5HC-10333-01255

2 vaccinations 6 coded responses 22 check-ins 6 free-text entries 2 call cases

Sex: Female
Age at first dose: 26-30
ZIP prefix: 491 / MI
Registered: 2021-01-21

Relationship: Self
Race: White
Ethnicity: Hispanic or Latino

Timeline

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

2021-01-21
Registered in v-safe
2021-01-21
Dose 1 — Moderna
2021-01-22
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-01-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-26
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site pain, Lymphadenopathy, Palpitations — Feeling: Good · Muscle or body aches

Free text: Some brief palpitations, aching/soreness around left arm lymph nodes (same arm where injected)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-28
Survey response — day 7, dose 1
MedDRA: Axillary pain — Feeling: Good · Muscle or body aches

Free text: Soreness in left armpit (injection arm) around lymphnodes, gradually decreased from yesterday

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-04
Survey response — day 14, dose 1
MedDRA: Breast pain, Constipation, Dyspepsia — Feeling: Fair

Free text: Constipation, indigestion, pain in left breast area

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-11
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-18
Dose 2 — Moderna
2021-02-18
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2021-02-19
Survey response — days 1–6 daily, dose 2
MedDRA: Oropharyngeal pain — Feeling: Fair · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Very mildly sore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-20
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2021-02-21
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-02-22
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-02-23
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-24
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-25
Health check-in — day 7, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-05
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-11
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-03-18
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-25
Survey response — day 35, dose 2
MedDRA: Heart rate increased, Palpitations, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Heart palpitations along with elevated heart rate after the first palpitation, sometimes occurring randomly, other times at regular intervals. It occurred at regular intervals for the first time last night for a few minutes until I got up for water. · Healthcare visit (other): I'm requesting that my doctor orders a 24 halter heart monitor for me to use.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-25
Report sent to call center — day 35, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-01
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-20
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-19
Survey response — 6 months, dose 2
MedDRA: Body temperature increased, Chest discomfort, Chills, Hot flush, Productive cough, Wheezing — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: Chest tightness, light fever (99.6), chills, hot flashes (all lasted about a week, this last week) phlem rumbling a little in chest from time to time (ongoing)

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-19
Report sent to call center — 6 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-20
Call successful
Participant prefers to complete VAERS report online
2022-02-20
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-21	Moderna
2	2021-02-18	Moderna

Call center

2 call center cases

2 successful

See the call center timeline

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-26

Systemic reaction (other): Some brief palpitations, aching/soreness around left arm lymph nodes (same arm where injected)

Release 2 — day 7, dose 1

2021-01-28

Systemic reaction (other): Soreness in left armpit (injection arm) around lymphnodes, gradually decreased from yesterday

Release 3 — day 14, dose 1

2021-02-04

Symptoms: Constipation, indigestion, pain in left breast area

Release 4 — days 1–6 daily, dose 2

2021-02-19

Systemic reaction (other): Very mildly sore throat

Release 6 — day 35, dose 2

2021-03-25

Symptoms: Heart palpitations along with elevated heart rate after the first palpitation, sometimes occurring randomly, other times at regular intervals. It occurred at regular intervals for the first time last night for a few minutes until I got up for water. cut off by CDC

Healthcare visit (other): I'm requesting that my doctor orders a 24 halter heart monitor for me to use.

Release 9 — 6 months, dose 2

2021-08-19

Symptoms: Chest tightness, light fever (99.6), chills, hot flashes (all lasted about a week, this last week) phlem rumbling a little in chest from time to time (ongoing)

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	Body temperature increased	✓	·	✓
SD	Breast pain	✓	✓	✓
SD	Chest discomfort	✓	·	✓
SD	Chills	✓	·	✓
SD	Constipation	✓	✓	✓
SD	Dyspepsia	✓	✓	✓
SD	Heart rate increased	✓	✓	✓
SD	Hot flush	✓	·	✓
SD	Palpitations	✓	✓	✓
SD	Productive cough	✓	·	✓
SD	Wheezing	✓	·	✓
SRO	Axillary pain	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Palpitations	✓	✓	✓

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