422-38279-63075

2 vaccinations 5 coded responses 25 check-ins 5 free-text entries 2 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 480 / MI
Registered: 2021-02-22

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

2021-02-22
Registered in v-safe
2021-02-22
Dose 1 — Moderna
2021-02-22
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-02-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-02-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-01
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-08
Survey response — day 14, dose 1
MedDRA: Fatigue, Pain — Feeling: Good · Be unable to work, Be unable to do your normal daily activities

Free text: Mild ague, fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-15
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-22
Dose 2 — Moderna
2021-03-22
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-03-23
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Muscle or body aches

Adult check-in
2021-03-24
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-25
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-26
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-27
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-28
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-29
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-05
Survey response — day 14, dose 2
MedDRA: Limb discomfort, Middle insomnia, Pain in extremity, Self-medication — Feeling: Good

Free text: Very achey legs, woke me up at night and also I took Motrin. Other issue has been pain in my upper arms, not at the injection site ( both injections were in my left arm which hurt worse than my right) but a deeper discomfort.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-12
Survey response — day 21, dose 2
MedDRA: Oedema peripheral, Pain in extremity — Feeling: Good

Free text: Swelling and pain under left armpit (I was vaccinated in left arm) for approximately 5 days. Still a little swollen but not painful. This began 15 days after my second vaccine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-19
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-26
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-03
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-22
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-22
Survey response — 6 months, dose 2
MedDRA: Back pain, Muscle spasms, Office visit — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Lower back spasms/pain, lasted about 6 weeks. · Healthcare visit (other): Chiropractor care, TENS unit

MedDRA releases: 2024-11 · check-in free text available
2021-09-22
Report sent to call center — 6 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-09-24
Call 1 — Left Voicemail
2021-09-24
Call successful
Does not wish to fill out VAERS report
2022-03-22
Survey response — 12 months, dose 2
MedDRA: Headache, Office visit, Tinnitus — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Headaches and tinnitus · Healthcare visit (other): In person doctor visit

MedDRA releases: 2024-11 · check-in free text available
2022-03-22
Report sent to call center — 12 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2022-03-23
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-22	Moderna
2	2021-03-22	Moderna

Call center

2 call center cases

1 successful · 1 unsuccessful

See the call center timeline

Free text

Release 5 — day 14, dose 1

2021-03-08

Symptoms: Mild ague, fatigue

Release 6 — day 14, dose 2

2021-04-05

Symptoms: Very achey legs, woke me up at night and also I took Motrin. Other issue has been pain in my upper arms, not at the injection site ( both injections were in my left arm which hurt worse than my right) but a deeper discomfort.

Release 7 — day 21, dose 2

2021-04-12

Symptoms: Swelling and pain under left armpit (I was vaccinated in left arm) for approximately 5 days. Still a little swollen but not painful. This began 15 days after my second vaccine.

Release 9 — 6 months, dose 2

2021-09-22

Symptoms: Lower back spasms/pain, lasted about 6 weeks.

Healthcare visit (other): Chiropractor care, TENS unit

Release 11 — 12 months, dose 2

2022-03-22

Symptoms: Headaches and tinnitus

Healthcare visit (other): In person doctor visit

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	Office visit	·	·	✓
SD	Back pain	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Headache	·	·	✓
SD	Limb discomfort	✓	✓	✓
SD	Middle insomnia	✓	✓	✓
SD	Muscle spasms	·	·	✓
SD	Oedema peripheral	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SD	Self-medication	✓	✓	✓
SD	Tinnitus	·	·	✓

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