3DS-28874-43938

1 vaccination 9 coded responses 13 check-ins 9 free-text entries 4 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 760 / TX
Registered: 2020-12-29

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

2020-12-28
Dose 1 — Moderna
2020-12-29
Registered in v-safe
2020-12-29
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling · Muscle or body aches, Abdominal pain

Adult check-in
2020-12-30
Survey response — days 1–6 daily, dose 1
MedDRA: Chest pain — Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Abdominal pain

Free text: Minor sharp pain left side of chest

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-01
Survey response — days 1–6 daily, dose 1
MedDRA: Chest pain — Feeling: Good · Muscle or body aches

Free text: Mild sharp pain in chest since day after injection

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-02
Survey response — days 1–6 daily, dose 1
MedDRA: Chest pain — Feeling: Good · Abdominal pain

Free text: Mild Pain in chest area

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-03
Survey response — days 1–6 daily, dose 1
MedDRA: Chest pain — Feeling: Good

Free text: Pain in chest since day after injection

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-04
Survey response — day 7, dose 1
MedDRA: Chest pain — Feeling: Good · Abdominal pain

Free text: Chest pain like heart burn but never had heart burn before

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-11
Survey response — day 14, dose 1
MedDRA: Arthralgia, Chest pain, Injection site erythema, Injection site inflammation, Injection site paraesthesia, Injection site swelling, Injection site warmth, Paraesthesia — Feeling: Fair · 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: Swelling, redness, tingling inflamed hot area at injection site. Tingling and pain on shoulder area of arm where injection site was. Started 8 days after vaccine. Chest pain continues since day 1 after vaccine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-11
Report sent to call center — day 14, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-01-18
Survey response — day 21, dose 1
MedDRA: Arthralgia, Chest pain, Hypoaesthesia, Injection site erythema, Injection site swelling, Injection site warmth, Neck pain, Swelling face — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Swelling, hot and redness at injection site, shoulder and neck pain left side. Left side of face minor swelling at jawbone and numbness. Pain in chest left side and sternum area continues.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-18
Report sent to call center — day 21, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-01-25
Survey response — day 28, dose 1
MedDRA: Hypoaesthesia, Paraesthesia — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Tingling in arms, chest and arm pit area. Facial numbness left side

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-25
Report sent to call center — day 28, dose 1
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-01
Survey response — day 35, dose 1
MedDRA: Arthralgia, Chest pain, Emergency care, Hypoaesthesia, Neck pain, Pain in extremity — Feeling: Poor · Be unable to work, 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: Chest, arm, neck and shoulder pain left cheek numb. It would be nice if someone followed up with me. I have been to ER and several doctors trying to figure out why this happened

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-01
Report sent to call center — day 35, dose 1
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-25
Call 1 — Left Voicemail
2021-03-29
Health check-in — 3 months, dose 1
Feeling: Good

Adult check-in
2021-06-01
Call successful
Reported to VAERS voluntarily prior to GDIT contact
2021-06-28
Health check-in — 6 months, dose 1
Feeling: Good

Adult check-in
2021-12-28
Health check-in — 12 months, dose 1
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-28	Moderna

Call center

4 call center cases

2 successful · 2 unsuccessful

VAERS report filed, before or during a call: 2

See the call center timeline

Free text

Release 1 — days 1–6 daily, dose 1

2020-12-30

Systemic reaction (other): Minor sharp pain left side of chest

2021-01-01

Systemic reaction (other): Mild sharp pain in chest since day after injection

2021-01-02

Systemic reaction (other): Mild Pain in chest area

2021-01-03

Systemic reaction (other): Pain in chest since day after injection

Release 1 — day 7, dose 1

2021-01-04

Systemic reaction (other): Chest pain like heart burn but never had heart burn before

Release 1 — day 14, dose 1

2021-01-11

Symptoms: Swelling, redness, tingling inflamed hot area at injection site. Tingling and pain on shoulder area of arm where injection site was. Started 8 days after vaccine. Chest pain continues since day 1 after vaccine.

Release 2 — day 21, dose 1

2021-01-18

Symptoms: Swelling, hot and redness at injection site, shoulder and neck pain left side. Left side of face minor swelling at jawbone and numbness. Pain in chest left side and sternum area continues.

Release 2 — day 28, dose 1

2021-01-25

Symptoms: Tingling in arms, chest and arm pit area. Facial numbness left side

Release 3 — day 35, dose 1

2021-02-01

Symptoms: Chest, arm, neck and shoulder pain left cheek numb. It would be nice if someone followed up with me. I have been to ER and several doctors trying to figure out why this happened

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	Chest pain	✓	✓	✓
SD	Emergency care	✓	✓	✓
SD	Hypoaesthesia	✓	✓	✓
SD	Injection site erythema	✓	✓	✓
SD	Injection site inflammation	✓	✓	✓
SD	Injection site paraesthesia	✓	✓	✓
SD	Injection site swelling	✓	✓	✓
SD	Injection site warmth	✓	✓	✓
SD	Neck pain	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SD	Paraesthesia	✓	✓	✓
SD	Swelling face	✓	✓	✓
SRO	Chest pain	✓	✓	✓

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