8XX-19862-48343

2 vaccinations 9 coded responses 19 check-ins 9 free-text entries 4 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 852 / AZ
Registered: 2021-01-26

Relationship: Self
Race: White
Ethnicity: Hispanic or Latino

Timeline

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

2021-01-26
Registered in v-safe
2021-01-26
Dose 1 — Moderna
2021-01-26
Survey response — day 0, dose 1
MedDRA: Erythema — Feeling: Good · Site: Redness · Headache

Free text: Red, warm to the touch ear

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

Adult check-in
2021-01-31
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-01
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain

Adult check-in
2021-02-03
Health check-in — day 7, dose 1
Feeling: Fair · Fatigue or tiredness, Nausea, Abdominal pain

Adult check-in
2021-02-10
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-18
Survey response — day 21, dose 1
MedDRA: Chest discomfort — Feeling: Fair

Free text: Chest discomfort

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-23
Health check-in — day 28, dose 1
Feeling: Fair

Adult check-in
2021-02-25
Dose 2 — Moderna
2021-03-02
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain

Free text: Severe shoulder pain on the same side of the body I received my vaccine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-03
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Free text: Shoulder blade pain on side of body where i received my injection

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-04
Survey response — day 7, dose 2
MedDRA: Arthralgia — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain

Free text: Shoulder pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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: Fair

Adult check-in
2021-03-25
Survey response — day 28, dose 2
MedDRA: Haemorrhage, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Unexplained bleeding. · Healthcare visit (other): Dr. Office

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-25
Report sent to call center — day 28, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-03
Survey response — day 35, dose 2
MedDRA: Abortion spontaneous — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Miscarriage

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-03
Report sent to call center — day 35, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-09
Call 1 — Left Voicemail
2021-04-10
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-27
Survey response — 3 months, dose 2
MedDRA: Dizziness, Hypoaesthesia, Migraine, Paraesthesia — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: Migraine headaches, arm and leg tingling and numbness, dizziness

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 work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-01
Call 1 — Left Voicemail
2021-08-28
Survey response — 6 months, dose 2
MedDRA: Balance disorder, Dizziness, Migraine — 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 · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: Dizziness, balance issues, complicated migraines

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-28
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)
2021-09-02
Call 1 — Could Not Reach Participant
2021-09-09
Call 2 — Could Not Reach Participant
2022-02-25
Health check-in — 12 months, dose 2
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-26	Moderna
2	2021-02-25	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-03-25	Unsuccessful
2021-04-03	Unsuccessful
2021-05-27	Unsuccessful
2021-08-28	Unsuccessful

Free text

Release 2 — day 0, dose 1

2021-01-26

Systemic reaction (other): Red, warm to the touch ear

Release 4 — day 21, dose 1

2021-02-18

Symptoms: Chest discomfort

Release 4 — days 1–6 daily, dose 2

2021-03-02

Systemic reaction (other): Severe shoulder pain on the same side of the body I received my vaccine

2021-03-03

Systemic reaction (other): Shoulder blade pain on side of body where i received my injection

Release 5 — day 7, dose 2

2021-03-04

Systemic reaction (other): Shoulder pain

Release 6 — day 28, dose 2

2021-03-25

Symptoms: Unexplained bleeding.

Healthcare visit (other): Dr. Office

Release 6 — day 35, dose 2

2021-04-03

Symptoms: Miscarriage

Release 8 — 3 months, dose 2

2021-05-27

Symptoms: Migraine headaches, arm and leg tingling and numbness, dizziness

Release 9 — 6 months, dose 2

2021-08-28

Symptoms: Dizziness, balance issues, complicated migraines

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	Abortion spontaneous	✓	✓	✓
SD	Balance disorder	✓	·	✓
SD	Chest discomfort	✓	✓	✓
SD	Dizziness	✓	✓	✓
SD	Haemorrhage	✓	✓	✓
SD	Hypoaesthesia	✓	✓	✓
SD	Migraine	✓	✓	✓
SD	Paraesthesia	✓	✓	✓
SRO	Arthralgia	✓	✓	✓
SRO	Erythema	✓	✓	✓

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