5BL-17292-13851

3 vaccinations 9 coded responses 25 check-ins 9 free-text entries 5 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 897 / NV
Registered: 2021-05-25

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

Timeline

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

2021-05-25
Registered in v-safe
2021-05-25
Dose 1 — Moderna
2021-05-25
Health check-in — day 0, dose 1
Feeling: Good · Headache

Adult check-in
2021-05-26
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-05-27
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-05-28
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Redness · Headache

Adult check-in
2021-05-29
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Rash, not including the immediate area around the injection site · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit, Hospitalization

Adult check-in
2021-05-29
Report sent to call center — days 1–6 daily, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-30
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Fatigue or tiredness, Nausea, Diarrhea

Adult check-in
2021-05-31
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-06-01
Health check-in — day 7, dose 1
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea

Adult check-in
2021-06-08
Survey response — day 14, dose 1
MedDRA: Injection site erythema, Injection site pruritus, Injection site swelling — Feeling: Fair

Free text: Swelling in arm like a ball where shot was given, and it was red and itchy . Thursday night and Friday were the worst of it. Almost felt like I had just gotten shot again.Took pictures as it was weird. Yesterday and today clearing up.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-15
Survey response — day 21, dose 1
MedDRA: Rash, Urticaria — Feeling: Fair

Free text: Rash/ Hives on chest, arms and back and some on neck.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-22
Dose 2 — Moderna
2021-06-22
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-06-23
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-06-24
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-06-25
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-06-26
Survey response — days 1–6 daily, dose 2
MedDRA: Blood glucose increased, Diabetes mellitus, Pre-existing disease — Feeling: Poor · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Severer issues with diabetes all the sudden cant keep blood sugars up and sense shot like I cant handle insulin

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-26
Report sent to call center — days 1–6 daily, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-27
Survey response — days 1–6 daily, dose 2
MedDRA: Adverse reaction — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities

Free text: Still having issues with insulin

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-28
Survey response — days 1–6 daily, dose 2
MedDRA: Office visit, Unevaluable event — Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · 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: Systemic reaction (other): Still fighting insulting, so now cant tolerate no Humolog and going from 40 down to 15 units Lantis and even that is too high and its shooting you blood sugars down. Another night now sleep · Healthcare visit (other): Saw 2 doctors and might be heading to ER here soon again

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-28
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)
2021-06-28
Call 1 — Left Voicemail
2021-07-01
Call 2 — Left Voicemail
2021-07-02
Survey response — day 7, dose 2
MedDRA: Adverse reaction — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Still having issues with insulin and going Low... have reduced Lantis even more working with doctors

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-02
Call 3 — Left Voicemail
2021-07-06
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-07-06
Callback requested for
3:30PM ET
2021-07-06
Call successful
Participant prefers to complete VAERS report online
2021-07-13
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-07-20
Survey response — day 28, dose 2
MedDRA: Diabetes mellitus, Gastrointestinal disorder, Pre-existing disease, Rash — Feeling: Fair · Be unable to do your normal daily activities

Free text: Rash on arms and back and a little on chest, Also stomach and bowl issues and still struggling with diabetes like I have been sense the second shot.

MedDRA releases: 2024-11 · check-in free text available
2021-07-27
Survey response — day 35, dose 2
MedDRA: Diabetes mellitus, Pre-existing disease, Rash — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: Rash - which I got a couple weeks after first shot as well. So Im assuming its the same type of deal. Also diabetes is still doing the same, and so far hasnt gone back to where I was before the shot. Doctor appointment and labs ofter

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-27
Report sent to call center — day 35, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-04
Call 1 — Left Voicemail
2021-08-06
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-09-23
Survey response — 3 months, dose 2
MedDRA: Blood glucose decreased, Diabetes mellitus, Emergency care, Office visit — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: Diabetes issues still and constant drops on blood sugars and a couple hospital visits and Lots of doctors visits trying to figure it out.

MedDRA releases: 2024-11 · check-in free text available
2021-09-23
Report sent to call center — 3 months, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
2021-09-27
Call 1 — Left Voicemail
2021-12-21
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-09-20
Dose 3 — Moderna

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-05-25	Moderna
2	2021-06-22	Moderna	No
3	2022-09-20	Moderna	No

Call center

5 call center cases

3 successful · 2 unsuccessful

See the call center timeline

Free text

Release 8 — day 14, dose 1

2021-06-08

Symptoms: Swelling in arm like a ball where shot was given, and it was red and itchy . Thursday night and Friday were the worst of it. Almost felt like I had just gotten shot again.Took pictures as it was weird. Yesterday and today clearing up.

Release 9 — day 21, dose 1

2021-06-15

Symptoms: Rash/ Hives on chest, arms and back and some on neck.

Release 9 — days 1–6 daily, dose 2

2021-06-26

Systemic reaction (other): Severer issues with diabetes all the sudden cant keep blood sugars up and sense shot like I cant handle insulin

2021-06-27

Systemic reaction (other): Still having issues with insulin

2021-06-28

Systemic reaction (other): Still fighting insulting, so now cant tolerate no Humolog and going from 40 down to 15 units Lantis and even that is too high and its shooting you blood sugars down. Another night now sleep

Healthcare visit (other): Saw 2 doctors and might be heading to ER here soon again

Release 9 — day 7, dose 2

2021-07-02

Systemic reaction (other): Still having issues with insulin and going Low... have reduced Lantis even more working with doctors

Release 9 — day 28, dose 2

2021-07-20

Symptoms: Rash on arms and back and a little on chest, Also stomach and bowl issues and still struggling with diabetes like I have been sense the second shot.

Release 9 — day 35, dose 2

2021-07-27

Symptoms: Rash - which I got a couple weeks after first shot as well. So Im assuming its the same type of deal. Also diabetes is still doing the same, and so far hasnt gone back to where I was before the shot. Doctor appointment and labs ofter

Release 9 — 3 months, dose 2

2021-09-23

Symptoms: Diabetes issues still and constant drops on blood sugars and a couple hospital visits and Lots of doctors visits trying to figure it out.

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	Office visit	✓	✓	✓
SD	Blood glucose decreased	·	·	✓
SD	Diabetes mellitus	✓	·	✓
SD	Emergency care	·	·	✓
SD	Gastrointestinal disorder	·	·	✓
SD	Injection site erythema	✓	✓	✓
SD	Injection site pruritus	✓	✓	✓
SD	Injection site swelling	✓	✓	✓
SD	Office visit	·	·	✓
SD	Pre-existing disease	✓	·	✓
SD	Rash	✓	✓	✓
SD	Urticaria	✓	✓	✓
SRO	Adverse reaction	✓	✓	✓
SRO	Blood glucose increased	✓	✓	✓
SRO	Diabetes mellitus	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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