VU8-21293-81628

3 vaccinations 7 coded responses 18 check-ins 7 free-text entries 2 call cases

Sex: Female
Age at first dose: 31-35
ZIP prefix: 200 / DC
Registered: 2021-04-07

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

2021-04-06
Dose 1 — Moderna
2021-04-07
Registered in v-safe
2021-04-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-13
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-20
Survey response — day 14, dose 1
MedDRA: Injection site rash — Feeling: Good

Free text: Rash on arm at site of injection. Began day 6-8 post vaccination

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-27
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-05-04
Dose 2 — Moderna
2021-05-12
Survey response — day 7, dose 2
MedDRA: Chills, Headache, Pain, Pain in extremity, Pyrexia — Feeling: Good

Free text: 4 to 30 hours following the injection I felt feverish, chills, body aches, headache, and sore arm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-19
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-11-02
Survey response — 6 months, dose 2
MedDRA: Arthralgia, Hypoaesthesia, Office visit, Pain in extremity — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Symptoms: Since my flu shot on 9/13, I've had approx 7 weeks of Body aches in joints - shoulders, hands, feet. Moving numbness and pain in feet and hands. All labs are normal. · Healthcare visit (other): Doctor has recommended nerve study

MedDRA releases: 2024-11 · check-in free text available
2021-11-02
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2021-11-04
Call 1 — Could Not Reach Participant
2021-11-09
Call 2 — Could Not Reach Participant
2021-12-10
Dose 3 — Moderna
2021-12-11
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-12-12
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-12-13
Survey response — days 1–6 daily, dose 3
MedDRA: Hypoaesthesia, Pain in extremity, Paraesthesia — Feeling: Good

Free text: Residual symptoms from flu shot on 9/13- L arm pain (injection arm), numbness/tingling/pain in fingers and toes

MedDRA releases: 2024-11 · check-in free text available
2021-12-14
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2022-01-07
Survey response — day 28, dose 3
MedDRA: Nasopharyngitis — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Upper respiratory cold symptoms

MedDRA releases: 2024-11 · check-in free text available
2022-06-10
Survey response — 6 months, dose 3
MedDRA: COVID-19 — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Covid

MedDRA releases: 2024-11 · check-in free text available
2022-12-10
Survey response — 12 months, dose 3
MedDRA: Hypoaesthesia, Paraesthesia — Feeling: Fair · 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: Numbness tingling in body and limbs

MedDRA releases: 2024-11 · check-in free text available
2022-12-10
Report sent to call center — 12 months, dose 3
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 · 1 call case(s)
2022-12-13
Call 3 — Left Voicemail
2022-12-13
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-06	Moderna
2	2021-05-04	Moderna
3	2021-12-10	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2021-11-02	Unsuccessful
2022-12-10	Unsuccessful

Free text

Release 7 — day 14, dose 1

2021-04-20

Symptoms: Rash on arm at site of injection. Began day 6-8 post vaccination

Release 8 — day 7, dose 2

2021-05-12

Systemic reaction (other): 4 to 30 hours following the injection I felt feverish, chills, body aches, headache, and sore arm

Release 10 — 6 months, dose 2

2021-11-02

Symptoms: Since my flu shot on 9/13, I've had approx 7 weeks of Body aches in joints - shoulders, hands, feet. Moving numbness and pain in feet and hands. All labs are normal.

Healthcare visit (other): Doctor has recommended nerve study

Release 10 — days 1–6 daily, dose 3

2021-12-13

Systemic reaction (other): Residual symptoms from flu shot on 9/13- L arm pain (injection arm), numbness/tingling/pain in fingers and toes

Release 10 — day 28, dose 3

2022-01-07

Symptoms: Upper respiratory cold symptoms

Release 12 — 6 months, dose 3

2022-06-10

Symptoms: Covid

Release 12 — 12 months, dose 3

2022-12-10

Symptoms: Numbness tingling in body and limbs

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	Arthralgia	·	·	✓
SD	COVID-19	·	·	✓
SD	Hypoaesthesia	·	·	✓
SD	Injection site rash	✓	✓	✓
SD	Nasopharyngitis	·	·	✓
SD	Pain in extremity	·	·	✓
SD	Paraesthesia	·	·	✓
SRO	Chills	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Hypoaesthesia	·	·	✓
SRO	Pain	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Paraesthesia	·	·	✓
SRO	Pyrexia	✓	✓	✓

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