6BE-43739-64477

2 vaccinations 5 coded responses 25 check-ins 5 free-text entries 4 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 440 / OH
Registered: 2021-01-29

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

2021-01-28
Dose 1 — Moderna
2021-01-29
Registered in v-safe
2021-01-29
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2021-01-30
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-31
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-01
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-03
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-04
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-11
Survey response — day 14, dose 1
MedDRA: Herpes simplex, Neck pain, Pre-existing disease — Feeling: Good · Be unable to do your normal daily activities

Free text: Im on prophylactic famvir and I had an out break and bad neck pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-18
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-25
Dose 2 — Moderna
2021-02-25
Health check-in — day 0, dose 2
Feeling: Good · Headache

Adult check-in
2021-02-26
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-27
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Swelling · Fever · Muscle or body aches

Adult check-in
2021-02-28
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Swelling · None

Adult check-in
2021-03-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Swelling · None

Adult check-in
2021-03-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-03
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-04
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-11
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-18
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-25
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-01
Survey response — day 35, dose 2
MedDRA: Upper respiratory tract infection, Wheezing — Feeling: Fair · 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: Wheezing, upper respiratory infection

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-01
Report sent to call center — day 35, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-08
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-05-27
Survey response — 3 months, dose 2
MedDRA: Dyspnoea, Wheezing — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, Hospitalization

Free text: I have been wheezing and short of breath about 8-10 weeks

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-27
Report sent to call center — 3 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-11
Call 1 — Left Voicemail
2021-06-14
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-08-26
Survey response — 6 months, dose 2
MedDRA: Cellulitis, Urinary tract infection — Feeling: Fair · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Urinary tract infection Cellultis

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-26
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-09-02
Call 1 — Left Voicemail
2022-02-27
Survey response — 12 months, dose 2
MedDRA: Office visit, Swelling — Feeling: Fair · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Symptoms: In November, 2 days after my third booster shot, I developed a fist sized swelling in the left side of my neck. I have had all kinds of CT scans a visit to a thoracic surgeon, an upcoming visit to a vascular surgeon with no diagnosis · Healthcare visit (other): Dr office

MedDRA releases: 2024-11 · check-in free text available
2022-02-27
Report sent to call center — 12 months, dose 2
Get care from a doctor or other healthcare professional

Emergency room or emergency department visit · 1 call case(s)
2022-03-01
Call 1 — Left Voicemail
2022-03-04
Call successful
Participant prefers to complete VAERS report online

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-28	Moderna
2	2021-02-25	Moderna

Call center

4 call center cases

4 successful

See the call center timeline

Free text

Release 4 — day 14, dose 1

2021-02-11

Symptoms: Im on prophylactic famvir and I had an out break and bad neck pain

Release 6 — day 35, dose 2

2021-04-01

Symptoms: Wheezing, upper respiratory infection

Release 8 — 3 months, dose 2

2021-05-27

Symptoms: I have been wheezing and short of breath about 8-10 weeks

Release 9 — 6 months, dose 2

2021-08-26

Symptoms: Urinary tract infection Cellultis

Release 11 — 12 months, dose 2

2022-02-27

Symptoms: In November, 2 days after my third booster shot, I developed a fist sized swelling in the left side of my neck. I have had all kinds of CT scans a visit to a thoracic surgeon, an upcoming visit to a vascular surgeon with no diagnosis

Healthcare visit (other): Dr office

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	Office visit	·	·	✓
SD	Cellulitis	✓	·	✓
SD	Dyspnoea	✓	✓	✓
SD	Herpes simplex	✓	✓	✓
SD	Neck pain	✓	✓	✓
SD	Office visit	·	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Swelling	·	·	✓
SD	Upper respiratory tract infection	✓	✓	✓
SD	Urinary tract infection	✓	·	✓
SD	Wheezing	✓	✓	✓

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