35F-22609-57519

2 vaccinations 10 coded responses 20 check-ins 10 free-text entries 2 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 972 / OR
Registered: 2021-01-21

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

2021-01-20
Dose 1 — Moderna
2021-01-21
Registered in v-safe
2021-01-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling, Itching · Fatigue or tiredness

Adult check-in
2021-01-22
Survey response — days 1–6 daily, dose 1
MedDRA: Nausea — Feeling: Fair · Headache, Fatigue or tiredness

Free text: Very mild queasiness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-23
Survey response — days 1–6 daily, dose 1
MedDRA: Nasopharyngitis — Feeling: Poor · Chills, Headache, Fatigue or tiredness, Diarrhea, Abdominal pain

Free text: Mild cold sx

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-24
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache

Adult check-in
2021-01-25
Survey response — days 1–6 daily, dose 1
MedDRA: Nasopharyngitis — Feeling: Fair · Fatigue or tiredness

Free text: Mild cold symptoms

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-27
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-03
Survey response — day 14, dose 1
MedDRA: Myalgia — Feeling: Fair

Free text: Shoulder and arm pain that is muscular or in tendons etc; not topical. I plan to call a provider because sleep is disrupted.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-10
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-19
Dose 2 — Moderna
2021-02-19
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-02-24
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia, Pain in extremity, Sleep disorder — Feeling: Good · Site: Pain · Joint pains · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Systemic reaction (other): Still have shoulder pain from first shot only. Impacts sleep not directly on daily activities. · Healthcare visit (other): Got recommendations for second dose and discussion about shoulder-arm pain diagnosis and treatment.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-24
Report sent to call center — days 1–6 daily, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-25
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia, Limb injury — Feeling: Good · Joint pains

Free text: Ongoing shoulder pain and strain from first shot

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-26
Survey response — day 7, dose 2
MedDRA: Arthralgia, Injection site reaction, Musculoskeletal stiffness — Feeling: Good · Joint pains

Free text: Shoulder pain and stiffness at first injection site.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-05
Survey response — day 14, dose 2
MedDRA: Nasopharyngitis, Pain in extremity — Feeling: Fair

Free text: Mild cold today (probably allergies) and worsened aches in arm where I got the first shot over 6 weeks ago.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-12
Survey response — day 21, dose 2
MedDRA: Arthralgia, Pain in extremity, Poor quality sleep — Feeling: Fair

Free text: Shoulder and arm pain slightly improved for a day then worsened. Sleep is continually poor from pain.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-19
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-29
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-02
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-21
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-20
Survey response — 6 months, dose 2
MedDRA: Arthralgia, Palpitations, Vertigo — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: Worsened vertigo, heart palpitations, continued shoulder pain by the first shot injection site.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-20
Report sent to call center — 6 months, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

1 call case(s)
2021-08-24
Call 1 — Left Voicemail
2021-08-25
Call successful
Participant prefers to complete VAERS report online

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-20	Moderna
2	2021-02-19	Moderna

Call center

2 call center cases

2 successful

See the call center timeline

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-22

Systemic reaction (other): Very mild queasiness

2021-01-23

Systemic reaction (other): Mild cold sx

2021-01-25

Systemic reaction (other): Mild cold symptoms

Release 3 — day 14, dose 1

2021-02-03

Symptoms: Shoulder and arm pain that is muscular or in tendons etc; not topical. I plan to call a provider because sleep is disrupted.

Release 4 — days 1–6 daily, dose 2

2021-02-24

Systemic reaction (other): Still have shoulder pain from first shot only. Impacts sleep not directly on daily activities.

Healthcare visit (other): Got recommendations for second dose and discussion about shoulder-arm pain diagnosis and treatment.

2021-02-25

Systemic reaction (other): Ongoing shoulder pain and strain from first shot

Release 4 — day 7, dose 2

2021-02-26

Systemic reaction (other): Shoulder pain and stiffness at first injection site.

Release 5 — day 14, dose 2

2021-03-05

Symptoms: Mild cold today (probably allergies) and worsened aches in arm where I got the first shot over 6 weeks ago.

Release 5 — day 21, dose 2

2021-03-12

Symptoms: Shoulder and arm pain slightly improved for a day then worsened. Sleep is continually poor from pain.

Release 9 — 6 months, dose 2

2021-08-20

Symptoms: Worsened vertigo, heart palpitations, continued shoulder pain by the first shot injection site.

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	Arthralgia	✓	✓	✓
HCVO	Pain in extremity	✓	✓	✓
SD	Arthralgia	✓	✓	✓
SD	Myalgia	✓	✓	✓
SD	Nasopharyngitis	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SD	Palpitations	✓	·	✓
SD	Poor quality sleep	✓	✓	✓
SD	Vertigo	✓	·	✓
SRO	Arthralgia	✓	✓	✓
SRO	Injection site reaction	✓	✓	✓
SRO	Limb injury	✓	✓	✓
SRO	Musculoskeletal stiffness	✓	✓	✓
SRO	Nasopharyngitis	✓	✓	✓
SRO	Nausea	✓	✓	✓
SRO	Sleep disorder	✓	✓	✓

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