53B-38987-40192

4 vaccinations 8 coded responses 24 check-ins 8 free-text entries 1 call case

Sex: Female
Age at first dose: 66+
ZIP prefix: 762 / TX
Registered: 2021-01-28

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

2021-01-20
Dose 1 — Moderna
2021-01-28
Registered in v-safe
2021-01-28
Health check-in — day 7, dose 1
Feeling: Good · Rash, not including the immediate area around the injection site

Adult check-in
2021-02-03
Survey response — day 14, dose 1
MedDRA: Rash, Rash macular, Swelling — Feeling: Good

Free text: Morning after shot, bright rash on upper chestlasted about 4 days;2nd morning after shot, had red splotchesand swelling 3 inches below injection which lasted 4-5 days

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-10
Survey response — day 21, dose 1
MedDRA: Diarrhoea, Injection site discolouration, Injection site erythema, Injection site pruritus, Injection site swelling, Medical counselling — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Swollen red itchy arm approx 2 inches below injection site. Also some diarrhea experienced. Area appears to be decreasing to splotchy, more than bright red. Much thanks to DH doctor who called me. · Healthcare visit (other): DH doctor phone call

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-10
Report sent to call center — day 21, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-17
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-02-24
Dose 2 — Moderna
2021-02-25
Survey response — days 1–6 daily, dose 2
MedDRA: Rhinorrhoea — Feeling: Good · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Drippy nose

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-26
Survey response — days 1–6 daily, dose 2
MedDRA: Restlessness — Feeling: Good · Site: Pain, Redness, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Restless during nightly sleep

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-27
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Swelling, Itching · Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea

Adult check-in
2021-02-28
Survey response — days 1–6 daily, dose 2
MedDRA: Energy increased — Feeling: Good · Site: Pain, Redness, Swelling · Headache, Diarrhea

Free text: More energy today

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-01
Survey response — days 1–6 daily, dose 2
MedDRA: Insomnia — Feeling: Good · Site: Redness, Swelling · Headache

Free text: Sleeplessness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-02
Survey response — days 1–6 daily, dose 2
MedDRA: Insomnia — Feeling: Good · Site: Swelling, Itching · Fever · Headache

Free text: Sleeplessness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-03
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-10
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-17
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-24
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-03-31
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-08
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-26
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-07-18
Call 1 — Left Voicemail
2021-07-19
Call 2 — Left Voicemail
2021-07-19
Callback requested for
2021-07-20
Call successful
Participant prefers to complete VAERS report online
2021-08-27
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-12-08
Dose 3 — Moderna
2022-02-24
Survey response — 12 months, dose 2
MedDRA: Concussion, Fall, Headache, Motion sickness, Vertigo — Feeling: Fair · Be unable to do your normal daily activities

Free text: Had a fall w/concussion 3 weeks ago. Vertigo still occasionally; also some car sickness. Improving; headaches have decreased.

MedDRA releases: 2024-11 · check-in free text available
2022-09-19
Dose 4 — Moderna
2022-10-21
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-10-26
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-10-31
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-12-21
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2023-03-22
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-20	Moderna
2	2021-02-24	Moderna
3	2021-12-08	Moderna	No
4	2022-09-19	Moderna	No

Call center

1 call center case

1 successful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 3 — day 14, dose 1

2021-02-03

Symptoms: Morning after shot, bright rash on upper chestlasted about 4 days;2nd morning after shot, had red splotchesand swelling 3 inches below injection which lasted 4-5 days

Release 4 — day 21, dose 1

2021-02-10

Symptoms: Swollen red itchy arm approx 2 inches below injection site. Also some diarrhea experienced. Area appears to be decreasing to splotchy, more than bright red. Much thanks to DH doctor who called me.

Healthcare visit (other): DH doctor phone call

Release 4 — days 1–6 daily, dose 2

2021-02-25

Systemic reaction (other): Drippy nose

2021-02-26

Systemic reaction (other): Restless during nightly sleep

2021-02-28

Systemic reaction (other): More energy today

2021-03-01

Systemic reaction (other): Sleeplessness

2021-03-02

Systemic reaction (other): Sleeplessness

Release 11 — 12 months, dose 2

2022-02-24

Symptoms: Had a fall w/concussion 3 weeks ago. Vertigo still occasionally; also some car sickness. Improving; headaches have decreased.

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	Concussion	·	·	✓
SD	Diarrhoea	✓	✓	✓
SD	Fall	·	·	✓
SD	Headache	·	·	✓
SD	Injection site discolouration	✓	✓	✓
SD	Injection site erythema	✓	✓	✓
SD	Injection site pruritus	✓	✓	✓
SD	Injection site swelling	✓	✓	✓
SD	Motion sickness	·	·	✓
SD	Rash	✓	✓	✓
SD	Rash macular	✓	✓	✓
SD	Swelling	✓	✓	✓
SD	Vertigo	·	·	✓
SRO	Energy increased	✓	✓	✓
SRO	Insomnia	✓	✓	✓
SRO	Restlessness	✓	✓	✓
SRO	Rhinorrhoea	✓	✓	✓

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