostly in lower left leg... like the signal a TENS unit gives. Occasionally right lower leg. No weakness noted when tingling episodes occur.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-09-11
Survey response — 6 months, dose 2
MedDRA: Asthenia, Diarrhoea, Headache, Nausea, Pain, Pyrexia, Taste disorder — Feeling: Good · Be unable to work or attend school, 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: Severe headache and body aches, nausea, diarrhea, fever, altered taste, weakness.

MedDRA releases: 2024-11 · check-in free text available
2021-09-11
Report sent to call center — 6 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

1 call case(s)
2021-09-15
Call 1 — Left Voicemail
2021-09-16
Call successful
Participant prefers to complete VAERS report online
2022-03-13
Survey response — 12 months, dose 2
MedDRA: Headache, Pain, Rhinorrhoea — Feeling: Fair

Free text: Runny nose, headache Bodyaches. No temp

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-13	Moderna
2	2021-03-13	Moderna

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 5 — day 21, dose 1

2021-03-06

Symptoms: Runny nose, somewhat tired, intermittent headaches, feeling flushed but no temp.

Release 5 — days 1–6 daily, dose 2

2021-03-16

Systemic reaction (other): Tingling in Left arm. Pain down to my elbow.

2021-03-18

Systemic reaction (other): Tingling to elbow in injected arm

Release 9 — 3 months, dose 2

2021-06-12

Symptoms: Tingling mostly in lower left leg... like the signal a TENS unit gives. Occasionally right lower leg. No weakness noted when tingling episodes occur.

Release 9 — 6 months, dose 2

2021-09-11

Symptoms: Severe headache and body aches, nausea, diarrhea, fever, altered taste, weakness.

Release 11 — 12 months, dose 2

2022-03-13

Symptoms: Runny nose, headache Bodyaches. No temp

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	Asthenia	·	·	✓
SD	Diarrhoea	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Flushing	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Nausea	·	·	✓
SD	Pain	·	·	✓
SD	Paraesthesia	✓	✓	✓
SD	Pyrexia	·	·	✓
SD	Rhinorrhoea	✓	✓	✓
SD	Taste disorder	·	·	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Paraesthesia	✓	✓	✓

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