68A-31345-57988

2 vaccinations 10 coded responses 24 check-ins 10 free-text entries 2 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 321 / FL
Registered: 2021-04-20

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

2021-04-20
Registered in v-safe
2021-04-20
Dose 1 — Moderna
2021-04-20
Survey response — day 0, dose 1
MedDRA: Fatigue, Headache, Pain in extremity, Self-medication — Feeling: Good · Headache

Free text: A bit tired ,mild arm soreness, slight headache, after six hours took 2 tylenol felt better

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
Survey response — days 1–6 daily, dose 1
MedDRA: Adverse reaction, Self-medication — Feeling: Good · Site: Pain · Muscle or body aches

Free text: Very mild , in the morning took 2 tylenol and felt better

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-23
Survey response — days 1–6 daily, dose 1
MedDRA: Adverse reaction — Feeling: Good · Site: Pain · Fatigue or tiredness

Free text: Very mild

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-27
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-05-04
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-05-11
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-05-18
Dose 2 — Moderna
2021-05-18
Survey response — day 0, dose 2
MedDRA: Unevaluable event — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: After 3 hours symptoms are starting

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-19
Survey response — days 1–6 daily, dose 2
MedDRA: Pain — Feeling: Poor · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Last night teeth chattering and body shakes ,Migraine , having hard time neck and both shoulders hurt , shooting pains in body

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-20
Survey response — days 1–6 daily, dose 2
MedDRA: Migraine, Pre-existing disease — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: It seemed to have triggered my migraines

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-21
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia, Migraine, Musculoskeletal stiffness, Neck pain — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Neck and shoulders very stiff and painful in morning with another migraine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-22
Survey response — days 1–6 daily, dose 2
MedDRA: Adverse reaction — Feeling: Good · Site: Pain · Headache, Joint pains, Muscle or body aches

Free text: Mild

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-23
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache

Adult check-in
2021-05-24
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache

Adult check-in
2021-05-25
Health check-in — day 7, dose 2
Feeling: Good · Headache

Adult check-in
2021-06-01
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-06-08
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-06-15
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-22
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-29
Survey response — day 42, dose 2
MedDRA: Gastrooesophageal reflux disease, Pre-existing disease — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: I have very bad acid reflux I am addressing but I had it before vax

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-29
Report sent to call center — day 42, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-02
Call successful
Participant prefers to complete VAERS report online
2021-08-17
Survey response — 3 months, dose 2
MedDRA: Breast disorder, Gastric disorder, Gastrooesophageal reflux disease, Office visit, Pancreatic cyst, Renal cyst, Weight decreased — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: They found a cyst on kidney , cyst on pancreas a change in breast tissue , still waiting for gastro Dr appt . Lost 20 lbs due to stomach and gerd issues . Not sure if these are age related ? Drs don't think it's from vac.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-17
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-11-03
Call successful
Does not wish to fill out VAERS report

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-20	Moderna
2	2021-05-18	Moderna

Call center

2 call center cases

2 successful

See the call center timeline

Free text

Release 7 — day 0, dose 1

2021-04-20

Systemic reaction (other): A bit tired ,mild arm soreness, slight headache, after six hours took 2 tylenol felt better

Release 7 — days 1–6 daily, dose 1

2021-04-21

Systemic reaction (other): Very mild , in the morning took 2 tylenol and felt better

2021-04-23

Systemic reaction (other): Very mild

Release 8 — day 0, dose 2

2021-05-18

Systemic reaction (other): After 3 hours symptoms are starting

Release 8 — days 1–6 daily, dose 2

2021-05-19

Systemic reaction (other): Last night teeth chattering and body shakes ,Migraine , having hard time neck and both shoulders hurt , shooting pains in body

2021-05-20

Systemic reaction (other): It seemed to have triggered my migraines

2021-05-21

Systemic reaction (other): Neck and shoulders very stiff and painful in morning with another migraine

2021-05-22

Systemic reaction (other): Mild

Release 9 — day 42, dose 2

2021-06-29

Symptoms: I have very bad acid reflux I am addressing but I had it before vax

Release 9 — 3 months, dose 2

2021-08-17

Symptoms: They found a cyst on kidney , cyst on pancreas a change in breast tissue , still waiting for gastro Dr appt . Lost 20 lbs due to stomach and gerd issues . Not sure if these are age related ? Drs don't think it's from vac.

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	Breast disorder	✓	·	✓
SD	Gastric disorder	✓	·	✓
SD	Gastrooesophageal reflux disease	✓	✓	✓
SD	Office visit	✓	·	✓
SD	Pancreatic cyst	✓	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Renal cyst	✓	·	✓
SD	Weight decreased	✓	·	✓
SRO	Adverse reaction	✓	✓	✓
SRO	Arthralgia	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Migraine	✓	✓	✓
SRO	Musculoskeletal stiffness	✓	✓	✓
SRO	Neck pain	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Self-medication	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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