5P6-33915-53434

2 vaccinations 6 coded responses 14 check-ins 6 free-text entries 1 call case

Sex: Female
Age at first dose: 51-55
ZIP prefix: 726 / AR
Registered: 2021-03-28

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

2021-03-15
Dose 1 — Moderna
2021-03-28
Registered in v-safe
2021-03-28
Survey response — day 7, dose 1
MedDRA: Muscle twitching, Urticaria — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Chills, 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

Free text: Muscle twitches and hives the first week

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-29
Survey response — day 14, dose 1
MedDRA: Dry mouth, Fatigue, Injection site pain, Irritability, Muscular weakness, Rash, Urticaria — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities

Free text: Rash and hives again. Shit area hurting. Muscle weakness . Tired. Dry mouth. Irritation increasing.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-05
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-04-12
Health check-in — day 28, dose 1
Feeling: Fair

Adult check-in
2021-04-13
Dose 2 — Moderna
2021-04-19
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, Nausea, 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
2021-04-20
Survey response — day 7, dose 2
MedDRA: Urticaria — Feeling: Poor · Site: Swelling, Itching · Fever · 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

Free text: Hives

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-27
Health check-in — day 14, dose 2
Feeling: Poor

Adult check-in
2021-05-04
Survey response — day 21, dose 2
MedDRA: Asthenia, Fatigue, Headache, Loss of personal independence in daily activities, Urticaria — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Hives are larger but fewer. I am weak very weak. I am unable to get anything done as I wear out in a short time. Headache still. I am going to see my doctor first if next week.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-11
Survey response — day 28, dose 2
MedDRA: Asthenia, Headache, Insomnia, Urticaria — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities

Free text: Hives are bigger have them every night. Headache 31 days now. Weakness is prominent. All the glow in the dark inks from tattoos has disappeared. I can't sleep but a hour or so a night. Seeing doctor the 12th.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-18
Survey response — day 35, dose 2
MedDRA: Nodule, Urticaria — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Hives and a lump on the inside if my arm by the elbow.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-18
Report sent to call center — day 35, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-25
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-07-13
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-10-12
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2022-04-15
Health check-in — 12 months, dose 2
Feeling: Fair

Adult check-in
2022-05-11
Call 1 — Left Voicemail
2022-05-13
Call successful
Completed over the phone

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-15	Moderna
2	2021-04-13	Moderna

Call center

1 call center case

1 successful

VAERS report filed, before or during a call: 1

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 6 — day 7, dose 1

2021-03-28

Systemic reaction (other): Muscle twitches and hives the first week

Release 6 — day 14, dose 1

2021-03-29

Symptoms: Rash and hives again. Shit area hurting. Muscle weakness . Tired. Dry mouth. Irritation increasing.

Release 7 — day 7, dose 2

2021-04-20

Systemic reaction (other): Hives

Release 8 — day 21, dose 2

2021-05-04

Symptoms: Hives are larger but fewer. I am weak very weak. I am unable to get anything done as I wear out in a short time. Headache still. I am going to see my doctor first if next week.

Release 8 — day 28, dose 2

2021-05-11

Symptoms: Hives are bigger have them every night. Headache 31 days now. Weakness is prominent. All the glow in the dark inks from tattoos has disappeared. I can't sleep but a hour or so a night. Seeing doctor the 12th.

Release 8 — day 35, dose 2

2021-05-18

Symptoms: Hives and a lump on the inside if my arm by the elbow.

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	Asthenia	✓	✓	✓
SD	Dry mouth	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Injection site pain	✓	✓	✓
SD	Insomnia	✓	✓	✓
SD	Irritability	✓	✓	✓
SD	Loss of personal independence in daily activities	✓	✓	✓
SD	Muscular weakness	✓	✓	✓
SD	Nodule	✓	✓	✓
SD	Rash	✓	✓	✓
SD	Urticaria	✓	✓	✓
SRO	Muscle twitching	✓	✓	✓
SRO	Urticaria	✓	✓	✓

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