5ZU-29225-74891

2 vaccinations 6 coded responses 19 check-ins 6 free-text entries 3 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 570 / SD
Registered: 2021-03-25

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

2021-03-25
Registered in v-safe
2021-03-25
Dose 1 — Moderna
2021-03-25
Health check-in — day 0, dose 1
Feeling: Fair · Site: Pain · Chills, Headache, Fatigue or tiredness

Adult check-in
2021-03-26
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site pain — Feeling: Good

Free text: Sore muscle around injection site

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-27
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-29
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-30
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-31
Survey response — days 1–6 daily, dose 1
MedDRA: Oropharyngeal pain — Feeling: Fair · Fatigue or tiredness

Free text: Sore throat. Probably due allergic reaction to sucralose.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-01
Health check-in — day 7, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-08
Survey response — day 14, dose 1
MedDRA: Arthralgia, Hypoaesthesia, Neck pain, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Neck, shoulder and hip alignment issues causing pain and numbness. · Healthcare visit (other): Chiropracter

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Report sent to call center — day 14, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-15
Survey response — day 21, dose 1
MedDRA: Cough, Eye infection, Fatigue, Office visit — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Tired. Eye infection. Slight asthmatic cough once in awhile. · Healthcare visit (other): Optometrist Appt.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
Report sent to call center — day 21, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-22
Dose 2 — Moderna
2021-04-29
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-05-06
Survey response — day 14, dose 2
MedDRA: Cough, Fatigue — Feeling: Fair · Be unable to do your normal daily activities

Free text: Extremely tired with an asthmatic cough once in awhile.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-13
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-05-20
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-27
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-03
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-24
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-10-22
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2022-02-12
Call 1 — Left Voicemail
2022-04-22
Survey response — 12 months, dose 2
MedDRA: Ear inflammation, Emergency care, Eye inflammation, Fatigue, Hot flush, Office visit, Visual impairment — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: Eye and ear inflammation. Right eye vision lis like looking through a fog that thickens. Medical assistance required. Fatigue issues with more and more severe hot flashes. · Healthcare visit (other): Optometrist emergency bisit.

MedDRA releases: 2024-11 · check-in free text available
2022-04-22
Report sent to call center — 12 months, dose 2
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-04-25
Call successful
Participant prefers to complete VAERS report online

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-25	Moderna
2	2021-04-22	Moderna

Call center

3 call center cases

3 successful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-26

Systemic reaction (other): Sore muscle around injection site

2021-03-31

Systemic reaction (other): Sore throat. Probably due allergic reaction to sucralose.

Release 7 — day 14, dose 1

2021-04-08

Symptoms: Neck, shoulder and hip alignment issues causing pain and numbness.

Healthcare visit (other): Chiropracter

Release 7 — day 21, dose 1

2021-04-15

Symptoms: Tired. Eye infection. Slight asthmatic cough once in awhile.

Healthcare visit (other): Optometrist Appt.

Release 8 — day 14, dose 2

2021-05-06

Symptoms: Extremely tired with an asthmatic cough once in awhile.

Release 11 — 12 months, dose 2

2022-04-22

Symptoms: Eye and ear inflammation. Right eye vision lis like looking through a fog that thickens. Medical assistance required. Fatigue issues with more and more severe hot flashes.

Healthcare visit (other): Optometrist emergency bisit.

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	Emergency care	·	·	✓
HCVO	Office visit	✓	✓	✓
HCVO	Unevaluable event	✓	✓	✓
SD	Arthralgia	✓	✓	✓
SD	Cough	✓	✓	✓
SD	Ear inflammation	·	·	✓
SD	Eye infection	✓	✓	✓
SD	Eye inflammation	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Hot flush	·	·	✓
SD	Hypoaesthesia	✓	✓	✓
SD	Neck pain	✓	✓	✓
SD	Office visit	·	·	✓
SD	Visual impairment	·	·	✓
SRO	Injection site pain	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓

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