XNR-29881-39219

2 vaccinations 5 coded responses 19 check-ins 5 free-text entries 4 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 371 / TN
Registered: 2021-01-12

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

2021-01-12
Registered in v-safe
2021-01-12
Dose 1 — Moderna
2021-01-12
Survey response — day 0, dose 1
MedDRA: Pain, Skin warm — Feeling: Good

Free text: Injection received in left arm- however I had a very peculiar warming sensation in my right hand. Felt like hot air was blowing on it, followed by a very mild ache from right shoulder to right elbow.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-13
Survey response — days 1–6 daily, dose 1
MedDRA: Feeling hot, Flushing, Grip strength decreased, Injected limb mobility decreased — Feeling: Poor · Site: Pain, Swelling · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Unable to lift injection site arm or grip anything, face and forehead felt flushed and hot

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-13
Report sent to call center — days 1–6 daily, dose 1
Be unable to work · Be unable to do your normal daily activities

1 call case(s)
2021-01-15
Survey response — days 1–6 daily, dose 1
MedDRA: Hypoglycaemia — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Hypoglycemia

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-15
Report sent to call center — days 1–6 daily, dose 1
Be unable to work · Be unable to do your normal daily activities

1 call case(s)
2021-01-18
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fever · Headache, Fatigue or tiredness

Adult check-in
2021-01-21
Health check-in — day 7, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-01-26
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-02-09
Dose 2 — Moderna
2021-02-10
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-02-12
Survey response — days 1–6 daily, dose 2
MedDRA: Hypoaesthesia oral, Lip swelling, Medical counselling — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Lip swelling and hard lump, mouth numbness · Healthcare visit (other): Medical advice from health coworkers

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-12
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)
2021-02-13
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Swelling · Fever · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-14
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache

Adult check-in
2021-02-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-18
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-02-24
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-02
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-09
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-03-16
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-23
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-05-11
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-07-28
Call 1 — Left Voicemail
2022-02-09
Survey response — 12 months, dose 2
MedDRA: COVID-19 — 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 · Outpatient clinic or urgent care clinic visit

Free text: Covid

MedDRA releases: 2024-11 · check-in free text available
2022-02-09
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

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-02-10
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-12	Moderna
2	2021-02-09	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-01-13	priority 2/3
2021-01-15	priority 2/3
2021-02-12	Unsuccessful
2022-02-09	Unsuccessful

Free text

Release 1 — day 0, dose 1

2021-01-12

Systemic reaction (other): Injection received in left arm- however I had a very peculiar warming sensation in my right hand. Felt like hot air was blowing on it, followed by a very mild ache from right shoulder to right elbow.

Release 1 — days 1–6 daily, dose 1

2021-01-13

Systemic reaction (other): Unable to lift injection site arm or grip anything, face and forehead felt flushed and hot

Release 2 — days 1–6 daily, dose 1

2021-01-15

Systemic reaction (other): Hypoglycemia

Release 4 — days 1–6 daily, dose 2

2021-02-12

Systemic reaction (other): Lip swelling and hard lump, mouth numbness

Healthcare visit (other): Medical advice from health coworkers

Release 11 — 12 months, dose 2

2022-02-09

Symptoms: Covid

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	Medical counselling	✓	✓	✓
SD	COVID-19	·	·	✓
SRO	Feeling hot	✓	✓	✓
SRO	Flushing	✓	✓	✓
SRO	Grip strength decreased	✓	✓	✓
SRO	Hypoaesthesia oral	✓	✓	✓
SRO	Hypoglycaemia	✓	✓	✓
SRO	Injected limb mobility decreased	✓	✓	✓
SRO	Lip swelling	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Skin warm	✓	✓	✓

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