WEH-29376-19355

2 vaccinations 11 coded responses 26 check-ins 11 free-text entries 2 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 373 / TN
Registered: 2021-03-23

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

2021-03-23
Registered in v-safe
2021-03-23
Dose 1 — Moderna
2021-03-23
Survey response — day 0, dose 1
MedDRA: Paraesthesia, Throat irritation — Feeling: Fair · Site: Itching · Fever · Headache, Nausea

Free text: Tingling in arms, hands, itchy throat.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fever · Diarrhea

Adult check-in
2021-03-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache, Nausea

Adult check-in
2021-03-27
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-03-29
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-03-30
Health check-in — day 7, dose 1
Feeling: Good · Headache, Muscle or body aches

Adult check-in
2021-04-06
Survey response — day 14, dose 1
MedDRA: Arthralgia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Mostly just joint pain.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-20
Survey response — day 28, dose 1
MedDRA: Fatigue — Feeling: Fair · Be unable to do your normal daily activities

Free text: Fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-27
Survey response — day 35, dose 1
MedDRA: Myalgia — Feeling: Fair

Free text: Pain in muscles from slight use

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-28
Dose 2 — Moderna
2021-04-28
Survey response — day 0, dose 2
MedDRA: Arthralgia — Feeling: Poor · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Pain in shoulder and neck

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-29
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · 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

Adult check-in
2021-04-29
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)
2021-04-30
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-05-01
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-05-02
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-05-03
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-05-04
Survey response — days 1–6 daily, dose 2
MedDRA: Headache, Vision blurred — Feeling: Poor · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Blurry vision for days along with the headache?

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-05
Health check-in — day 7, dose 2
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-05-12
Survey response — day 14, dose 2
MedDRA: Fatigue — Feeling: Poor · Be unable to do your normal daily activities

Free text: Severe fatigue that isn't relieved by anything.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-19
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-26
Survey response — day 28, dose 2
MedDRA: Abdominal pain upper, Cough, Diarrhoea, Headache, Malaise, Myalgia, Nasal congestion, Nausea, Pyrexia — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities

Free text: Sick with cough fever stuffy nose muscle aches, headache, diarrhea nausea stomach hurts. May be a cold?

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-02
Survey response — day 35, dose 2
MedDRA: Cough, Fatigue, Headache, Nasopharyngitis, Respiratory tract congestion — Feeling: Fair · Be unable to do your normal daily activities

Free text: Same as last week's, some kinda of lingering cold. Cough congestion headache, cough is new or more since last time. No fever. Fatigue.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-15
Survey response — day 42, dose 2
MedDRA: Breast mass, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: A pellet size knot in my breast. · Healthcare visit (other): Going to make an appointment.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-15
Report sent to call center — day 42, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-17
Call 1 — Left Voicemail
2021-06-17
Call 1 — Left Voicemail
2021-07-28
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2022-04-30
Survey response — 12 months, dose 2
MedDRA: Fatigue, Muscle disorder, Muscular weakness — Feeling: Fair · Be unable to do your normal daily activities

Free text: Fatigue , muscle weakness, slow muscle recouping time.

MedDRA releases: 2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-23	Moderna
2	2021-04-28	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-04-29	Unsuccessful
2021-06-15	Unsuccessful

Free text

Release 6 — day 0, dose 1

2021-03-23

Systemic reaction (other): Tingling in arms, hands, itchy throat.

Release 7 — day 14, dose 1

2021-04-06

Symptoms: Mostly just joint pain.

Release 7 — day 28, dose 1

2021-04-20

Symptoms: Fatigue

Release 8 — day 35, dose 1

2021-04-27

Symptoms: Pain in muscles from slight use

Release 8 — day 0, dose 2

2021-04-28

Systemic reaction (other): Pain in shoulder and neck

Release 8 — days 1–6 daily, dose 2

2021-05-04

Systemic reaction (other): Blurry vision for days along with the headache?

Release 8 — day 14, dose 2

2021-05-12

Symptoms: Severe fatigue that isn't relieved by anything.

Release 8 — day 28, dose 2

2021-05-26

Symptoms: Sick with cough fever stuffy nose muscle aches, headache, diarrhea nausea stomach hurts. May be a cold?

Release 8 — day 35, dose 2

2021-06-02

Symptoms: Same as last week's, some kinda of lingering cold. Cough congestion headache, cough is new or more since last time. No fever. Fatigue.

Release 9 — day 42, dose 2

2021-06-15

Symptoms: A pellet size knot in my breast.

Healthcare visit (other): Going to make an appointment.

Release 11 — 12 months, dose 2

2022-04-30

Symptoms: Fatigue , muscle weakness, slow muscle recouping time.

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	Unevaluable event	✓	✓	✓
SD	Abdominal pain upper	✓	✓	✓
SD	Arthralgia	✓	✓	✓
SD	Breast mass	✓	✓	✓
SD	Cough	✓	✓	✓
SD	Diarrhoea	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Malaise	✓	✓	✓
SD	Muscle disorder	·	·	✓
SD	Muscular weakness	·	·	✓
SD	Myalgia	✓	✓	✓
SD	Nasal congestion	✓	✓	✓
SD	Nasopharyngitis	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Pyrexia	✓	✓	✓
SD	Respiratory tract congestion	✓	✓	✓
SRO	Arthralgia	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Paraesthesia	✓	✓	✓
SRO	Throat irritation	✓	✓	✓
SRO	Vision blurred	✓	✓	✓

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