2W7-18524-65424

4 vaccinations 12 coded responses 46 check-ins 12 free-text entries 2 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 272 / NC
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
Health check-in — day 0, dose 1
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-03-04
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-05
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

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
Survey response — days 1–6 daily, dose 1
MedDRA: Lymphadenopathy, Oedema peripheral — Feeling: Fair

Free text: Swollen lymph nodes armpit/chest same side as vaccine was given

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-10
Survey response — day 7, dose 1
MedDRA: Lymphadenopathy — Feeling: Fair

Free text: Swollen lymph nodes armpit/chest on same side as vaccine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-17
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
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: Dry mouth — Feeling: Fair · Site: Pain

Free text: Dry mouth

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: Fair · Site: Pain, Redness, Swelling · Muscle or body aches, Fatigue or tiredness

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

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 · None

Adult check-in
2021-04-05
Survey response — days 1–6 daily, dose 2
MedDRA: Influenza — Feeling: Poor · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Diarrhea · Be unable to work

Free text: Believe I have stomach flu - Unrelated to vaccine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-06
Survey response — days 1–6 daily, dose 2
MedDRA: Adverse reaction, Norovirus infection, Unevaluable event — Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Symptoms most likely due to possible norovirus

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-07
Health check-in — day 7, dose 2
Feeling: Poor · Fatigue or tiredness · Be unable to do your normal daily activities

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
Health check-in — day 28, dose 2
Feeling: Fair

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
2021-09-29
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-27
Dose 3 — Moderna
2021-10-29
Survey response — days 1–6 daily, dose 3
MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain

Free text: Multiple swollen lymph glands under arm

MedDRA releases: 2024-11 · check-in free text available
2021-10-31
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-11-01
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-02
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-11-03
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-11-10
Health check-in — day 14, dose 3
Feeling: Fair

Adult check-in
2021-11-17
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2021-11-24
Survey response — day 28, dose 3
MedDRA: Ear pain, Fatigue, Lymphadenopathy, Medical counselling, Oropharyngeal pain, SARS-CoV-2 test — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Sore throat, swollen glands, earache, fatigue · Healthcare visit (other): Covid PCR test at Pharmacy

MedDRA releases: 2024-11 · check-in free text available
2021-11-24
Report sent to call center — day 28, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2021-12-01
Health check-in — day 35, dose 3
Feeling: Fair

Adult check-in
2021-12-09
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-16
Call 1 — Left Voicemail
2022-01-26
Survey response — 3 months, dose 3
MedDRA: Nasopharyngitis, SARS-CoV-2 test negative — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: I had a bad head cold but tested negative for covid-19 PCR test

MedDRA releases: 2024-11 · check-in free text available
2022-04-27
Survey response — 6 months, dose 3
MedDRA: COVID-19 — Feeling: Fair

Free text: Positive for Covid 19

MedDRA releases: 2024-11 · check-in free text available
2022-09-21
Dose 4 — Moderna
2022-09-26
Survey response — days 1–6 daily, dose 4
MedDRA: Lymphadenopathy — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Swollen lymph nodes armpit and groin same side as vaccination

MedDRA releases: 2024-11 · check-in free text available
2022-09-27
Survey response — days 1–6 daily, dose 4
MedDRA: Lymphadenopathy — Feeling: Good · Headache, Fatigue or tiredness

Free text: Swollen lymph nodes in armpit and groin same side as injection

MedDRA releases: 2024-11 · check-in free text available
2022-09-28
Health check-in — day 7, dose 4
Feeling: Fair · Headache

Adult check-in
2022-10-05
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-10-12
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-10-26
Survey response — day 35, dose 4
MedDRA: Fatigue, Office visit — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Extreme fatigue · Healthcare visit (other): Primary care office

MedDRA releases: 2024-11 · check-in free text available
2022-10-26
Report sent to call center — day 35, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2022-10-27
Call successful
Participant prefers to complete VAERS report online
2022-10-27
Call successful
Participant prefers to complete VAERS report online
2022-11-02
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-12-21
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2023-03-22
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-03	Moderna
2	2021-03-31	Moderna
3	2021-10-27	Moderna	No
4	2022-09-21	Moderna	No

Call center

2 call center cases

2 successful

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-09

Systemic reaction (other): Swollen lymph nodes armpit/chest same side as vaccine was given

Release 5 — day 7, dose 1

2021-03-10

Systemic reaction (other): Swollen lymph nodes armpit/chest on same side as vaccine

Release 6 — day 0, dose 2

2021-03-31

Systemic reaction (other): Dry mouth

Release 6 — days 1–6 daily, dose 2

2021-04-05

Systemic reaction (other): Believe I have stomach flu - Unrelated to vaccine

Release 7 — days 1–6 daily, dose 2

2021-04-06

Systemic reaction (other): Symptoms most likely due to possible norovirus

Release 10 — days 1–6 daily, dose 3

2021-10-29

Systemic reaction (other): Multiple swollen lymph glands under arm

Release 10 — day 28, dose 3

2021-11-24

Symptoms: Sore throat, swollen glands, earache, fatigue

Healthcare visit (other): Covid PCR test at Pharmacy

Release 11 — 3 months, dose 3

2022-01-26

Symptoms: I had a bad head cold but tested negative for covid-19 PCR test

Release 11 — 6 months, dose 3

2022-04-27

Symptoms: Positive for Covid 19

Release 12 — days 1–6 daily, dose 4

2022-09-26

Systemic reaction (other): Swollen lymph nodes armpit and groin same side as vaccination

2022-09-27

Systemic reaction (other): Swollen lymph nodes in armpit and groin same side as injection

Release 12 — day 35, dose 4

2022-10-26

Symptoms: Extreme fatigue

Healthcare visit (other): Primary care office

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	SARS-CoV-2 test	·	·	✓
SD	COVID-19	·	·	✓
SD	Ear pain	·	·	✓
SD	Fatigue	·	·	✓
SD	Lymphadenopathy	·	·	✓
SD	Nasopharyngitis	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SRO	Adverse reaction	✓	·	✓
SRO	Dry mouth	✓	✓	✓
SRO	Influenza	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Norovirus infection	○	✓	○
SRO	Oedema peripheral	✓	✓	✓
SRO	Unevaluable event	○	✓	○

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