4UF-19204-47757

2 vaccinations 6 coded responses 22 check-ins 6 free-text entries 2 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 027 / MA
Registered: 2021-03-14

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

2021-03-14
Registered in v-safe
2021-03-25
Dose 1 — Moderna
2021-03-25
Health check-in — day 0, dose 1
Feeling: Good · Headache, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-03-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache, Fatigue or tiredness, Nausea

Adult check-in
2021-03-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fever · Headache, Fatigue or tiredness, Nausea

Adult check-in
2021-03-28
Survey response — days 1–6 daily, dose 1
MedDRA: Oropharyngeal pain — Feeling: Good · Nausea

Free text: Sore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-29
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-30
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-03-31
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-01
Health check-in — day 7, dose 1
Feeling: Good · Headache, Nausea

Adult check-in
2021-04-08
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-15
Survey response — day 21, dose 1
MedDRA: Injection site erythema, Injection site pain, Injection site pruritus, Injection site warmth, Medical counselling — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: I had a hot to the touch red spot appear where the injection site was on my arm and it was itchy and painful if pressed · Healthcare visit (other): I am friends with a doctor and nurse and I was told it was called COVID arm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
Report sent to call center — day 21, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-22
Dose 2 — Moderna
2021-04-22
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-04-23
Survey response — days 1–6 daily, dose 2
MedDRA: Heart rate increased, Immediate post-injection reaction — Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Received shot on 4/22. I felt a Rapid heart beat 30 mins after shot lasted all the way until 10:43 on 4/23

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-24
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache, Nausea

Adult check-in
2021-04-25
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-26
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-28
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-29
Health check-in — day 7, dose 2
Feeling: Good · Headache

Adult check-in
2021-05-06
Survey response — day 14, dose 2
MedDRA: Chills, Nasal congestion — Feeling: Fair

Free text: Chills and stuffy nose

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-13
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-20
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-27
Survey response — day 35, dose 2
MedDRA: Epistaxis, Hypersensitivity, Nasal congestion, Oropharyngeal pain — Feeling: Good

Free text: Sore throat, stuffy/bloody nose bad allergies

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-05
Survey response — day 42, dose 2
MedDRA: Epistaxis — Feeling: Fair · 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: Since May 16th Ive been having sudden nose bleeds

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-05
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)
2021-11-26
Call successful
Does not wish to fill out VAERS report

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-25	Moderna
2	2021-04-22	Moderna

Call center

2 call center cases

2 successful

See the call center timeline

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-28

Systemic reaction (other): Sore throat

Release 7 — day 21, dose 1

2021-04-15

Symptoms: I had a hot to the touch red spot appear where the injection site was on my arm and it was itchy and painful if pressed

Healthcare visit (other): I am friends with a doctor and nurse and I was told it was called COVID arm

Release 7 — days 1–6 daily, dose 2

2021-04-23

Systemic reaction (other): Received shot on 4/22. I felt a Rapid heart beat 30 mins after shot lasted all the way until 10:43 on 4/23

Release 8 — day 14, dose 2

2021-05-06

Symptoms: Chills and stuffy nose

Release 8 — day 35, dose 2

2021-05-27

Symptoms: Sore throat, stuffy/bloody nose bad allergies

Release 8 — day 42, dose 2

2021-06-05

Symptoms: Since May 16th Ive been having sudden nose bleeds

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	✓	✓	✓
SD	Chills	✓	✓	✓
SD	Epistaxis	✓	✓	✓
SD	Hypersensitivity	✓	✓	✓
SD	Injection site erythema	✓	✓	✓
SD	Injection site pain	✓	✓	✓
SD	Injection site pruritus	✓	✓	✓
SD	Injection site warmth	✓	✓	✓
SD	Nasal congestion	✓	✓	✓
SD	Oropharyngeal pain	✓	✓	✓
SRO	Heart rate increased	✓	✓	✓
SRO	Immediate post-injection reaction	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓

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