3H7-32891-74868

2 vaccinations 9 coded responses 23 check-ins 9 free-text entries 1 call case

Sex: Female
Age at first dose: 56-60
ZIP prefix: 945 / CA
Registered: 2021-02-12

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

2021-02-11
Dose 1 — Moderna
2021-02-12
Registered in v-safe
2021-02-12
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-02-13
Survey response — days 1–6 daily, dose 1
MedDRA: Neuralgia — Feeling: Fair

Free text: Nerves in Teeth hurt. Right side

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-15
Survey response — days 1–6 daily, dose 1
MedDRA: Muscle twitching — Feeling: Fair · Fatigue or tiredness

Free text: Mild Twinges in right temple and upper jaw

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-16
Survey response — days 1–6 daily, dose 1
MedDRA: Dental discomfort — Feeling: Good

Free text: Very slight twinges right upper teeth

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-17
Survey response — days 1–6 daily, dose 1
MedDRA: Toothache — Feeling: Fair · Headache, Muscle or body aches

Free text: Mild Upper & lower teeth pain and temple twinge right side

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-18
Survey response — day 7, dose 1
MedDRA: Pain in jaw, Temperature intolerance, Toothache — Feeling: Fair · Muscle or body aches

Free text: Moderate pain like toothache around upper & lower right jaw. Heat and cold sensitive

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-25
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-04
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-03-11
Dose 2 — Moderna
2021-03-11
Health check-in — day 0, dose 2
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-03-12
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-13
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
2021-03-14
Survey response — days 1–6 daily, dose 2
MedDRA: Gingival pain, Toothache — Feeling: Fair · Site: Pain · Muscle or body aches

Free text: Roaming tooth ache and nerve sensitivity upper and lower jaw mostly right side

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-15
Survey response — days 1–6 daily, dose 2
MedDRA: Headache, Pain in jaw, Toothache — Feeling: Fair · Muscle or body aches

Free text: Right teeth/jaw ache. Temple pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Muscle or body aches

Adult check-in
2021-03-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Muscle or body aches

Adult check-in
2021-03-18
Health check-in — day 7, dose 2
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-25
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-03
Survey response — day 21, dose 2
MedDRA: Nasal congestion — Feeling: Good

Free text: Mild Nasal change congestion

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-22
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-06-10
Survey response — 3 months, dose 2
MedDRA: Medical counselling, Nerve injury, Tooth disorder, Urticaria — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Hives. Random welts. Continuing nerve sensitivity in right molar · Healthcare visit (other): Phone calls

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-10
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-21
Call successful
Participant prefers to complete VAERS report online
2021-09-09
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2022-03-11
Health check-in — 12 months, dose 2
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-11	Moderna
2	2021-03-11	Moderna

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-13

Systemic reaction (other): Nerves in Teeth hurt. Right side

2021-02-15

Systemic reaction (other): Mild Twinges in right temple and upper jaw

2021-02-16

Systemic reaction (other): Very slight twinges right upper teeth

2021-02-17

Systemic reaction (other): Mild Upper & lower teeth pain and temple twinge right side

Release 4 — day 7, dose 1

2021-02-18

Systemic reaction (other): Moderate pain like toothache around upper & lower right jaw. Heat and cold sensitive

Release 5 — days 1–6 daily, dose 2

2021-03-14

Systemic reaction (other): Roaming tooth ache and nerve sensitivity upper and lower jaw mostly right side

2021-03-15

Systemic reaction (other): Right teeth/jaw ache. Temple pain

Release 6 — day 21, dose 2

2021-04-03

Symptoms: Mild Nasal change congestion

Release 9 — 3 months, dose 2

2021-06-10

Symptoms: Hives. Random welts. Continuing nerve sensitivity in right molar

Healthcare visit (other): Phone calls

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	Medical counselling	✓	✓	✓
SD	Nasal congestion	✓	✓	✓
SD	Nerve injury	✓	✓	✓
SD	Tooth disorder	✓	✓	✓
SD	Urticaria	✓	✓	✓
SRO	Dental discomfort	✓	✓	✓
SRO	Gingival pain	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Muscle twitching	✓	✓	✓
SRO	Neuralgia	✓	✓	✓
SRO	Pain in jaw	✓	✓	✓
SRO	Temperature intolerance	✓	✓	✓
SRO	Toothache	✓	✓	✓

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