5JB-18365-28479

5 vaccinations 5 coded responses 45 check-ins 5 free-text entries 1 call case

Sex: Female
Age at first dose: 66+
ZIP prefix: 169 / PA
Registered: 2021-01-23

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

2021-01-22
Dose 1 — Moderna
2021-01-23
Registered in v-safe
2021-01-23
Survey response — days 1–6 daily, dose 1
MedDRA: Taste disorder — Feeling: Good · Site: Pain · Headache, Muscle or body aches

Free text: Had wierd taste in back of throat (medicine type taste) last night and into this morning. Lasted about 16 hours. Its gone away.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

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

Adult check-in
2021-01-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-29
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-05
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-12
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-18
Dose 2 — Moderna
2021-02-19
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-20
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Itching · None

Adult check-in
2021-02-21
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-22
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

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 · None

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

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

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: Fatigue, Pain in extremity — Feeling: Good

Free text: Pain in arms and legs. Fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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
2021-08-21
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-27
Dose 3 — Moderna
Co-administered: Flu
2022-02-18
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-04-12
Dose 4 — Moderna
2022-04-28
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-05-03
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-05-10
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-05-17
Survey response — day 35, dose 4
MedDRA: Office visit, Pain in extremity — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: I have had pain in my right arm. This has been here for about a month. I didn't discuss it earlier, because I didn't think it was related to my shot, but I decided I should report it, in case. · Healthcare visit (other): Primary doctor check up

MedDRA releases: 2024-11 · check-in free text available
2022-05-17
Report sent to call center — day 35, dose 4
Get care from a doctor or other healthcare professional

1 call case(s)
2022-05-18
Call successful
Does not wish to fill out VAERS report
2022-05-24
Survey response — day 42, dose 4
MedDRA: Oropharyngeal pain, Positive airway pressure therapy — Feeling: Fair

Free text: Sore throat. Probably related to cpap machine.

MedDRA releases: 2024-11 · check-in free text available
2022-07-12
Survey response — 3 months, dose 4
MedDRA: Dry throat, Throat irritation — Feeling: Good

Free text: Scratchy, dry throat

MedDRA releases: 2024-11 · check-in free text available
2022-10-11
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in
2022-10-14
Dose 5 — Moderna
Co-administered: Flu
2022-10-14
Health check-in — day 0, dose 5
Feeling: Good · Site: Pain · None

Adult check-in
2022-10-15
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Site: Redness, Swelling, Itching · None

Adult check-in
2022-10-16
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Site: Redness, Itching · None

Adult check-in
2022-10-17
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Site: Redness, Itching · None

Adult check-in
2022-10-18
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Site: Redness, Itching · None

Adult check-in
2022-10-19
Health check-in — days 1–6 daily, dose 5
Feeling: Good · None

Adult check-in
2022-10-20
Health check-in — days 1–6 daily, dose 5
Feeling: Good · None

Adult check-in
2022-10-21
Health check-in — day 7, dose 5
Feeling: Good · None

Adult check-in
2022-10-28
Health check-in — day 14, dose 5
Feeling: Good

Adult check-in
2022-11-04
Health check-in — day 21, dose 5
Feeling: Good

Adult check-in
2022-11-11
Health check-in — day 28, dose 5
Feeling: Good

Adult check-in
2022-11-20
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2023-01-13
Health check-in — 3 months, dose 5
Feeling: Good

Adult check-in
2023-04-14
Health check-in — 6 months, dose 5
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-22	Moderna
2	2021-02-18	Moderna
3	2021-10-27	Moderna	Flu
4	2022-04-12	Moderna	No
5	2022-10-14	Moderna	Flu

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-23

Systemic reaction (other): Had wierd taste in back of throat (medicine type taste) last night and into this morning. Lasted about 16 hours. Its gone away.

Release 6 — day 35, dose 2

2021-03-25

Symptoms: Pain in arms and legs. Fatigue

Release 11 — day 35, dose 4

2022-05-17

Symptoms: I have had pain in my right arm. This has been here for about a month. I didn't discuss it earlier, because I didn't think it was related to my shot, but I decided I should report it, in case.

Healthcare visit (other): Primary doctor check up

Release 11 — day 42, dose 4

2022-05-24

Symptoms: Sore throat. Probably related to cpap machine.

Release 12 — 3 months, dose 4

2022-07-12

Symptoms: Scratchy, dry throat

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	·	·	✓
SD	Dry throat	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pain in extremity	✓	✓	✓
SD	Positive airway pressure therapy	·	·	✓
SD	Throat irritation	·	·	✓
SRO	Taste disorder	✓	✓	✓

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