5LP-53142-75854

2 vaccinations 6 coded responses 19 check-ins 6 free-text entries 1 call case

Sex: Female
Age at first dose: 66+
ZIP prefix: 481 / MI
Registered: 2021-02-25

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

2021-02-16
Dose 1 — Moderna
2021-02-25
Registered in v-safe
2021-02-25
Health check-in — day 7, dose 1
Feeling: Good · Fatigue or tiredness, Nausea

Adult check-in
2021-03-02
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-10
Survey response — day 21, dose 1
MedDRA: Livedo reticularis — Feeling: Poor · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Livedo reticularis On thighs. HeavyLight mottling on shins, arms

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-10
Report sent to call center — day 21, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-16
Dose 2 — Moderna
2021-03-16
Health check-in — day 0, dose 2
Feeling: Fair · Site: Itching · Headache, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Adult check-in
2021-03-17
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-03-18
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Swelling, Itching · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Adult check-in
2021-03-19
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Adult check-in
2021-03-20
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Itching · Headache, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Adult check-in
2021-03-21
Survey response — days 1–6 daily, dose 2
MedDRA: Burning sensation — Feeling: Fair · Site: Itching · Headache, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: Burning sensation in my forearms

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-22
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Adult check-in
2021-03-23
Health check-in — day 7, dose 2
Feeling: Fair · Headache, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Adult check-in
2021-03-30
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-04-07
Survey response — day 21, dose 2
MedDRA: Burning sensation, Fatigue — Feeling: Fair · Be unable to do your normal daily activities

Free text: Continuing fatigue. Burning sensation on forearms.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
Survey response — day 28, dose 2
MedDRA: Fatigue, Feeling abnormal, Livedo reticularis — Feeling: Fair

Free text: The extreme fatigue and brain fog are much better. The livedo reticularis is still a concern.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Survey response — day 35, dose 2
MedDRA: Livedo reticularis — Feeling: Fair

Free text: The livedo reticularis continues.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-28
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-15
Survey response — 3 months, dose 2
MedDRA: Brain fog — Feeling: Good · Be unable to do your normal daily activities

Free text: Cognitive decline since 2nd vaccination as measured by online puzzles. The intense brain fog from the first month has gone away. This is more subtle. Livedo reticularis remains but is less. Still grateful to have had vaccinations!

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-09-17
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-12-09
Call 1 — Left Voicemail
2021-12-20
Call successful
Participant prefers to complete VAERS report online
2022-03-18
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-16	Moderna
2	2021-03-16	Moderna

Call center

1 call center case

1 successful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 5 — day 21, dose 1

2021-03-10

Symptoms: Livedo reticularis On thighs. HeavyLight mottling on shins, arms

Release 6 — days 1–6 daily, dose 2

2021-03-21

Systemic reaction (other): Burning sensation in my forearms

Release 7 — day 21, dose 2

2021-04-07

Symptoms: Continuing fatigue. Burning sensation on forearms.

Release 7 — day 28, dose 2

2021-04-16

Symptoms: The extreme fatigue and brain fog are much better. The livedo reticularis is still a concern.

Release 7 — day 35, dose 2

2021-04-22

Symptoms: The livedo reticularis continues.

Release 9 — 3 months, dose 2

2021-06-15

Symptoms: Cognitive decline since 2nd vaccination as measured by online puzzles. The intense brain fog from the first month has gone away. This is more subtle. Livedo reticularis remains but is less. Still grateful to have had vaccinations!

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	Brain fog	✓	✓	✓
SD	Burning sensation	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Feeling abnormal	✓	✓	✓
SD	Livedo reticularis	✓	✓	✓
SRO	Burning sensation	✓	✓	✓

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