EUH-11374-31205

2 vaccinations 8 coded responses 25 check-ins 8 free-text entries 7 call cases

Sex: Female
Age at first dose: 26-30
ZIP prefix: 441 / OH
Registered: 2021-01-07

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

2021-01-07
Registered in v-safe
2021-01-07
Dose 1 — Moderna
2021-01-07
Survey response — day 0, dose 1
MedDRA: Chest discomfort, Immediate post-injection reaction — Feeling: Good

Free text: Chest tightness within first 15min then resolved

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-08
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Redness, Swelling · None

Adult check-in
2021-01-09
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-01-09
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-10
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fatigue or tiredness, Nausea

Adult check-in
2021-01-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Redness, Swelling, Itching · None

Adult check-in
2021-01-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Itching · Nausea

Adult check-in
2021-01-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-14
Survey response — day 7, dose 1
MedDRA: Axillary pain — Feeling: Fair · Site: Redness, Swelling, Itching

Free text: Axillary aches

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-21
Survey response — day 14, dose 1
MedDRA: Hyperhidrosis, Injection site cellulitis, Lymphadenopathy — Feeling: Good · 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: Cellulitis at injection site. Diaphoresis. Lymphadenopathy.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-21
Report sent to call center — day 14, 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)
2021-01-28
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-04
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-02-05
Dose 2 — Moderna
2021-02-07
Survey response — days 1–6 daily, dose 2
MedDRA: Lip swelling, Renal pain — Feeling: Poor · Site: Pain · Fever · Chills, Muscle or body aches · Be unable to work, Be unable to do your normal daily activities

Free text: Swollen lip; kidney pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-08
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Rash, not including the immediate area around the injection site · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Adult check-in
2021-02-08
Report sent to call center — days 1–6 daily, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-09
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-10
Survey response — days 1–6 daily, dose 2
MedDRA: Chest pain, Pharyngeal swelling — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Throat swelling chest pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-10
Report sent to call center — days 1–6 daily, 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)
2021-02-11
Survey response — days 1–6 daily, dose 2
MedDRA: Chest discomfort — Feeling: Fair · Be unable to work, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Chest tightness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-11
Report sent to call center — days 1–6 daily, dose 2
Be unable to work · Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-14
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-02-21
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-02-26
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-03-07
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-12
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-19
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-09
Survey response — 3 months, dose 2
MedDRA: Arthralgia, Ear infection, Haemorrhoids, Mass — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Unusual growth on back. Joint pains. External hemorrhoid. Ear infection.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-09
Report sent to call center — 3 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-11
Call successful
Reported to VAERS voluntarily prior to GDIT contact
2021-08-07
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-02-05
Survey response — 12 months, dose 2
MedDRA: Ectopic pregnancy — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Ectopic pregnancy

MedDRA releases: 2024-11 · check-in free text available
2022-02-05
Report sent to call center — 12 months, dose 2
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-02-08
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-07	Moderna
2	2021-02-05	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-01-09	priority 2/3
2021-01-21	Successful	Reported to VAERS voluntarily prior to GDIT contact
2021-02-08	Successful	Reported to VAERS voluntarily prior to GDIT contact
2021-02-10	Successful	Reported to VAERS voluntarily prior to GDIT contact
2021-02-11	Successful	Reported to VAERS voluntarily prior to GDIT contact
2021-05-09	Successful 2021-05-11	Reported to VAERS voluntarily prior to GDIT contact
2022-02-05	Unsuccessful

Free text

Release 1 — day 0, dose 1

2021-01-07

Systemic reaction (other): Chest tightness within first 15min then resolved

Release 2 — day 7, dose 1

2021-01-14

Systemic reaction (other): Axillary aches

Release 2 — day 14, dose 1

2021-01-21

Symptoms: Cellulitis at injection site. Diaphoresis. Lymphadenopathy.

Release 3 — days 1–6 daily, dose 2

2021-02-07

Systemic reaction (other): Swollen lip; kidney pain

Release 4 — days 1–6 daily, dose 2

2021-02-10

Systemic reaction (other): Throat swelling chest pain

2021-02-11

Systemic reaction (other): Chest tightness

Release 8 — 3 months, dose 2

2021-05-09

Symptoms: Unusual growth on back. Joint pains. External hemorrhoid. Ear infection.

Release 11 — 12 months, dose 2

2022-02-05

Symptoms: Ectopic pregnancy

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	Arthralgia	✓	✓	✓
SD	Ear infection	✓	✓	✓
SD	Ectopic pregnancy	·	·	✓
SD	Haemorrhoids	✓	✓	✓
SD	Hyperhidrosis	✓	✓	✓
SD	Injection site cellulitis	✓	✓	✓
SD	Lymphadenopathy	✓	✓	✓
SD	Mass	✓	✓	✓
SRO	Axillary pain	✓	✓	✓
SRO	Chest discomfort	✓	✓	✓
SRO	Chest pain	✓	✓	✓
SRO	Immediate post-injection reaction	✓	✓	✓
SRO	Lip swelling	✓	✓	✓
SRO	Pharyngeal swelling	✓	✓	✓
SRO	Renal pain	✓	✓	✓

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