AA3-31755-49382

2 vaccinations 10 coded responses 26 check-ins 10 free-text entries 1 call case

Sex: Female
Age at first dose: 26-30
ZIP prefix: 522 / IA
Registered: 2021-01-26

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

2021-01-26
Registered in v-safe
2021-01-26
Dose 1 — Moderna
2021-01-26
Survey response — day 0, dose 1
MedDRA: Back pain, Neck pain — Feeling: Good · Site: Pain · Headache, Muscle or body aches

Free text: Back & neck ache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-28
Survey response — days 1–6 daily, dose 1
MedDRA: Neck pain, Pain of skin — Feeling: Good · Site: Pain · Muscle or body aches

Free text: Neck ache/scalp tenderness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-29
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2021-01-30
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Muscle or body aches

Adult check-in
2021-01-31
Survey response — days 1–6 daily, dose 1
MedDRA: Pain of skin — Feeling: Good · Joint pains, Muscle or body aches

Free text: Sore scalp

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-01
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-02
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-09
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-16
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-23
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-02-26
Dose 2 — Moderna
2021-02-26
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Chills, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-27
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-02-28
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-01
Survey response — days 1–6 daily, dose 2
MedDRA: Eye pain, Ophthalmic migraine — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Ocular migraine/aching behind eye since yesterday afternoon

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

Free text: Heightened sense of smell

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: Hyperaesthesia teeth, Ophthalmic migraine — Feeling: Fair · Headache, Joint pains, Muscle or body aches

Free text: Ocular migraine, sensitive teeth (this started after the first dose but is worse now after the second dose)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-04
Survey response — days 1–6 daily, dose 2
MedDRA: Hyperaesthesia teeth, Lymphadenopathy, Ophthalmic migraine — Feeling: Fair · Site: Pain · Headache, Muscle or body aches

Free text: Ocular migraine, sensitive teeth, swollen occipital lymph node on side of injection

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-05
Survey response — day 7, dose 2
MedDRA: Hyperaesthesia teeth, Lymphadenopathy, Ophthalmic migraine — Feeling: Fair · Headache, Muscle or body aches

Free text: Ocular migraine, sensitive teeth, swollen occipital lymph node on side of injection

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-13
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-19
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-26
Health check-in — day 28, 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
Survey response — day 42, dose 2
MedDRA: Neck pain — Feeling: Good

Free text: Neck pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-28
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-27
Survey response — 6 months, dose 2
MedDRA: Abortion spontaneous, Autoimmune disorder, Migraine, Surgery — Feeling: Fair · 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, Outpatient clinic or urgent care clinic visit

Free text: Symptoms: Miscarriage at 8 weeksMigraineAutoimmune condition · Healthcare visit (other): Surgery

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 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)
2021-08-31
Call 1 — Left Voicemail
2021-09-02
Call successful
Participant prefers to complete VAERS report online
2022-02-26
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

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

Call center

Reported	Outcome	VAERS-related outcome
2021-08-27	Successful 2021-09-02	Participant prefers to complete VAERS report online

Free text

Release 2 — day 0, dose 1

2021-01-26

Systemic reaction (other): Back & neck ache

Release 3 — days 1–6 daily, dose 1

2021-01-28

Systemic reaction (other): Neck ache/scalp tenderness

2021-01-31

Systemic reaction (other): Sore scalp

Release 4 — days 1–6 daily, dose 2

2021-03-01

Systemic reaction (other): Ocular migraine/aching behind eye since yesterday afternoon

2021-03-02

Systemic reaction (other): Heightened sense of smell

Release 5 — days 1–6 daily, dose 2

2021-03-03

Systemic reaction (other): Ocular migraine, sensitive teeth (this started after the first dose but is worse now after the second dose)

2021-03-04

Systemic reaction (other): Ocular migraine, sensitive teeth, swollen occipital lymph node on side of injection

Release 5 — day 7, dose 2

2021-03-05

Systemic reaction (other): Ocular migraine, sensitive teeth, swollen occipital lymph node on side of injection

Release 7 — day 42, dose 2

2021-04-09

Symptoms: Neck pain

Release 9 — 6 months, dose 2

2021-08-27

Symptoms: Miscarriage at 8 weeksMigraineAutoimmune condition

Healthcare visit (other): Surgery

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	Surgery	✓	·	✓
SD	Abortion spontaneous	✓	·	✓
SD	Autoimmune disorder	✓	·	✓
SD	Migraine	✓	·	✓
SD	Neck pain	✓	✓	✓
SRO	Back pain	✓	✓	✓
SRO	Eye pain	✓	✓	✓
SRO	Hyperaesthesia teeth	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Neck pain	✓	✓	✓
SRO	Ophthalmic migraine	✓	✓	✓
SRO	Pain of skin	✓	✓	✓
SRO	Parosmia	✓	✓	✓

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