65M-11113-71254

2 vaccinations 12 coded responses 19 check-ins 12 free-text entries 1 call case

Sex: Female
Age at first dose: 41-45
ZIP prefix: 191 / PA
Registered: 2021-04-01

Relationship: Self
Race: N/A
Ethnicity: Hispanic or Latino

Timeline

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

2021-04-01
Registered in v-safe
2021-04-01
Dose 1 — Moderna
2021-04-01
Survey response — day 0, dose 1
MedDRA: Hypoaesthesia oral — Feeling: Fair · Site: Pain, Swelling · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Slight numbing of the lips

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

Free text: Lip numbness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-03
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-04
Survey response — days 1–6 daily, dose 1
MedDRA: Burning sensation — Feeling: Fair · Site: Pain, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting · Be unable to do your normal daily activities

Free text: Burning sensation around the left forearm where injection site is, comes and goes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-05
Survey response — days 1–6 daily, dose 1
MedDRA: Dry mouth, Dry throat — Feeling: Fair · Site: Pain, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Very dry mouth, throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-06
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-07
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Chills, Muscle or body aches

Adult check-in
2021-04-08
Health check-in — day 7, dose 1
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-15
Survey response — day 14, dose 1
MedDRA: Headache, Pelvic pain, Self-medication — Feeling: Fair

Free text: Had pelvic pain for 2 days( 4/13-14/2021) felt like period cramps. And small headaches everyday since the injection(Tylenol helps)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Survey response — day 21, dose 1
MedDRA: Abdominal pain, Cough, Headache, Pain, Rhinorrhoea — Feeling: Fair · Be unable to do your normal daily activities

Free text: Abdominal pain, runny nose & coughing also slight headaches and some body aches

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-29
Dose 2 — Moderna
2021-05-06
Survey response — day 7, dose 2
MedDRA: Abdominal pain upper — Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Vomiting, Abdominal pain · Be unable to work

Free text: Stomache pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-13
Survey response — day 14, dose 2
MedDRA: Chills, Headache, Insomnia, Pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Everyday Headaches, chills, less sleep, body aches

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-20
Survey response — day 21, dose 2
MedDRA: Headache — Feeling: Good · Be unable to do your normal daily activities

Free text: Headaches

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-27
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-03
Survey response — day 35, dose 2
MedDRA: Pruritus — Feeling: Fair

Free text: Itching everywhere, especially on arms and legs and feet

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-10
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-31
Survey response — 3 months, dose 2
MedDRA: Chest pain, Pelvic pain, Vision blurred — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Blurry vision, chest pain, pelvic pain

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-31
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-10-28
Survey response — 6 months, dose 2
MedDRA: Pruritus — Feeling: Good

Free text: Intense itching

MedDRA releases: 2024-11 · check-in free text available
2021-11-21
Call successful
Participant prefers to complete VAERS report online
2022-04-29
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-01	Moderna
2	2021-04-29	Moderna

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 6 — day 0, dose 1

2021-04-01

Systemic reaction (other): Slight numbing of the lips

Release 6 — days 1–6 daily, dose 1

2021-04-02

Systemic reaction (other): Lip numbness

2021-04-04

Systemic reaction (other): Burning sensation around the left forearm where injection site is, comes and goes

2021-04-05

Systemic reaction (other): Very dry mouth, throat

Release 7 — day 14, dose 1

2021-04-15

Symptoms: Had pelvic pain for 2 days( 4/13-14/2021) felt like period cramps. And small headaches everyday since the injection(Tylenol helps)

Release 7 — day 21, dose 1

2021-04-22

Symptoms: Abdominal pain, runny nose & coughing also slight headaches and some body aches

Release 8 — day 7, dose 2

2021-05-06

Systemic reaction (other): Stomache pain

Release 8 — day 14, dose 2

2021-05-13

Symptoms: Everyday Headaches, chills, less sleep, body aches

Release 8 — day 21, dose 2

2021-05-20

Symptoms: Headaches

Release 8 — day 35, dose 2

2021-06-03

Symptoms: Itching everywhere, especially on arms and legs and feet

Release 9 — 3 months, dose 2

2021-07-31

Symptoms: Blurry vision, chest pain, pelvic pain

Release 10 — 6 months, dose 2

2021-10-28

Symptoms: Intense itching

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	Abdominal pain	✓	✓	✓
SD	Chest pain	✓	·	✓
SD	Chills	✓	✓	✓
SD	Cough	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Insomnia	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Pelvic pain	✓	✓	✓
SD	Pruritus	✓	✓	✓
SD	Rhinorrhoea	✓	✓	✓
SD	Self-medication	✓	✓	✓
SD	Vision blurred	✓	·	✓
SRO	Abdominal pain upper	✓	✓	✓
SRO	Burning sensation	✓	✓	✓
SRO	Dry mouth	✓	✓	✓
SRO	Dry throat	✓	✓	✓
SRO	Hypoaesthesia oral	✓	✓	✓

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