5TA-32874-24329

2 vaccinations 5 coded responses 16 check-ins 5 free-text entries 1 call case

Sex: Female
Age at first dose: 56-60
ZIP prefix: 356 / AL
Registered: 2021-01-17

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

2021-01-14
Dose 1 — Moderna
2021-01-17
Registered in v-safe
2021-01-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Redness, Swelling, Itching · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-18
Survey response — days 1–6 daily, dose 1
MedDRA: Back pain, Office visit — Feeling: Good · Site: Pain, Redness, Swelling, Itching · Muscle or body aches · Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): My lower back hurts a lot if I do much. Also I didnt know about this app until I did my cdc training to administer vaccines so there are many symptoms that I didnt get to report. · Healthcare visit (other): Acupuncture

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-18
Report sent to call center — days 1–6 daily, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-01-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Itching · Muscle or body aches

Adult check-in
2021-01-22
Health check-in — day 7, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-01-28
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-06
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-11
Dose 2 — Moderna
2021-02-11
Survey response — day 0, dose 2
MedDRA: No adverse event — Feeling: Good · Site: Pain · Fever · Muscle or body aches

Free text: Not yet. Last time, it was about 12 hours before I had bad side effects

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-12
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-02-13
Survey response — days 1–6 daily, dose 2
MedDRA: Pyrexia, Self-medication — Feeling: Fair · Site: Pain, Redness, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Free text: That temp of 101.4 was with Tylenol and Advil.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-15
Survey response — days 1–6 daily, dose 2
MedDRA: Cough, Headache, Injection site bruising, Injection site inflammation, Pre-existing disease, Sleep disorder — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Muscle or body aches · Be unable to do your normal daily activities

Free text: My arm at injection site is so inflamed that it is starting to bruise. My HA is painful mainly at base of skull and woke me last night. It is excruciating when I rise, cough, or bend over like when my epidural leaked after childbirth in 1993. I have endured migraines since 1989 and it is not that kind of HA

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-16
Survey response — days 1–6 daily, dose 2
MedDRA: Cough, Headache, Musculoskeletal stiffness, Pain, Sneezing — Feeling: Fair · Site: Redness, Itching · Headache, Muscle or body aches · Be unable to do your normal daily activities

Free text: My neck is very stiff and its painful at the base of my skull. My head kills me when I bend over, cough, sneeze, laugh or try to blow my nose. Otherwise the pain is dull.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Itching · Headache, Muscle or body aches

Adult check-in
2021-02-18
Health check-in — day 7, dose 2
Feeling: Good · Headache, Muscle or body aches

Adult check-in
2021-03-11
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-18
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-24
Call successful
Participant prefers to complete VAERS report online
2021-05-13
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-14	Moderna
2	2021-02-11	Moderna

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-18

Systemic reaction (other): My lower back hurts a lot if I do much. Also I didnt know about this app until I did my cdc training to administer vaccines so there are many symptoms that I didnt get to report.

Healthcare visit (other): Acupuncture

Release 4 — day 0, dose 2

2021-02-11

Systemic reaction (other): Not yet. Last time, it was about 12 hours before I had bad side effects

Release 4 — days 1–6 daily, dose 2

2021-02-13

Systemic reaction (other): That temp of 101.4 was with Tylenol and Advil.

2021-02-15

Systemic reaction (other): My arm at injection site is so inflamed that it is starting to bruise. My HA is painful mainly at base of skull and woke me last night. It is excruciating when I rise, cough, or bend over like when my epidural leaked after childbirth in 1993. I have endured migraines since 1989 and it is not that kind of HA

2021-02-16

Systemic reaction (other): My neck is very stiff and its painful at the base of my skull. My head kills me when I bend over, cough, sneeze, laugh or try to blow my nose. Otherwise the pain is dull.

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	✓	✓	✓
SRO	Back pain	✓	✓	✓
SRO	Cough	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Injection site bruising	✓	✓	✓
SRO	Injection site inflammation	✓	✓	✓
SRO	Musculoskeletal stiffness	✓	✓	✓
SRO	No adverse event	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Pyrexia	✓	✓	✓
SRO	Self-medication	✓	✓	✓
SRO	Sleep disorder	✓	✓	✓
SRO	Sneezing	✓	✓	✓

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