36C-25452-69707

5 vaccinations 28 coded responses 63 check-ins 27 free-text entries 7 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 349 / FL
Registered: 2021-01-18

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

2021-01-16
Dose 1 — Moderna
2021-01-18
Registered in v-safe
2021-01-18
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Redness · Headache, Fatigue or tiredness, Nausea

Adult check-in
2021-01-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-22
Survey response — days 1–6 daily, dose 1
MedDRA: Lymph node pain, Lymphadenopathy, Medical counselling — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): I have developed a large swollen lymph gland above my clavicle on the side I had the shot. It's tender and the size of a large grape. · Healthcare visit (other): I called the doctor to report the condition, and his nurse called me back with instructions.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-22
Report sent to call center — days 1–6 daily, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-01-23
Survey response — day 7, dose 1
MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Good

Free text: Lymph node at my left clavicle near where I received the vaccine is still quite swollen and tender.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-30
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-06
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-13
Dose 2 — Moderna
2021-02-13
Survey response — day 0, dose 2
MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain · Headache

Free text: My Clavicular lymph node is still enlarged after the first dose 4 weeks ago, but it had been diminishing before this second dose.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-14
Survey response — days 1–6 daily, dose 2
MedDRA: Headache, Lymph node pain, Lymphadenopathy — Feeling: Fair · Site: Pain, Redness · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: The clavicle lymph node that swelled after the first shot but had diminished before the second shot has now tripled in size and is tender again. The lymph nodes at the base of my skull on the other side have swollen and are tender. I'm sure that is part of my headache. The headache is quite painful.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness · Headache, Joint pains, Fatigue or tiredness

Adult check-in
2021-02-16
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain · Joint pains

Free text: Same lymph node still quite swollen.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-17
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain · Joint pains

Free text: Lymph node still enlarged.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-18
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Good · Joint pains

Free text: Lymph node still up.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-19
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Good · Joint pains

Free text: Lymph node still enlarged

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-20
Survey response — day 7, dose 2
MedDRA: Lymphadenopathy — Feeling: Good · Joint pains

Free text: Lymph node still up

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-27
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-07
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-13
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-20
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-03-27
Survey response — day 42, dose 2
MedDRA: Nausea — Feeling: Fair · Be unable to do your normal daily activities

Free text: Ive had persistent intermittent nausea since the second shot. I didnt associate it with the shot, but looking at the timing of when it began, it started a week after the second vaccine. It might have nothing to do with it, but wanted to tell yo

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-31
Call 1 — Left Voicemail
2021-04-09
Call 2 — Left Voicemail
2021-05-15
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-14
Survey response — 6 months, dose 2
MedDRA: Diarrhoea, Gastrointestinal disorder, Medical counselling, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: I had unexplained diarrhea and GI issues for a few months. I had a colonoscopy and endoscopy but had no answers for the problems. · Healthcare visit (other): Office visit with a nurse practitioner and then a GI physician.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-14
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-18
Call 2 — Left Voicemail
2021-08-25
Dose 3 — Moderna
2021-08-25
Health check-in — day 0, dose 3
Feeling: Good · Site: Pain, Redness · Headache

Adult check-in
2021-08-26
Survey response — days 1–6 daily, dose 3
MedDRA: Body temperature decreased, Pyrexia — Feeling: Poor · Site: Pain, Redness · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: My temperature normally runs at 97 degrees. If it rises above 98.0, I feel feverish.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-27
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain

Adult check-in
2021-08-28
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain

Adult check-in
2021-08-29
Survey response — days 1–6 daily, dose 3
MedDRA: Epistaxis, Pre-existing disease, Self-medication, Wound haemorrhage — Feeling: Fair · Joint pains · Be unable to do your normal daily activities

Free text: I am on a low dose blood thinner. After the booster, I took 3 doses of Excedrin over 2 days. I had a major nose bleed and profuse bleeding from a nick on my leg. I needed WoundStop for the leg and might need medical care if it doesn't heal well.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-30
Survey response — days 1–6 daily, dose 3
MedDRA: Haemorrhage, Office visit, Sclerotherapy — Feeling: Fair · Headache, Joint pains, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Free text: I went to my vascular physician to assess the leg bleed from Saturday night. He performed sclerotherapy and advised further treatment.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-31
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Joint pains, Fatigue or tiredness

Adult check-in
2021-09-01
Health check-in — day 7, dose 3
Feeling: Good · Diarrhea

Adult check-in
2021-09-08
Survey response — day 14, dose 3
MedDRA: Eye infection, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Eye infection · Healthcare visit (other): Office visit

MedDRA releases: 2024-11 · check-in free text available
2021-09-08
Report sent to call center — day 14, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2021-09-10
Call 2 — Left Voicemail
2021-09-15
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2021-09-22
Survey response — day 28, dose 3
MedDRA: Gait disturbance, Osteoarthritis, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities

Free text: My osteoarthritic right knee joint has been increasing more painful and difficult to walk on for a few weeks. It flared up shortly after the Covid vaccine in August. I didn't really think it was related to the shot, but now I'm wondering.

MedDRA releases: 2024-11 · check-in free text available
2021-09-30
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-10-06
Survey response — day 42, dose 3
MedDRA: Arthropathy, Office visit, Toothache — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: My knee seems worse; I still wonder if it's inflammation. And I've developed horrible tooth aches. I don't think that has any relation to the shot, but since you asked about new conditions, I'm reporting it. · Healthcare visit (other): Office visit to dentist.

MedDRA releases: 2024-11 · check-in free text available
2021-10-06
Report sent to call center — day 42, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2021-10-08
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2021-10-08
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2021-10-08
Call successful
Participant prefers to complete VAERS report online
2021-10-08
Call successful
Participant prefers to complete VAERS report online
2021-11-24
Health check-in — 3 months, dose 3
Feeling: Fair

Adult check-in
2022-03-02
Survey response — 6 months, dose 3
MedDRA: Dry eye, Eye irritation, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Both eyes have been irritated, prompting a visit to the eye doctor. My cornea is very dry. · Healthcare visit (other): office visit

MedDRA releases: 2024-11 · check-in free text available
2022-03-02
Report sent to call center — 6 months, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2022-03-23
Call 1 — Left Voicemail
2022-04-08
Dose 4 — Moderna
2022-04-09
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, Nausea, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2022-04-10
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-04-11
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Joint pains

Adult check-in
2022-04-12
Survey response — days 1–6 daily, dose 4
MedDRA: Lymphadenopathy, Unevaluable event, Vaccine positive rechallenge — Feeling: Fair · Joint pains · Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): A lymph node swells each time I have a Covid vaccine. · Healthcare visit (other): My doctor ordered an Ultrasound if the lymph node today

MedDRA releases: 2024-11 · check-in free text available
2022-04-12
Report sent to call center — days 1–6 daily, dose 4
Get care from a doctor or other healthcare professional

1 call case(s)
2022-04-13
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Joint pains

Adult check-in
2022-04-14
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Joint pains

Adult check-in
2022-04-16
Survey response — day 7, dose 4
MedDRA: Lymphadenopathy — Feeling: Fair · Joint pains

Free text: Cervical lymph node still enlarged.

MedDRA releases: 2024-11 · check-in free text available
2022-04-19
Call 1 — Left Voicemail
2022-04-22
Survey response — day 14, dose 4
MedDRA: Injection site pain, Rhinorrhoea — Feeling: Fair

Free text: The injection site became sore again! I've never had that happen with any vaccine. My adult daughter who lives with me tested positive for Covid 19 last night, and my husband developed a cough this morning. I've had more of a runny nose this week.

MedDRA releases: 2024-11 · check-in free text available
2022-04-29
Survey response — day 21, dose 4
MedDRA: Exposure to SARS-CoV-2, Rhinorrhoea, SARS-CoV-2 test negative — Feeling: Fair

Free text: Nose was very runny, and I've been exposed to 2 Covid positive (2 Vaccines + 1 booster) family members. But I continue to test negative.

MedDRA releases: 2024-11 · check-in free text available
2022-05-07
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-05-13
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-05-20
Survey response — day 42, dose 4
MedDRA: Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Possible DVT in right leg.

MedDRA releases: 2024-11 · check-in free text available
2022-05-20
Report sent to call center — day 42, dose 4
Get care from a doctor or other healthcare professional

Emergency room or emergency department visit · 1 call case(s)
2022-05-25
Call 3 — Left Voicemail
2022-05-25
Call 1 — Left Voicemail
2022-05-25
Call 1 — Left Voicemail
2022-05-25
Call 1 — Left Voicemail
2022-05-25
Call 2 — Left Voicemail
2022-05-25
Call 2 — Left Voicemail
2022-05-25
Call 1 — Left Voicemail
2022-07-08
Survey response — 3 months, dose 4
MedDRA: Arthralgia, Musculoskeletal pain, Pelvic pain, Pre-existing disease, Walking aid user — Feeling: Poor · Be unable to do your normal daily activities

Free text: I have been experiencing worsening pain since the week after that 4th vaccine. At first it was just my bad knee, but the pain is now in both knees, both hips, pelvis, and rear end. I'm using a cane to walk. I'll likely call my doctor soon.

MedDRA releases: 2024-11 · check-in free text available
2022-09-30
Dose 5 — Moderna
2022-10-01
Survey response — days 1–6 daily, dose 5
MedDRA: Lymphadenopathy — Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Clavicle Lymph node enlarged again

MedDRA releases: 2024-11 · check-in free text available
2022-10-02
Survey response — days 1–6 daily, dose 5
MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Free text: Cervical Lymph node enlarged

MedDRA releases: 2024-11 · check-in free text available
2022-10-03
Survey response — days 1–6 daily, dose 5
MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Free text: Cervical lymph node still enlarged

MedDRA releases: 2024-11 · check-in free text available
2022-10-04
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Joint pains, Muscle or body aches

Adult check-in
2022-10-05
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Joint pains, Muscle or body aches

Adult check-in
2022-10-06
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Joint pains, Muscle or body aches

Adult check-in
2022-10-07
Health check-in — day 7, dose 5
Feeling: Fair · Joint pains, Muscle or body aches

Adult check-in
2022-10-14
Health check-in — day 14, dose 5
Feeling: Fair

Adult check-in
2022-10-21
Health check-in — day 21, dose 5
Feeling: Fair

Adult check-in
2022-10-28
Health check-in — day 28, dose 5
Feeling: Fair

Adult check-in
2022-11-05
Health check-in — day 35, dose 5
Feeling: Fair

Adult check-in
2022-11-11
Health check-in — day 42, dose 5
Feeling: Fair

Adult check-in
2022-12-30
Health check-in — 3 months, dose 5
Feeling: Fair

Adult check-in
2023-03-31
Survey response — 6 months, dose 5
MedDRA: Cardiac monitoring abnormal, Supraventricular extrasystoles — Feeling: Fair

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-16	Moderna
2	2021-02-13	Moderna
3	2021-08-25	Moderna	No
4	2022-04-08	Moderna	No
5	2022-09-30	Moderna	No

Call center

7 call center cases

4 successful · 3 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-22

Systemic reaction (other): I have developed a large swollen lymph gland above my clavicle on the side I had the shot. It's tender and the size of a large grape.

Healthcare visit (other): I called the doctor to report the condition, and his nurse called me back with instructions.

Release 2 — day 7, dose 1

2021-01-23

Systemic reaction (other): Lymph node at my left clavicle near where I received the vaccine is still quite swollen and tender.

Release 4 — day 0, dose 2

2021-02-13

Systemic reaction (other): My Clavicular lymph node is still enlarged after the first dose 4 weeks ago, but it had been diminishing before this second dose.

Release 4 — days 1–6 daily, dose 2

2021-02-14

Systemic reaction (other): The clavicle lymph node that swelled after the first shot but had diminished before the second shot has now tripled in size and is tender again. The lymph nodes at the base of my skull on the other side have swollen and are tender. I'm sure that is part of my headache. The headache is quite painful.

2021-02-16

Systemic reaction (other): Same lymph node still quite swollen.

2021-02-17

Systemic reaction (other): Lymph node still enlarged.

2021-02-18

Systemic reaction (other): Lymph node still up.

2021-02-19

Systemic reaction (other): Lymph node still enlarged

Release 4 — day 7, dose 2

2021-02-20

Systemic reaction (other): Lymph node still up

Release 6 — day 42, dose 2

2021-03-27

Symptoms: Ive had persistent intermittent nausea since the second shot. I didnt associate it with the shot, but looking at the timing of when it began, it started a week after the second vaccine. It might have nothing to do with it, but wanted to tell yo

Release 9 — 6 months, dose 2

2021-08-14

Symptoms: I had unexplained diarrhea and GI issues for a few months. I had a colonoscopy and endoscopy but had no answers for the problems.

Healthcare visit (other): Office visit with a nurse practitioner and then a GI physician.

Release 9 — days 1–6 daily, dose 3

2021-08-26

Systemic reaction (other): My temperature normally runs at 97 degrees. If it rises above 98.0, I feel feverish.

2021-08-29

Systemic reaction (other): I am on a low dose blood thinner. After the booster, I took 3 doses of Excedrin over 2 days. I had a major nose bleed and profuse bleeding from a nick on my leg. I needed WoundStop for the leg and might need medical care if it doesn't heal well.

2021-08-30

Systemic reaction (other): I went to my vascular physician to assess the leg bleed from Saturday night. He performed sclerotherapy and advised further treatment.

Release 9 — day 14, dose 3

2021-09-08

Symptoms: Eye infection

Healthcare visit (other): Office visit

Release 9 — day 28, dose 3

2021-09-22

Symptoms: My osteoarthritic right knee joint has been increasing more painful and difficult to walk on for a few weeks. It flared up shortly after the Covid vaccine in August. I didn't really think it was related to the shot, but now I'm wondering.

Release 10 — day 42, dose 3

2021-10-06

Symptoms: My knee seems worse; I still wonder if it's inflammation. And I've developed horrible tooth aches. I don't think that has any relation to the shot, but since you asked about new conditions, I'm reporting it.

Healthcare visit (other): Office visit to dentist.

Release 11 — 6 months, dose 3

2022-03-02

Symptoms: Both eyes have been irritated, prompting a visit to the eye doctor. My cornea is very dry.

Healthcare visit (other): office visit

Release 11 — days 1–6 daily, dose 4

2022-04-12

Systemic reaction (other): A lymph node swells each time I have a Covid vaccine.

Healthcare visit (other): My doctor ordered an Ultrasound if the lymph node today

Release 11 — day 7, dose 4

2022-04-16

Systemic reaction (other): Cervical lymph node still enlarged.

Release 11 — day 14, dose 4

2022-04-22

Symptoms: The injection site became sore again! I've never had that happen with any vaccine. My adult daughter who lives with me tested positive for Covid 19 last night, and my husband developed a cough this morning. I've had more of a runny nose this week. cut off by CDC

Release 11 — day 21, dose 4

2022-04-29

Symptoms: Nose was very runny, and I've been exposed to 2 Covid positive (2 Vaccines + 1 booster) family members. But I continue to test negative.

Release 11 — day 42, dose 4

2022-05-20

Symptoms: Possible DVT in right leg.

Release 12 — 3 months, dose 4

2022-07-08

Symptoms: I have been experiencing worsening pain since the week after that 4th vaccine. At first it was just my bad knee, but the pain is now in both knees, both hips, pelvis, and rear end. I'm using a cane to walk. I'll likely call my doctor soon.

Release 12 — days 1–6 daily, dose 5

2022-10-01

Systemic reaction (other): Clavicle Lymph node enlarged again

2022-10-02

Systemic reaction (other): Cervical Lymph node enlarged

2022-10-03

Systemic reaction (other): Cervical lymph node still enlarged

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	Unevaluable event	·	·	✓
SD	Arthralgia	·	·	✓
SD	Arthropathy	·	·	✓
SD	Cardiac monitoring abnormal	·	·	✓
SD	Diarrhoea	✓	·	✓
SD	Dry eye	·	·	✓
SD	Exposure to SARS-CoV-2	·	·	✓
SD	Eye infection	·	·	✓
SD	Eye irritation	·	·	✓
SD	Gait disturbance	·	·	✓
SD	Gastrointestinal disorder	✓	·	✓
SD	Injection site pain	·	·	✓
SD	Musculoskeletal pain	·	·	✓
SD	Nausea	✓	✓	✓
SD	Osteoarthritis	·	·	✓
SD	Pelvic pain	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Rhinorrhoea	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	Supraventricular extrasystoles	·	·	✓
SD	Toothache	·	·	✓
SD	Unevaluable event	·	·	✓
SD	Walking aid user	·	·	✓
SRO	Body temperature decreased	✓	·	✓
SRO	Epistaxis	✓	·	✓
SRO	Haemorrhage	✓	·	✓
SRO	Headache	✓	✓	✓
SRO	Lymph node pain	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Office visit	✓	·	✓
SRO	Pre-existing disease	✓	·	✓
SRO	Pyrexia	✓	·	✓
SRO	Sclerotherapy	✓	·	✓
SRO	Self-medication	✓	·	✓
SRO	Vaccine positive rechallenge	·	·	✓
SRO	Wound haemorrhage	✓	·	✓

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