YQC-17523-31567

5 vaccinations 11 coded responses 44 check-ins 11 free-text entries 2 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 934 / CA
Registered: 2021-03-26

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

2021-03-03
Dose 1 — Moderna
2021-03-26
Registered in v-safe
2021-03-26
Survey response — day 21, dose 1
MedDRA: Injection site rash, Paraesthesia, Rash erythematous — Feeling: Good

Free text: Delayed red itchy rash on left arm at site of injection which began 11 days after the first shot and lasted 5 days. Light tickling/tingling in arms, wrists and fingers/hands which began 21 days after first shot.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-31
Dose 2 — Moderna
2021-03-31
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-01
Survey response — days 1–6 daily, dose 2
MedDRA: Rash, Urticaria — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain, Rash, not including the immediate area around the injection site

Free text: The rash is really hives, on my neck and chest, a total of 5 of them over the course of last night and today

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Swelling, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-03
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness, Swelling, Itching · Fatigue or tiredness, Rash, not including the immediate area around the injection site

Adult check-in
2021-04-04
Survey response — days 1–6 daily, dose 2
MedDRA: Urticaria — Feeling: Good · Site: Itching · Fatigue or tiredness, Rash, not including the immediate area around the injection site

Free text: Hives, still, on my neck and back on my right side

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-05
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Itching · None

Adult check-in
2021-04-06
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Itching · None

Adult check-in
2021-04-07
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-14
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-21
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-28
Survey response — day 28, dose 2
MedDRA: Menstrual disorder — Feeling: Fair

Free text: I just had my third menstruation in one month - each lasting 2-3 days - and all since my 2nd Moderna shot. My last period was 8 months prior to this. I was pretty sure I was in menopause.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-05
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-12
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-30
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-29
Survey response — 6 months, dose 2
MedDRA: Adverse reaction, Office visit, Surgery — Feeling: Fair · 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: Symptoms: personal, unrelated to the vaccine · Healthcare visit (other): Outpatient surgery

MedDRA releases: 2024-11 · check-in free text available
2021-09-29
Report sent to call center — 6 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)
2021-11-16
Call 2 — Left Voicemail
2021-12-03
Dose 3 — Moderna
2022-04-07
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-05-29
Dose 4 — Moderna
2022-05-31
Survey response — days 1–6 daily, dose 4
MedDRA: Palpitations — Feeling: Fair · Site: Pain, Redness, Itching · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Racing heart

MedDRA releases: 2024-11 · check-in free text available
2022-06-01
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-06-02
Survey response — days 1–6 daily, dose 4
MedDRA: Oral herpes — Feeling: Good · Site: Itching

Free text: fever blisters

MedDRA releases: 2024-11 · check-in free text available
2022-06-03
Survey response — days 1–6 daily, dose 4
MedDRA: Oral herpes — Feeling: Good · Site: Itching

Free text: Fever blisters

MedDRA releases: 2024-11 · check-in free text available
2022-06-04
Survey response — days 1–6 daily, dose 4
MedDRA: Oral herpes — Feeling: Good · Site: Itching

Free text: fever blisters

MedDRA releases: 2024-11 · check-in free text available
2022-06-05
Survey response — day 7, dose 4
MedDRA: Oral herpes — Feeling: Good

Free text: fever blisters

MedDRA releases: 2024-11 · check-in free text available
2022-06-12
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-06-19
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-06-26
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-07-03
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-07-10
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-08-30
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-11-26
Dose 5 — Moderna
2022-11-26
Health check-in — day 0, dose 5
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-11-27
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Site: Pain, Redness, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-11-28
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-11-29
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2022-11-30
Health check-in — days 1–6 daily, dose 5
Feeling: Good · None

Adult check-in
2022-12-01
Health check-in — days 1–6 daily, dose 5
Feeling: Good · None

Adult check-in
2022-12-02
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Headache

Adult check-in
2022-12-03
Health check-in — day 7, dose 5
Feeling: Good · None

Adult check-in
2022-12-10
Health check-in — day 14, dose 5
Feeling: Good

Adult check-in
2022-12-17
Health check-in — day 21, dose 5
Feeling: Good

Adult check-in
2022-12-24
Health check-in — day 28, dose 5
Feeling: Fair

Free text: I think Im catching a cold.

Adult check-in · check-in free text available
2022-12-31
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2023-01-07
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2023-02-27
Health check-in — 3 months, dose 5
Feeling: Good

Adult check-in
2023-05-27
Survey response — 6 months, dose 5
MedDRA: Hypertension — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

MedDRA releases: 2024-11
2023-05-27
Call case (no matching report) — Unsuccessful
2023-05-30
Call 1 — Left Voicemail
2023-05-30
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-03	Moderna
2	2021-03-31	Moderna
3	2021-12-03	Moderna	No
4	2022-05-29	Moderna	No
5	2022-11-26	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2021-09-29	Unsuccessful
2023-05-27	Unsuccessful

Free text

Release 6 — day 21, dose 1

2021-03-26

Symptoms: Delayed red itchy rash on left arm at site of injection which began 11 days after the first shot and lasted 5 days. Light tickling/tingling in arms, wrists and fingers/hands which began 21 days after first shot.

Release 6 — days 1–6 daily, dose 2

2021-04-01

Systemic reaction (other): The rash is really hives, on my neck and chest, a total of 5 of them over the course of last night and today

2021-04-04

Systemic reaction (other): Hives, still, on my neck and back on my right side

Release 8 — day 28, dose 2

2021-04-28

Symptoms: I just had my third menstruation in one month - each lasting 2-3 days - and all since my 2nd Moderna shot. My last period was 8 months prior to this. I was pretty sure I was in menopause.

Release 9 — 6 months, dose 2

2021-09-29

Symptoms: personal, unrelated to the vaccine

Healthcare visit (other): Outpatient surgery

Release 11 — days 1–6 daily, dose 4

2022-05-31

Systemic reaction (other): Racing heart

2022-06-02

Systemic reaction (other): fever blisters

2022-06-03

Systemic reaction (other): Fever blisters

2022-06-04

Systemic reaction (other): fever blisters

Release 11 — day 7, dose 4

2022-06-05

Systemic reaction (other): fever blisters

Release 12 — day 28, dose 5

2022-12-24

Symptoms: I think Im catching a cold.

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	·	·	✓
HCVO	Surgery	·	·	✓
SD	Adverse reaction	·	·	✓
SD	Hypertension	·	·	✓
SD	Injection site rash	✓	✓	✓
SD	Menstrual disorder	✓	✓	✓
SD	Paraesthesia	✓	✓	✓
SD	Rash erythematous	✓	✓	✓
SRO	Oral herpes	·	·	✓
SRO	Palpitations	·	·	✓
SRO	Rash	✓	✓	✓
SRO	Urticaria	✓	✓	✓

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