DAX-14824-89601

3 vaccinations 6 coded responses 26 check-ins 6 free-text entries 4 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 302 / GA
Registered: 2021-02-08

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

2021-02-08
Registered in v-safe
2021-02-08
Dose 1 — Moderna
2021-02-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling · None · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-02-10
Survey response — days 1–6 daily, dose 1
MedDRA: Muscle spasms — Feeling: Fair · Site: Pain

Free text: Body cramps in chest and back

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Rash, not including the immediate area around the injection site

Adult check-in
2021-02-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Rash, not including the immediate area around the injection site

Adult check-in
2021-02-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-17
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-22
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-02
Survey response — day 21, dose 1
MedDRA: Headache, Oropharyngeal pain, Respiratory tract congestion — Feeling: Poor · Be unable to work, 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: Not sure if my symptoms are related. I have a headache, sore throat, congestion, body aches.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-02
Report sent to call center — day 21, dose 1
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)
2021-03-08
Dose 2 — Moderna
2021-03-15
Health check-in — day 7, dose 2
Feeling: Good · Site: Swelling · Fatigue or tiredness · Be unable to work

Adult check-in
2021-03-22
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-31
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-08
Survey response — day 28, dose 2
MedDRA: Rash — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Have a rash on my right arm.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Report sent to call center — day 28, dose 2
Get care from a doctor or other healthcare professional

no matching call case
2021-04-12
Survey response — day 35, dose 2
MedDRA: Rash erythematous, Rash pruritic, Skin discolouration — Feeling: Poor · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Covid rash. Its itchy, and red and brown.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-12
Report sent to call center — day 35, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-19
Survey response — day 42, dose 2
MedDRA: Immunisation reaction — Feeling: Poor · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Covid rash on right arm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-19
Report sent to call center — day 42, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-09
Survey response — 3 months, dose 2
MedDRA: Rash — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Rash came back

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-09
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-11
Call successful
Participant prefers to complete VAERS report online
2021-09-06
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-26
Dose 3 — Moderna
2021-10-28
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches · Be unable to work or attend school

Adult check-in
2021-10-30
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-01
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-09
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-16
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-23
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-30
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-07
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-25
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-04-26
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-08	Moderna
2	2021-03-08	Moderna
3	2021-10-26	Moderna	No

Call center

4 call center cases

4 successful

1 check-in flagged for a call with no call center case on record

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-10

Systemic reaction (other): Body cramps in chest and back

Release 4 — day 21, dose 1

2021-03-02

Symptoms: Not sure if my symptoms are related. I have a headache, sore throat, congestion, body aches.

Release 7 — day 28, dose 2

2021-04-08

Symptoms: Have a rash on my right arm.

Release 7 — day 35, dose 2

2021-04-12

Symptoms: Covid rash. Its itchy, and red and brown.

Release 7 — day 42, dose 2

2021-04-19

Symptoms: Covid rash on right arm

Release 8 — 3 months, dose 2

2021-06-09

Symptoms: Rash came back

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	Headache	✓	✓	✓
SD	Immunisation reaction	✓	✓	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Rash	✓	✓	✓
SD	Rash erythematous	✓	✓	✓
SD	Rash pruritic	✓	✓	✓
SD	Respiratory tract congestion	✓	✓	✓
SD	Skin discolouration	✓	✓	✓
SRO	Muscle spasms	✓	✓	✓

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