YQ6-16872-53829

3 vaccinations 9 coded responses 40 check-ins 8 free-text entries 1 call case

Sex: Female
Age at first dose: 21-25
ZIP prefix: 309 / GA
Registered: 2021-05-28

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

2021-05-28
Registered in v-safe
2021-05-28
Dose 1 — Moderna
2021-05-28
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain, Swelling · None

Adult check-in
2021-05-29
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Fatigue or tiredness

Adult check-in
2021-05-30
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness

Adult check-in
2021-05-31
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-06-01
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-06-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-06-03
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-06-04
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-06-13
Survey response — day 14, dose 1
MedDRA: Injection site erythema, Injection site pruritus, Injection site swelling — Feeling: Good

Free text: Injection site had been normal for a few days, then suddenly I woke up 8 days after I had the shot and it was bright red, itching, and swollen. It was worse than the first day after the shot.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-18
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-06-22
Dose 2 — Moderna
2021-06-22
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness

Adult check-in
2021-06-23
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Poor · Site: Pain, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-24
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Paraesthesia — Feeling: Poor · Site: Pain, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Dizziness, tingling sensation in limbs (especially injection site arm)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-25
Survey response — days 1–6 daily, dose 2
MedDRA: Hypoaesthesia, Paraesthesia — Feeling: Good · Site: Itching · Headache, Fatigue or tiredness

Free text: Numbness and tingling in arm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-26
Survey response — days 1–6 daily, dose 2
MedDRA: Paraesthesia — Feeling: Good · Site: Itching · Headache

Free text: Still some tingling sensation in arm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-27
Survey response — days 1–6 daily, dose 2
MedDRA: Paraesthesia — Feeling: Fair · Headache, Fatigue or tiredness

Free text: tingling in legs and arms

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-28
Survey response — days 1–6 daily, dose 2
MedDRA: Paraesthesia — Feeling: Good

Free text: Tingling in arms and legs

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-29
Survey response — day 7, dose 2
MedDRA: Hypoaesthesia, Paraesthesia — Feeling: Good

Free text: Tingling and numb sensation has now moved up my arms and legs to my shoulders and hips.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-06
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-07-15
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-07-20
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-07-27
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-08-03
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-09-21
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-12-21
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-01-22
Dose 3 — Moderna
Co-administered: Flu
2022-01-22
Health check-in — day 0, dose 3
Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2022-01-23
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2022-01-24
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-01-25
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Redness, Swelling, Itching · Headache, Fatigue or tiredness

Adult check-in
2022-01-26
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Itching · Fatigue or tiredness

Adult check-in
2022-01-27
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Itching · Fatigue or tiredness

Adult check-in
2022-01-29
Health check-in — day 7, dose 3
Feeling: Good · Site: Itching · None

Adult check-in
2022-02-05
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-02-12
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-02-19
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-02-26
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-03-05
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-04-23
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-07-23
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2023-01-22
Survey response — 12 months, dose 3
MedDRA: Headache, Oropharyngeal pain — Feeling: Poor · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

MedDRA releases: 2024-11
2023-01-22
Report sent to call center — 12 months, dose 3
Be unable to work or attend school · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2023-01-23
Call successful
Not applicable - Accidental Reporting

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-05-28	Moderna
2	2021-06-22	Moderna	No
3	2022-01-22	Moderna	Flu

Call center

Reported	Outcome	VAERS-related outcome
2023-01-22	Successful 2023-01-23	Not applicable - Accidental Reporting

Free text

Release 9 — day 14, dose 1

2021-06-13

Symptoms: Injection site had been normal for a few days, then suddenly I woke up 8 days after I had the shot and it was bright red, itching, and swollen. It was worse than the first day after the shot.

Release 9 — days 1–6 daily, dose 2

2021-06-23

Systemic reaction (other): Dizziness

2021-06-24

Systemic reaction (other): Dizziness, tingling sensation in limbs (especially injection site arm)

2021-06-25

Systemic reaction (other): Numbness and tingling in arm

2021-06-26

Systemic reaction (other): Still some tingling sensation in arm

2021-06-27

Systemic reaction (other): tingling in legs and arms

2021-06-28

Systemic reaction (other): Tingling in arms and legs

Release 9 — day 7, dose 2

2021-06-29

Systemic reaction (other): Tingling and numb sensation has now moved up my arms and legs to my shoulders and hips.

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	Headache	·	·	✓
SD	Injection site erythema	✓	✓	✓
SD	Injection site pruritus	✓	✓	✓
SD	Injection site swelling	✓	✓	✓
SD	Oropharyngeal pain	·	·	✓
SRO	Dizziness	✓	✓	✓
SRO	Hypoaesthesia	✓	✓	✓
SRO	Paraesthesia	✓	✓	✓

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