3HB-28743-69088

2 vaccinations 9 coded responses 14 check-ins 9 free-text entries 4 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 549 / WI
Registered: 2021-04-29

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

2021-03-24
Dose 1 — Moderna
2021-04-28
Dose 2 — Moderna
2021-04-29
Registered in v-safe
2021-04-29
Survey response — days 1–6 daily, dose 2
MedDRA: Burning sensation, Ear discomfort, Head discomfort — Feeling: Poor · Site: Pain, Redness, Swelling · Muscle or body aches, Nausea · Be unable to do your normal daily activities

Free text: Burning sensation in ears and upper back and neck. My head feels out of sorts, not a headache and not brain fog. Im not sure how to deacribe it.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-30
Survey response — days 1–6 daily, dose 2
MedDRA: Hypoaesthesia, Paraesthesia — Feeling: Fair · Site: Pain, Redness, Swelling · Be unable to do your normal daily activities

Free text: Numbness and tingling, mainly on my left side to unclude my face, ear, neck and head.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-01
Survey response — days 1–6 daily, dose 2
MedDRA: Eyelid sensory disorder, Hypoaesthesia, Hypoaesthesia eye, Hypoaesthesia oral, Paraesthesia, Paraesthesia oral, Pharyngeal hypoaesthesia, Pharyngeal paraesthesia — Feeling: Fair · Site: Pain, Redness, Swelling · Headache

Free text: Numbness and tingling in my face, my head, my lips, tongue and throat, my eyes/eyelids and ears/ear canal.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-02
Survey response — days 1–6 daily, dose 2
MedDRA: Erythema — Feeling: Fair · Site: Redness, Swelling · Rash, not including the immediate area around the injection site · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Red pinpoint spots on arms and abdomen

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-02
Report sent to call center — days 1–6 daily, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-03
Survey response — days 1–6 daily, dose 2
MedDRA: Erythema — Feeling: Poor · Site: Pain, Redness, Swelling · Joint pains, Muscle or body aches · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Tiny pin point red spots on arms

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-03
Report sent to call center — days 1–6 daily, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-04
Survey response — days 1–6 daily, dose 2
MedDRA: Rash macular — Feeling: Fair · Site: Pain, Redness · Joint pains · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Red pin point spots on arms and chest

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-04
Report sent to call center — days 1–6 daily, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-07
Survey response — day 7, dose 2
MedDRA: Rash erythematous — Feeling: Fair · Site: Pain, Redness

Free text: Red pin point spots on arms, legs and torso

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-12
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-19
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-26
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-02
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-09
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-28
Survey response — 3 months, dose 2
MedDRA: Head discomfort, Paraesthesia — Feeling: Fair

Free text: Intermittent tingling sensation in ears and nose, pressure sensation in head

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-10-27
Survey response — 6 months, dose 2
MedDRA: Paraesthesia, Paraesthesia ear, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: Symptoms: Parasthesia in arms, legs, scalp, face, ear canal · Healthcare visit (other): MRI

MedDRA releases: 2024-11 · check-in free text available
2021-10-27
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
2021-10-28
Call successful
Participant prefers to complete VAERS report online

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-24	Moderna
2	2021-04-28	Moderna

Call center

4 call center cases

4 successful

See the call center timeline

Free text

Release 8 — days 1–6 daily, dose 2

2021-04-29

Systemic reaction (other): Burning sensation in ears and upper back and neck. My head feels out of sorts, not a headache and not brain fog. Im not sure how to deacribe it.

2021-04-30

Systemic reaction (other): Numbness and tingling, mainly on my left side to unclude my face, ear, neck and head.

2021-05-01

Systemic reaction (other): Numbness and tingling in my face, my head, my lips, tongue and throat, my eyes/eyelids and ears/ear canal.

2021-05-02

Systemic reaction (other): Red pinpoint spots on arms and abdomen

2021-05-03

Systemic reaction (other): Tiny pin point red spots on arms

2021-05-04

Systemic reaction (other): Red pin point spots on arms and chest

Release 8 — day 7, dose 2

2021-05-07

Systemic reaction (other): Red pin point spots on arms, legs and torso

Release 9 — 3 months, dose 2

2021-07-28

Symptoms: Intermittent tingling sensation in ears and nose, pressure sensation in head

Release 10 — 6 months, dose 2

2021-10-27

Symptoms: Parasthesia in arms, legs, scalp, face, ear canal

Healthcare visit (other): MRI

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	Unevaluable event	·	·	✓
SD	Head discomfort	✓	·	✓
SD	Paraesthesia	✓	·	✓
SD	Paraesthesia ear	·	·	✓
SRO	Burning sensation	✓	✓	✓
SRO	Ear discomfort	✓	✓	✓
SRO	Erythema	✓	✓	✓
SRO	Eyelid sensory disorder	✓	✓	✓
SRO	Head discomfort	✓	✓	✓
SRO	Hypoaesthesia	✓	✓	✓
SRO	Hypoaesthesia eye	✓	✓	✓
SRO	Hypoaesthesia oral	✓	✓	✓
SRO	Paraesthesia	✓	✓	✓
SRO	Paraesthesia oral	✓	✓	✓
SRO	Pharyngeal hypoaesthesia	✓	✓	✓
SRO	Pharyngeal paraesthesia	✓	✓	✓
SRO	Rash erythematous	✓	✓	✓
SRO	Rash macular	✓	✓	✓

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