5ZA-85696-55745

3 vaccinations 8 coded responses 27 check-ins 8 free-text entries 1 call case

Sex: Female
Age at first dose: 66+
ZIP prefix: 276 / NC
Registered: 2021-02-22

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

2021-02-21
Dose 1 — Moderna
2021-02-22
Registered in v-safe
2021-02-22
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Redness, Swelling · None

Adult check-in
2021-02-23
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site pain, Pain, Pain in extremity — Feeling: Good · Site: Pain, Swelling

Free text: Area of injection just painful when touched. Sunday and yesterday arm hurt when I moved it

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-24
Survey response — days 1–6 daily, dose 1
MedDRA: Pain, Pruritus — Feeling: Good · Site: Pain, Itching

Free text: Just itched this evening. Sore to touch not much

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-25
Survey response — days 1–6 daily, dose 1
MedDRA: Pain — Feeling: Good · Site: Pain

Free text: Pain only when touch injection site

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-26
Survey response — days 1–6 daily, dose 1
MedDRA: Condition aggravated, Insomnia, Medical counselling, Pre-existing disease — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Panicky but bipolar and have sleep problems but first time felt panicky · Healthcare visit (other): Got blood pressure checked and consulted med student whos familiar with my medical issues and medicines

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-26
Report sent to call center — days 1–6 daily, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-28
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-07
Survey response — day 14, dose 1
MedDRA: Feeling cold — Feeling: Good

Free text: Last day or so have felt colder than I have in awhile Keep trying to figure out whyIts not as cold as it has been but I have been uncomfortably cold

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-14
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-21
Dose 2 — Moderna
2021-03-21
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-22
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-24
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling, Itching · None

Adult check-in
2021-03-25
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Itching · None

Adult check-in
2021-03-26
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-27
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-28
Health check-in — day 7, dose 2
Feeling: Good · None

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

Adult check-in
2021-04-11
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-19
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-25
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-02
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-20
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-04
Call successful
Does not wish to fill out VAERS report
2021-09-19
Survey response — 6 months, dose 2
MedDRA: Oropharyngeal pain, Rhinorrhoea — Feeling: Good

Free text: Have had a sore throatRunny nose

MedDRA releases: 2024-11 · check-in free text available
2021-12-30
Dose 3 — Moderna
2022-03-21
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-04-02
Survey response — 3 months, dose 3
MedDRA: Pre-existing disease — Feeling: Fair

Free text: Seasonal allergies

MedDRA releases: 2024-11 · check-in free text available
2022-06-30
Survey response — 6 months, dose 3
MedDRA: Pre-existing disease — Feeling: Good

Free text: Problems with sinus allergies

MedDRA releases: 2024-11 · check-in free text available
2022-12-30
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-21	Moderna
2	2021-03-21	Moderna
3	2021-12-30	Moderna	No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-23

Systemic reaction (other): Area of injection just painful when touched. Sunday and yesterday arm hurt when I moved it

2021-02-24

Systemic reaction (other): Just itched this evening. Sore to touch not much

2021-02-25

Systemic reaction (other): Pain only when touch injection site

2021-02-26

Systemic reaction (other): Panicky but bipolar and have sleep problems but first time felt panicky

Healthcare visit (other): Got blood pressure checked and consulted med student whos familiar with my medical issues and medicines

Release 5 — day 14, dose 1

2021-03-07

Symptoms: Last day or so have felt colder than I have in awhile Keep trying to figure out whyIts not as cold as it has been but I have been uncomfortably cold

Release 9 — 6 months, dose 2

2021-09-19

Symptoms: Have had a sore throatRunny nose

Release 11 — 3 months, dose 3

2022-04-02

Symptoms: Seasonal allergies

Release 12 — 6 months, dose 3

2022-06-30

Symptoms: Problems with sinus allergies

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	Medical counselling	✓	✓	✓
SD	Feeling cold	✓	✓	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Rhinorrhoea	·	·	✓
SRO	Condition aggravated	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Insomnia	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Pruritus	✓	✓	✓

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