68U-26076-75278

2 vaccinations 11 coded responses 23 check-ins 11 free-text entries 2 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 068 / CT
Registered: 2021-03-07

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

2021-03-05
Dose 1 — Moderna
2021-03-07
Registered in v-safe
2021-03-07
Survey response — days 1–6 daily, dose 1
MedDRA: Anxiety — Feeling: Fair · Site: Pain · Fatigue or tiredness

Free text: Anxiety

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-08
Survey response — days 1–6 daily, dose 1
MedDRA: Nightmare — Feeling: Good

Free text: Nightmares last two nights

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-09
Survey response — days 1–6 daily, dose 1
MedDRA: Anxiety — Feeling: Good

Free text: Anxiety

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-12
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-19
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-26
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-04-02
Dose 2 — Moderna
2021-04-02
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-04-03
Survey response — days 1–6 daily, dose 2
MedDRA: Back pain, Myalgia, Pre-existing disease — Feeling: Good · Site: Pain · Fever · Muscle or body aches

Free text: My muscle aches are in my back, but it hurt before the vaccine too

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-04
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-05
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Chills, Fatigue or tiredness

Adult check-in
2021-04-07
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site bruising — Feeling: Good · Fatigue or tiredness

Free text: The shot site is still bruised since shot

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site bruising — Feeling: Good

Free text: Still bruised at shot site

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-09
Survey response — day 7, dose 2
MedDRA: Injection site bruising — Feeling: Good · Fatigue or tiredness

Free text: Still bruised at the shot site.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-04-23
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-30
Survey response — day 28, dose 2
MedDRA: Fatigue, Hypersomnia, Paraesthesia, Tinnitus — Feeling: Good

Free text: I've been having tinnitus for a week or two. Sometimes lately I've had a prickly feeling in my arms. I am tired, and need a nap every day.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-07
Survey response — day 35, dose 2
MedDRA: Neck pain, Oropharyngeal pain — Feeling: Good

Free text: Sore neck and back

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-14
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-02
Survey response — 3 months, dose 2
MedDRA: Abdominal pain lower, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: Intermittent lower abdominal pain · Healthcare visit (other): I saw my PCP, she suggested I visit my ob/gyn to get checked out.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-02
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-08
Call successful
Participant prefers to complete VAERS report online
2021-10-01
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-04-04
Survey response — 12 months, dose 2
MedDRA: COVID-19, Cough, Eye pruritus, Fatigue, Headache, Lacrimation increased, Medical counselling, Oropharyngeal pain, Pyrexia, Respiratory tract congestion, Rhinorrhoea, Sinus congestion — 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: Symptoms: I don't remember when you last contacted me, but i had COVID in January 2022: sore throat, fever, headache, runny nose, dry cough, itchy watery eyes, fatigue, then sinus congestion and chest congestion. · Healthcare visit (other): phone call with a nurse

MedDRA releases: 2024-11 · check-in free text available
2022-04-04
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)
2022-04-05
Call 1 — Left Voicemail
2022-04-06
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-05	Moderna
2	2021-04-02	Moderna

Call center

2 call center cases

2 successful

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-07

Systemic reaction (other): Anxiety

2021-03-08

Systemic reaction (other): Nightmares last two nights

2021-03-09

Systemic reaction (other): Anxiety

Release 6 — days 1–6 daily, dose 2

2021-04-03

Systemic reaction (other): My muscle aches are in my back, but it hurt before the vaccine too

Release 7 — days 1–6 daily, dose 2

2021-04-07

Systemic reaction (other): The shot site is still bruised since shot

2021-04-08

Systemic reaction (other): Still bruised at shot site

Release 7 — day 7, dose 2

2021-04-09

Systemic reaction (other): Still bruised at the shot site.

Release 8 — day 28, dose 2

2021-04-30

Symptoms: I've been having tinnitus for a week or two. Sometimes lately I've had a prickly feeling in my arms. I am tired, and need a nap every day.

Release 8 — day 35, dose 2

2021-05-07

Symptoms: Sore neck and back

Release 9 — 3 months, dose 2

2021-07-02

Symptoms: Intermittent lower abdominal pain

Healthcare visit (other): I saw my PCP, she suggested I visit my ob/gyn to get checked out.

Release 11 — 12 months, dose 2

2022-04-04

Symptoms: I don't remember when you last contacted me, but i had COVID in January 2022: sore throat, fever, headache, runny nose, dry cough, itchy watery eyes, fatigue, then sinus congestion and chest congestion.

Healthcare visit (other): phone call with a nurse

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	·	·	✓
HCVO	Office visit	✓	✓	✓
SD	Abdominal pain lower	✓	✓	✓
SD	Cough	·	·	✓
SD	COVID-19	·	·	✓
SD	Eye pruritus	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Headache	·	·	✓
SD	Hypersomnia	✓	✓	✓
SD	Lacrimation increased	·	·	✓
SD	Neck pain	✓	✓	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Paraesthesia	✓	✓	✓
SD	Pyrexia	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	Rhinorrhoea	·	·	✓
SD	Sinus congestion	·	·	✓
SD	Tinnitus	✓	✓	✓
SRO	Anxiety	✓	✓	✓
SRO	Back pain	✓	✓	✓
SRO	Injection site bruising	✓	✓	✓
SRO	Myalgia	✓	✓	✓
SRO	Nightmare	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓

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