2JM-85596-15921

4 vaccinations 22 coded responses 47 check-ins 21 free-text entries 7 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 447 / OH
Registered: 2021-03-08

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

2021-03-06
Dose 1 — Moderna
2021-03-08
Registered in v-safe
2021-03-08
Survey response — days 1–6 daily, dose 1
MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Poor · Site: Pain, Redness, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Free text: It feels like my lymphs nodes are swollen, with pain under both arms and shoulder blades.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-09
Survey response — days 1–6 daily, dose 1
MedDRA: Hyperhidrosis, Unevaluable event — Feeling: Fair · Site: Pain, Redness · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): I was sweating when I awoke this morning, thinking that I may have had a fever overnight. · Healthcare visit (other): I called and left a message w/my rheumatologist yesterday. Have not heard back from them yet today.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-09
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-10
Survey response — days 1–6 daily, dose 1
MedDRA: Tinnitus — Feeling: Fair · Site: Pain, Redness, Itching · Headache, Muscle or body aches · Be unable to do your normal daily activities

Free text: The tinnitus I have has been louder since having the vaccination on Saturday.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Redness, Itching · Headache, Muscle or body aches

Adult check-in
2021-03-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Redness · None

Adult check-in
2021-03-13
Health check-in — day 7, dose 1
Feeling: Good · Site: Redness · Muscle or body aches

Adult check-in
2021-03-20
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-27
Survey response — day 21, dose 1
MedDRA: Cough, Paranasal sinus discomfort, Paranasal sinus hypersecretion, Sinus congestion — Feeling: Good

Free text: A little Sinus congestion, pressure, drainage & occasional cough.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-03
Dose 2 — Moderna
2021-04-03
Survey response — day 0, dose 2
MedDRA: Injection site reaction — Feeling: Fair · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: I put an ice pack on the injection site and proceeded to sleep for 5 hours.

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

Adult check-in
2021-04-05
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Joint pains, Muscle or body aches, Rash, not including the immediate area around the injection site

Adult check-in
2021-04-06
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-04-07
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-08
Survey response — days 1–6 daily, dose 2
MedDRA: Tinnitus — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches

Free text: Tinnitus since vaccination

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

Free text: I have been coughing intermittently since the second vaccine. Tinnitus

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-10
Survey response — day 7, dose 2
MedDRA: Cough — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches

Free text: Still coughing occasionally

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-17
Survey response — day 14, dose 2
MedDRA: Dyspnoea exertional, Tinnitus — Feeling: Fair

Free text: The tinnitus seems more noticeable. I also seem more short of breath with exertion.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-26
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-01
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-08
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-15
Survey response — day 42, dose 2
MedDRA: Arthritis, Headache, Pre-existing disease, Tinnitus — Feeling: Fair

Free text: I have arthritis and my joints feel worse. I also have headaches (not horribly bad, but fairly often). The tinnitus is more often and worse.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-05
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-02
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-25
Dose 3 — Moderna
2021-10-29
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-10-30
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Redness · Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain

Adult check-in
2021-10-31
Survey response — days 1–6 daily, dose 3
MedDRA: Dizziness, Nausea — Feeling: Poor · Site: Pain, Redness · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Free text: Queasiness, dizzying

MedDRA releases: 2024-11 · check-in free text available
2021-11-01
Health check-in — day 7, dose 3
Feeling: Fair · Site: Pain, Redness · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain

Adult check-in
2021-11-08
Health check-in — day 14, dose 3
Feeling: Fair

Adult check-in
2021-11-15
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2021-11-22
Survey response — day 28, dose 3
MedDRA: Arthralgia, Diarrhoea, Haemorrhoids, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities

Free text: Sore joints (shoulders, ankles, & wrists). May be attributed to my rheumatoid arthritis. Also, loose bowels; not diarrhea. And hemorrhoids.

MedDRA releases: 2024-11 · check-in free text available
2021-12-01
Survey response — day 35, dose 3
MedDRA: Condition aggravated, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities

Free text: Actually I have a chronic tear in my rotator cuff. I aggravated it the other day.

MedDRA releases: 2024-11 · check-in free text available
2021-12-06
Survey response — day 42, dose 3
MedDRA: Rotator cuff syndrome — Feeling: Fair · Be unable to do your normal daily activities

Free text: I do have a torn rotator cuff in my right shoulder.

MedDRA releases: 2024-11 · check-in free text available
2022-01-24
Survey response — 3 months, dose 3
MedDRA: Back 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: Mid back pain · Healthcare visit (other): Regular office visits

MedDRA releases: 2024-11 · check-in free text available
2022-01-24
Report sent to call center — 3 months, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2022-01-25
Call 1 — Left Voicemail
2022-02-08
Call successful
Participant prefers to complete VAERS report online
2022-02-08
Call successful
Participant prefers to complete VAERS report online
2022-04-20
Dose 4 — Moderna
2022-04-21
Health check-in — days 1–6 daily, dose 4
Feeling: Poor · Site: Pain, Redness · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-04-22
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain

Adult check-in
2022-04-23
Health check-in — days 1–6 daily, dose 4
Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2022-04-24
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Abdominal pain

Adult check-in
2022-04-25
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Joint pains, Muscle or body aches, Abdominal pain

Adult check-in
2022-04-27
Health check-in — day 7, dose 4
Feeling: Fair · Site: Redness, Swelling · Headache, Joint pains, Muscle or body aches, Abdominal pain

Adult check-in
2022-05-04
Health check-in — day 14, dose 4
Feeling: Fair

Adult check-in
2022-05-11
Survey response — day 21, dose 4
MedDRA: Abdominal pain lower, Cough, Office visit — Feeling: Poor · Get care from a doctor or other healthcare professional

Free text: Symptoms: New: Started coughing; but may be allergies? Continued: lower abdominal pain · Healthcare visit (other): In person appointment with my GP

MedDRA releases: 2024-11 · check-in free text available
2022-05-11
Report sent to call center — day 21, dose 4
Get care from a doctor or other healthcare professional

1 call case(s)
2022-05-12
Call 2 — Left Voicemail
2022-05-18
Survey response — day 28, dose 4
MedDRA: Abdominal pain lower, Myalgia — Feeling: Poor · Be unable to do your normal daily activities

Free text: Lower abdomen pain. Also overall muscular aches and pain behind left shoulder.

MedDRA releases: 2024-11 · check-in free text available
2022-05-25
Survey response — day 35, dose 4
MedDRA: Abdominal pain lower — Feeling: Poor · Be unable to do your normal daily activities

Free text: Lower abdomen pain - worsening

MedDRA releases: 2024-11 · check-in free text available
2022-06-01
Survey response — day 42, dose 4
MedDRA: Diverticulitis, Gastrointestinal disorder, Office visit — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Thickening of colon and diverticulitis. Surgery the recommended next step. · Healthcare visit (other): 2 office visits

MedDRA releases: 2024-11 · check-in free text available
2022-06-01
Report sent to call center — day 42, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2022-06-02
Call 1 — Left Voicemail
2022-06-02
Call 2 — Left Voicemail
2022-06-02
Call 3 — Left Voicemail
2022-06-02
Call 2 — Left Voicemail
2022-07-20
Survey response — 3 months, dose 4
MedDRA: Abdominal operation, Bladder repair, Fistula repair, Intestinal resection, Venous injury — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Hospitalization

Free text: I had abdominal surgery: repair to my bladder, bowel resection, fistula repair, renal vessels damage.

MedDRA releases: 2024-11 · check-in free text available
2022-07-20
Report sent to call center — 3 months, dose 4
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Hospitalization · 1 call case(s)
2022-07-21
Call 2 — Could Not Reach Participant
2022-07-27
Call 3 — Left Voicemail
2022-10-19
Survey response — 6 months, dose 4
MedDRA: Abdominal operation, Medical counselling, Procedural complication — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Emergency room or emergency department visit, Hospitalization

Free text: Symptoms: Abdominal surgery 6/29/22 with complications. · Healthcare visit (other): Visiting nurses

MedDRA releases: 2024-11 · check-in free text available
2022-10-19
Report sent to call center — 6 months, dose 4
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Telehealth, virtual health, or email health consultation · Emergency room or emergency department visit · Hospitalization · 1 call case(s)
2022-10-20
Call X — Left Voicemail
2022-10-20
Call 3 — Left Voicemail
2022-10-20
Call X — Left Voicemail
2022-10-20
Call 2 — Left Voicemail
2023-04-20
Survey response — 12 months, dose 4
MedDRA: Office visit, Physiotherapy, Spinal compression fracture — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

MedDRA releases: 2024-11
2023-04-20
Report sent to call center — 12 months, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Emergency room or emergency department visit · 1 call case(s)
2023-04-21
Call 1 — Left Voicemail
2023-04-21
Call 1 — Left Voicemail
2023-04-21
Call 1 — Left Voicemail
2023-04-21
Call 1 — Left Voicemail
2023-04-21
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-06	Moderna
2	2021-04-03	Moderna
3	2021-10-25	Moderna	No
4	2022-04-20	Moderna	No

Call center

7 call center cases

2 successful · 5 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-08

Systemic reaction (other): It feels like my lymphs nodes are swollen, with pain under both arms and shoulder blades.

2021-03-09

Systemic reaction (other): I was sweating when I awoke this morning, thinking that I may have had a fever overnight.

Healthcare visit (other): I called and left a message w/my rheumatologist yesterday. Have not heard back from them yet today.

2021-03-10

Systemic reaction (other): The tinnitus I have has been louder since having the vaccination on Saturday.

Release 6 — day 21, dose 1

2021-03-27

Symptoms: A little Sinus congestion, pressure, drainage & occasional cough.

Release 6 — day 0, dose 2

2021-04-03

Systemic reaction (other): I put an ice pack on the injection site and proceeded to sleep for 5 hours.

Release 7 — days 1–6 daily, dose 2

2021-04-08

Systemic reaction (other): Tinnitus since vaccination

2021-04-09

Systemic reaction (other): I have been coughing intermittently since the second vaccine. Tinnitus

Release 7 — day 7, dose 2

2021-04-10

Systemic reaction (other): Still coughing occasionally

Release 7 — day 14, dose 2

2021-04-17

Symptoms: The tinnitus seems more noticeable. I also seem more short of breath with exertion.

Release 8 — day 42, dose 2

2021-05-15

Symptoms: I have arthritis and my joints feel worse. I also have headaches (not horribly bad, but fairly often). The tinnitus is more often and worse.

Release 10 — days 1–6 daily, dose 3

2021-10-31

Systemic reaction (other): Queasiness, dizzying

Release 10 — day 28, dose 3

2021-11-22

Symptoms: Sore joints (shoulders, ankles, & wrists). May be attributed to my rheumatoid arthritis. Also, loose bowels; not diarrhea. And hemorrhoids.

Release 10 — day 35, dose 3

2021-12-01

Symptoms: Actually I have a chronic tear in my rotator cuff. I aggravated it the other day.

Release 10 — day 42, dose 3

2021-12-06

Symptoms: I do have a torn rotator cuff in my right shoulder.

Release 11 — 3 months, dose 3

2022-01-24

Symptoms: Mid back pain

Healthcare visit (other): Regular office visits

Release 11 — day 21, dose 4

2022-05-11

Symptoms: New: Started coughing; but may be allergies? Continued: lower abdominal pain

Healthcare visit (other): In person appointment with my GP

Release 11 — day 28, dose 4

2022-05-18

Symptoms: Lower abdomen pain. Also overall muscular aches and pain behind left shoulder.

Release 11 — day 35, dose 4

2022-05-25

Symptoms: Lower abdomen pain - worsening

Release 11 — day 42, dose 4

2022-06-01

Symptoms: Thickening of colon and diverticulitis. Surgery the recommended next step.

Healthcare visit (other): 2 office visits

Release 12 — 3 months, dose 4

2022-07-20

Symptoms: I had abdominal surgery: repair to my bladder, bowel resection, fistula repair, renal vessels damage.

Release 12 — 6 months, dose 4

2022-10-19

Symptoms: Abdominal surgery 6/29/22 with complications.

Healthcare visit (other): Visiting nurses

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	Medical counselling	·	·	✓
HCVO	Office visit	·	·	✓
HCVO	Physiotherapy	·	·	✓
HCVO	Unevaluable event	✓	✓	✓
SD	Abdominal operation	·	·	✓
SD	Abdominal pain lower	·	·	✓
SD	Arthralgia	·	·	✓
SD	Arthritis	✓	✓	✓
SD	Back pain	·	·	✓
SD	Bladder repair	·	·	✓
SD	Condition aggravated	·	·	✓
SD	Cough	✓	✓	✓
SD	Diarrhoea	·	·	✓
SD	Diverticulitis	·	·	✓
SD	Dyspnoea exertional	✓	✓	✓
SD	Fistula repair	·	·	✓
SD	Gastrointestinal disorder	·	·	✓
SD	Haemorrhoids	·	·	✓
SD	Headache	✓	✓	✓
SD	Intestinal resection	·	·	✓
SD	Myalgia	·	·	✓
SD	Paranasal sinus discomfort	✓	✓	✓
SD	Paranasal sinus hypersecretion	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Procedural complication	·	·	✓
SD	Rotator cuff syndrome	·	·	✓
SD	Sinus congestion	✓	✓	✓
SD	Spinal compression fracture	·	·	✓
SD	Tinnitus	✓	✓	✓
SD	Venous injury	·	·	✓
SRO	Cough	✓	✓	✓
SRO	Dizziness	·	·	✓
SRO	Hyperhidrosis	✓	✓	✓
SRO	Injection site reaction	✓	✓	✓
SRO	Lymph node pain	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Nausea	·	·	✓
SRO	Tinnitus	✓	✓	✓

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