32S-20012-74210

2 vaccinations 21 coded responses 29 check-ins 21 free-text entries 6 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 351 / AL
Registered: 2021-04-04

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

2021-04-04
Registered in v-safe
2021-04-04
Dose 1 — Moderna
2021-04-04
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-04-05
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site pain, Self-medication — Feeling: Good

Free text: Arm is slightly sore at injection site but only when the grand baby bumps into it. Been taking Tylenol every 4-6 hours since injection

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-08
Survey response — days 1–6 daily, dose 1
MedDRA: Oropharyngeal pain — Feeling: Fair · Headache, Nausea

Free text: Sore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-09
Survey response — days 1–6 daily, dose 1
MedDRA: Lymphadenopathy, Oropharyngeal pain — Feeling: Fair

Free text: Sore throat, enlarged lymph node in left arm pit (injection site is right arm)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-10
Survey response — days 1–6 daily, dose 1
MedDRA: Lymphadenopathy, Oropharyngeal pain — Feeling: Good

Free text: Mild sore throat, swollen lymph node left arm pit

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

Free text: Persistent, dry hacking cough from 10 pm last night until 5 am, swollen lymph node in left arm pit

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-19
Survey response — day 14, dose 1
MedDRA: Cheilitis, Gingival pain — Feeling: Good

Free text: One episode of piercing pain in gum area above upper teethSkin sores on right side of face and around lips

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-25
Survey response — day 21, dose 1
MedDRA: Lymphadenopathy, Oropharyngeal pain, Pharyngeal exudate — Feeling: Poor · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Swollen lymph nodes in neck and armsAwful sore throat with exudate+ EBV+CMVWill be contacting primary dr re. second dose

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-25
Report sent to call center — day 21, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-02
Survey response — day 28, dose 1
MedDRA: Incomplete course of vaccination, Malaise — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Had mono-like symptoms triggered from first vaccine (similar to Feb. 2020 symptoms-before COVID testing was available). Doctor advised that I wait about getting second vaccine until I feel better. I wont be getting it.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-02
Report sent to call center — day 28, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-09
Health check-in — day 35, dose 1
Feeling: Fair

Adult check-in
2021-05-16
Health check-in — day 42, dose 1
Feeling: Good

Adult check-in
2021-07-06
Survey response — 3 months, dose 1
MedDRA: Abdominal pain, Food aversion, Headache, Injected limb mobility decreased, Injection site pain, Ulcer, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: Chronic muscle pain at injection site-affects range of motion, painful sores on right temple area and left forehead area (have persisted since middle of April), piercing, pin-point abdominal pains (these have subsided), an aversion to meat. · Healthcare visit (other): I have an appt scheduled with a rheumatologist

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-06
Report sent to call center — 3 months, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-08
Call 1 — Left Voicemail
2021-07-23
Dose 2 — Moderna
2021-07-23
Survey response — day 0, dose 2
MedDRA: Office visit, Reaction to previous exposure to any vaccine — Feeling: Good · Site: Pain

Free text: Still have facial rash from previous vaccine, arm was still sore from previous vaccine. Saw rheumatologist who repeated CMV test (negative for active case)

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-24
Survey response — days 1–6 daily, dose 2
MedDRA: Middle insomnia, Pain — Feeling: Fair · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Free text: Awoke to pain similar to menstrual cramps (Im 14 years post menopause) pains lasted about an hour and subsided

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-25
Survey response — days 1–6 daily, dose 2
MedDRA: Headache, Pain in extremity — Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: When I woke up I had a sharp pain in left forehead area-felt superficial and was brief. Then, I had the same feeling in my left hand which was also brief.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-26
Survey response — days 1–6 daily, dose 2
MedDRA: Heart rate increased — Feeling: Good · Site: Pain · Headache, Muscle or body aches

Free text: Increased resting heart rate (110) late morning

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-27
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site pain, Rash — Feeling: Good · Site: Pain

Free text: The only residual issue I have other than injection site soreness is a rash on my face that erupted two weeks after the first vaccine. Its getting better slowly but still present.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-28
Survey response — days 1–6 daily, dose 2
MedDRA: Rash — Feeling: Good · Site: Pain

Free text: Facial rash not going away-another red bump came up today ughh

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-29
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-07-30
Survey response — day 7, dose 2
MedDRA: Dry eye — Feeling: Good · Site: Pain

Free text: Left eye is dry

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-06
Survey response — day 14, dose 2
MedDRA: Arthralgia, Eye irritation, Rash, Self-medication — Feeling: Good

Free text: I had terrible hip pain yesterday but it resolved with Tylenol.Earlier in the week, I had an irritation on the left eye in the area underneath that left forehead rash. It resolved after a couple of days.The rash is finally healing with no new spots

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-13
Survey response — day 21, dose 2
MedDRA: Eyelid infection, Muscle contracture, Office visit, Rash — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Rash continues on face and I have had a sore on each upper, inner eyelid. Went to eye doctor.Muscle contracture of left toes

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-13
Report sent to call center — day 21, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-18
Call 1 — Left Voicemail
2021-08-20
Survey response — day 28, dose 2
MedDRA: Cheilitis, Erythema of eyelid, Eyelid pain, Rash — Feeling: Good

Free text: I was so hopeful the rash was done and healing. However, I had another spot eruption yesterday in left forehead area. The spot on inner eyelid is still red but does not hurt like it did. I now have a spot on the right side of my lower lip.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-28
Survey response — day 35, dose 2
MedDRA: Body temperature decreased, Fatigue, Office visit, Pain, Rash, Skin discolouration — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Continue to have facial rash. Follow up visit with eye doctor due to eyelid spot not completely healed. Also, two days with body aches and fatigue. Two days with low body temp (96.7, 97.2). Returned call to CDC but did not get a callback.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-28
Report sent to call center — day 35, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-31
Call successful
Participant prefers to complete VAERS report online
2021-09-09
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-10-22
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2022-01-22
Survey response — 6 months, dose 2
MedDRA: Blood pressure abnormal — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Now on blood pressure medication

MedDRA releases: 2024-11 · check-in free text available
2022-01-22
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)
2022-01-24
Call 1 — Could Not Reach Participant
2022-01-27
Call 2 — Could Not Reach Participant

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-04	Moderna
2	2021-07-23	Moderna	No

Call center

6 call center cases

5 successful · 1 unsuccessful

See the call center timeline

Free text

Release 6 — days 1–6 daily, dose 1

2021-04-05

Systemic reaction (other): Arm is slightly sore at injection site but only when the grand baby bumps into it. Been taking Tylenol every 4-6 hours since injection

Release 7 — days 1–6 daily, dose 1

2021-04-08

Systemic reaction (other): Sore throat

2021-04-09

Systemic reaction (other): Sore throat, enlarged lymph node in left arm pit (injection site is right arm)

2021-04-10

Systemic reaction (other): Mild sore throat, swollen lymph node left arm pit

Release 7 — day 7, dose 1

2021-04-11

Systemic reaction (other): Persistent, dry hacking cough from 10 pm last night until 5 am, swollen lymph node in left arm pit

Release 7 — day 14, dose 1

2021-04-19

Symptoms: One episode of piercing pain in gum area above upper teethSkin sores on right side of face and around lips

Release 7 — day 21, dose 1

2021-04-25

Symptoms: Swollen lymph nodes in neck and armsAwful sore throat with exudate+ EBV+CMVWill be contacting primary dr re. second dose

Release 8 — day 28, dose 1

2021-05-02

Symptoms: Had mono-like symptoms triggered from first vaccine (similar to Feb. 2020 symptoms-before COVID testing was available). Doctor advised that I wait about getting second vaccine until I feel better. I wont be getting it.

Release 9 — 3 months, dose 1

2021-07-06

Symptoms: Chronic muscle pain at injection site-affects range of motion, painful sores on right temple area and left forehead area (have persisted since middle of April), piercing, pin-point abdominal pains (these have subsided), an aversion to meat.

Healthcare visit (other): I have an appt scheduled with a rheumatologist

Release 9 — day 0, dose 2

2021-07-23

Systemic reaction (other): Still have facial rash from previous vaccine, arm was still sore from previous vaccine. Saw rheumatologist who repeated CMV test (negative for active case)

Release 9 — days 1–6 daily, dose 2

2021-07-24

Systemic reaction (other): Awoke to pain similar to menstrual cramps (Im 14 years post menopause) pains lasted about an hour and subsided

2021-07-25

Systemic reaction (other): When I woke up I had a sharp pain in left forehead area-felt superficial and was brief. Then, I had the same feeling in my left hand which was also brief.

2021-07-26

Systemic reaction (other): Increased resting heart rate (110) late morning

2021-07-27

Systemic reaction (other): The only residual issue I have other than injection site soreness is a rash on my face that erupted two weeks after the first vaccine. Its getting better slowly but still present.

2021-07-28

Systemic reaction (other): Facial rash not going away-another red bump came up today ughh

Release 9 — day 7, dose 2

2021-07-30

Systemic reaction (other): Left eye is dry

Release 9 — day 14, dose 2

2021-08-06

Symptoms: I had terrible hip pain yesterday but it resolved with Tylenol.Earlier in the week, I had an irritation on the left eye in the area underneath that left forehead rash. It resolved after a couple of days.The rash is finally healing with no new spots cut off by CDC

Release 9 — day 21, dose 2

2021-08-13

Symptoms: Rash continues on face and I have had a sore on each upper, inner eyelid. Went to eye doctor.Muscle contracture of left toes

Release 9 — day 28, dose 2

2021-08-20

Symptoms: I was so hopeful the rash was done and healing. However, I had another spot eruption yesterday in left forehead area. The spot on inner eyelid is still red but does not hurt like it did. I now have a spot on the right side of my lower lip.

Release 9 — day 35, dose 2

2021-08-28

Symptoms: Continue to have facial rash. Follow up visit with eye doctor due to eyelid spot not completely healed. Also, two days with body aches and fatigue. Two days with low body temp (96.7, 97.2). Returned call to CDC but did not get a callback.

Release 11 — 6 months, dose 2

2022-01-22

Symptoms: Now on blood pressure medication

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	Abdominal pain	✓	✓	✓
SD	Arthralgia	✓	·	✓
SD	Blood pressure abnormal	·	·	✓
SD	Body temperature decreased	✓	·	✓
SD	Cheilitis	✓	✓	✓
SD	Erythema of eyelid	✓	·	✓
SD	Eye irritation	✓	·	✓
SD	Eyelid infection	✓	·	✓
SD	Eyelid pain	✓	·	✓
SD	Fatigue	✓	·	✓
SD	Food aversion	✓	✓	✓
SD	Gingival pain	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Incomplete course of vaccination	✓	✓	✓
SD	Injected limb mobility decreased	✓	✓	✓
SD	Injection site pain	✓	✓	✓
SD	Lymphadenopathy	✓	✓	✓
SD	Malaise	✓	✓	✓
SD	Muscle contracture	✓	·	✓
SD	Office visit	✓	·	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Pain	✓	·	✓
SD	Pharyngeal exudate	✓	✓	✓
SD	Rash	✓	·	✓
SD	Self-medication	✓	·	✓
SD	Skin discolouration	✓	·	✓
SD	Ulcer	✓	✓	✓
SRO	Cough	✓	✓	✓
SRO	Dry eye	✓	·	✓
SRO	Headache	✓	·	✓
SRO	Heart rate increased	✓	·	✓
SRO	Injection site pain	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Middle insomnia	✓	·	✓
SRO	Office visit	✓	·	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Pain	✓	·	✓
SRO	Pain in extremity	✓	·	✓
SRO	Rash	✓	·	✓
SRO	Reaction to previous exposure to any vaccine	✓	·	✓
SRO	Self-medication	✓	✓	✓

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