Y23-17293-37819

2 vaccinations 12 coded responses 25 check-ins 12 free-text entries 1 call case

Sex: Female
Age at first dose: 46-50
ZIP prefix: 717 / AR
Registered: 2021-01-20

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

2021-01-20
Registered in v-safe
2021-01-20
Dose 1 — Moderna
2021-01-20
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-01-22
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches

Adult check-in
2021-01-23
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Nausea

Adult check-in
2021-01-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-01-25
Survey response — days 1–6 daily, dose 1
MedDRA: Rhinorrhoea, Upper-airway cough syndrome — Feeling: Good · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Nasal drip and drainage daily since vaccine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-26
Survey response — days 1–6 daily, dose 1
MedDRA: Upper-airway cough syndrome — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Nasal drip

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-27
Health check-in — day 7, dose 1
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-03
Survey response — day 14, dose 1
MedDRA: Arthralgia, Injection site bruising, Injection site erythema, Injection site pruritus, Injection site rash, Injection site warmth, Myalgia, Self-medication — Feeling: Good · Be unable to do your normal daily activities

Free text: I had a 24 hour muscle and hip joint pain last Friday and part of Saturday.. On last Thursday I developed a red bruise /rash.at the injection site.. It was warm to the touch and itchy. Its almost gone but itchy. I take claritan for allergy symptoms.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-10
Survey response — day 21, dose 1
MedDRA: Head discomfort, Paranasal sinus hypersecretion, Vertigo — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: Vertigo, left side of head pressure, sinus drainage,

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-17
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-02-23
Dose 2 — Moderna
2021-02-24
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Nausea

Adult check-in
2021-02-25
Survey response — days 1–6 daily, dose 2
MedDRA: Blood glucose increased, Decreased appetite — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work

Free text: Elevated blood sugars and loss of appetite

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-26
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Itching · Chills, Headache, Fatigue or tiredness, Diarrhea

Adult check-in
2021-02-27
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Itching · Chills, Headache, Muscle or body aches

Adult check-in
2021-02-28
Survey response — days 1–6 daily, dose 2
MedDRA: Blood glucose increased — Feeling: Good · Site: Itching · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Elevated glucose

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Itching · Headache, Fatigue or tiredness

Adult check-in
2021-03-02
Survey response — day 7, dose 2
MedDRA: Fatigue — Feeling: Good · Headache

Free text: Fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-09
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-16
Survey response — day 21, dose 2
MedDRA: Arthralgia — Feeling: Good

Free text: Hip joint pain in the right hip.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-23
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-30
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-06
Survey response — day 42, dose 2
MedDRA: Abdominal pain, Muscle twitching — Feeling: Good

Free text: Muscle twitching in my arms abd pain. I am not sure if shot related

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-25
Survey response — 3 months, dose 2
MedDRA: Arthralgia, Pain in extremity, Peripheral swelling — Feeling: Good · Be unable to do your normal daily activities

Free text: Aching joints and foot pain and light swelling in my feet

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-24
Survey response — 6 months, dose 2
MedDRA: Arthralgia — Feeling: Good · Be unable to do your normal daily activities

Free text: Joint pains

MedDRA releases: 2021-09,2024-11 · check-in free text available
2022-02-23
Survey response — 12 months, dose 2
MedDRA: Inflammation, Migraine, Muscle twitching, Self-medication — Feeling: Good · 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: Symptoms: More issues with inflummation and muscle twitches Migraines · Healthcare visit (other): Over the counter meds

MedDRA releases: 2024-11 · check-in free text available
2022-02-23
Report sent to call center — 12 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Emergency room or emergency department visit · 1 call case(s)
2022-02-25
Call 1 — Could Not Reach Participant
2022-03-02
Call 2 — Could Not Reach Participant

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-20	Moderna
2	2021-02-23	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2022-02-23	Unsuccessful

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-25

Systemic reaction (other): Nasal drip and drainage daily since vaccine

2021-01-26

Systemic reaction (other): Nasal drip

Release 3 — day 14, dose 1

2021-02-03

Symptoms: I had a 24 hour muscle and hip joint pain last Friday and part of Saturday.. On last Thursday I developed a red bruise /rash.at the injection site.. It was warm to the touch and itchy. Its almost gone but itchy. I take claritan for allergy symptoms. cut off by CDC

Release 4 — day 21, dose 1

2021-02-10

Symptoms: Vertigo, left side of head pressure, sinus drainage,

Release 4 — days 1–6 daily, dose 2

2021-02-25

Systemic reaction (other): Elevated blood sugars and loss of appetite

2021-02-28

Systemic reaction (other): Elevated glucose

Release 4 — day 7, dose 2

2021-03-02

Systemic reaction (other): Fatigue

Release 5 — day 21, dose 2

2021-03-16

Symptoms: Hip joint pain in the right hip.

Release 7 — day 42, dose 2

2021-04-06

Symptoms: Muscle twitching in my arms abd pain. I am not sure if shot related

Release 8 — 3 months, dose 2

2021-05-25

Symptoms: Aching joints and foot pain and light swelling in my feet

Release 9 — 6 months, dose 2

2021-08-24

Symptoms: Joint pains

Release 11 — 12 months, dose 2

2022-02-23

Symptoms: More issues with inflummation and muscle twitches Migraines

Healthcare visit (other): Over the counter meds

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	Self-medication	·	·	✓
SD	Abdominal pain	✓	✓	✓
SD	Arthralgia	✓	✓	✓
SD	Head discomfort	✓	✓	✓
SD	Inflammation	·	·	✓
SD	Injection site bruising	✓	✓	✓
SD	Injection site erythema	✓	✓	✓
SD	Injection site pruritus	✓	✓	✓
SD	Injection site rash	✓	✓	✓
SD	Injection site warmth	✓	✓	✓
SD	Migraine	·	·	✓
SD	Muscle twitching	✓	✓	✓
SD	Myalgia	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SD	Paranasal sinus hypersecretion	✓	✓	✓
SD	Peripheral swelling	✓	✓	✓
SD	Self-medication	✓	✓	✓
SD	Vertigo	✓	✓	✓
SRO	Blood glucose increased	✓	✓	✓
SRO	Decreased appetite	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Rhinorrhoea	✓	✓	✓
SRO	Upper-airway cough syndrome	✓	✓	✓

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