3R3-15708-52341

5 vaccinations 8 coded responses 48 check-ins 6 free-text entries 1 call case

Sex: Female
Age at first dose: 66+
ZIP prefix: 857 / AZ
Registered: 2021-03-26

Relationship: Self
Race: Multiracial
Ethnicity: Not Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-03-26
Registered in v-safe
2021-03-26
Dose 1 — Moderna
2021-03-26
Health check-in — day 0, dose 1
Feeling: Good · Site: Redness · Fatigue or tiredness · Be unable to work

Adult check-in
2021-03-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Redness, Swelling · None

Adult check-in
2021-03-28
Survey response — days 1–6 daily, dose 1
MedDRA: Pain in extremity — Feeling: Good · Site: Redness, Swelling · Muscle or body aches

Free text: soreness is localized to arm where vaccination received

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-29
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site bruising, Injection site pain — Feeling: Good · Muscle or body aches

Free text: I still have a bruise at injection site but soreness has mostly gone

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-30
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-31
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-01
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-04
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-09
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-16
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-23
Dose 2 — Moderna
2021-04-23
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · Headache, Fatigue or tiredness · Be unable to work

Adult check-in
2021-04-24
Survey response — days 1–6 daily, dose 2
MedDRA: Pyrexia — Feeling: Good · Site: Pain

Free text: I had slight fever last night but was unable to change my earlier answer, but no fever today

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-25
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-26
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-30
Health check-in — day 7, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-05-07
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-14
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-21
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-30
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-04
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-23
Survey response — 3 months, dose 2
MedDRA: Balance disorder, Dizziness — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: For several days I've been feeling light-headed, a little dizzy, a little unsteady on my feet

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-10-22
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-12
Dose 3 — Moderna
2022-04-23
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-06-03
Dose 4 — Pfizer-BioNTech
2022-06-03
Health check-in — day 0, dose 4
Feeling: Good · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school

Adult check-in
2022-06-04
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · Headache

Adult check-in
2022-06-05
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-06-06
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-06-07
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-06-17
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-06-24
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-07-01
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-07-08
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-07-15
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-09-02
Survey response — 3 months, dose 4
MedDRA: Dizziness, Vertigo — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: dizziness and vertigo almost every day for a month. The last three days I'm feeling better

MedDRA releases: 2024-11 · check-in free text available
2022-10-21
Dose 5 — Pfizer-BioNTech
2022-10-21
Health check-in — day 0, dose 5
Feeling: Good · Site: Pain, Itching · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school

Adult check-in
2022-10-22
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-10-24
Health check-in — days 1–6 daily, dose 5
Feeling: Good · None

Adult check-in
2022-10-25
Health check-in — days 1–6 daily, dose 5
Feeling: Good · None

Adult check-in
2022-10-26
Survey response — days 1–6 daily, dose 5
MedDRA: Pre-existing disease — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: I don't think this is vax related, but a migraine, which I'm prone to get

MedDRA releases: 2024-11 · check-in free text available
2022-10-27
Health check-in — days 1–6 daily, dose 5
Feeling: Good · None

Adult check-in
2022-10-30
Health check-in — day 7, dose 5
Feeling: Good · None

Adult check-in
2022-11-04
Health check-in — day 14, dose 5
Feeling: Good

Adult check-in
2022-11-11
Health check-in — day 21, dose 5
Feeling: Good

Adult check-in
2022-11-18
Health check-in — day 28, dose 5
Feeling: Good

Adult check-in
2022-11-25
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2022-12-02
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2023-01-22
Survey response — 3 months, dose 5
MedDRA: Dizziness, Gait disturbance, Vertigo — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

MedDRA releases: 2024-11
2023-04-21
Survey response — 6 months, dose 5
MedDRA: Dizziness, Vertigo — Feeling: Fair · 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

MedDRA releases: 2024-11
2023-04-21
Report sent to call center — 6 months, dose 5
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)
2023-04-25
Call successful
Participant prefers to complete VAERS report online

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-26	Moderna
2	2021-04-23	Moderna
3	2021-11-12	Moderna	No
4	2022-06-03	Pfizer-BioNTech	No
5	2022-10-21	Pfizer-BioNTech	No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-28

Systemic reaction (other): soreness is localized to arm where vaccination received

2021-03-29

Systemic reaction (other): I still have a bruise at injection site but soreness has mostly gone

Release 7 — days 1–6 daily, dose 2

2021-04-24

Systemic reaction (other): I had slight fever last night but was unable to change my earlier answer, but no fever today

Release 9 — 3 months, dose 2

2021-07-23

Symptoms: For several days I've been feeling light-headed, a little dizzy, a little unsteady on my feet

Release 12 — 3 months, dose 4

2022-09-02

Symptoms: dizziness and vertigo almost every day for a month. The last three days I'm feeling better

Release 12 — days 1–6 daily, dose 5

2022-10-26

Systemic reaction (other): I don't think this is vax related, but a migraine, which I'm prone to get

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	Balance disorder	✓	·	✓
SD	Dizziness	✓	·	✓
SD	Gait disturbance	·	·	✓
SD	Vertigo	·	·	✓
SRO	Injection site bruising	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Pre-existing disease	·	·	✓
SRO	Pyrexia	✓	✓	✓

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