B23-24531-57484

2 vaccinations 10 coded responses 21 check-ins 10 free-text entries 1 call case

Sex: Female
Age at first dose: 26-30
ZIP prefix: 856 / AZ
Registered: 2021-01-19

Relationship: Self
Race: Black or African American
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
Survey response — day 0, dose 1
MedDRA: Dizziness — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Abdominal pain

Free text: Dizziness

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: Nasal congestion — Feeling: Fair · Site: Pain · Headache, Joint pains, Fatigue or tiredness

Free text: Stuffy nose

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: Nasal congestion — Feeling: Fair · Site: Pain · Headache, Joint pains

Free text: Stuffy nose

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-24
Survey response — days 1–6 daily, dose 1
MedDRA: Infection, Nasal congestion — Feeling: Poor · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Stuffy nose, green infection

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-26
Health check-in — day 7, dose 1
Feeling: Fair · Chills, Muscle or body aches, Nausea, Vomiting, Abdominal pain

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

Adult check-in
2021-02-11
Survey response — day 21, dose 1
MedDRA: Pain — Feeling: Poor · Be unable to do your normal daily activities

Free text: Body pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-18
Dose 2 — Moderna
2021-02-21
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work

Adult check-in
2021-02-22
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-02-23
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Headache, Fatigue or tiredness, Nausea · Be unable to work

Adult check-in
2021-02-24
Survey response — days 1–6 daily, dose 2
MedDRA: Aphonia — Feeling: Poor · Site: Redness, Swelling, Itching · Fever · Headache, Fatigue or tiredness · Be unable to work

Free text: Loss of voice

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-25
Health check-in — day 7, dose 2
Feeling: Poor · Site: Itching · Fever · Fatigue or tiredness, Nausea, Vomiting, Abdominal pain · Be unable to work

Adult check-in
2021-03-04
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-11
Survey response — day 21, dose 2
MedDRA: Dyspnoea, Headache — Feeling: Fair

Free text: Shortness otra the. Headache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-18
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-25
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-03
Survey response — day 42, dose 2
MedDRA: Dyspnoea — Feeling: Good

Free text: SHORTBESS OF BREATH

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-22
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-19
Survey response — 6 months, dose 2
MedDRA: Myalgia — Feeling: Poor · Be unable to do your normal daily activities

Free text: Muscle aches

MedDRA releases: 2021-09,2024-11 · check-in free text available
2022-02-18
Survey response — 12 months, dose 2
MedDRA: Dyspnoea, Fatigue, Respiratory tract congestion — 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 · Telehealth, virtual health, or email health consultation

Free text: SOB, tired congestion.

MedDRA releases: 2024-11 · check-in free text available
2022-02-18
Report sent to call center — 12 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

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-02-24
Call successful
Participant prefers to complete VAERS report online

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-19	Moderna
2	2021-02-18	Moderna

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 2 — day 0, dose 1

2021-01-19

Systemic reaction (other): Dizziness

Release 2 — days 1–6 daily, dose 1

2021-01-22

Systemic reaction (other): Stuffy nose

2021-01-23

Systemic reaction (other): Stuffy nose

2021-01-24

Systemic reaction (other): Stuffy nose, green infection

Release 4 — day 21, dose 1

2021-02-11

Symptoms: Body pain

Release 4 — days 1–6 daily, dose 2

2021-02-24

Systemic reaction (other): Loss of voice

Release 5 — day 21, dose 2

2021-03-11

Symptoms: Shortness otra the. Headache

Release 6 — day 42, dose 2

2021-04-03

Symptoms: SHORTBESS OF BREATH

Release 9 — 6 months, dose 2

2021-08-19

Symptoms: Muscle aches

Release 11 — 12 months, dose 2

2022-02-18

Symptoms: SOB, tired congestion.

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	Dyspnoea	✓	✓	✓
SD	Fatigue	·	·	✓
SD	Headache	✓	✓	✓
SD	Myalgia	✓	·	✓
SD	Pain	✓	✓	✓
SD	Respiratory tract congestion	·	·	✓
SRO	Aphonia	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Infection	✓	✓	✓
SRO	Nasal congestion	✓	✓	✓

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