44Y-10206-09845

2 vaccinations 9 coded responses 25 check-ins 9 free-text entries 3 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 894 / NV
Registered: 2021-04-01

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

2021-04-01
Registered in v-safe
2021-04-01
Dose 1 — Moderna
2021-04-01
Health check-in — day 0, dose 1
Feeling: Poor · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-04-02
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-04-03
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-04-04
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-04-05
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-04-06
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-04-07
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-04-08
Health check-in — day 7, dose 1
Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-04-15
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-04-22
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-04-29
Dose 2 — Moderna
2021-04-29
Survey response — day 0, dose 2
MedDRA: Oropharyngeal pain, Pharyngeal swelling — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting · Be unable to do your normal daily activities

Free text: I have sore Swollen throat

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: Oral pain, Oropharyngeal pain — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting · Be unable to do your normal daily activities

Free text: Started my period, sore throat and mouth

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: Anosmia, Dysgeusia, Oropharyngeal pain — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Diarrhea, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: Lost smell sour milk taste in my mouth sore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-02
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Adult check-in
2021-05-03
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Adult check-in
2021-05-04
Survey response — days 1–6 daily, dose 2
MedDRA: Increased viscosity of upper respiratory secretion — Feeling: Poor · Site: Pain, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Diarrhea, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: All my mucus thick and hard to get out

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-05
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Diarrhea, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Adult check-in
2021-05-06
Health check-in — day 7, dose 2
Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-05-13
Survey response — day 14, dose 2
MedDRA: Infection, Injected limb mobility decreased, Rash — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: I delivopef a rash and infection on my back on the same side as shot had to go get antibiotics and can barely lift my arm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-13
Report sent to call center — day 14, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-20
Health check-in — day 21, dose 2
Feeling: Poor

Adult check-in
2021-05-27
Survey response — day 28, dose 2
MedDRA: Joint swelling, Musculoskeletal stiffness, Swelling — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: My neck and shoulder in the shot side swelling and stiffened up

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-27
Report sent to call center — day 28, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-03
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-06-10
Survey response — day 42, dose 2
MedDRA: Joint swelling, Musculoskeletal stiffness, Swelling — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: My neck and shoulder swelled up and stiff had a set of antibiotics now going to pain management and physical therapy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-10
Report sent to call center — day 42, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-18
Call 1 — Could Not Reach Participant
2021-06-23
Call successful
Participant prefers to complete VAERS report online
2021-07-29
Survey response — 3 months, dose 2
MedDRA: Pulmonary mass — Feeling: Poor · Be unable to do your normal daily activities

Free text: They found small noodles in both my lungs

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-10-28
Survey response — 6 months, dose 2
MedDRA: Peripheral swelling, Pyrexia, Swelling, Swelling face, Vomiting — Feeling: Poor · Be unable to do your normal daily activities

Free text: I got the booster with the flu shot I am still throwing up, running fevers, my arm, neck and face are swollen

MedDRA releases: 2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-01	Moderna
2	2021-04-29	Moderna

Call center

3 call center cases

3 successful

See the call center timeline

Free text

Release 8 — day 0, dose 2

2021-04-29

Systemic reaction (other): I have sore Swollen throat

Release 8 — days 1–6 daily, dose 2

2021-04-30

Systemic reaction (other): Started my period, sore throat and mouth

2021-05-01

Systemic reaction (other): Lost smell sour milk taste in my mouth sore throat

2021-05-04

Systemic reaction (other): All my mucus thick and hard to get out

Release 8 — day 14, dose 2

2021-05-13

Symptoms: I delivopef a rash and infection on my back on the same side as shot had to go get antibiotics and can barely lift my arm

Release 8 — day 28, dose 2

2021-05-27

Symptoms: My neck and shoulder in the shot side swelling and stiffened up

Release 9 — day 42, dose 2

2021-06-10

Symptoms: My neck and shoulder swelled up and stiff had a set of antibiotics now going to pain management and physical therapy

Release 9 — 3 months, dose 2

2021-07-29

Symptoms: They found small noodles in both my lungs

Release 10 — 6 months, dose 2

2021-10-28

Symptoms: I got the booster with the flu shot I am still throwing up, running fevers, my arm, neck and face are swollen

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	Infection	✓	✓	✓
SD	Injected limb mobility decreased	✓	✓	✓
SD	Joint swelling	✓	✓	✓
SD	Musculoskeletal stiffness	✓	✓	✓
SD	Peripheral swelling	·	·	✓
SD	Pulmonary mass	✓	·	✓
SD	Pyrexia	·	·	✓
SD	Rash	✓	✓	✓
SD	Swelling	✓	✓	✓
SD	Swelling face	·	·	✓
SD	Vomiting	·	·	✓
SRO	Anosmia	✓	✓	✓
SRO	Dysgeusia	✓	✓	✓
SRO	Increased viscosity of upper respiratory secretion	✓	✓	✓
SRO	Oral pain	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Pharyngeal swelling	✓	✓	✓

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