38T-32659-27700

3 vaccinations 19 coded responses 41 check-ins 19 free-text entries 6 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 400 / KY
Registered: 2021-04-02

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Registered dependents

3U3-75757-97078 Child or adolescent in my care · Female · 2021-12-11

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-04-01
Dose 1 — Moderna
2021-04-02
Registered in v-safe
2021-04-02
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-04-03
Survey response — days 1–6 daily, dose 1
MedDRA: Lymph node pain — Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Lymph nodes in neck/all along jawline are very painful since yesterday

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

Free text: Lymph nodes in neck/along jawline still tender/painful

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-05
Survey response — days 1–6 daily, dose 1
MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Lymph nodes in neck still sore, but not swollen anymore

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-06
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

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

Adult check-in
2021-04-08
Health check-in — day 7, dose 1
Feeling: Good · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-15
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-22
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-29
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-04-30
Dose 2 — Moderna
2021-04-30
Health check-in — day 0, dose 2
Feeling: Good · Headache

Adult check-in
2021-05-01
Survey response — days 1–6 daily, dose 2
MedDRA: Eye pain, Pain — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Elbow & wrist on side of vaccination HURT and click when they move now. Extreme pressure behind both ears and both eyes.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-02
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia, Ear pain, Head discomfort, Headache, Otorrhoea — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Both the elbow and wrist of the arm that received the vaccine are very painful. Headache pressure last night was intense and both ears hurt a lot and drained clear fluid into the afternoon today. Really hoping we dont get told we need a booster of this in another few months; not sure I could take it again!

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-03
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site pruritus, Injection site vesicles, Lymphadenopathy — Feeling: Good · Site: Pain, Redness, Swelling, Itching · Headache

Free text: Lymph nodes visibly swollen today, especially around ears/jaw. Vaccine site ridiculously itchy and has what looks like water blisters around it.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-04
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site vesicles — Feeling: Good · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Water blisters over/around injection site (like when a sunburn blisters, but smaller)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-05
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness, Itching · Headache, Joint pains

Adult check-in
2021-05-06
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Itching · Headache, Fatigue or tiredness

Adult check-in
2021-05-07
Health check-in — day 7, dose 2
Feeling: Fair · Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-05-16
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-21
Health check-in — day 21, dose 2
Feeling: Good

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

Adult check-in
2021-06-04
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-11
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-08-05
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-29
Survey response — 6 months, dose 2
MedDRA: Sinusitis — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Currently have sinusitis from hell, day 6 now.

MedDRA releases: 2024-11 · check-in free text available
2021-12-11
Dose 3 — Moderna
2021-12-11
Health check-in — day 0, dose 3
Feeling: Good · Site: Pain, Redness, Swelling · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea

Adult check-in
2021-12-12
Survey response — days 1–6 daily, dose 3
MedDRA: Back pain — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Back pain (lower back)

MedDRA releases: 2024-11 · check-in free text available
2021-12-13
Survey response — days 1–6 daily, dose 3
MedDRA: Back pain, Lymphadenopathy, Neck pain — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Neck & back pain, axillary lymph node swelling

MedDRA releases: 2024-11 · check-in free text available
2021-12-13
Report sent to call center — days 1–6 daily, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2021-12-14
Survey response — days 1–6 daily, dose 3
MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Major axillary lymph node swellingPAINFUL!!!

MedDRA releases: 2024-11 · check-in free text available
2021-12-14
Call 2 — Left Voicemail
2021-12-15
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-12-16
Survey response — days 1–6 daily, dose 3
MedDRA: Lymph node pain — Feeling: Fair · Site: Itching · Headache, Joint pains, Fatigue or tiredness

Free text: Painful axillary lymph node swelling persists.

MedDRA releases: 2024-11 · check-in free text available
2021-12-17
Survey response — days 1–6 daily, dose 3
MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Good · Site: Itching · Headache, Fatigue or tiredness, Diarrhea

Free text: Axillary lymph node swelling is going down, pain persists.

MedDRA releases: 2024-11 · check-in free text available
2021-12-18
Survey response — day 7, dose 3
MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Good · Site: Itching · Headache

Free text: Axillary lymph node swelling down, but not gone. Pain is a mild ache now.

MedDRA releases: 2024-11 · check-in free text available
2021-12-27
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-01-01
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-01-08
Survey response — day 28, dose 3
MedDRA: Palpitations, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Healy palpitations, even while lying down/no prior activity. · Healthcare visit (other): Calling on Monday to discuss

MedDRA releases: 2024-11 · check-in free text available
2022-01-08
Report sent to call center — day 28, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2022-01-11
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-01-15
Survey response — day 35, dose 3
MedDRA: Office visit, Oropharyngeal pain, Sinusitis — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Sinus infection, sore throat. Dr did not order a covid test. Said it wasn't necessary based on symptoms/no contacts/timeline, etc. · Healthcare visit (other): Standard in-office visit with GP

MedDRA releases: 2024-11 · check-in free text available
2022-01-15
Report sent to call center — day 35, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2022-01-17
Call 1 — Left Voicemail
2022-01-22
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-03-12
Survey response — 3 months, dose 3
MedDRA: Pneumonia, SARS-CoV-2 test negative, Sinusitis — 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, Outpatient clinic or urgent care clinic visit

Free text: Severe sinus/lung infection; on second round of antibiotics currently. All covid tests (3) have been negative.

MedDRA releases: 2024-11 · check-in free text available
2022-03-12
Report sent to call center — 3 months, dose 3
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 · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-03-15
Call successful
Does not wish to fill out VAERS report
2022-06-11
Survey response — 6 months, dose 3
MedDRA: Hiatus hernia, Precancerous cells present — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: Hiatal hernia and precancerous cells in stomach lining

MedDRA releases: 2024-11 · check-in free text available
2022-06-11
Report sent to call center — 6 months, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-06-13
Call 1 — Left Voicemail
2022-06-13
Call 1 — Left Voicemail
2022-06-13
Call 2 — Left Voicemail
2022-06-13
Call 1 — Left Voicemail
2022-06-13
Call 1 — Left Voicemail
2022-12-11
Survey response — 12 months, dose 3
MedDRA: Cough, Rib fracture — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: Got a NASTY cough for over a month back in Sept that was negative for everything, but I coughed so much so hard that I actually broke rib 7 on the right side. THAT SUCKED!!

MedDRA releases: 2024-11 · check-in free text available
2022-12-11
Report sent to call center — 12 months, dose 3
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
2022-12-12
Call 2 — Left Voicemail
2022-12-12
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-01	Moderna
2	2021-04-30	Moderna
3	2021-12-11	Moderna	No

Call center

6 call center cases

4 successful · 2 unsuccessful

2 waits over 3 months for a first call

See the call center timeline

Free text

Release 6 — days 1–6 daily, dose 1

2021-04-03

Systemic reaction (other): Lymph nodes in neck/all along jawline are very painful since yesterday

2021-04-04

Systemic reaction (other): Lymph nodes in neck/along jawline still tender/painful

2021-04-05

Systemic reaction (other): Lymph nodes in neck still sore, but not swollen anymore

Release 8 — days 1–6 daily, dose 2

2021-05-01

Systemic reaction (other): Elbow & wrist on side of vaccination HURT and click when they move now. Extreme pressure behind both ears and both eyes.

2021-05-02

Systemic reaction (other): Both the elbow and wrist of the arm that received the vaccine are very painful. Headache pressure last night was intense and both ears hurt a lot and drained clear fluid into the afternoon today. Really hoping we dont get told we need a booster of this in another few months; not sure I could take it again!

2021-05-03

Systemic reaction (other): Lymph nodes visibly swollen today, especially around ears/jaw. Vaccine site ridiculously itchy and has what looks like water blisters around it.

2021-05-04

Systemic reaction (other): Water blisters over/around injection site (like when a sunburn blisters, but smaller)

Release 10 — 6 months, dose 2

2021-10-29

Symptoms: Currently have sinusitis from hell, day 6 now.

Release 10 — days 1–6 daily, dose 3

2021-12-12

Systemic reaction (other): Back pain (lower back)

2021-12-13

Systemic reaction (other): Neck & back pain, axillary lymph node swelling

2021-12-14

Systemic reaction (other): Major axillary lymph node swellingPAINFUL!!!

2021-12-16

Systemic reaction (other): Painful axillary lymph node swelling persists.

2021-12-17

Systemic reaction (other): Axillary lymph node swelling is going down, pain persists.

Release 10 — day 7, dose 3

2021-12-18

Systemic reaction (other): Axillary lymph node swelling down, but not gone. Pain is a mild ache now.

Release 10 — day 28, dose 3

2022-01-08

Symptoms: Healy palpitations, even while lying down/no prior activity.

Healthcare visit (other): Calling on Monday to discuss

Release 10 — day 35, dose 3

2022-01-15

Symptoms: Sinus infection, sore throat. Dr did not order a covid test. Said it wasn't necessary based on symptoms/no contacts/timeline, etc.

Healthcare visit (other): Standard in-office visit with GP

Release 11 — 3 months, dose 3

2022-03-12

Symptoms: Severe sinus/lung infection; on second round of antibiotics currently. All covid tests (3) have been negative.

Release 12 — 6 months, dose 3

2022-06-11

Symptoms: Hiatal hernia and precancerous cells in stomach lining

Release 12 — 12 months, dose 3

2022-12-11

Symptoms: Got a NASTY cough for over a month back in Sept that was negative for everything, but I coughed so much so hard that I actually broke rib 7 on the right side. THAT SUCKED!!

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	Office visit	·	·	✓
HCVO	Unevaluable event	·	·	✓
SD	Cough	·	·	✓
SD	Hiatus hernia	·	·	✓
SD	Office visit	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Palpitations	·	·	✓
SD	Pneumonia	·	·	✓
SD	Precancerous cells present	·	·	✓
SD	Rib fracture	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	Sinusitis	·	·	✓
SRO	Arthralgia	✓	✓	✓
SRO	Back pain	·	·	✓
SRO	Ear pain	✓	✓	✓
SRO	Eye pain	✓	✓	✓
SRO	Head discomfort	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Injection site pruritus	✓	✓	✓
SRO	Injection site vesicles	✓	✓	✓
SRO	Lymph node pain	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Neck pain	·	·	✓
SRO	Otorrhoea	✓	✓	✓
SRO	Pain	✓	✓	✓

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