6NV-24246-13527

4 vaccinations 16 coded responses 50 check-ins 16 free-text entries 3 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 940 / CA
Registered: 2021-01-19

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

2021-01-19
Registered in v-safe
2021-01-19
Dose 1 — Moderna
2021-01-19
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-01-20
Survey response — days 1–6 daily, dose 1
MedDRA: Erythema — Feeling: Good · Site: Pain

Free text: Yesterday evening the soles of both my feet were bright red! The color did not last long but it was strange

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-22
Survey response — days 1–6 daily, dose 1
MedDRA: Rash — Feeling: Good · Site: Pain · Rash, not including the immediate area around the injection site

Free text: A tiny bit of rash on both cheeks last night and this morning

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-23
Survey response — days 1–6 daily, dose 1
MedDRA: Rash — Feeling: Good · Rash, not including the immediate area around the injection site

Free text: Still a bit of rash on my cheeks

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-26
Health check-in — day 7, dose 1
Feeling: Good · None

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

Adult check-in
2021-02-09
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-16
Dose 2 — Moderna
2021-02-16
Health check-in — day 0, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-17
Survey response — days 1–6 daily, dose 2
MedDRA: Pyrexia — Feeling: Poor · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Low grade fever

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-18
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness · Chills, Fatigue or tiredness

Adult check-in
2021-02-19
Survey response — days 1–6 daily, dose 2
MedDRA: Joint swelling, Medical counselling, Peripheral swelling, Unevaluable event — Feeling: Good · Fatigue or tiredness · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Systemic reaction (other): My legs are swollen from ankles to above knees. I had had some problems with this before but it got a lot worse late yesterday afternoon and evening. Like sausages. Called my doc and went for blood test and urine test just now. Was better this morning then worsened as I was up and walking around · Healthcare visit (other): Lab tests

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-19
Report sent to call center — days 1–6 daily, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-20
Survey response — days 1–6 daily, dose 2
MedDRA: Peripheral swelling — Feeling: Fair · Site: Pain, Itching · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: My legs are still swelling up during the day. This worsened a day after my second vaccine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-21
Survey response — days 1–6 daily, dose 2
MedDRA: Peripheral swelling — Feeling: Good · Fatigue or tiredness

Free text: My legs are still swelling up during the day

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-22
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-23
Survey response — day 7, dose 2
MedDRA: Peripheral swelling — Feeling: Fair · Fatigue or tiredness

Free text: Just swollen legs again

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-02
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-09
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-16
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-23
Survey response — day 35, dose 2
MedDRA: Anxiety, Chills — Feeling: Fair

Free text: Chills most likely due to anxiety. I feel scared

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-30
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-05-18
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-16
Call 1 — Left Voicemail
2021-08-17
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2021-08-31
Dose 3 — Moderna
2021-08-31
Survey response — day 0, dose 3
MedDRA: No adverse event — Feeling: Good

Free text: No

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-09-01
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Adult check-in
2021-09-01
Report sent to call center — days 1–6 daily, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-09-02
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-09-03
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Itching · Fatigue or tiredness, Nausea

Adult check-in
2021-09-03
Call successful
Participant prefers to complete VAERS report online
2021-09-04
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-09-05
Survey response — days 1–6 daily, dose 3
MedDRA: Nausea — Feeling: Fair · Fatigue or tiredness

Free text: Bit of nausea here and there

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-09-06
Survey response — days 1–6 daily, dose 3
MedDRA: Depressed mood, Fatigue — Feeling: Fair · Fatigue or tiredness, Nausea

Free text: I just feel super tired. Probably depressed.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-09-07
Survey response — day 7, dose 3
MedDRA: Body temperature increased — Feeling: Fair · Fatigue or tiredness

Free text: Sometimes I feel feverish but my temperature is maybe 98.8

MedDRA releases: 2024-11 · check-in free text available
2021-09-14
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-09-21
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2021-09-28
Survey response — day 28, dose 3
MedDRA: Unevaluable event, Vertigo — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Vertigo started last Friday. Less today but not gone · Healthcare visit (other): Emailed my doctor Friday and again today . Have not heard back today yet

MedDRA releases: 2024-11 · check-in free text available
2021-09-28
Report sent to call center — day 28, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2021-10-05
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-10-12
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2021-11-30
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2021-12-02
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-02-15
Dose 4 — Moderna
2022-02-15
Survey response — day 0, dose 4
MedDRA: No adverse event — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: No

MedDRA releases: 2024-11 · check-in free text available
2022-02-16
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2022-02-17
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-02-18
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Fatigue or tiredness

Adult check-in
2022-02-19
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-02-20
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Fatigue or tiredness

Adult check-in
2022-02-21
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-02-22
Survey response — day 7, dose 4
MedDRA: Anxiety, Fatigue — Feeling: Good

Free text: Just tired and anxious

MedDRA releases: 2024-11 · check-in free text available
2022-03-01
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-03-08
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-03-15
Health check-in — day 28, dose 4
Feeling: Fair

Adult check-in
2022-03-22
Health check-in — day 35, dose 4
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-19	Moderna
2	2021-02-16	Moderna
3	2021-08-31	Moderna	No
4	2022-02-15	Moderna	No

Call center

3 call center cases

3 successful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-20

Systemic reaction (other): Yesterday evening the soles of both my feet were bright red! The color did not last long but it was strange

2021-01-22

Systemic reaction (other): A tiny bit of rash on both cheeks last night and this morning

2021-01-23

Systemic reaction (other): Still a bit of rash on my cheeks

Release 4 — days 1–6 daily, dose 2

2021-02-17

Systemic reaction (other): Low grade fever

2021-02-19

Systemic reaction (other): My legs are swollen from ankles to above knees. I had had some problems with this before but it got a lot worse late yesterday afternoon and evening. Like sausages. Called my doc and went for blood test and urine test just now. Was better this morning then worsened as I was up and walking around

Healthcare visit (other): Lab tests

2021-02-20

Systemic reaction (other): My legs are still swelling up during the day. This worsened a day after my second vaccine

2021-02-21

Systemic reaction (other): My legs are still swelling up during the day

Release 4 — day 7, dose 2

2021-02-23

Systemic reaction (other): Just swollen legs again

Release 6 — day 35, dose 2

2021-03-23

Symptoms: Chills most likely due to anxiety. I feel scared

Release 9 — day 0, dose 3

2021-08-31

Systemic reaction (other): No

Release 9 — days 1–6 daily, dose 3

2021-09-05

Systemic reaction (other): Bit of nausea here and there

2021-09-06

Systemic reaction (other): I just feel super tired. Probably depressed.

Release 9 — day 7, dose 3

2021-09-07

Systemic reaction (other): Sometimes I feel feverish but my temperature is maybe 98.8

Release 9 — day 28, dose 3

2021-09-28

Symptoms: Vertigo started last Friday. Less today but not gone

Healthcare visit (other): Emailed my doctor Friday and again today . Have not heard back today yet

Release 11 — day 0, dose 4

2022-02-15

Systemic reaction (other): No

Release 11 — day 7, dose 4

2022-02-22

Systemic reaction (other): Just tired and anxious

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	Unevaluable event	✓	✓	✓
SD	Anxiety	✓	✓	✓
SD	Chills	✓	✓	✓
SD	Vertigo	·	·	✓
SRO	Anxiety	·	·	✓
SRO	Body temperature increased	·	·	✓
SRO	Depressed mood	✓	·	✓
SRO	Erythema	✓	✓	✓
SRO	Fatigue	✓	·	✓
SRO	Joint swelling	✓	✓	✓
SRO	Medical counselling	✓	✓	✓
SRO	Nausea	✓	·	✓
SRO	No adverse event	✓	·	✓
SRO	Peripheral swelling	✓	✓	✓
SRO	Pyrexia	✓	✓	✓
SRO	Rash	✓	✓	✓

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