2B3-59427-91219

2 vaccinations 10 coded responses 22 check-ins 10 free-text entries 1 call case

Sex: Female
Age at first dose: 56-60
ZIP prefix: 386 / MS
Registered: 2021-03-04

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

2021-03-02
Dose 1 — Moderna
2021-03-04
Registered in v-safe
2021-03-04
Survey response — days 1–6 daily, dose 1
MedDRA: Unevaluable event — Feeling: Fair · Site: Pain, Swelling · Chills, Headache, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities

Free text: All of this occurred on the first day and night of vaccination.

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 · None

Adult check-in
2021-03-07
Survey response — days 1–6 daily, dose 1
MedDRA: Immunisation reaction — Feeling: Good

Free text: All of my symptoms was in the first 3 days of vaccination.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Chills

Adult check-in
2021-03-09
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-18
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-25
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-30
Dose 2 — Moderna
2021-03-31
Survey response — days 1–6 daily, dose 2
MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Poor · Site: Pain, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Lymph nodes pain and swelling

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-01
Survey response — days 1–6 daily, dose 2
MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Fair · Site: Pain, Swelling · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Lymph nodes are better but yet painful and slightly swollen especially tonight.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Survey response — days 1–6 daily, dose 2
MedDRA: Lymph node pain — Feeling: Fair · Site: Pain · Chills, Fatigue or tiredness

Free text: Lymph nodes are still tender and painful today.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-03
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy, Pain — Feeling: Good · Site: Swelling · Chills, Fatigue or tiredness

Free text: Lymph nodes under both arms are Sutlej achy. Worst in the evening and at night.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-04
Survey response — days 1–6 daily, dose 2
MedDRA: Lymph node pain — Feeling: Fair · Site: Pain, Redness, Itching · Chills, Fatigue or tiredness

Free text: Lymph nodes are still somewhat tender.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-05
Survey response — days 1–6 daily, dose 2
MedDRA: Breast tenderness, Lymph node pain — Feeling: Good · Site: Pain · Chills, Fatigue or tiredness

Free text: Lymph nodes and breasts tenderness.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-06
Survey response — day 7, dose 2
MedDRA: Dysgeusia, Lymph node pain — Feeling: Good · Site: Itching · Chills, Fatigue or tiredness

Free text: I forgot to report the metallic taste in my mouth upon taking both vaccines which lasted a few days. Lymph nodes are getting better. Mild tenderness.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-13
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
2021-04-27
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-04
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-11
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-29
Survey response — 3 months, dose 2
MedDRA: Alopecia, Axillary mass, Lymph node pain, Office visit — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Cant seem to shake the lumps and soreness in limp nodes underneath armpits. Hair has not stop shedding since vaccination · Healthcare visit (other): Primary care Provider

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)
2021-07-03
Call successful
Participant prefers to complete VAERS report online
2021-09-30
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-03-31
Health check-in — 12 months, dose 2
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-02	Moderna
2	2021-03-30	Moderna

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-04

Systemic reaction (other): All of this occurred on the first day and night of vaccination.

2021-03-07

Systemic reaction (other): All of my symptoms was in the first 3 days of vaccination.

Release 6 — days 1–6 daily, dose 2

2021-03-31

Systemic reaction (other): Lymph nodes pain and swelling

2021-04-01

Systemic reaction (other): Lymph nodes are better but yet painful and slightly swollen especially tonight.

2021-04-02

Systemic reaction (other): Lymph nodes are still tender and painful today.

2021-04-03

Systemic reaction (other): Lymph nodes under both arms are Sutlej achy. Worst in the evening and at night.

2021-04-04

Systemic reaction (other): Lymph nodes are still somewhat tender.

2021-04-05

Systemic reaction (other): Lymph nodes and breasts tenderness.

Release 7 — day 7, dose 2

2021-04-06

Systemic reaction (other): I forgot to report the metallic taste in my mouth upon taking both vaccines which lasted a few days. Lymph nodes are getting better. Mild tenderness.

Release 9 — 3 months, dose 2

2021-06-29

Symptoms: Cant seem to shake the lumps and soreness in limp nodes underneath armpits. Hair has not stop shedding since vaccination

Healthcare visit (other): Primary care Provider

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	✓	✓	✓
SD	Alopecia	✓	✓	✓
SD	Axillary mass	✓	✓	✓
SD	Lymph node pain	✓	✓	✓
SRO	Breast tenderness	✓	✓	✓
SRO	Dysgeusia	✓	✓	✓
SRO	Immunisation reaction	✓	✓	✓
SRO	Lymph node pain	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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