5H6-27932-82225

2 vaccinations 5 coded responses 20 check-ins 5 free-text entries 3 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 430 / OH
Registered: 2021-01-05

Relationship: Self
Race: N/A
Ethnicity: N/A

Timeline

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

2021-01-05
Registered in v-safe
2021-01-05
Dose 1 — Moderna
2021-01-05
Health check-in — day 0, dose 1
Feeling: Good · Muscle or body aches

Adult check-in
2021-01-06
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2021-01-06
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-07
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches

Adult check-in
2021-01-08
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Nausea

Adult check-in
2021-01-09
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Nausea

Adult check-in
2021-01-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-01-12
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-19
Survey response — day 14, dose 1
MedDRA: Chest discomfort, Medical counselling, Pain in extremity, Peripheral coldness — Feeling: Fair

Free text: increase in right forearm ache and slight coolness in hand ( good pulse ) shot left armAlso right chest vague discomfort near breast on inspiration this am but that resolved I dont feel sob Im a nurse so Im monitoring whether it gets worse

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-26
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-02
Survey response — day 28, dose 1
MedDRA: Muscle spasms, Muscular weakness, Pain, Peripheral coldness — Feeling: Fair

Free text: Rtarm elbow area forearm cramping , hurts when lift items as I am right handed , only a tad weaker than left Shot on left arm Occasional coolness in righthand on awakening and using the computer mouse , not daily but more noticeable

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-03
Dose 2 — Moderna
2021-02-09
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Muscle or body aches

Adult check-in
2021-02-10
Health check-in — day 7, dose 2
Feeling: Good · Site: Pain · Joint pains

Adult check-in
2021-02-17
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-24
Health check-in — day 21, dose 2
Feeling: Good

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

Adult check-in
2021-03-10
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-17
Survey response — day 42, dose 2
MedDRA: Office visit, Pain in extremity, Peripheral swelling — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Aching in lower calf on one leg and the opposite leg with very slight swelling · Healthcare visit (other): Scheduled visit

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-17
Report sent to call center — day 42, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-05
Survey response — 3 months, dose 2
MedDRA: Chest pain, Fatigue, Pain in extremity, Peripheral swelling, Specialist consultation — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Fatigue chest and arm pain foot swelling · Healthcare visit (other): In person pcp

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-05
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)
2021-06-07
Call successful
Participant prefers to complete VAERS report online
2021-06-07
Call successful
Participant prefers to complete VAERS report online
2022-02-03
Survey response — 12 months, dose 2
MedDRA: Alopecia — Feeling: Good

Free text: Very noticeable hair loss confirmed by my hair stylist

MedDRA releases: 2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-05	Moderna
2	2021-02-03	Moderna

Call center

3 call center cases

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

See the call center timeline

Free text

Release 2 — day 14, dose 1

2021-01-19

Symptoms: increase in right forearm ache and slight coolness in hand ( good pulse ) shot left armAlso right chest vague discomfort near breast on inspiration this am but that resolved I dont feel sob Im a nurse so Im monitoring whether it gets worse

Release 3 — day 28, dose 1

2021-02-02

Symptoms: Rtarm elbow area forearm cramping , hurts when lift items as I am right handed , only a tad weaker than left Shot on left arm Occasional coolness in righthand on awakening and using the computer mouse , not daily but more noticeable

Release 5 — day 42, dose 2

2021-03-17

Symptoms: Aching in lower calf on one leg and the opposite leg with very slight swelling

Healthcare visit (other): Scheduled visit

Release 8 — 3 months, dose 2

2021-05-05

Symptoms: Fatigue chest and arm pain foot swelling

Healthcare visit (other): In person pcp

Release 11 — 12 months, dose 2

2022-02-03

Symptoms: Very noticeable hair loss confirmed by my hair stylist

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	Specialist consultation	✓	✓	✓
SD	Alopecia	·	·	✓
SD	Chest discomfort	✓	✓	✓
SD	Chest pain	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Medical counselling	✓	✓	✓
SD	Muscle spasms	✓	✓	✓
SD	Muscular weakness	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SD	Peripheral coldness	✓	✓	✓
SD	Peripheral swelling	✓	✓	✓

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