YU5-16449-63593

2 vaccinations 7 coded responses 20 check-ins 7 free-text entries 3 call cases

Sex: Female
Age at first dose: 26-30
ZIP prefix: 665 / KS
Registered: 2021-02-26

Relationship: Self
Race: N/A
Ethnicity: Not Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-02-26
Registered in v-safe
2021-02-26
Dose 1 — Moderna
2021-02-26
Health check-in — day 0, dose 1
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-02-27
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · None

Adult check-in
2021-03-01
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-12
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-21
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-26
Dose 2 — Moderna
2021-03-26
Survey response — day 0, dose 2
MedDRA: Arthralgia — Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches · Be unable to work

Free text: Pain in the wrist and below the thumb in the same hand I got the vaccine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-27
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-03-28
Survey response — days 1–6 daily, dose 2
MedDRA: Hypoaesthesia, Pain in extremity — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches

Free text: Pain/partial numbness below the left thumb area

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-29
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache

Adult check-in
2021-03-30
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache

Adult check-in
2021-03-31
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-01
Survey response — days 1–6 daily, dose 2
MedDRA: Pain, Pain in extremity, Paraesthesia, Rash, Self-medication — Feeling: Poor · Joint pains, Muscle or body aches, Rash, not including the immediate area around the injection site · Be unable to work, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Rashes broke out all over my hands and thighs and legs yesterday. Took an antihistamine that helped. I have also had on and off pain in my hands like a stinging or tingling pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-01
Report sent to call center — days 1–6 daily, dose 2
Be unable to work · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-02
Health check-in — day 7, dose 2
Feeling: Fair · Joint pains, Muscle or body aches

Adult check-in
2021-04-10
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-16
Survey response — day 21, dose 2
MedDRA: Paraesthesia — Feeling: Fair

Free text: Pins and needles effect in left arm today

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

Adult check-in
2021-04-30
Survey response — day 35, dose 2
MedDRA: Paraesthesia — Feeling: Fair

Free text: pinky left finger has pins and needles effect from time to time.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-07
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-09
Call 1 — Left Voicemail
2021-06-29
Survey response — 3 months, dose 2
MedDRA: Temporomandibular joint syndrome — Feeling: Good · 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: TMJ pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-29
Report sent to call center — 3 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-01
Call 1 — Left Voicemail
2021-09-26
Survey response — 6 months, dose 2
MedDRA: Temporomandibular joint syndrome, Trismus — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: TMJ disorder since May jn right jaw, trouble opening jaw

MedDRA releases: 2024-11 · check-in free text available
2021-09-26
Report sent to call center — 6 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-09-29
Call successful
Participant prefers to complete VAERS report online

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-26	Moderna
2	2021-03-26	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-04-01	Successful	Participant prefers to complete VAERS report online
2021-06-29	Successful	Participant prefers to complete VAERS report online
2021-09-26	Successful 2021-09-29	Participant prefers to complete VAERS report online

Free text

Release 6 — day 0, dose 2

2021-03-26

Systemic reaction (other): Pain in the wrist and below the thumb in the same hand I got the vaccine

Release 6 — days 1–6 daily, dose 2

2021-03-28

Systemic reaction (other): Pain/partial numbness below the left thumb area

2021-04-01

Systemic reaction (other): Rashes broke out all over my hands and thighs and legs yesterday. Took an antihistamine that helped. I have also had on and off pain in my hands like a stinging or tingling pain

Release 7 — day 21, dose 2

2021-04-16

Symptoms: Pins and needles effect in left arm today

Release 8 — day 35, dose 2

2021-04-30

Symptoms: pinky left finger has pins and needles effect from time to time.

Release 9 — 3 months, dose 2

2021-06-29

Symptoms: TMJ pain

Release 9 — 6 months, dose 2

2021-09-26

Symptoms: TMJ disorder since May jn right jaw, trouble opening jaw

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	Paraesthesia	✓	✓	✓
SD	Temporomandibular joint syndrome	✓	✓	✓
SD	Trismus	·	·	✓
SRO	Arthralgia	✓	✓	✓
SRO	Hypoaesthesia	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Paraesthesia	✓	✓	✓
SRO	Rash	✓	✓	✓
SRO	Self-medication	✓	✓	✓

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