334-33538-81195

2 vaccinations 8 coded responses 17 check-ins 8 free-text entries 2 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 132 / NY
Registered: 2021-02-26

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

2021-02-04
Dose 1 — Moderna
2021-02-26
Registered in v-safe
2021-02-26
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-04
Dose 2 — Moderna
2021-03-04
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-03-05
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-06
Survey response — days 1–6 daily, dose 2
MedDRA: Erythema, Pruritus — Feeling: Fair · Site: Pain, Redness · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: This does not relate to my second shot but rather to my first. About 9 days after receiving the first dose of the vaccine a red and itchy patch of skin developed about 2 1/2 by 2 1/2 on my upper arm.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-07
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site erythema, Throat irritation — Feeling: Fair · Site: Pain, Redness, Swelling · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: The red etc area by the injection site has increased in size. Also have a scratchy throat.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-08
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-09
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-10
Survey response — days 1–6 daily, dose 2
MedDRA: Cough, Dysphonia, Respiratory tract congestion — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Have had congestion, raspy voice and cough today and the prior 2 days.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-11
Health check-in — day 7, dose 2
Feeling: Good · Site: Pain, Redness, Swelling · Fatigue or tiredness

Adult check-in
2021-03-18
Survey response — day 14, dose 2
MedDRA: Cough, Dysphonia, Respiratory tract congestion, Throat irritation — Feeling: Good · Be unable to do your normal daily activities

Free text: Coughing, scratchy throat, and congestion continues coupled with a horse throat sometimes.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-27
Survey response — day 21, dose 2
MedDRA: Lymphadenopathy — Feeling: Good

Free text: Armpit lymph nodes have recently decreased in size. They were swollen post vaccine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-01
Survey response — day 28, dose 2
MedDRA: Pain in extremity, Tenderness — Feeling: Fair

Free text: Am experiencing tenderness/soreness along the inside of the left thigh.

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

Adult check-in
2021-04-17
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-04
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-03
Survey response — 6 months, dose 2
MedDRA: Office visit, Pyelocaliectasis, Ultrasound scan abnormal — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: US indicating a caliectasis · Healthcare visit (other): In person office visit

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-09-03
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-09-10
Call 1 — Left Voicemail
2022-03-04
Survey response — 12 months, dose 2
MedDRA: Condition aggravated, Office visit, Pre-existing disease — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Progression of AMD · Healthcare visit (other): Scheduled office appt with my opthamologist

MedDRA releases: 2024-11 · check-in free text available
2022-03-04
Report sent to call center — 12 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2022-03-09
Call 1 — Left Voicemail
2022-03-09
Call successful
Participant prefers to complete VAERS report online

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-04	Moderna
2	2021-03-04	Moderna

Call center

2 call center cases

1 successful · 1 unsuccessful

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 2

2021-03-06

Systemic reaction (other): This does not relate to my second shot but rather to my first. About 9 days after receiving the first dose of the vaccine a red and itchy patch of skin developed about 2 1/2 by 2 1/2 on my upper arm.

2021-03-07

Systemic reaction (other): The red etc area by the injection site has increased in size. Also have a scratchy throat.

2021-03-10

Systemic reaction (other): Have had congestion, raspy voice and cough today and the prior 2 days.

Release 5 — day 14, dose 2

2021-03-18

Symptoms: Coughing, scratchy throat, and congestion continues coupled with a horse throat sometimes.

Release 6 — day 21, dose 2

2021-03-27

Symptoms: Armpit lymph nodes have recently decreased in size. They were swollen post vaccine.

Release 6 — day 28, dose 2

2021-04-01

Symptoms: Am experiencing tenderness/soreness along the inside of the left thigh.

Release 9 — 6 months, dose 2

2021-09-03

Symptoms: US indicating a caliectasis

Healthcare visit (other): In person office visit

Release 11 — 12 months, dose 2

2022-03-04

Symptoms: Progression of AMD

Healthcare visit (other): Scheduled office appt with my opthamologist

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	Office visit	✓	·	✓
SD	Condition aggravated	·	·	✓
SD	Cough	✓	✓	✓
SD	Dysphonia	✓	✓	✓
SD	Lymphadenopathy	✓	✓	✓
SD	Pain in extremity	✓	·	✓
SD	Pre-existing disease	·	·	✓
SD	Pyelocaliectasis	✓	·	✓
SD	Respiratory tract congestion	✓	✓	✓
SD	Tenderness	✓	✓	✓
SD	Throat irritation	✓	✓	✓
SD	Ultrasound scan abnormal	✓	·	✓
SRO	Cough	✓	✓	✓
SRO	Dysphonia	✓	✓	✓
SRO	Erythema	✓	✓	✓
SRO	Injection site erythema	✓	✓	✓
SRO	Pruritus	✓	✓	✓
SRO	Respiratory tract congestion	✓	✓	✓
SRO	Throat irritation	✓	✓	✓

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