ZF6-32366-84172

2 vaccinations 8 coded responses 26 check-ins 8 free-text entries 1 call case

Sex: Female
Age at first dose: 56-60
ZIP prefix: 045 / ME
Registered: 2021-03-03

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
Registered in v-safe
2021-03-03
Dose 1 — Moderna
2021-03-03
Survey response — day 0, dose 1
MedDRA: Paraesthesia, Paraesthesia oral — Feeling: Fair · Site: Pain

Free text: Upper lip and right cheek tingly

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-04
Survey response — days 1–6 daily, dose 1
MedDRA: Paraesthesia, Paraesthesia oral — Feeling: Fair · Site: Pain, Swelling · Headache, Nausea

Free text: The tingly feeling in my right cheek and upper lip has subsided

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-05
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site pain — Feeling: Good · Site: Pain

Free text: Pain at injection site is greatly reduced.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-03-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-10
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-17
Survey response — day 14, dose 1
MedDRA: Rash, Rash pruritic — Feeling: Good

Free text: Itchy rash on my forearm of the arm I had vaccine injection.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-24
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-31
Dose 2 — Moderna
2021-03-31
Survey response — day 0, dose 2
MedDRA: Hypoaesthesia, Hypoaesthesia oral — Feeling: Good

Free text: Slight numbness in right cheek and upper lip

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-01
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-02
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · 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: Pain · None

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

Adult check-in
2021-04-05
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

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

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

Adult check-in
2021-04-14
Survey response — day 14, dose 2
MedDRA: Migraine, Pre-existing disease — Feeling: Good

Free text: Since my first vaccination I have had more (4-5 more) migraine headaches over the month requiring Imitrex and maybe my tinnitus has worsened.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
Survey response — day 21, dose 2
MedDRA: Abdominal discomfort — Feeling: Good

Free text: Gastric distress which is unusual for me.

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

Adult check-in
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
2021-10-01
Survey response — 6 months, dose 2
MedDRA: Occult blood positive, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Occult Blood Stool IA ScreeningYour ValuePOSITIVE · Healthcare visit (other): Referral for colonoscopy

MedDRA releases: 2024-11 · check-in free text available
2021-10-01
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-11-22
Call 1 — Left Voicemail
2022-03-31
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-03	Moderna
2	2021-03-31	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-10-01	Unsuccessful

Free text

Release 5 — day 0, dose 1

2021-03-03

Systemic reaction (other): Upper lip and right cheek tingly

Release 5 — days 1–6 daily, dose 1

2021-03-04

Systemic reaction (other): The tingly feeling in my right cheek and upper lip has subsided

2021-03-05

Systemic reaction (other): Pain at injection site is greatly reduced.

Release 5 — day 14, dose 1

2021-03-17

Symptoms: Itchy rash on my forearm of the arm I had vaccine injection.

Release 6 — day 0, dose 2

2021-03-31

Systemic reaction (other): Slight numbness in right cheek and upper lip

Release 7 — day 14, dose 2

2021-04-14

Symptoms: Since my first vaccination I have had more (4-5 more) migraine headaches over the month requiring Imitrex and maybe my tinnitus has worsened.

Release 7 — day 21, dose 2

2021-04-21

Symptoms: Gastric distress which is unusual for me.

Release 9 — 6 months, dose 2

2021-10-01

Symptoms: Occult Blood Stool IA ScreeningYour ValuePOSITIVE

Healthcare visit (other): Referral for colonoscopy

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	Unevaluable event	·	·	✓
SD	Abdominal discomfort	✓	✓	✓
SD	Migraine	✓	✓	✓
SD	Occult blood positive	·	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Rash	✓	✓	✓
SD	Rash pruritic	✓	✓	✓
SRO	Hypoaesthesia	✓	✓	✓
SRO	Hypoaesthesia oral	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Paraesthesia	✓	✓	✓
SRO	Paraesthesia oral	✓	✓	✓

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