5DL-75075-44516

1 vaccination 10 coded responses 13 check-ins 10 free-text entries 5 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 882 / NM
Registered: 2021-03-05

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

2021-03-03
Dose 1 — Moderna
2021-03-05
Registered in v-safe
2021-03-05
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site warmth, Office visit — Feeling: Fair · Site: Pain, Redness, Swelling · Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Injection site is extreamly hot. · Healthcare visit (other): Doctor visit

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-05
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-06
Survey response — days 1–6 daily, dose 1
MedDRA: Vertigo — Feeling: Good · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains

Free text: Mild vertigo today and i forgot to mention yesterday.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-07
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site nodule, Pain, Pruritus, Unevaluable event — Feeling: Good · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains · Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Did i say itching. The injection site ITCHES. I want to chew my arm off because it hurts to scratch that swollen HOT knot that if i have said it yet ITCHES!!! · Healthcare visit (other): Ask the pharmacist if cortisone 10 could be used because it ITCHES!!!

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-07
Report sent to call center — days 1–6 daily, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-08
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site warmth — Feeling: Good · Site: Pain, Redness, Swelling, Itching · Chills, Headache, Joint pains

Free text: Injection site still HOT.

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

Adult check-in
2021-03-10
Survey response — day 7, dose 1
MedDRA: Pruritus, Skin warm — Feeling: Good · Site: Itching · Abdominal pain

Free text: Arm is still warm. No longer hot but still warm. Not knot or pain. Itching and warm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-17
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-24
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-31
Survey response — day 28, dose 1
MedDRA: Hypoaesthesia, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Left side back numb sensation · Healthcare visit (other): Regular in person visit

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-31
Report sent to call center — day 28, dose 1
Get care from a doctor or other healthcare professional

no matching call case
2021-04-07
Survey response — day 35, dose 1
MedDRA: Cough, Headache, Lacrimation increased, Nasal congestion, Rhinorrhoea — Feeling: Fair · Be unable to do your normal daily activities

Free text: Headache stuffy runny nose watery eyes light cough could be allergies though

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-14
Survey response — day 42, dose 1
MedDRA: Nasal congestion, Oropharyngeal pain, Ovarian mass, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Symptoms: Lump on my overyStuffy nose Sore throat · Healthcare visit (other): CT scan and future appointment with gynecologist for further diagnosis

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-14
Report sent to call center — day 42, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-03
Survey response — 3 months, dose 1
MedDRA: Arthralgia, Gastrointestinal disorder, Limb discomfort, Office visit, Pain in extremity, Peripheral swelling — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Joint pain , feet swelling, intestinal problems arm sensitivity and pain · Healthcare visit (other): Doc visit

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-03
Report sent to call center — 3 months, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-17
Call successful
Reported to VAERS voluntarily prior to GDIT contact
2021-09-01
Survey response — 6 months, dose 1
MedDRA: Pain in extremity, Spinal pain — 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: Arm aches. Spine pain.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-09-01
Report sent to call center — 6 months, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-09-03
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-03	Moderna

Call center

5 call center cases

4 successful · 1 unsuccessful

VAERS report filed, before or during a call: 4

1 check-in flagged for a call with no call center case on record

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-05

Systemic reaction (other): Injection site is extreamly hot.

Healthcare visit (other): Doctor visit

2021-03-06

Systemic reaction (other): Mild vertigo today and i forgot to mention yesterday.

2021-03-07

Systemic reaction (other): Did i say itching. The injection site ITCHES. I want to chew my arm off because it hurts to scratch that swollen HOT knot that if i have said it yet ITCHES!!!

Healthcare visit (other): Ask the pharmacist if cortisone 10 could be used because it ITCHES!!!

2021-03-08

Systemic reaction (other): Injection site still HOT.

Release 5 — day 7, dose 1

2021-03-10

Systemic reaction (other): Arm is still warm. No longer hot but still warm. Not knot or pain. Itching and warm

Release 6 — day 28, dose 1

2021-03-31

Symptoms: Left side back numb sensation

Healthcare visit (other): Regular in person visit

Release 7 — day 35, dose 1

2021-04-07

Symptoms: Headache stuffy runny nose watery eyes light cough could be allergies though

Release 7 — day 42, dose 1

2021-04-14

Symptoms: Lump on my overyStuffy nose Sore throat

Healthcare visit (other): CT scan and future appointment with gynecologist for further diagnosis

Release 8 — 3 months, dose 1

2021-06-03

Symptoms: Joint pain , feet swelling, intestinal problems arm sensitivity and pain

Healthcare visit (other): Doc visit

Release 9 — 6 months, dose 1

2021-09-01

Symptoms: Arm aches. Spine pain.

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	Arthralgia	✓	✓	✓
SD	Cough	✓	✓	✓
SD	Gastrointestinal disorder	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Hypoaesthesia	✓	✓	✓
SD	Lacrimation increased	✓	✓	✓
SD	Limb discomfort	✓	✓	✓
SD	Nasal congestion	✓	✓	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Ovarian mass	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SD	Peripheral swelling	✓	✓	✓
SD	Rhinorrhoea	✓	✓	✓
SD	Spinal pain	✓	·	✓
SRO	Injection site nodule	✓	✓	✓
SRO	Injection site warmth	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pruritus	✓	✓	✓
SRO	Skin warm	✓	✓	✓
SRO	Vertigo	✓	✓	✓

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