47J-10348-29302

2 vaccinations 5 coded responses 17 check-ins 5 free-text entries 1 call case

Sex: Female
Age at first dose: 51-55
ZIP prefix: 553 / MN
Registered: 2021-03-02

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

2021-03-02
Registered in v-safe
2021-03-02
Dose 1 — Moderna
2021-03-15
Survey response — day 7, dose 1
MedDRA: Adverse reaction — Feeling: Good · Site: Pain, Redness, Swelling

Free text: Symptoms mild but still present today, 13 days after vaccine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-16
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-26
Survey response — day 21, dose 1
MedDRA: Injection site pain, Medical counselling, SARS-CoV-2 test negative — Feeling: Good · 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: Symptoms: I had surgery on both hands (3 fingers) for trigger finger. Healing fine. No after effects of my 1st covid shot 3/2/21 except injection site is still sore but much less only to touch · Healthcare visit (other): Outpatient trigger finger surgery at Trial. Pre-op appointment with pcp, also pre-op covid test was negative on 3/20/21 test

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
Report sent to call center — day 21, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-30
Dose 2 — Moderna
2021-03-30
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-31
Survey response — days 1–6 daily, dose 2
MedDRA: Balance disorder, Body temperature decreased, Body temperature increased, Dizziness, Injection site warmth — Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: My temperature was 98.2 but temperature of injection site is 102.5. I'm also alittle dizzy/off balance

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-01
Survey response — days 1–6 daily, dose 2
MedDRA: Night sweats — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Sweating a lot all night but not during today

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-03
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches

Adult check-in
2021-04-04
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Swelling · Muscle or body aches

Adult check-in
2021-04-05
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Swelling · None

Adult check-in
2021-04-06
Health check-in — day 7, dose 2
Feeling: Good · Site: Pain, Redness, Swelling · None

Adult check-in
2021-04-13
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-20
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-29
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-04
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-11
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-29
Survey response — 3 months, dose 2
MedDRA: Arthralgia, Pain in extremity — Feeling: Good · Be unable to do your normal daily activities

Free text: Injections were in left arm but right hand 4 fingers hurt to grasp and painful at distal joints on those four fingers. These fingers were almost healed since trigger finger surgeries on middle and 4th on 3/22/21. Last month was when they became more

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-10-02
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2022-03-15
Call successful
Participant prefers to complete VAERS report online

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-02	Moderna
2	2021-03-30	Moderna

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 5 — day 7, dose 1

2021-03-15

Systemic reaction (other): Symptoms mild but still present today, 13 days after vaccine

Release 6 — day 21, dose 1

2021-03-26

Symptoms: I had surgery on both hands (3 fingers) for trigger finger. Healing fine. No after effects of my 1st covid shot 3/2/21 except injection site is still sore but much less only to touch

Healthcare visit (other): Outpatient trigger finger surgery at Trial. Pre-op appointment with pcp, also pre-op covid test was negative on 3/20/21 test

Release 6 — days 1–6 daily, dose 2

2021-03-31

Systemic reaction (other): My temperature was 98.2 but temperature of injection site is 102.5. I'm also alittle dizzy/off balance

2021-04-01

Systemic reaction (other): Sweating a lot all night but not during today

Release 9 — 3 months, dose 2

2021-06-29

Symptoms: Injections were in left arm but right hand 4 fingers hurt to grasp and painful at distal joints on those four fingers. These fingers were almost healed since trigger finger surgeries on middle and 4th on 3/22/21. Last month was when they became more cut off by CDC

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	Medical counselling	✓	✓	✓
HCVO	SARS-CoV-2 test negative	✓	✓	✓
SD	Arthralgia	✓	✓	✓
SD	Injection site pain	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SRO	Adverse reaction	✓	✓	✓
SRO	Balance disorder	✓	✓	✓
SRO	Body temperature decreased	·	·	✓
SRO	Body temperature increased	✓	✓	○
SRO	Dizziness	✓	✓	✓
SRO	Injection site warmth	·	·	✓
SRO	Night sweats	✓	✓	✓

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