3HA-33031-29331

2 vaccinations 10 coded responses 16 check-ins 10 free-text entries 1 call case

Sex: Female
Age at first dose: 41-45
ZIP prefix: 765 / TX
Registered: 2021-03-16

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

2021-02-17
Dose 1 — Moderna
2021-03-16
Registered in v-safe
2021-03-16
Dose 2 — Moderna
2021-03-16
Health check-in — day 0, dose 2
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-03-16
Survey response — day 21, dose 1
MedDRA: Headache — Feeling: Good

Free text: Three days after injection, developed Headache for 10 days.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-17
Survey response — days 1–6 daily, dose 2
MedDRA: Nervousness — Feeling: Fair · Site: Pain, Redness, Swelling · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities

Free text: I feel really shaky.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-18
Survey response — days 1–6 daily, dose 2
MedDRA: Axillary pain, Feeling abnormal, Feeling hot, Oedema peripheral, Pyrexia — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Free text: The entire right side of my body became really hot last night. It was the weirdest feeling. Like half my body had fever. Also, my arm pit swelled and was very sore.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-19
Survey response — days 1–6 daily, dose 2
MedDRA: Fatigue, Feeling abnormal — Feeling: Fair · Site: Pain, Swelling, Itching · Fever · Chills, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Free text: Ive just been really tired and icky feeling

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-20
Survey response — days 1–6 daily, dose 2
MedDRA: Fatigue, Nasal congestion — Feeling: Fair · Site: Pain · Fatigue or tiredness

Free text: Congestion/stuffy nose. Extremely tired.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-21
Survey response — days 1–6 daily, dose 2
MedDRA: Asthenia, Fatigue — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: I am exhausted snd my arms feel like Ive lifted weights for hours. (I hadnt). I feel weak and exhausted.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-22
Survey response — days 1–6 daily, dose 2
MedDRA: Fatigue — Feeling: Fair · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Extremely tired.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-23
Survey response — day 7, dose 2
MedDRA: Sinus disorder — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Allergy/sinus type symptoms.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-30
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-08
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-13
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-20
Survey response — day 35, dose 2
MedDRA: Blood pressure increased, Cardiac flutter, Fatigue — Feeling: Good

Free text: Increased blood pressure, chest flutter, sporadic fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-27
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-09-14
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-03-16
Survey response — 12 months, dose 2
MedDRA: Inflammation, Skin irritation — Feeling: Good · 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: Inflammation, skin irritations

MedDRA releases: 2024-11 · check-in free text available
2022-03-16
Report sent to call center — 12 months, dose 2
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-03-17
Call successful
Participant prefers to complete VAERS report online

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-17	Moderna
2	2021-03-16	Moderna

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 5 — day 21, dose 1

2021-03-16

Symptoms: Three days after injection, developed Headache for 10 days.

Release 5 — days 1–6 daily, dose 2

2021-03-17

Systemic reaction (other): I feel really shaky.

2021-03-18

Systemic reaction (other): The entire right side of my body became really hot last night. It was the weirdest feeling. Like half my body had fever. Also, my arm pit swelled and was very sore.

2021-03-19

Systemic reaction (other): Ive just been really tired and icky feeling

Release 6 — days 1–6 daily, dose 2

2021-03-20

Systemic reaction (other): Congestion/stuffy nose. Extremely tired.

2021-03-21

Systemic reaction (other): I am exhausted snd my arms feel like Ive lifted weights for hours. (I hadnt). I feel weak and exhausted.

2021-03-22

Systemic reaction (other): Extremely tired.

Release 6 — day 7, dose 2

2021-03-23

Systemic reaction (other): Allergy/sinus type symptoms.

Release 7 — day 35, dose 2

2021-04-20

Symptoms: Increased blood pressure, chest flutter, sporadic fatigue

Release 11 — 12 months, dose 2

2022-03-16

Symptoms: Inflammation, skin irritations

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	Blood pressure increased	✓	✓	✓
SD	Cardiac flutter	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Inflammation	·	·	✓
SD	Skin irritation	·	·	✓
SRO	Asthenia	✓	✓	✓
SRO	Axillary pain	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Feeling hot	✓	✓	✓
SRO	Nasal congestion	✓	✓	✓
SRO	Nervousness	✓	✓	✓
SRO	Oedema peripheral	✓	✓	✓
SRO	Pyrexia	✓	✓	✓
SRO	Sinus disorder	✓	✓	✓

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