36P-20384-27192

1 vaccination 9 coded responses 15 check-ins 9 free-text entries 4 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 378 / TN
Registered: 2021-04-01

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

2021-04-01
Registered in v-safe
2021-04-01
Dose 1 — Moderna
2021-04-01
Health check-in — day 0, dose 1
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-04-02
Survey response — days 1–6 daily, dose 1
MedDRA: Neck pain — Feeling: Fair · Site: Pain, Redness, Swelling · Headache · Be unable to do your normal daily activities

Free text: Right side of neck hurts, I got the shot in my right arm

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

Adult check-in
2021-04-05
Survey response — days 1–6 daily, dose 1
MedDRA: Neck pain — Feeling: Good · Site: Itching

Free text: Right side of neck is still sore

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-06
Survey response — days 1–6 daily, dose 1
MedDRA: Lymphadenopathy, Neck pain — Feeling: Fair · Fatigue or tiredness

Free text: Neck is sore lymph nodes are swollen, swollen lymp nodes under my right arm and in my growing on the right side

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-07
Survey response — days 1–6 daily, dose 1
MedDRA: Lymphadenopathy — Feeling: Good · Headache, Joint pains

Free text: Lymp nodes are still swollen on right side of neck , right side growing, and under right arm not as bad as yesterday though.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Survey response — day 7, dose 1
MedDRA: Axillary pain, Neck pain — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Right side of neck is hurting and under both arm pits

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Report sent to call center — day 7, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-15
Survey response — day 14, dose 1
MedDRA: Paraesthesia, Vision blurred — Feeling: Fair

Free text: Whole face tingling and blurred vision episodes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-29
Survey response — day 28, dose 1
MedDRA: Emergency care, Neck pain, Paraesthesia, Vision blurred — 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, Hospitalization

Free text: Symptoms: Still have pain in the right side of my neck, still have tingling and blurred vision · Healthcare visit (other): I was advised by the ER doctor NOT to take the 2nd dose and also Moderna advised for me not to either.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-29
Report sent to call center — day 28, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-06
Survey response — day 35, dose 1
MedDRA: Neck pain — Feeling: Fair · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Neck pain still

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-06
Report sent to call center — day 35, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-13
Survey response — day 42, dose 1
MedDRA: Neck pain — Feeling: Fair · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Ongoing pain in my neck and my side

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-13
Report sent to call center — day 42, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-01
Health check-in — 3 months, dose 1
Feeling: Fair

Adult check-in
2021-09-30
Health check-in — 6 months, dose 1
Feeling: Good

Adult check-in
2021-11-06
Call successful
Reported to VAERS voluntarily prior to GDIT contact
2022-04-01
Health check-in — 12 months, dose 1
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-01	Moderna

Call center

4 call center cases

4 successful

VAERS report filed, before or during a call: 4

See the call center timeline

Free text

Release 6 — days 1–6 daily, dose 1

2021-04-02

Systemic reaction (other): Right side of neck hurts, I got the shot in my right arm

2021-04-05

Systemic reaction (other): Right side of neck is still sore

Release 7 — days 1–6 daily, dose 1

2021-04-06

Systemic reaction (other): Neck is sore lymph nodes are swollen, swollen lymp nodes under my right arm and in my growing on the right side

2021-04-07

Systemic reaction (other): Lymp nodes are still swollen on right side of neck , right side growing, and under right arm not as bad as yesterday though.

Release 7 — day 7, dose 1

2021-04-08

Systemic reaction (other): Right side of neck is hurting and under both arm pits

Release 7 — day 14, dose 1

2021-04-15

Symptoms: Whole face tingling and blurred vision episodes

Release 8 — day 28, dose 1

2021-04-29

Symptoms: Still have pain in the right side of my neck, still have tingling and blurred vision

Healthcare visit (other): I was advised by the ER doctor NOT to take the 2nd dose and also Moderna advised for me not to either.

Release 8 — day 35, dose 1

2021-05-06

Symptoms: Neck pain still

Release 8 — day 42, dose 1

2021-05-13

Symptoms: Ongoing pain in my neck and my side

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	Emergency care	✓	✓	✓
SD	Neck pain	✓	✓	✓
SD	Paraesthesia	✓	✓	✓
SD	Vision blurred	✓	✓	✓
SRO	Axillary pain	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Neck pain	✓	✓	✓

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