4E8-18536-14875

3 vaccinations 6 coded responses 40 check-ins 6 free-text entries 2 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 254 / WV
Registered: 2021-06-10

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

Registered dependents

TVE-34280-95429 Adult relative or friend · Male · 2021-08-27

Timeline

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

2021-06-09
Dose 1 — Moderna
2021-06-10
Registered in v-safe
2021-06-10
Survey response — days 1–6 daily, dose 1
MedDRA: Dyspnoea, Muscular weakness — Feeling: Fair · Site: Pain, Redness, Swelling · Fatigue or tiredness

Free text: Opposite arm feels weak, slight trouble breathing on exertion

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-11
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fatigue or tiredness

Adult check-in
2021-06-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Redness · Headache

Adult check-in
2021-06-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Redness · None

Adult check-in
2021-06-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Redness · None

Adult check-in
2021-06-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Redness · None

Adult check-in
2021-06-16
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-06-23
Survey response — day 14, dose 1
MedDRA: Injection site erythema, Injection site swelling, Injection site warmth — Feeling: Good

Free text: My shot site has turned red again and has swelled up again. And is warm to the touch again.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-30
Survey response — day 21, dose 1
MedDRA: Erythema, Feeling hot, Swelling — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Nothing new but i did go to the dr due to the symptoms i reported last week. She put me on cephalexin and the swelling and the warmth are now gone. I just have a lingering reddish/purple spot on my arm where i recieved my shot back on the 9th.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-30
Report sent to call center — day 21, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-06
Call 1 — Left Voicemail
2021-07-07
Dose 2 — Moderna
2021-07-07
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-07-08
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-07-09
Survey response — days 1–6 daily, dose 2
MedDRA: Pyrexia — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Fever broke overnight highest was 101.4

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-10
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fatigue or tiredness

Adult check-in
2021-07-11
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Itching · None

Adult check-in
2021-07-12
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness, Itching · None

Adult check-in
2021-07-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness, Itching · None

Adult check-in
2021-07-16
Health check-in — day 7, dose 2
Feeling: Good · Site: Redness, Itching · None

Adult check-in
2021-07-21
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-07-28
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-08-04
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-08-11
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-08-18
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-10-06
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2022-01-05
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-01-09
Dose 3 — Moderna
2022-01-09
Health check-in — day 0, dose 3
Feeling: Good · None

Adult check-in
2022-01-10
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-01-11
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2022-01-12
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2022-01-13
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Fatigue or tiredness

Adult check-in
2022-01-14
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2022-01-15
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2022-01-16
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2022-01-23
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-01-30
Survey response — day 21, dose 3
MedDRA: Ageusia, Anosmia, Sinus congestion — Feeling: Good

Free text: Sinus congestion, loss of taste and smell

MedDRA releases: 2024-11 · check-in free text available
2022-02-06
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-02-13
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-02-20
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-04-10
Survey response — 3 months, dose 3
MedDRA: Blood pressure increased, COVID-19, Office visit, SARS-CoV-2 test positive — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Since receiving my booster and having tested positive for covid my blood pressure has been elevated enough that my dr put me on BP meds. · Healthcare visit (other): Urgent care for covid and Drs office in person visit

MedDRA releases: 2024-11 · check-in free text available
2022-04-10
Report sent to call center — 3 months, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2022-04-21
Call successful
Participant prefers to complete VAERS report online
2022-07-10
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2023-01-09
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-06-09	Moderna
2	2021-07-07	Moderna	No
3	2022-01-09	Moderna	No

Call center

2 call center cases

1 successful · 1 unsuccessful

See the call center timeline

Free text

Release 9 — days 1–6 daily, dose 1

2021-06-10

Systemic reaction (other): Opposite arm feels weak, slight trouble breathing on exertion

Release 9 — day 14, dose 1

2021-06-23

Symptoms: My shot site has turned red again and has swelled up again. And is warm to the touch again.

Release 9 — day 21, dose 1

2021-06-30

Symptoms: Nothing new but i did go to the dr due to the symptoms i reported last week. She put me on cephalexin and the swelling and the warmth are now gone. I just have a lingering reddish/purple spot on my arm where i recieved my shot back on the 9th.

Release 9 — days 1–6 daily, dose 2

2021-07-09

Systemic reaction (other): Fever broke overnight highest was 101.4

Release 11 — day 21, dose 3

2022-01-30

Symptoms: Sinus congestion, loss of taste and smell

Release 11 — 3 months, dose 3

2022-04-10

Symptoms: Since receiving my booster and having tested positive for covid my blood pressure has been elevated enough that my dr put me on BP meds.

Healthcare visit (other): Urgent care for covid and Drs office in person 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	COVID-19	·	·	✓
HCVO	Office visit	·	·	✓
SD	Ageusia	·	·	✓
SD	Anosmia	·	·	✓
SD	Blood pressure increased	·	·	✓
SD	Erythema	✓	✓	✓
SD	Feeling hot	✓	✓	✓
SD	Injection site erythema	✓	✓	✓
SD	Injection site swelling	✓	✓	✓
SD	Injection site warmth	✓	✓	✓
SD	Office visit	·	·	✓
SD	SARS-CoV-2 test positive	·	·	✓
SD	Sinus congestion	·	·	✓
SD	Swelling	✓	✓	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Muscular weakness	✓	✓	✓
SRO	Pyrexia	✓	✓	✓

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