36N-18534-73083

2 vaccinations 11 coded responses 26 check-ins 11 free-text entries 1 call case

Sex: Female
Age at first dose: 56-60
ZIP prefix: 989 / WA
Registered: 2021-03-06

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

2021-03-06
Registered in v-safe
2021-03-06
Dose 1 — Moderna
2021-03-06
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-07
Survey response — days 1–6 daily, dose 1
MedDRA: Rhinorrhoea, Sneezing — Feeling: Good · Site: Pain

Free text: Drippy nose and some sneezing, does not feel like the common cold.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Itching · None

Adult check-in
2021-03-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Diarrhea, Abdominal pain

Adult check-in
2021-03-13
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-20
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-27
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-03
Dose 2 — Moderna
2021-04-03
Survey response — day 0, dose 2
MedDRA: Dizziness — Feeling: Good · Site: Pain

Free text: A little dizzy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-04
Survey response — days 1–6 daily, dose 2
MedDRA: Lymph node pain — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Free text: Some lymph node discomfort; hair on head 'hurts'

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-05
Survey response — days 1–6 daily, dose 2
MedDRA: Unevaluable event — Feeling: Good · Site: Pain, Redness · Fatigue or tiredness

Free text: Last evening my fever reached 100. Once it broke, I slept well and feel much better today.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-06
Survey response — days 1–6 daily, dose 2
MedDRA: Cough — Feeling: Good · Site: Pain, Redness, Itching

Free text: I've had a cough since day after vaccine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-07
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness · None

Adult check-in
2021-04-08
Survey response — days 1–6 daily, dose 2
MedDRA: Cough, Seasonal allergy — Feeling: Good · Site: Itching

Free text: Still have a little cough. Could be seasonal allergies

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-09
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-10
Health check-in — day 7, dose 2
Feeling: Good · Headache

Adult check-in
2021-04-17
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-24
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-01
Survey response — day 28, dose 2
MedDRA: Asthma, Cough, Seasonal allergy — Feeling: Good

Free text: I have seasonal allergies and asthma, and am coughing more.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-08
Survey response — day 35, dose 2
MedDRA: Asthma, Cough, Pre-existing disease — Feeling: Fair

Free text: Asthma cough is increasing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-15
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-03
Survey response — 3 months, dose 2
MedDRA: Musculoskeletal discomfort, Supraclavicular fossa pain — Feeling: Good

Free text: Neck, shoulder, collar bone discomfort. Not caused by injury.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-10-02
Survey response — 6 months, dose 2
MedDRA: Nasopharyngitis — Feeling: Fair

Free text: May be getting a cold. Tomorrow will tell.

MedDRA releases: 2024-11 · check-in free text available
2022-04-05
Survey response — 12 months, dose 2
MedDRA: Arthralgia, Physiotherapy — Feeling: Good · 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: Significant shoulder pain, no injury. Same shoulder as last vaccination. Undergoing physical therapy, hoping for relief.

MedDRA releases: 2024-11 · check-in free text available
2022-04-05
Report sent to call center — 12 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-04-06
Call 1 — Left Voicemail
2022-04-06
Call successful
Participant prefers to complete VAERS report online

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-06	Moderna
2	2021-04-03	Moderna

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-07

Systemic reaction (other): Drippy nose and some sneezing, does not feel like the common cold.

Release 6 — day 0, dose 2

2021-04-03

Systemic reaction (other): A little dizzy

Release 6 — days 1–6 daily, dose 2

2021-04-04

Systemic reaction (other): Some lymph node discomfort; hair on head 'hurts'

2021-04-05

Systemic reaction (other): Last evening my fever reached 100. Once it broke, I slept well and feel much better today.

Release 7 — days 1–6 daily, dose 2

2021-04-06

Systemic reaction (other): I've had a cough since day after vaccine

2021-04-08

Systemic reaction (other): Still have a little cough. Could be seasonal allergies

Release 8 — day 28, dose 2

2021-05-01

Symptoms: I have seasonal allergies and asthma, and am coughing more.

Release 8 — day 35, dose 2

2021-05-08

Symptoms: Asthma cough is increasing

Release 9 — 3 months, dose 2

2021-07-03

Symptoms: Neck, shoulder, collar bone discomfort. Not caused by injury.

Release 9 — 6 months, dose 2

2021-10-02

Symptoms: May be getting a cold. Tomorrow will tell.

Release 11 — 12 months, dose 2

2022-04-05

Symptoms: Significant shoulder pain, no injury. Same shoulder as last vaccination. Undergoing physical therapy, hoping for relief.

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	Asthma	✓	✓	✓
SD	Cough	✓	✓	✓
SD	Musculoskeletal discomfort	✓	✓	✓
SD	Nasopharyngitis	·	·	✓
SD	Physiotherapy	·	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Seasonal allergy	✓	✓	✓
SD	Supraclavicular fossa pain	✓	✓	✓
SRO	Cough	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Lymph node pain	✓	✓	✓
SRO	Rhinorrhoea	✓	✓	✓
SRO	Seasonal allergy	✓	✓	✓
SRO	Sneezing	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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