2VC-21400-24253

2 vaccinations 8 coded responses 18 check-ins 8 free-text entries 5 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 832 / ID
Registered: 2021-04-06

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

2021-04-06
Registered in v-safe
2021-04-06
Dose 1 — Moderna
2021-04-06
Health check-in — day 0, dose 1
Feeling: Fair · Site: Pain, Redness · Fatigue or tiredness

Adult check-in
2021-04-07
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Nausea, Diarrhea

Adult check-in
2021-04-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache, Diarrhea

Adult check-in
2021-04-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-04-10
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea

Adult check-in
2021-04-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-04-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-04-13
Health check-in — day 7, dose 1
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-04-20
Survey response — day 14, dose 1
MedDRA: Anxiety, Vascular pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: I have had four times where I feel like my veins are restricted and painful. One time even traveling up my leg to my neck and then making a vein pop out of my forehead. Im scared. Dont think Ill get the second shot.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-27
Survey response — day 21, dose 1
MedDRA: Vein disorder — Feeling: Fair · Be unable to do your normal daily activities

Free text: My veins in my neck and legs are being weird and restricting sometimes.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-04
Dose 2 — Moderna
2021-05-11
Survey response — day 7, dose 2
MedDRA: Office visit — Feeling: Poor · Site: Pain · Fever · Headache, Fatigue or tiredness, Nausea, Diarrhea · 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: So sick. Took myself to urgent care. Got on antibiotics, steroids and an inhaler

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-11
Report sent to call center — day 7, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-18
Survey response — day 14, dose 2
MedDRA: Cough, Fatigue, Musculoskeletal stiffness — 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: My neck is so stiff, Im still coughing and Im so exhausted all the time.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-18
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

1 call case(s)
2021-05-25
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-06-01
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-06-08
Survey response — day 35, dose 2
MedDRA: Cough, Dyspnoea — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities

Free text: Coughing again and trouble breathing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-15
Survey response — day 42, dose 2
MedDRA: Unevaluable event, Uterine enlargement, Uterine prolapse — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Hospitalization

Free text: Symptoms: My uterus enlarged and dropped · Healthcare visit (other): Scheduled surgery

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-15
Report sent to call center — day 42, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-21
Call 1 — Left Voicemail
2021-08-03
Survey response — 3 months, dose 2
MedDRA: Hysterectomy — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Hospitalization

Free text: Had a hysterectomy

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-03
Report sent to call center — 3 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-12
Call 1 — Left Voicemail
2021-11-02
Survey response — 6 months, dose 2
MedDRA: Musculoskeletal stiffness — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: I have had a stiff neck since I got my vaccine six months ago.

MedDRA releases: 2024-11 · check-in free text available
2021-11-02
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-11-03
Call successful
Participant prefers to complete VAERS report online

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-06	Moderna
2	2021-05-04	Moderna

Call center

5 call center cases

5 successful

See the call center timeline

Free text

Release 7 — day 14, dose 1

2021-04-20

Symptoms: I have had four times where I feel like my veins are restricted and painful. One time even traveling up my leg to my neck and then making a vein pop out of my forehead. Im scared. Dont think Ill get the second shot.

Release 8 — day 21, dose 1

2021-04-27

Symptoms: My veins in my neck and legs are being weird and restricting sometimes.

Release 8 — day 7, dose 2

2021-05-11

Systemic reaction (other): So sick. Took myself to urgent care. Got on antibiotics, steroids and an inhaler

Release 8 — day 14, dose 2

2021-05-18

Symptoms: My neck is so stiff, Im still coughing and Im so exhausted all the time.

Release 8 — day 35, dose 2

2021-06-08

Symptoms: Coughing again and trouble breathing

Release 9 — day 42, dose 2

2021-06-15

Symptoms: My uterus enlarged and dropped

Healthcare visit (other): Scheduled surgery

Release 9 — 3 months, dose 2

2021-08-03

Symptoms: Had a hysterectomy

Release 10 — 6 months, dose 2

2021-11-02

Symptoms: I have had a stiff neck since I got my vaccine six months ago.

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	Unevaluable event	✓	✓	✓
SD	Anxiety	✓	✓	✓
SD	Cough	✓	✓	✓
SD	Dyspnoea	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Hysterectomy	✓	·	✓
SD	Musculoskeletal stiffness	✓	✓	✓
SD	Neck pain	○	○	○
SD	Uterine enlargement	✓	✓	✓
SD	Uterine prolapse	✓	✓	✓
SD	Vascular pain	✓	✓	✓
SD	Vein disorder	✓	✓	✓
SRO	Office visit	✓	✓	✓

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