699-28904-70832

2 vaccinations 8 coded responses 18 check-ins 8 free-text entries 2 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 151 / PA
Registered: 2021-03-19

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

2021-03-17
Dose 1 — Moderna
2021-03-19
Registered in v-safe
2021-03-19
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-03-20
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-03-24
Health check-in — day 7, dose 1
Feeling: Good · Joint pains

Adult check-in
2021-04-02
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-04-07
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-14
Dose 2 — Moderna
2021-04-14
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-04-15
Survey response — days 1–6 daily, dose 2
MedDRA: Feeling cold — Feeling: Poor · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: I feel cold. And I can't get warm.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-04-17
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site rash — Feeling: Fair · Site: Redness, Swelling · Fever · Headache, Joint pains, Fatigue or tiredness, Rash, not including the immediate area around the injection site

Free text: The rash is 2" below the injection site

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-18
Survey response — days 1–6 daily, dose 2
MedDRA: Asthma — Feeling: Good · Site: Redness · Headache, Joint pains, Fatigue or tiredness

Free text: I've woken up with an asthma attack since the shot. Everyday.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
Survey response — day 7, dose 2
MedDRA: Dyspnoea — Feeling: Poor · Site: Redness · Fever · Diarrhea · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Difficulty breathing. Called MD Monday had another appt today.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
Report sent to call center — day 7, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-28
Survey response — day 14, dose 2
MedDRA: Unevaluable event — Feeling: Good · Be unable to do your normal daily activities

Free text: Delayed anaphylaxis. Just finished antibiotics, still on steroids.

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

Free text: Difficulty with breathing.... Still 8 hours since last vaccine. Delayed allergy.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-13
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-21
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-26
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-14
Survey response — 3 months, dose 2
MedDRA: Contusion, Dyspnoea — Feeling: Fair · 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: Bruising and difficult breathing.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-14
Report sent to call center — 3 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

1 call case(s)
2021-07-22
Call 1 — Could Not Reach Participant
2021-07-27
Call 2 — Requested Callback
2021-07-27
Call successful
Completed over the phone
2021-10-15
Survey response — 6 months, dose 2
MedDRA: Cyst, Pharyngeal erythema — Feeling: Fair · Be unable to do your normal daily activities

Free text: Very red throat with 'cysts'

MedDRA releases: 2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-17	Moderna
2	2021-04-14	Moderna

Call center

2 call center cases

2 successful

VAERS report filed, before or during a call: 2

See the call center timeline

Free text

Release 7 — days 1–6 daily, dose 2

2021-04-15

Systemic reaction (other): I feel cold. And I can't get warm.

2021-04-17

Systemic reaction (other): The rash is 2" below the injection site

2021-04-18

Systemic reaction (other): I've woken up with an asthma attack since the shot. Everyday.

Release 7 — day 7, dose 2

2021-04-21

Systemic reaction (other): Difficulty breathing. Called MD Monday had another appt today.

Release 8 — day 14, dose 2

2021-04-28

Symptoms: Delayed anaphylaxis. Just finished antibiotics, still on steroids.

Release 8 — day 21, dose 2

2021-05-05

Symptoms: Difficulty with breathing.... Still 8 hours since last vaccine. Delayed allergy.

Release 9 — 3 months, dose 2

2021-07-14

Symptoms: Bruising and difficult breathing.

Release 10 — 6 months, dose 2

2021-10-15

Symptoms: Very red throat with 'cysts'

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	Contusion	✓	✓	✓
SD	Cyst	·	·	✓
SD	Dyspnoea	✓	✓	✓
SD	Immunisation reaction	✓	✓	✓
SD	Pharyngeal erythema	·	·	✓
SD	Unevaluable event	✓	✓	✓
SRO	Asthma	✓	✓	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Feeling cold	✓	✓	✓
SRO	Injection site rash	✓	✓	✓

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