5EM-11880-40937

2 vaccinations 6 coded responses 23 check-ins 6 free-text entries 2 call cases

Sex: Female
Age at first dose: 31-35
ZIP prefix: 902 / CA
Registered: 2021-02-19

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

2021-02-17
Dose 1 — Moderna
2021-02-19
Registered in v-safe
2021-02-19
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-02-20
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness — Feeling: Fair · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work

Free text: Dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-22
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Joint pains, Fatigue or tiredness, Nausea

Adult check-in
2021-02-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fever · Chills, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-25
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-03
Survey response — day 14, dose 1
MedDRA: Arthralgia, Injection site erythema, Musculoskeletal stiffness, Neck pain — Feeling: Good

Free text: Red circle around/on injection site, pretty large, started around day 8 after injection & finally resolving (NOT painful or irritating). Also, Could be completely unrelated but neck & shoulder stiffness/pain, like a pinched nerve feeling.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-10
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-17
Dose 2 — Moderna
2021-03-17
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain, Swelling · Chills, Headache, Muscle or body aches

Adult check-in
2021-03-18
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Swelling · Fever · Chills, 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
2021-03-19
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site erythema — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work

Free text: Red area around injection site

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-20
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Swelling · Fatigue or tiredness

Adult check-in
2021-03-21
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness · Fatigue or tiredness

Adult check-in
2021-03-22
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness · Fatigue or tiredness

Adult check-in
2021-03-23
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness · Headache, Fatigue or tiredness

Adult check-in
2021-03-24
Health check-in — day 7, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-03
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-04-07
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-16
Survey response — day 28, dose 2
MedDRA: Anxiety, Dizziness, Nausea — Feeling: Fair

Free text: Dizziness, nausea, anxiety

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-30
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-16
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-15
Survey response — 6 months, dose 2
MedDRA: Discomfort, Headache, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Positional headaches, I will be having this checked but I am unable to lay on my stomach without getting pressure & headaches · Healthcare visit (other): Will have soon

MedDRA releases: 2024-11 · check-in free text available
2021-09-15
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-09-17
Call successful
Participant prefers to complete VAERS report online
2022-03-19
Survey response — 12 months, dose 2
MedDRA: Arthralgia — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Hand joint pain

MedDRA releases: 2024-11 · check-in free text available
2022-03-19
Report sent to call center — 12 months, dose 2
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-03-24
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-17	Moderna
2	2021-03-17	Moderna

Call center

2 call center cases

2 successful

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-20

Systemic reaction (other): Dizziness

Release 5 — day 14, dose 1

2021-03-03

Symptoms: Red circle around/on injection site, pretty large, started around day 8 after injection & finally resolving (NOT painful or irritating). Also, Could be completely unrelated but neck & shoulder stiffness/pain, like a pinched nerve feeling.

Release 5 — days 1–6 daily, dose 2

2021-03-19

Systemic reaction (other): Red area around injection site

Release 7 — day 28, dose 2

2021-04-16

Symptoms: Dizziness, nausea, anxiety

Release 9 — 6 months, dose 2

2021-09-15

Symptoms: Positional headaches, I will be having this checked but I am unable to lay on my stomach without getting pressure & headaches

Healthcare visit (other): Will have soon

Release 11 — 12 months, dose 2

2022-03-19

Symptoms: Hand joint 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	Unevaluable event	·	·	✓
SD	Anxiety	✓	✓	✓
SD	Arthralgia	✓	✓	✓
SD	Discomfort	·	·	✓
SD	Dizziness	✓	✓	✓
SD	Headache	·	·	✓
SD	Injection site erythema	✓	✓	✓
SD	Musculoskeletal stiffness	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Neck pain	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Injection site erythema	✓	✓	✓

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