6CZ-32411-19335

2 vaccinations 6 coded responses 17 check-ins 6 free-text entries 2 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 973 / OR
Registered: 2021-03-31

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

2021-03-31
Registered in v-safe
2021-03-31
Dose 1 — Moderna
2021-03-31
Health check-in — day 0, dose 1
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-04-01
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Fatigue or tiredness

Adult check-in
2021-04-02
Survey response — days 1–6 daily, dose 1
MedDRA: Oropharyngeal pain — Feeling: Poor · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Free text: Sore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-03
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-05
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Joint pains, Fatigue or tiredness

Adult check-in
2021-04-06
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-04-07
Health check-in — day 7, dose 1
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site

Adult check-in
2021-04-16
Survey response — day 14, dose 1
MedDRA: Headache, Neuralgia, Rhinorrhoea — Feeling: Fair · Be unable to do your normal daily activities

Free text: Arm pain nerve pain sinus drainage and headaches

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
Survey response — day 21, dose 1
MedDRA: Axillary pain, Neuralgia, Pain in extremity, Rash, Rash papular — Feeling: Fair

Free text: Nerve pain in hands and fingers. Raised rash on left side of face. Pain under arms

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-28
Dose 2 — Moderna
2021-04-30
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Nausea, Abdominal pain

Adult check-in
2021-05-01
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work

Adult check-in
2021-05-05
Health check-in — day 7, dose 2
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-05-13
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-05-19
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-06-11
Survey response — day 42, dose 2
MedDRA: Back pain, Hypertension — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Hi blood pressure and back pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-30
Survey response — 3 months, dose 2
MedDRA: Asthenia, Dizziness, Fatigue, Nausea, Rhinorrhoea — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Extreme fatigue, weakness, nausea, light headedness, runny nose

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-30
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)
2021-08-12
Call 1 — Left Voicemail
2021-10-27
Survey response — 6 months, dose 2
MedDRA: Cough, Emergency care, Fatigue, Malaise, Nasopharyngitis, SARS-CoV-2 test negative — 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

Free text: Increasing fatigue. Coughing. I was sent to Ed for a possible heart event. I was tested for COVID which was negative. A week later I began to have cold symptoms. Stopped for a week then began again. I am so sick I can hardly take care of myself.

MedDRA releases: 2024-11 · check-in free text available
2021-10-27
Report sent to call center — 6 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Emergency room or emergency department visit · 1 call case(s)
2021-10-28
Call successful
Participant prefers to complete VAERS report online

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-31	Moderna
2	2021-04-28	Moderna

Call center

2 call center cases

2 successful

See the call center timeline

Free text

Release 6 — days 1–6 daily, dose 1

2021-04-02

Systemic reaction (other): Sore throat

Release 7 — day 14, dose 1

2021-04-16

Symptoms: Arm pain nerve pain sinus drainage and headaches

Release 7 — day 21, dose 1

2021-04-21

Symptoms: Nerve pain in hands and fingers. Raised rash on left side of face. Pain under arms

Release 9 — day 42, dose 2

2021-06-11

Symptoms: Hi blood pressure and back pain

Release 9 — 3 months, dose 2

2021-07-30

Symptoms: Extreme fatigue, weakness, nausea, light headedness, runny nose

Release 10 — 6 months, dose 2

2021-10-27

Symptoms: Increasing fatigue. Coughing. I was sent to Ed for a possible heart event. I was tested for COVID which was negative. A week later I began to have cold symptoms. Stopped for a week then began again. I am so sick I can hardly take care of myself.

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	Asthenia	✓	·	✓
SD	Axillary pain	✓	✓	✓
SD	Back pain	✓	✓	✓
SD	Cough	·	·	✓
SD	Dizziness	✓	·	✓
SD	Emergency care	·	·	✓
SD	Fatigue	✓	·	✓
SD	Headache	✓	✓	✓
SD	Hypertension	✓	✓	✓
SD	Malaise	·	·	✓
SD	Nasopharyngitis	·	·	✓
SD	Nausea	✓	·	✓
SD	Neuralgia	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SD	Rash	✓	✓	✓
SD	Rash papular	✓	✓	✓
SD	Rhinorrhoea	✓	✓	✓
SD	SARS-CoV-2 test negative	·	·	✓
SRO	Oropharyngeal pain	✓	✓	✓

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