2JT-23442-05128

2 vaccinations 10 coded responses 21 check-ins 10 free-text entries 1 call case

Sex: Female
Age at first dose: 26-30
ZIP prefix: 234 / VA
Registered: 2021-03-12

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

2021-03-11
Dose 1 — Moderna
2021-03-12
Registered in v-safe
2021-03-12
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-13
Survey response — days 1–6 daily, dose 1
MedDRA: Dysgeusia — Feeling: Good · Site: Pain, Redness, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: My mouth tasted of metal day 1 after the injection.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-15
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Itching · Fever · Chills, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-03-16
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site bruising, Injection site discolouration — Feeling: Good · Site: Itching

Free text: The injection site has turned a green color from the bruising.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-18
Survey response — day 7, dose 1
MedDRA: Lymphadenopathy — Feeling: Good · Site: Itching · Headache

Free text: Swollen lymph nodes on shot side near clavical

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-25
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-04
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-04-08
Dose 2 — Moderna
2021-04-08
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain, Redness · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-04-09
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-10
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Joint pains, Fatigue or tiredness

Adult check-in
2021-04-11
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain · Joint pains

Free text: Swollen lymph nodes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-15
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-24
Survey response — day 14, dose 2
MedDRA: Abdominal pain upper — Feeling: Good

Free text: Stomach ache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-29
Survey response — day 21, dose 2
MedDRA: Pregnancy — Feeling: Good

Free text: Pregnancy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-06
Survey response — day 28, dose 2
MedDRA: Abortion spontaneous — Feeling: Poor · Be unable to work

Free text: Miscarriage

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-13
Survey response — day 35, dose 2
MedDRA: Abortion spontaneous — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Miscarriage

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-13
Report sent to call center — day 35, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-20
Survey response — day 42, dose 2
MedDRA: Cough, Headache, Respiratory tract congestion — Feeling: Fair · Be unable to work

Free text: Bad cough, congestion, headache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-08
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-07
Survey response — 6 months, dose 2
MedDRA: Condition aggravated, Pre-existing disease — Feeling: Good

Free text: Auto immune flair

MedDRA releases: 2024-11 · check-in free text available
2022-04-10
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-04-15
Call successful
Participant prefers to complete VAERS report online

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-11	Moderna
2	2021-04-08	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-05-13	Successful 2022-04-15	Participant prefers to complete VAERS report online

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-13

Systemic reaction (other): My mouth tasted of metal day 1 after the injection.

2021-03-16

Systemic reaction (other): The injection site has turned a green color from the bruising.

Release 5 — day 7, dose 1

2021-03-18

Systemic reaction (other): Swollen lymph nodes on shot side near clavical

Release 7 — days 1–6 daily, dose 2

2021-04-11

Systemic reaction (other): Swollen lymph nodes

Release 7 — day 14, dose 2

2021-04-24

Symptoms: Stomach ache

Release 8 — day 21, dose 2

2021-04-29

Symptoms: Pregnancy

Release 8 — day 28, dose 2

2021-05-06

Symptoms: Miscarriage

Release 8 — day 35, dose 2

2021-05-13

Symptoms: Miscarriage

Release 8 — day 42, dose 2

2021-05-20

Symptoms: Bad cough, congestion, headache

Release 10 — 6 months, dose 2

2021-10-07

Symptoms: Auto immune flair

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	Abortion spontaneous	✓	✓	✓
SD	Condition aggravated	·	·	✓
SD	Cough	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Pre-existing disease	·	·	✓
SD	Pregnancy	✓	✓	✓
SD	Respiratory tract congestion	✓	✓	✓
SRO	Dysgeusia	✓	✓	✓
SRO	Injection site bruising	✓	✓	✓
SRO	Injection site discolouration	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓

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