58R-19684-94117

3 vaccinations 14 coded responses 26 check-ins 14 free-text entries 3 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 292 / SC
Registered: 2021-04-04

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

2021-03-05
Dose 1 — Moderna
2021-04-02
Dose 2 — Moderna
2021-04-04
Registered in v-safe
2021-04-04
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2021-04-05
Survey response — days 1–6 daily, dose 2
MedDRA: Back pain — Feeling: Good · Site: Pain · Be unable to do your normal daily activities

Free text: Back pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-06
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-07
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-08
Survey response — days 1–6 daily, dose 2
MedDRA: Back pain — Feeling: Good · Site: Pain

Free text: Back pain not bad

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-09
Survey response — day 7, dose 2
MedDRA: No adverse event — Feeling: Good

Free text: N

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-23
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-30
Survey response — day 28, dose 2
MedDRA: Malaise, Parosmia — Feeling: Good

Free text: Sick and cant stand the smell of food cooking

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-07
Survey response — day 35, dose 2
MedDRA: Headache — Feeling: Fair

Free text: Still have a way back problems and headaches

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-14
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-10-01
Survey response — 6 months, dose 2
MedDRA: Back pain, Headache — Feeling: Fair · Be unable to do your normal daily activities

Free text: Headaches and a lot of back pain

MedDRA releases: 2024-11 · check-in free text available
2022-04-02
Dose 3 — Moderna
2022-04-02
Health check-in — day 0, dose 3
Feeling: Fair · Fever · Joint pains, Muscle or body aches, Nausea, Diarrhea, Abdominal pain

Adult check-in
2022-04-02
Survey response — 12 months, dose 2
MedDRA: Nausea, Throat irritation, Unevaluable event — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: I have burning in my throat and I've been sick to my stomach every time I eat something · Healthcare visit (other): Going to see the doctor at the six

MedDRA releases: 2024-11 · check-in free text available
2022-04-02
Report sent to call center — 12 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2022-04-03
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2022-04-04
Survey response — days 1–6 daily, dose 3
MedDRA: Throat irritation — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Free text: Just that I keep having that burning in my throat

MedDRA releases: 2024-11 · check-in free text available
2022-04-05
Survey response — days 1–6 daily, dose 3
MedDRA: Throat irritation — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Free text: Like I said I still have the burning in my throat but usually when I get up in the morning and in the middle of the day and then again at night I'm going to see the doctor on the sixth hopefully I can find out what's going on

MedDRA releases: 2024-11 · check-in free text available
2022-04-06
Survey response — days 1–6 daily, dose 3
MedDRA: Office visit, Pharyngeal disorder — Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Abdominal pain

Free text: I went to see the doctors today and he's scheduling me for an x-ray of my throat we're trying to touch our bases to make sure that there's nothing wrong there

MedDRA releases: 2024-11 · check-in free text available
2022-04-06
Call 1 — Left Voicemail
2022-04-06
Call successful
Does not wish to fill out VAERS report
2022-04-07
Survey response — days 1–6 daily, dose 3
MedDRA: Burning sensation — Feeling: Good · Site: Pain · Joint pains · Get care from a doctor or other healthcare professional

Free text: Going to see a neck doctor next week see if maybe this is giving me the problems of the burning in my neck

MedDRA releases: 2024-11 · check-in free text available
2022-04-07
Report sent to call center — days 1–6 daily, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2022-04-08
Survey response — days 1–6 daily, dose 3
MedDRA: Unevaluable event — Feeling: Good · Site: Pain · Joint pains · Get care from a doctor or other healthcare professional

Free text: Going for a test On Tuesday

MedDRA releases: 2024-11 · check-in free text available
2022-04-08
Report sent to call center — days 1–6 daily, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2022-04-09
Survey response — day 7, dose 3
MedDRA: Feeling hot, Throat irritation — Feeling: Good · Site: Pain · Joint pains

Free text: I'm still having the hotness in my throat the burning

MedDRA releases: 2024-11 · check-in free text available
2022-04-11
Call successful
Participant prefers to complete VAERS report online
2022-04-16
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-04-23
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-04-30
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-05-07
Survey response — day 35, dose 3
MedDRA: Malaise — Feeling: Fair · Be unable to do your normal daily activities

Free text: I'm bout to get them sick

MedDRA releases: 2024-11 · check-in free text available
2022-05-14
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-05	Moderna
2	2021-04-02	Moderna
3	2022-04-02	Moderna	No

Call center

3 call center cases

3 successful

See the call center timeline

Free text

Release 6 — days 1–6 daily, dose 2

2021-04-05

Systemic reaction (other): Back pain

Release 7 — days 1–6 daily, dose 2

2021-04-08

Systemic reaction (other): Back pain not bad

Release 7 — day 7, dose 2

2021-04-09

Systemic reaction (other): N

Release 8 — day 28, dose 2

2021-04-30

Symptoms: Sick and cant stand the smell of food cooking

Release 8 — day 35, dose 2

2021-05-07

Symptoms: Still have a way back problems and headaches

Release 9 — 6 months, dose 2

2021-10-01

Symptoms: Headaches and a lot of back pain

Release 11 — 12 months, dose 2

2022-04-02

Symptoms: I have burning in my throat and I've been sick to my stomach every time I eat something

Healthcare visit (other): Going to see the doctor at the six

Release 11 — days 1–6 daily, dose 3

2022-04-04

Systemic reaction (other): Just that I keep having that burning in my throat

2022-04-05

Systemic reaction (other): Like I said I still have the burning in my throat but usually when I get up in the morning and in the middle of the day and then again at night I'm going to see the doctor on the sixth hopefully I can find out what's going on

2022-04-06

Systemic reaction (other): I went to see the doctors today and he's scheduling me for an x-ray of my throat we're trying to touch our bases to make sure that there's nothing wrong there

2022-04-07

Healthcare visit (other): Going to see a neck doctor next week see if maybe this is giving me the problems of the burning in my neck

2022-04-08

Healthcare visit (other): Going for a test On Tuesday

Release 11 — day 7, dose 3

2022-04-09

Systemic reaction (other): I'm still having the hotness in my throat the burning

Release 11 — day 35, dose 3

2022-05-07

Symptoms: I'm bout to get them sick

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	Burning sensation	·	·	✓
HCVO	Unevaluable event	·	·	✓
SD	Back pain	·	·	✓
SD	Headache	✓	✓	✓
SD	Malaise	✓	✓	✓
SD	Nausea	·	·	✓
SD	Parosmia	✓	✓	✓
SD	Throat irritation	·	·	✓
SRO	Back pain	✓	✓	✓
SRO	Feeling hot	·	·	✓
SRO	No adverse event	✓	✓	✓
SRO	Office visit	·	·	✓
SRO	Pharyngeal disorder	·	·	✓
SRO	Throat irritation	·	·	✓

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