64M-10043-54495

2 vaccinations 9 coded responses 25 check-ins 9 free-text entries 4 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 846 / UT
Registered: 2021-01-13

Relationship: Self
Race: Other
Ethnicity: Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-01-13
Registered in v-safe
2021-01-13
Dose 1 — Moderna
2021-01-13
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-01-14
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site pain — Feeling: Fair · Site: Pain · Be unable to work

Free text: A significantly muscle pain around shoulder at injection site

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-14
Report sent to call center — days 1–6 daily, dose 1
Be unable to work

2 call case(s)
2021-01-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-01-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-22
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-27
Survey response — day 14, dose 1
MedDRA: Asthenia, Condition aggravated, Injection site pain, Muscular weakness, Nasal congestion, Pruritus — Feeling: Fair · Be unable to do your normal daily activities

Free text: Stuffy nose, itchy ears, sore arm where vaccine was given, tired... My arm where vaccine was given is weak along with my wrist almost if I tore a tendon. My wrist has gotten worst despite of using a wrist brace.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-03
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-10
Dose 2 — Moderna
2021-02-10
Survey response — day 0, dose 2
MedDRA: Injection site pain — Feeling: Fair · Site: Pain · Joint pains

Free text: Extreme muscle pain around the area of vaccine.

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

Adult check-in
2021-02-12
Survey response — days 1–6 daily, dose 2
MedDRA: Rash — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · 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, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Rash all over my extremities and getting into my torso as well

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-12
Report sent to call center — days 1–6 daily, 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)
2021-02-13
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Chills, 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
2021-02-15
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Nausea

Adult check-in
2021-02-16
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fatigue or tiredness, Nausea

Adult check-in
2021-02-17
Health check-in — day 7, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-24
Survey response — day 14, dose 2
MedDRA: Cough, Oropharyngeal pain — Feeling: Fair

Free text: I have a cough and sore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-03
Survey response — day 21, dose 2
MedDRA: Cough — Feeling: Fair

Free text: Constant cough

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-10
Survey response — day 28, dose 2
MedDRA: Headache — Feeling: Fair

Free text: Headache.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-19
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-24
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-12
Survey response — 3 months, dose 2
MedDRA: Pruritus, Seasonal allergy — Feeling: Fair · Be unable to do your normal daily activities

Free text: Itching, allergy like symptoms

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-28
Call 1 — Left Voicemail
2021-08-11
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2022-02-10
Survey response — 12 months, dose 2
MedDRA: Influenza like illness — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Flu like symptoms that lasted more than a month.

MedDRA releases: 2024-11 · check-in free text available
2022-02-10
Report sent to call center — 12 months, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-02-15
Call 1 — Left Voicemail
2022-02-15
Call successful
Participant prefers to complete VAERS report online

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-13	Moderna
2	2021-02-10	Moderna

Call center

4 call center cases

3 successful · 1 priority 2/3 (triaged and no follow up)

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-14

Systemic reaction (other): A significantly muscle pain around shoulder at injection site

Release 2 — day 14, dose 1

2021-01-27

Symptoms: Stuffy nose, itchy ears, sore arm where vaccine was given, tired... My arm where vaccine was given is weak along with my wrist almost if I tore a tendon. My wrist has gotten worst despite of using a wrist brace.

Release 4 — day 0, dose 2

2021-02-10

Systemic reaction (other): Extreme muscle pain around the area of vaccine.

Release 4 — days 1–6 daily, dose 2

2021-02-12

Systemic reaction (other): Rash all over my extremities and getting into my torso as well

Release 4 — day 14, dose 2

2021-02-24

Symptoms: I have a cough and sore throat

Release 5 — day 21, dose 2

2021-03-03

Symptoms: Constant cough

Release 5 — day 28, dose 2

2021-03-10

Symptoms: Headache.

Release 8 — 3 months, dose 2

2021-05-12

Symptoms: Itching, allergy like symptoms

Release 11 — 12 months, dose 2

2022-02-10

Symptoms: Flu like symptoms that lasted more than a month.

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	Condition aggravated	✓	✓	✓
SD	Cough	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Influenza like illness	·	·	✓
SD	Injection site pain	✓	✓	✓
SD	Muscular weakness	✓	✓	✓
SD	Nasal congestion	✓	✓	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Pruritus	✓	✓	✓
SD	Seasonal allergy	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Rash	✓	✓	✓

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