5C7-12634-00895

2 vaccinations 12 coded responses 24 check-ins 12 free-text entries 3 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 236 / VA
Registered: 2021-01-29

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

2021-01-29
Registered in v-safe
2021-01-29
Dose 1 — Moderna
2021-01-29
Survey response — day 0, dose 1
MedDRA: Blood pressure increased, Heart rate increased, Hypoaesthesia, Limb discomfort — Feeling: Fair · Fatigue or tiredness · Be unable to work

Free text: Heaviness and numbness in arm where injection was received; spikes in BP and HR.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-31
Survey response — days 1–6 daily, dose 1
MedDRA: Musculoskeletal stiffness, Pain in extremity — Feeling: Good · Site: Pain · Fatigue or tiredness

Free text: My arm hurt, was stiff and difficukt to use until about 10am in the morning - 24 hours after the shot. Then symptons went away completely.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-01
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-02
Survey response — days 1–6 daily, dose 1
MedDRA: Eye pain, Oropharyngeal pain — Feeling: Fair · Headache, Muscle or body aches

Free text: Sore throat, sore eyes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-03
Survey response — days 1–6 daily, dose 1
MedDRA: Headache, Migraine, Musculoskeletal stiffness, Pain — Feeling: Fair · Headache

Free text: Body atiffness. Note: I think the headache and stiffness are connected to an unrelated migraine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-04
Survey response — days 1–6 daily, dose 1
MedDRA: Oropharyngeal pain, Rhinorrhoea, Sneezing — Feeling: Poor · Headache

Free text: Sore throat, runny nose and sneezing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-05
Survey response — day 7, dose 1
MedDRA: Cough, Eye irritation, Lymph node pain, Rhinorrhoea — Feeling: Fair · Headache

Free text: Sporadic runny nose and mild cough, irritated eyes and tender under arm lymph node in the same srm that received the shot

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-12
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-02-19
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-26
Dose 2 — Moderna
2021-02-26
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-02-28
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Hyperhidrosis — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Dizziness, Excessive sweating

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: Unevaluable event — Feeling: Fair · Fever · Chills, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site

Free text: Note; my regular temperature is 97.3

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-02
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-03
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-04
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2021-03-05
Health check-in — day 7, dose 2
Feeling: Fair · Fever · Headache, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-03-12
Health check-in — day 14, dose 2
Feeling: Good

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

Adult check-in
2021-03-26
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-02
Survey response — day 35, dose 2
MedDRA: Musculoskeletal stiffness, Neck pain, Unevaluable event — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Stiff shoulder and neck, pain in neck. Possible sinus infection. · Healthcare visit (other): Trying to schedule an appointment with my doctor now

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
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)
2021-04-09
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-05-30
Survey response — 3 months, dose 2
MedDRA: Office visit, Sinusitis — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Hospitalization

Free text: Symptoms: I was diagnosed with a sinus infection. · Healthcare visit (other): Saw my PCP

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-30
Report sent to call center — 3 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-11
Call 1 — Left Voicemail
2021-08-27
Survey response — 6 months, dose 2
MedDRA: Bronchitis, Sinusitis — Feeling: Fair · Be unable to work or attend school

Free text: Sinus infection, bronchitis

MedDRA releases: 2021-09,2024-11 · check-in free text available
2022-02-28
Survey response — 12 months, dose 2
MedDRA: Bronchitis, Menstruation irregular — 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 · Outpatient clinic or urgent care clinic visit

Free text: Bronchitis. Irregular menstrual periods.

MedDRA releases: 2024-11 · check-in free text available
2022-02-28
Report sent to call center — 12 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

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-03-02
Call successful
Participant prefers to complete VAERS report online

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-29	Moderna
2	2021-02-26	Moderna

Call center

3 call center cases

3 successful

See the call center timeline

Free text

Release 3 — day 0, dose 1

2021-01-29

Systemic reaction (other): Heaviness and numbness in arm where injection was received; spikes in BP and HR.

Release 3 — days 1–6 daily, dose 1

2021-01-31

Systemic reaction (other): My arm hurt, was stiff and difficukt to use until about 10am in the morning - 24 hours after the shot. Then symptons went away completely.

2021-02-02

Systemic reaction (other): Sore throat, sore eyes

2021-02-03

Systemic reaction (other): Body atiffness. Note: I think the headache and stiffness are connected to an unrelated migraine.

2021-02-04

Systemic reaction (other): Sore throat, runny nose and sneezing

Release 3 — day 7, dose 1

2021-02-05

Systemic reaction (other): Sporadic runny nose and mild cough, irritated eyes and tender under arm lymph node in the same srm that received the shot

Release 4 — days 1–6 daily, dose 2

2021-02-28

Systemic reaction (other): Dizziness, Excessive sweating

2021-03-01

Systemic reaction (other): Note; my regular temperature is 97.3

Release 6 — day 35, dose 2

2021-04-02

Symptoms: Stiff shoulder and neck, pain in neck. Possible sinus infection.

Healthcare visit (other): Trying to schedule an appointment with my doctor now

Release 8 — 3 months, dose 2

2021-05-30

Symptoms: I was diagnosed with a sinus infection.

Healthcare visit (other): Saw my PCP

Release 9 — 6 months, dose 2

2021-08-27

Symptoms: Sinus infection, bronchitis

Release 11 — 12 months, dose 2

2022-02-28

Symptoms: Bronchitis. Irregular menstrual periods.

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	✓	✓	✓
HCVO	Unevaluable event	✓	✓	✓
SD	Bronchitis	✓	·	✓
SD	Menstruation irregular	·	·	✓
SD	Musculoskeletal stiffness	✓	✓	✓
SD	Neck pain	✓	✓	✓
SD	Sinusitis	✓	✓	✓
SRO	Blood pressure increased	✓	✓	✓
SRO	Cough	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Eye irritation	✓	✓	✓
SRO	Eye pain	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Heart rate increased	✓	✓	✓
SRO	Hyperhidrosis	✓	✓	✓
SRO	Hypoaesthesia	✓	✓	✓
SRO	Limb discomfort	✓	✓	✓
SRO	Lymph node pain	✓	✓	✓
SRO	Migraine	○	✓	○
SRO	Musculoskeletal stiffness	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Pain	○	✓	○
SRO	Pain in extremity	✓	✓	✓
SRO	Rhinorrhoea	✓	✓	✓
SRO	Sneezing	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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