2WH-11817-80827

3 vaccinations 13 coded responses 29 check-ins 13 free-text entries 8 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 086 / NJ
Registered: 2021-01-22

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

2021-01-22
Registered in v-safe
2021-01-22
Dose 1 — Moderna
2021-01-22
Health check-in — day 0, dose 1
Feeling: Fair · Site: Pain · Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-01-23
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness, Palpitations — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness, Nausea

Free text: Feeling light-headed, heart palpitations (condition I already have but havent felt in a number of weeks)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-29
Survey response — day 7, dose 1
MedDRA: Lymph node pain — Feeling: Good

Free text: Developed livable but significant pain/soreness in lymph node in underarm of injection arm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-05
Survey response — day 14, dose 1
MedDRA: Injection site erythema, Injection site pruritus, Injection site rash, Injection site warmth, Oedema peripheral — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Red, raised, hot rash at injection site, slightly itchy; swollen underarm (on injection-site arm)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-05
Report sent to call center — day 14, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-12
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-19
Dose 2 — Moderna
2021-02-19
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-20
Survey response — days 1–6 daily, dose 2
MedDRA: Axillary pain — Feeling: Good · Site: Pain · Fatigue or tiredness

Free text: Underarm soreness/pain, mild

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-21
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-22
Survey response — days 1–6 daily, dose 2
MedDRA: Medical counselling, Oedema peripheral — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Swelling of both underarms · Healthcare visit (other): Text consult with friend who is an ER physician

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-22
Report sent to call center — days 1–6 daily, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-23
Survey response — days 1–6 daily, dose 2
MedDRA: Medical counselling, Oedema peripheral — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Underarms remain swollen, both right and left · Healthcare visit (other): Consulted with MD friend

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-23
Report sent to call center — days 1–6 daily, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-25
Survey response — days 1–6 daily, dose 2
MedDRA: Oedema peripheral — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Swelling of both underarms continues

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-25
Report sent to call center — days 1–6 daily, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-26
Survey response — day 7, dose 2
MedDRA: Oedema peripheral — Feeling: Good · Muscle or body aches, Fatigue or tiredness · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Swollen swollen underarms

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-26
Report sent to call center — day 7, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-05
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-14
Survey response — day 21, dose 2
MedDRA: Fatigue — Feeling: Fair

Free text: Fatigue, feeling run down, unable to perform at peak athletically, past two or so weeks

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-19
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-26
Survey response — day 35, dose 2
MedDRA: Breast mass, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: New lumps in both breasts, growth in existing lumps in both breasts · Healthcare visit (other): Awaiting appt.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
Report sent to call center — day 35, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-21
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-07-06
Call 1 — Left Voicemail
2021-08-22
Survey response — 6 months, dose 2
MedDRA: Vertigo — 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: Vertigo

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-22
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

1 call case(s)
2021-08-24
Call 1 — Left Voicemail
2021-09-30
Dose 3 — Moderna
2021-10-27
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-10-28
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-04
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-11-11
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2021-12-31
Survey response — 3 months, dose 3
MedDRA: Oropharyngeal pain, Pregnancy, Respiratory tract congestion, SARS-CoV-2 test — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Sore throat, head congestion. In addition I am now 15 weeks pregnant. I'm awaiting COVID test results for my current sick symptoms.

MedDRA releases: 2024-11 · check-in free text available
2022-04-02
Health check-in — 6 months, dose 3
Feeling: Poor

Adult check-in
2022-09-30
Survey response — 12 months, dose 3
MedDRA: Bradycardia, Breast cyst, Herpes simplex, Herpes zoster, Hypertension, Mole excision — Feeling: Poor · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit, Hospitalization

Free text: Initial herpes simplex 1 outbreak, unknown source, shingles, bradycardia, high blood pressure, breast cysts requiring follow up mammograms in 6 months, 2 moles with atypical cells excised

MedDRA releases: 2024-11 · check-in free text available
2022-09-30
Report sent to call center — 12 months, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · Hospitalization · 1 call case(s)
2022-10-03
Call 1 — Left Voicemail
2022-10-03
Call 1 — Left Voicemail
2022-10-03
Call 1 — Left Voicemail
2022-10-03
Call 1 — Left Voicemail
2022-10-03
Call 1 — Left Voicemail
2022-10-03
Call 2 — Left Voicemail
2022-10-03
Call 2 — Left Voicemail
2022-10-03
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-22	Moderna
2	2021-02-19	Moderna
3	2021-09-30	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2021-02-05	Unsuccessful	Reported to VAERS voluntarily prior to GDIT contact
2021-02-22	Unsuccessful	Reported to VAERS voluntarily prior to GDIT contact
2021-02-23	Unsuccessful	Reported to VAERS voluntarily prior to GDIT contact
2021-02-25	Unsuccessful	Reported to VAERS voluntarily prior to GDIT contact
2021-02-26	Unsuccessful	Reported to VAERS voluntarily prior to GDIT contact
2021-03-26	Unsuccessful	Reported to VAERS voluntarily prior to GDIT contact
2021-08-22	Unsuccessful
2022-09-30	Unsuccessful

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-23

Systemic reaction (other): Feeling light-headed, heart palpitations (condition I already have but havent felt in a number of weeks)

Release 3 — day 7, dose 1

2021-01-29

Systemic reaction (other): Developed livable but significant pain/soreness in lymph node in underarm of injection arm

Release 3 — day 14, dose 1

2021-02-05

Symptoms: Red, raised, hot rash at injection site, slightly itchy; swollen underarm (on injection-site arm)

Release 4 — days 1–6 daily, dose 2

2021-02-20

Systemic reaction (other): Underarm soreness/pain, mild

2021-02-22

Systemic reaction (other): Swelling of both underarms

Healthcare visit (other): Text consult with friend who is an ER physician

2021-02-23

Systemic reaction (other): Underarms remain swollen, both right and left

Healthcare visit (other): Consulted with MD friend

2021-02-25

Systemic reaction (other): Swelling of both underarms continues

Release 4 — day 7, dose 2

2021-02-26

Systemic reaction (other): Swollen swollen underarms

Release 5 — day 21, dose 2

2021-03-14

Symptoms: Fatigue, feeling run down, unable to perform at peak athletically, past two or so weeks

Release 6 — day 35, dose 2

2021-03-26

Symptoms: New lumps in both breasts, growth in existing lumps in both breasts

Healthcare visit (other): Awaiting appt.

Release 9 — 6 months, dose 2

2021-08-22

Symptoms: Vertigo

Release 10 — 3 months, dose 3

2021-12-31

Symptoms: Sore throat, head congestion. In addition I am now 15 weeks pregnant. I'm awaiting COVID test results for my current sick symptoms.

Release 12 — 12 months, dose 3

2022-09-30

Symptoms: Initial herpes simplex 1 outbreak, unknown source, shingles, bradycardia, high blood pressure, breast cysts requiring follow up mammograms in 6 months, 2 moles with atypical cells excised

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	Unevaluable event	✓	✓	✓
SD	Bradycardia	·	·	✓
SD	Breast cyst	·	·	✓
SD	Breast mass	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Herpes simplex	·	·	✓
SD	Herpes zoster	·	·	✓
SD	Hypertension	·	·	✓
SD	Injection site erythema	✓	✓	✓
SD	Injection site pruritus	✓	✓	✓
SD	Injection site rash	✓	✓	✓
SD	Injection site warmth	✓	✓	✓
SD	Mole excision	·	·	✓
SD	Oedema peripheral	✓	✓	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pregnancy	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	SARS-CoV-2 test	·	·	✓
SD	Vertigo	✓	·	✓
SRO	Axillary pain	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Lymph node pain	✓	✓	✓
SRO	Oedema peripheral	✓	✓	✓
SRO	Palpitations	✓	✓	✓

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