4EG-14615-82706

2 vaccinations 11 coded responses 12 check-ins 11 free-text entries 5 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 227 / VA
Registered: 2021-04-10

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

2021-03-09
Dose 1 — Moderna
2021-04-06
Dose 2 — Moderna
2021-04-10
Registered in v-safe
2021-04-10
Survey response — days 1–6 daily, dose 2
MedDRA: Chest discomfort, Chills, Dizziness, Feeling hot, Heart rate increased, Immediate post-injection reaction — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Systemic reaction (other): Hot then chills but no fever · Healthcare visit (other): 10 minutes after the shot i had a hot sensations on both sides of my head and face. Felt faint. Had heart rate above 135 bpm on and off for 2 days. Some chest discomfort.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-10
Report sent to call center — days 1–6 daily, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-11
Survey response — days 1–6 daily, dose 2
MedDRA: Feeling cold, Hot flush, Paraesthesia — Feeling: Fair · Site: Swelling, Itching · Chills, Headache, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: Hot flashes then cold on and off through the day. Some tinkling sensations in my legs

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-12
Survey response — days 1–6 daily, dose 2
MedDRA: Feeling of body temperature change — Feeling: Fair · Site: Itching · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain

Free text: Hot and cold at times still

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-13
Survey response — day 7, dose 2
MedDRA: Dizziness, Feeling cold, Hot flush — Feeling: Good · Site: Itching · Chills, Fatigue or tiredness

Free text: Hot /cold flashes, tiny dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-20
Survey response — day 14, dose 2
MedDRA: Chills — Feeling: Good

Free text: Still having chills, no fever, tiny bit of dizziness, tiny bit of lethargy at times

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-27
Survey response — day 21, dose 2
MedDRA: Anxiety, Dizziness, Emergency care, Flushing, Heart rate increased, Injection site pruritus, Nausea, Pruritus — Feeling: Good · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Continued high rate of pulse and had another anxiety type flushing of the face and dizziness as 10 minutes after the last vaccine. Some itching as well. went to the emergency room 4/22

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-27
Report sent to call center — day 21, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-04
Survey response — day 28, dose 2
MedDRA: Chills, Dizziness, Fatigue, Pruritus — Feeling: Good

Free text: Still a few cold chills, dizzy very slightly, itchiness, slight tiredness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-11
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-18
Survey response — day 42, dose 2
MedDRA: Dizziness, Feeling hot, Palpitations — Feeling: Good · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Heart issues and high rate of beats, dizziness, rush of heat along both sides of my head

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-18
Report sent to call center — day 42, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-08
Survey response — 3 months, dose 2
MedDRA: Arthralgia, Pre-existing disease, Pruritus — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Right eye cataract starting per eye drs, itchy skin, sore elbow on my right arm comes and goes no obvious reason

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-08
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-12
Call 1 — Left Voicemail
2021-07-14
Call successful
Participant prefers to complete VAERS report online
2021-10-05
Survey response — 6 months, dose 2
MedDRA: Cough, Gastrointestinal disorder — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Ive noticed a bit of a cough on and off. It was a new thing over the summer and it continues, have had stomach issues

MedDRA releases: 2024-11 · check-in free text available
2021-10-05
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2021-10-07
Call successful
Participant prefers to complete VAERS report online
2022-04-11
Survey response — 12 months, dose 2
MedDRA: Arthralgia, Pain in extremity, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities

Free text: Degenerative joint disorder, pain in my hips and legs. Terrible joint paint.

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-09	Moderna
2	2021-04-06	Moderna

Call center

5 call center cases

5 successful

See the call center timeline

Free text

Release 7 — days 1–6 daily, dose 2

2021-04-10

Systemic reaction (other): Hot then chills but no fever

Healthcare visit (other): 10 minutes after the shot i had a hot sensations on both sides of my head and face. Felt faint. Had heart rate above 135 bpm on and off for 2 days. Some chest discomfort.

2021-04-11

Systemic reaction (other): Hot flashes then cold on and off through the day. Some tinkling sensations in my legs

2021-04-12

Systemic reaction (other): Hot and cold at times still

Release 7 — day 7, dose 2

2021-04-13

Systemic reaction (other): Hot /cold flashes, tiny dizziness

Release 7 — day 14, dose 2

2021-04-20

Symptoms: Still having chills, no fever, tiny bit of dizziness, tiny bit of lethargy at times

Release 8 — day 21, dose 2

2021-04-27

Symptoms: Continued high rate of pulse and had another anxiety type flushing of the face and dizziness as 10 minutes after the last vaccine. Some itching as well. went to the emergency room 4/22

Release 8 — day 28, dose 2

2021-05-04

Symptoms: Still a few cold chills, dizzy very slightly, itchiness, slight tiredness

Release 8 — day 42, dose 2

2021-05-18

Symptoms: Heart issues and high rate of beats, dizziness, rush of heat along both sides of my head

Release 9 — 3 months, dose 2

2021-07-08

Symptoms: Right eye cataract starting per eye drs, itchy skin, sore elbow on my right arm comes and goes no obvious reason

Release 10 — 6 months, dose 2

2021-10-05

Symptoms: Ive noticed a bit of a cough on and off. It was a new thing over the summer and it continues, have had stomach issues

Release 11 — 12 months, dose 2

2022-04-11

Symptoms: Degenerative joint disorder, pain in my hips and legs. Terrible joint paint.

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	Chest discomfort	✓	✓	✓
HCVO	Dizziness	✓	✓	✓
HCVO	Feeling hot	✓	✓	✓
HCVO	Heart rate increased	✓	✓	✓
HCVO	Immediate post-injection reaction	✓	✓	✓
SD	Anxiety	✓	✓	✓
SD	Arthralgia	✓	✓	✓
SD	Chills	✓	✓	✓
SD	Cough	·	·	✓
SD	Dizziness	✓	✓	✓
SD	Emergency care	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Feeling hot	✓	✓	✓
SD	Flushing	✓	✓	✓
SD	Gastrointestinal disorder	·	·	✓
SD	Heart rate increased	·	·	✓
SD	Injection site pruritus	✓	✓	○
SD	Nausea	✓	✓	○
SD	Pain in extremity	·	·	✓
SD	Palpitations	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Pruritus	✓	✓	✓
SRO	Chills	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Feeling cold	✓	✓	✓
SRO	Feeling hot	✓	✓	✓
SRO	Feeling of body temperature change	✓	✓	✓
SRO	Hot flush	✓	✓	✓
SRO	Paraesthesia	✓	✓	✓

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