5E8-27670-93062

3 vaccinations 17 coded responses 36 check-ins 17 free-text entries 6 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 919 / CA
Registered: 2021-01-11

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

2021-01-08
Dose 1 — Moderna
2021-01-11
Registered in v-safe
2021-01-12
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-01-12
Report sent to call center — days 1–6 daily, dose 1
Be unable to work · Be unable to do your normal daily activities

1 call case(s)
2021-01-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-01-13
Report sent to call center — days 1–6 daily, dose 1
Be unable to work · Be unable to do your normal daily activities

1 call case(s)
2021-01-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-15
Survey response — day 7, dose 1
MedDRA: Pre-existing disease — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: I have Lupus

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-15
Report sent to call center — day 7, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-22
Survey response — day 14, dose 1
MedDRA: Oropharyngeal pain — Feeling: Fair

Free text: Sore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-29
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-05
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-02-12
Health check-in — day 35, dose 1
Feeling: Good

Adult check-in
2021-02-19
Health check-in — day 42, dose 1
Feeling: Good

Adult check-in
2021-04-10
Survey response — 3 months, dose 1
MedDRA: Arthritis, Carpal tunnel syndrome, Polyarthritis, Trigger finger — Feeling: Fair · Be unable to do your normal daily activities

Free text: Arthritis symptoms of all myJoints especially in my hands that I never experienced before and carpal tunnel of my wrists and a trigger finger

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-10
Survey response — 6 months, dose 1
MedDRA: Palpitations, Ventricular extrasystoles — Feeling: Good

Free text: Palpitations (pvcs)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-25
Dose 2 — Moderna
2021-08-26
Survey response — days 1–6 daily, dose 2
MedDRA: Eye irritation, Neck pain — Feeling: Poor · Site: Pain, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Neck pain and burning eyes

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-27
Survey response — days 1–6 daily, dose 2
MedDRA: Eye irritation, Neck pain — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Neck pain, eyes burning

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-28
Survey response — days 1–6 daily, dose 2
MedDRA: Eye irritation, Neck pain, Palpitations — Feeling: Poor · Site: Pain, Redness · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Neck ache, eyes burn, racing pounding heart

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-30
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-08-31
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 · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-09-01
Survey response — day 7, dose 2
MedDRA: Palpitations — Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Racing heart

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-09-08
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-09-15
Survey response — day 21, dose 2
MedDRA: Abdominal discomfort, Headache, Musculoskeletal stiffness, Palpitations — Feeling: Fair

Free text: Racing heart again and excruciating headaches that have not gone away since getting vaccine with neck stiffness that may be associated with headache. Still have Right upper quadrant abdominal discomfort.

MedDRA releases: 2024-11 · check-in free text available
2021-09-22
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-09-30
Survey response — day 35, dose 2
MedDRA: Abdominal pain upper, Arthralgia, Headache, Joint swelling, Palpitations, Tendonitis — Feeling: Fair · Be unable to work or attend school

Free text: Racing heart swollen painful joints , headache still, tendonitis, right upper quadrant pain of abdomen

MedDRA releases: 2024-11 · check-in free text available
2021-10-07
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-11-26
Survey response — 3 months, dose 2
MedDRA: Atrial fibrillation — Feeling: Fair · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: AFIB

MedDRA releases: 2024-11 · check-in free text available
2021-11-26
Report sent to call center — 3 months, dose 2
Be unable to work or attend school · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-11-29
Call 1 — Left Voicemail
2022-02-23
Dose 3 — Moderna
2022-02-23
Survey response — 6 months, dose 2
MedDRA: Atrial fibrillation, Cardiac disorder, Supraventricular tachycardia, Ventricular tachycardia — Feeling: Fair · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Have been having problems with my heart.. vtach and A Fib and SVT never had heart problems before these vaccines

MedDRA releases: 2024-11 · check-in free text available
2022-02-23
Report sent to call center — 6 months, dose 2
Be unable to work or attend school · Get care from a doctor or other healthcare professional

Emergency room or emergency department visit · 1 call case(s)
2022-02-24
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Abdominal pain · Be unable to work or attend school

Adult check-in
2022-02-24
Call successful
Participant prefers to complete VAERS report online
2022-02-25
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-02-26
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-03-03
Survey response — day 7, dose 3
MedDRA: Tendonitis — Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work or attend school

Free text: Tendonitis

MedDRA releases: 2024-11 · check-in free text available
2022-03-09
Survey response — day 14, dose 3
MedDRA: Tendonitis — Feeling: Fair · Be unable to do your normal daily activities

Free text: Tendonitis of Achilles, ankles, knees and fingers

MedDRA releases: 2024-11 · check-in free text available
2022-03-16
Survey response — day 21, dose 3
MedDRA: Lymphadenopathy, Paraesthesia, Tendonitis — Feeling: Fair · Be unable to do your normal daily activities

Free text: Tingling on both sides of my lower face. And tendonitis and lymphnode enlargement worse.

MedDRA releases: 2024-11 · check-in free text available
2022-03-24
Health check-in — day 28, dose 3
Feeling: Fair

Adult check-in
2022-04-01
Survey response — day 35, dose 3
MedDRA: Palpitations, Tendonitis — Feeling: Fair · Be unable to do your normal daily activities

Free text: Racing heart, tendonitis

MedDRA releases: 2024-11 · check-in free text available
2022-04-06
Survey response — day 42, dose 3
MedDRA: Atrial fibrillation, Palpitations — Feeling: Fair · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Racing heart and AFib at times

MedDRA releases: 2024-11 · check-in free text available
2022-04-06
Report sent to call center — day 42, dose 3
Get care from a doctor or other healthcare professional

Emergency room or emergency department visit · 1 call case(s)
2022-04-22
Call 1 — Left Voicemail
2022-05-25
Health check-in — 3 months, dose 3
Feeling: Fair

Adult check-in
2022-08-24
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2023-02-23
Health check-in — 12 months, dose 3
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-08	Moderna
2	2021-08-25	Moderna	No
3	2022-02-23	Moderna	No

Call center

6 call center cases

2 successful · 1 unsuccessful · 3 priority 2/3 (triaged and no follow up)

See the call center timeline

Free text

Release 2 — day 7, dose 1

2021-01-15

Systemic reaction (other): I have Lupus

Release 2 — day 14, dose 1

2021-01-22

Symptoms: Sore throat

Release 7 — 3 months, dose 1

2021-04-10

Symptoms: Arthritis symptoms of all myJoints especially in my hands that I never experienced before and carpal tunnel of my wrists and a trigger finger

Release 9 — 6 months, dose 1

2021-07-10

Symptoms: Palpitations (pvcs)

Release 9 — days 1–6 daily, dose 2

2021-08-26

Systemic reaction (other): Neck pain and burning eyes

2021-08-27

Systemic reaction (other): Neck pain, eyes burning

2021-08-28

Systemic reaction (other): Neck ache, eyes burn, racing pounding heart

Release 9 — day 7, dose 2

2021-09-01

Systemic reaction (other): Racing heart

Release 9 — day 21, dose 2

2021-09-15

Symptoms: Racing heart again and excruciating headaches that have not gone away since getting vaccine with neck stiffness that may be associated with headache. Still have Right upper quadrant abdominal discomfort.

Release 9 — day 35, dose 2

2021-09-30

Symptoms: Racing heart swollen painful joints , headache still, tendonitis, right upper quadrant pain of abdomen

Release 10 — 3 months, dose 2

2021-11-26

Symptoms: AFIB

Release 11 — 6 months, dose 2

2022-02-23

Symptoms: Have been having problems with my heart.. vtach and A Fib and SVT never had heart problems before these vaccines

Release 11 — day 7, dose 3

2022-03-03

Systemic reaction (other): Tendonitis

Release 11 — day 14, dose 3

2022-03-09

Symptoms: Tendonitis of Achilles, ankles, knees and fingers

Release 11 — day 21, dose 3

2022-03-16

Symptoms: Tingling on both sides of my lower face. And tendonitis and lymphnode enlargement worse.

Release 11 — day 35, dose 3

2022-04-01

Symptoms: Racing heart, tendonitis

Release 11 — day 42, dose 3

2022-04-06

Symptoms: Racing heart and AFib at times

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
SD	Abdominal discomfort	·	·	✓
SD	Abdominal pain upper	·	·	✓
SD	Arthralgia	·	·	✓
SD	Arthritis	✓	✓	✓
SD	Atrial fibrillation	·	·	✓
SD	Cardiac disorder	·	·	✓
SD	Carpal tunnel syndrome	✓	✓	✓
SD	Headache	·	·	✓
SD	Joint swelling	·	·	✓
SD	Lymphadenopathy	·	·	✓
SD	Musculoskeletal stiffness	·	·	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Palpitations	✓	✓	✓
SD	Paraesthesia	·	·	✓
SD	Polyarthritis	✓	✓	✓
SD	Supraventricular tachycardia	·	·	✓
SD	Tendonitis	·	·	✓
SD	Trigger finger	✓	✓	✓
SD	Ventricular extrasystoles	✓	✓	✓
SD	Ventricular tachycardia	·	·	✓
SRO	Eye irritation	✓	·	✓
SRO	Neck pain	✓	·	✓
SRO	Palpitations	✓	·	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Tendonitis	·	·	✓

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