6BM-18075-98305

2 vaccinations 9 coded responses 16 check-ins 9 free-text entries 3 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 333 / FL
Registered: 2021-02-08

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

2021-01-11
Dose 1 — Moderna
2021-02-08
Registered in v-safe
2021-02-08
Dose 2 — Moderna
2021-02-08
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-09
Survey response — days 1–6 daily, dose 2
MedDRA: Induration, Lymphadenopathy, Mobility decreased, Oropharyngeal pain — Feeling: Poor · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to work, Be unable to do your normal daily activities

Free text: Couldn't move my arms for approximately 6 hours. Felt hard, like rocks. Have sore throat & feels like swollen glands a

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-10
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy, Oropharyngeal pain — Feeling: Fair · Site: Pain, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Sore throat. Swollen glands/throat+

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-11
Survey response — days 1–6 daily, dose 2
MedDRA: Oropharyngeal pain — Feeling: Good · Site: Pain, Itching · Muscle or body aches

Free text: Sore throat almost better

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-12
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Itching · None

Adult check-in
2021-02-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2021-02-15
Health check-in — day 7, dose 2
Feeling: Good · Chills, Fatigue or tiredness

Adult check-in
2021-02-22
Survey response — day 14, dose 2
MedDRA: Oropharyngeal pain — Feeling: Good

Free text: Throat has been sore for 3 days

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-01
Survey response — day 21, dose 2
MedDRA: Gingival discomfort, Oropharyngeal pain, Stomatitis — Feeling: Good

Free text: Sore throat. Irritated gums & cheek.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-08
Survey response — day 28, dose 2
MedDRA: Gingival pain, Office visit, Oropharyngeal pain, Pain, Pharyngeal erythema, Stomatitis, Throat irritation, Urticaria — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Sore throat continues. Very red & irritated. Sores inside my mouth, along gums and cheeks. Hives on chest, face and arms. May be allergic reaction. Can't imagine it's related to the vaccine. Saw my PCP. Will give me steroid shot if it continues · Healthcare visit (other): Saw my PCP today

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-08
Report sent to call center — day 28, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-15
Survey response — day 35, dose 2
MedDRA: Body temperature fluctuation, Pyrexia — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities

Free text: Fever up & down all week. Probably not covid related.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-22
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-10
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-09
Survey response — 6 months, dose 2
MedDRA: Malaise, Pain, Pyrexia — 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: High fever, body aches for 12 hours then low body temperature for 12 hours. Sick one day only. Very peculiar.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-09
Report sent to call center — 6 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)
2021-08-11
Call 1 — Left Voicemail
2021-08-18
Call successful
Participant prefers to complete VAERS report online
2022-02-08
Survey response — 12 months, dose 2
MedDRA: Nasopharyngitis, Upper respiratory tract infection — Feeling: Poor · 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: I have a terrible cold. Upper respitory infection. Waiting for delivery of my prescription.

MedDRA releases: 2024-11 · check-in free text available
2022-02-08
Report sent to call center — 12 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-02-10
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-11	Moderna
2	2021-02-08	Moderna

Call center

3 call center cases

2 successful · 1 unsuccessful

See the call center timeline

Free text

Release 3 — days 1–6 daily, dose 2

2021-02-09

Systemic reaction (other): Couldn't move my arms for approximately 6 hours. Felt hard, like rocks. Have sore throat & feels like swollen glands a

Release 4 — days 1–6 daily, dose 2

2021-02-10

Systemic reaction (other): Sore throat. Swollen glands/throat+

2021-02-11

Systemic reaction (other): Sore throat almost better

Release 4 — day 14, dose 2

2021-02-22

Symptoms: Throat has been sore for 3 days

Release 4 — day 21, dose 2

2021-03-01

Symptoms: Sore throat. Irritated gums & cheek.

Release 5 — day 28, dose 2

2021-03-08

Symptoms: Sore throat continues. Very red & irritated. Sores inside my mouth, along gums and cheeks. Hives on chest, face and arms. May be allergic reaction. Can't imagine it's related to the vaccine. Saw my PCP. Will give me steroid shot if it continues cut off by CDC

Healthcare visit (other): Saw my PCP today

Release 5 — day 35, dose 2

2021-03-15

Symptoms: Fever up & down all week. Probably not covid related.

Release 9 — 6 months, dose 2

2021-08-09

Symptoms: High fever, body aches for 12 hours then low body temperature for 12 hours. Sick one day only. Very peculiar.

Release 11 — 12 months, dose 2

2022-02-08

Symptoms: I have a terrible cold. Upper respitory infection. Waiting for delivery of my prescription.

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	Body temperature fluctuation	✓	✓	✓
SD	Gingival discomfort	✓	✓	✓
SD	Gingival pain	✓	✓	✓
SD	Malaise	✓	·	✓
SD	Nasopharyngitis	·	·	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Pharyngeal erythema	✓	✓	✓
SD	Pyrexia	✓	✓	✓
SD	Stomatitis	✓	✓	✓
SD	Throat irritation	✓	✓	✓
SD	Upper respiratory tract infection	·	·	✓
SD	Urticaria	✓	✓	✓
SRO	Induration	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Mobility decreased	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓

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