2TP-19594-00406

2 vaccinations 13 coded responses 19 check-ins 13 free-text entries 1 call case

Sex: Female
Age at first dose: 61-65
ZIP prefix: 189 / PA
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

2021-03-10
Dose 1 — Moderna
2021-03-16
Registered in v-safe
2021-03-16
Survey response — days 1–6 daily, dose 1
MedDRA: Axillary pain, Rash — Feeling: Fair · Site: Pain · Headache, Nausea, Abdominal pain, Rash, not including the immediate area around the injection site

Free text: Rash in the left armpit, short shooting pain into armpit

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-17
Health check-in — day 7, dose 1
Feeling: Fair · Rash, not including the immediate area around the injection site

Adult check-in
2021-03-24
Survey response — day 14, dose 1
MedDRA: Blood pressure increased, Pain in extremity, Panic attack, Rash — Feeling: Fair · Be unable to do your normal daily activities

Free text: Had a rash and pain in the left arm pit which is gone this week. Had 3 nighttime panic attacks with elevated blood pressure. Feeling anxious

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-31
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-07
Dose 2 — Moderna
2021-04-07
Health check-in — day 0, dose 2
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-04-08
Survey response — days 1–6 daily, dose 2
MedDRA: Asthenia, Dizziness — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Free text: Weakness and dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-09
Survey response — days 1–6 daily, dose 2
MedDRA: Abdominal pain lower — Feeling: Poor · Site: Pain · Headache, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work

Free text: Intense lower abdomen pain, like premenstrual intense cramps

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-10
Survey response — days 1–6 daily, dose 2
MedDRA: Panic attack — Feeling: Poor · Site: Redness · Headache, Nausea · Be unable to work

Free text: Panic attack

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-11
Survey response — days 1–6 daily, dose 2
MedDRA: Anxiety, Middle insomnia — Feeling: Poor · Site: Redness, Itching · Headache, Joint pains, Fatigue or tiredness, Nausea, Diarrhea · Be unable to work

Free text: Waking up at night, anxiety

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-12
Survey response — days 1–6 daily, dose 2
MedDRA: Migraine, Self-medication — Feeling: Poor · Site: Itching · Headache, Fatigue or tiredness, Nausea · Be unable to work

Free text: Migren headache, did not go away after 500 mg Tylenol

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-13
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Fair · Headache, Muscle or body aches

Free text: Lightheaded

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-14
Health check-in — day 7, dose 2
Feeling: Fair · Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-04-21
Survey response — day 14, dose 2
MedDRA: Arthralgia, Headache, Hypertension — Feeling: Fair · Be unable to work, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Joint pain: knees and ankles Headache on Sunday with high BP

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
Report sent to call center — day 14, dose 2
Be unable to work · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-28
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-05-05
Survey response — day 28, dose 2
MedDRA: Arthralgia — Feeling: Fair

Free text: Knee and ankle pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-12
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-05-19
Survey response — day 42, dose 2
MedDRA: Gait disturbance, Muscular weakness, Pain in extremity, Peripheral swelling — Feeling: Fair · Be unable to do your normal daily activities

Free text: Pain in a foot, swollen feet, tiredness in legs. I cant walk much

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-07
Survey response — 3 months, dose 2
MedDRA: Arthralgia, Headache, Pain in extremity — Feeling: Fair

Free text: Joints pain, leg pain, frequent headaches

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-10-07
Survey response — 6 months, dose 2
MedDRA: Headache, Neck pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Frequent headaches, neck pain

MedDRA releases: 2024-11 · check-in free text available
2021-12-23
Call 1 — Left Voicemail
2022-01-07
Call successful
Participant prefers to complete VAERS report online

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-10	Moderna
2	2021-04-07	Moderna

Call center

1 call center case

1 successful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-16

Systemic reaction (other): Rash in the left armpit, short shooting pain into armpit

Release 6 — day 14, dose 1

2021-03-24

Symptoms: Had a rash and pain in the left arm pit which is gone this week. Had 3 nighttime panic attacks with elevated blood pressure. Feeling anxious

Release 7 — days 1–6 daily, dose 2

2021-04-08

Systemic reaction (other): Weakness and dizziness

2021-04-09

Systemic reaction (other): Intense lower abdomen pain, like premenstrual intense cramps

2021-04-10

Systemic reaction (other): Panic attack

2021-04-11

Systemic reaction (other): Waking up at night, anxiety

2021-04-12

Systemic reaction (other): Migren headache, did not go away after 500 mg Tylenol

2021-04-13

Systemic reaction (other): Lightheaded

Release 7 — day 14, dose 2

2021-04-21

Symptoms: Joint pain: knees and ankles Headache on Sunday with high BP

Release 8 — day 28, dose 2

2021-05-05

Symptoms: Knee and ankle pain

Release 8 — day 42, dose 2

2021-05-19

Symptoms: Pain in a foot, swollen feet, tiredness in legs. I cant walk much

Release 9 — 3 months, dose 2

2021-07-07

Symptoms: Joints pain, leg pain, frequent headaches

Release 10 — 6 months, dose 2

2021-10-07

Symptoms: Frequent headaches, neck 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
SD	Arthralgia	✓	✓	✓
SD	Blood pressure increased	✓	✓	✓
SD	Gait disturbance	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Hypertension	✓	✓	✓
SD	Muscular weakness	✓	✓	✓
SD	Neck pain	·	·	✓
SD	Pain in extremity	✓	✓	✓
SD	Panic attack	✓	✓	✓
SD	Peripheral swelling	✓	✓	✓
SD	Rash	✓	✓	✓
SRO	Abdominal pain lower	✓	✓	✓
SRO	Anxiety	✓	✓	✓
SRO	Asthenia	✓	✓	✓
SRO	Axillary pain	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Middle insomnia	✓	✓	✓
SRO	Migraine	✓	✓	✓
SRO	Panic attack	✓	✓	✓
SRO	Rash	✓	✓	✓
SRO	Self-medication	✓	✓	✓

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