6QU-20584-15490

2 vaccinations 7 coded responses 24 check-ins 7 free-text entries 1 call case

Sex: Female
Age at first dose: 26-30
ZIP prefix: 853 / AZ
Registered: 2021-01-22

Relationship: Self
Race: N/A
Ethnicity: Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-01-22
Registered in v-safe
2021-01-22
Dose 1 — Moderna
2021-01-22
Survey response — day 0, dose 1
MedDRA: Dizziness — Feeling: Good · Site: Pain · Headache

Free text: Dizziness

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: Dizziness, Feeling abnormal, Hyperhidrosis, Injection site swelling, Mobility decreased, Musculoskeletal stiffness, Neck pain — Feeling: Fair · Site: Pain, Swelling · Fever · Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Free text: Yesterday night after receiving the vaccine I was sweating profusely and had a mild fever (36.9c); the injection site swelled to the size of a golfball; I was dizzy and felt "fuzzy". Today i have upper neck ache and my arm was so stiff i couldnt lift it all the way.

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: Fair · Site: Pain · Fever · Muscle or body aches, Fatigue or tiredness

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

Adult check-in
2021-01-26
Survey response — days 1–6 daily, dose 1
MedDRA: Arthralgia — Feeling: Good · Muscle or body aches

Free text: A little soreness in my shoulder from the shot but its not bad.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-31
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-05
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-14
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-19
Health check-in — day 28, dose 1
Feeling: Fair

Adult check-in
2021-02-26
Dose 2 — Moderna
2021-02-26
Survey response — day 0, dose 2
MedDRA: Dysgeusia, Immediate post-injection reaction — Feeling: Fair · Site: Pain, Swelling · Chills, Headache

Free text: When i received the vaccination I had a weird taste in my mouth.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-27
Survey response — days 1–6 daily, dose 2
MedDRA: Decreased appetite, Pain in jaw — Feeling: Poor · Site: Pain, Redness · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: No appetite and jaw pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-28
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-01
Survey response — days 1–6 daily, dose 2
MedDRA: Peripheral swelling — Feeling: Fair · Site: Pain, Redness · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work

Free text: Swelling in hands and legs.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-02
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-03
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache

Adult check-in
2021-03-05
Health check-in — day 7, dose 2
Feeling: Good · None

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

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

Adult check-in
2021-04-02
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-09
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-04-19
Pregnancy registry survey
Pregnant after vaccination · Yes, I would like someone to contact me
2021-05-28
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-08-27
Survey response — 6 months, dose 2
MedDRA: Gestational diabetes, Varicose vein — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: Gestational diabetesVaricose veins

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-27
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

1 call case(s)
2021-09-03
Call successful
Participant prefers to complete VAERS report online

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-22	Moderna
2	2021-02-26	Moderna

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 2 — day 0, dose 1

2021-01-22

Systemic reaction (other): Dizziness

Release 2 — days 1–6 daily, dose 1

2021-01-23

Systemic reaction (other): Yesterday night after receiving the vaccine I was sweating profusely and had a mild fever (36.9c); the injection site swelled to the size of a golfball; I was dizzy and felt "fuzzy". Today i have upper neck ache and my arm was so stiff i couldnt lift it all the way.

2021-01-26

Systemic reaction (other): A little soreness in my shoulder from the shot but its not bad.

Release 4 — day 0, dose 2

2021-02-26

Systemic reaction (other): When i received the vaccination I had a weird taste in my mouth.

Release 4 — days 1–6 daily, dose 2

2021-02-27

Systemic reaction (other): No appetite and jaw pain

2021-03-01

Systemic reaction (other): Swelling in hands and legs.

Release 9 — 6 months, dose 2

2021-08-27

Symptoms: Gestational diabetesVaricose veins

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	Gestational diabetes	✓	·	✓
SD	Varicose vein	✓	·	✓
SRO	Arthralgia	✓	✓	✓
SRO	Decreased appetite	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Dysgeusia	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Hyperhidrosis	✓	✓	✓
SRO	Immediate post-injection reaction	✓	✓	✓
SRO	Injection site swelling	✓	✓	✓
SRO	Mobility decreased	✓	✓	✓
SRO	Musculoskeletal stiffness	✓	✓	✓
SRO	Neck pain	✓	✓	✓
SRO	Pain in jaw	✓	✓	✓
SRO	Peripheral swelling	✓	✓	✓

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