3DD-23357-22748

2 vaccinations 7 coded responses 20 check-ins 7 free-text entries 6 call cases

Sex: Female
Age at first dose: 26-30
ZIP prefix: 660 / KS
Registered: 2021-02-18

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

2021-02-18
Registered in v-safe
2021-02-18
Dose 1 — Moderna
2021-02-19
Survey response — days 1–6 daily, dose 1
MedDRA: Swelling face — Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Selling in face on side of injection only

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-19
Report sent to call center — days 1–6 daily, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-20
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Muscle or body aches

Adult check-in
2021-02-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-24
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fever · Headache

Adult check-in
2021-02-25
Survey response — day 7, dose 1
MedDRA: SARS-CoV-2 test negative — Feeling: Poor · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: We t to doctor and indicated it was probably a virus. Tested negative for COVID

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-25
Report sent to call center — day 7, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-04
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-11
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-17
Dose 2 — Moderna
2021-03-19
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-20
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-03-24
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-01
Survey response — day 14, dose 2
MedDRA: Neuralgia — Feeling: Good

Free text: Nerve pain running through my elbow up to my shoulder and down through my wrist and hand on the right arm (arm of vaccination). On and off pain but exasperated by flying in an airplane. Swelling during the flight.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-07
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-18
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-21
Survey response — day 35, dose 2
MedDRA: Dyspnoea, Headache, Throat irritation — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Scratchy throat, headache, shortness of breathe

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
Report sent to call center — day 35, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-28
Survey response — day 42, dose 2
MedDRA: Hypersensitivity, Sinus congestion — Feeling: Poor · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Sinus congestion, allergies or allergy like symptoms (itchy eyes, itchy throat, swollen throat)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-28
Report sent to call center — day 42, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-15
Call 1 — Left Voicemail
2021-06-16
Survey response — 3 months, dose 2
MedDRA: Hypersensitivity, Lymphadenopathy, Musculoskeletal stiffness, Office visit, Tension — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Continued swollen lymph nodes in right side of upper body. Particularly large and swollen under right armpit into right pectoral. Right shoulder tension and stiffness continuous. Continued allergy like symptoms · Healthcare visit (other): Regular well check appt

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-16
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-16
Call 2 — Left Voicemail
2021-06-23
Call successful
Participant prefers to complete VAERS report online
2021-09-15
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-03-17
Survey response — 12 months, dose 2
MedDRA: COVID-19 — Feeling: Good · Be unable to work or attend school, 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: COVID in January 2022

MedDRA releases: 2024-11 · check-in free text available
2022-03-17
Report sent to call center — 12 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

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-03-21
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-18	Moderna
2	2021-03-17	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-02-19	Successful	Participant prefers to complete VAERS report online
2021-02-25	Successful	Participant prefers to complete VAERS report online
2021-04-21	Successful	Participant prefers to complete VAERS report online
2021-04-28	Successful	Participant prefers to complete VAERS report online
2021-06-16	Successful 2021-06-23	Participant prefers to complete VAERS report online
2022-03-17	Unsuccessful

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-19

Systemic reaction (other): Selling in face on side of injection only

Release 4 — day 7, dose 1

2021-02-25

Systemic reaction (other): We t to doctor and indicated it was probably a virus. Tested negative for COVID

Release 6 — day 14, dose 2

2021-04-01

Symptoms: Nerve pain running through my elbow up to my shoulder and down through my wrist and hand on the right arm (arm of vaccination). On and off pain but exasperated by flying in an airplane. Swelling during the flight.

Release 7 — day 35, dose 2

2021-04-21

Symptoms: Scratchy throat, headache, shortness of breathe

Release 8 — day 42, dose 2

2021-04-28

Symptoms: Sinus congestion, allergies or allergy like symptoms (itchy eyes, itchy throat, swollen throat)

Release 9 — 3 months, dose 2

2021-06-16

Symptoms: Continued swollen lymph nodes in right side of upper body. Particularly large and swollen under right armpit into right pectoral. Right shoulder tension and stiffness continuous. Continued allergy like symptoms

Healthcare visit (other): Regular well check appt

Release 11 — 12 months, dose 2

2022-03-17

Symptoms: COVID in January 2022

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	COVID-19	·	·	✓
SD	Dyspnoea	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Hypersensitivity	✓	✓	✓
SD	Lymphadenopathy	✓	✓	✓
SD	Musculoskeletal stiffness	✓	✓	✓
SD	Neuralgia	✓	✓	✓
SD	Sinus congestion	✓	✓	✓
SD	Tension	✓	✓	✓
SD	Throat irritation	✓	✓	✓
SRO	SARS-CoV-2 test negative	✓	✓	✓
SRO	Swelling face	✓	✓	✓

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