3D3-62822-07516

3 vaccinations 18 coded responses 38 check-ins 17 free-text entries 4 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 351 / AL
Registered: 2021-02-26

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

2021-02-26
Registered in v-safe
2021-02-26
Dose 1 — Moderna
2021-02-26
Health check-in — day 0, dose 1
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-02-27
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness

Adult check-in
2021-02-28
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Redness, Swelling, Itching · Fever · Headache, Fatigue or tiredness

Adult check-in
2021-03-01
Survey response — days 1–6 daily, dose 1
MedDRA: Heart rate increased — Feeling: Good · Fatigue or tiredness

Free text: I had a rapid pulse until today. Back to normal

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Itching · None

Adult check-in
2021-03-03
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness, Diarrhea

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

Adult check-in
2021-03-05
Survey response — day 7, dose 1
MedDRA: Back pain, Malaise — Feeling: Fair · Fever · Muscle or body aches, Diarrhea, Abdominal pain

Free text: Just have not felt well. Pain in upper back

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-12
Survey response — day 14, dose 1
MedDRA: Lymphadenopathy — Feeling: Good

Free text: Covid arm on day 9-12. Swollen lymph nodes under that arm.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-19
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-26
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-03-30
Dose 2 — Moderna
2021-03-30
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-31
Survey response — days 1–6 daily, dose 2
MedDRA: Ear pain, Lymphadenopathy — Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Swollen lymph nodes under arm. Ears hurt

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-01
Survey response — days 1–6 daily, dose 2
MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Swollen lymph nodes inder arm, very sore.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy, Pain in extremity — Feeling: Good · Site: Pain, Redness, Swelling, Itching · Muscle or body aches, Fatigue or tiredness

Free text: Swollen lymph glands under srm. Miscles in arm hurt all around , like a cuff on my arm.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-03
Survey response — days 1–6 daily, dose 2
MedDRA: Cough, Lymph node pain, Lymphadenopathy, Pyrexia — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Fatigue or tiredness

Free text: Swollen, painful lymph nodes, feel feverish but no fever, slight cough

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

Free text: Swollen lymph glands

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-05
Survey response — days 1–6 daily, dose 2
MedDRA: Erythema, Feeling hot, Insomnia, Pain in extremity, Pruritus — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Muscle or body aches, Fatigue or tiredness

Free text: Red itchy patch on right cheek of face. Pain and fever in arm made it difficult to sleep.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-06
Survey response — day 7, dose 2
MedDRA: Lymph node pain — Feeling: Good · Site: Pain, Redness, Swelling, Itching · Muscle or body aches, Fatigue or tiredness

Free text: Lymph glands much better pain and redness in a ilmost to inner elbow

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-13
Survey response — day 14, dose 2
MedDRA: Gastrooesophageal reflux disease, Pruritus, Rash — Feeling: Fair · Be unable to do your normal daily activities

Free text: Rash and itchong Probably poison Ivy. GERD episode.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-20
Survey response — day 21, dose 2
MedDRA: Fatigue, Heart rate increased — Feeling: Fair · Be unable to do your normal daily activities

Free text: I am still experiencing a rapid pulse. Any type of exertion causes my heart to beat very fast. It has been doing this since I got the first shot. I tire easily. I have azked to be referred to a cardiologist.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-27
Survey response — day 28, dose 2
MedDRA: Asthenia, Blood glucose increased, Red blood cell count decreased, White blood cell count decreased — Feeling: Fair · Be unable to do your normal daily activities

Free text: Low white blood count and low red blood count. Elevated blood sugar. Very weak. May or may not be related.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-04
Survey response — day 35, dose 2
MedDRA: Pre-existing disease — Feeling: Fair · Get care from a doctor or other healthcare professional · Hospitalization

Free text: I have Acute Leukemia

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-04
Report sent to call center — day 35, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-11
Survey response — day 42, dose 2
MedDRA: Hospitalisation, Leukaemia, Pre-existing disease — 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: I have Leukemia . I in the hospital.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-11
Report sent to call center — day 42, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-01
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-28
Survey response — 6 months, dose 2
MedDRA: Pre-existing disease, Unevaluable event — Feeling: Good · 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: I have Acute Myloid Leukemia.I have had my third shot. · Healthcare visit (other): Chemi infusions

MedDRA releases: 2024-11 · check-in free text available
2021-09-28
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

Emergency room or emergency department visit · Hospitalization · 1 call case(s)
2021-09-30
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-03-30
Survey response — 12 months, dose 2
MedDRA: Leukaemia — Feeling: Fair · 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, Emergency room or emergency department visit, Hospitalization

Free text: I now have Leukemia . I am getting a stem cell transplant today. I will have to take all my immunizations again. Very thankul for the vaccine and masks. They have kept me safe so far. I dread being without the vaccine protection for several mont

MedDRA releases: 2024-11 · check-in free text available
2022-03-30
Report sent to call center — 12 months, dose 2
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 · Emergency room or emergency department visit · Hospitalization · 1 call case(s)
2022-03-31
Call successful
Does not wish to fill out VAERS report
2022-10-04
Dose 3 — Pfizer-BioNTech
2022-10-07
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Itching · Fever · Chills, Fatigue or tiredness

Adult check-in
2022-10-08
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Itching · None

Adult check-in
2022-10-10
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Fever · Headache, Abdominal pain

Adult check-in
2022-10-12
Health check-in — day 7, dose 3
Feeling: Fair · Fever · Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2022-10-19
Health check-in — day 14, dose 3
Feeling: Fair

Adult check-in
2022-10-25
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-11-01
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-11-10
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-11-15
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2023-01-04
Survey response — 3 months, dose 3
MedDRA: Dizziness, Ear pain, Fatigue, Pain in jaw — Feeling: Fair · Be unable to do your normal daily activities

MedDRA releases: 2024-11
2023-04-04
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-26	Moderna
2	2021-03-30	Moderna
3	2022-10-04	Pfizer-BioNTech	No

Call center

4 call center cases

4 successful

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 1

2021-03-01

Systemic reaction (other): I had a rapid pulse until today. Back to normal

Release 5 — day 7, dose 1

2021-03-05

Systemic reaction (other): Just have not felt well. Pain in upper back

Release 5 — day 14, dose 1

2021-03-12

Symptoms: Covid arm on day 9-12. Swollen lymph nodes under that arm.

Release 6 — days 1–6 daily, dose 2

2021-03-31

Systemic reaction (other): Swollen lymph nodes under arm. Ears hurt

2021-04-01

Systemic reaction (other): Swollen lymph nodes inder arm, very sore.

2021-04-02

Systemic reaction (other): Swollen lymph glands under srm. Miscles in arm hurt all around , like a cuff on my arm.

2021-04-03

Systemic reaction (other): Swollen, painful lymph nodes, feel feverish but no fever, slight cough

2021-04-04

Systemic reaction (other): Swollen lymph glands

Release 7 — days 1–6 daily, dose 2

2021-04-05

Systemic reaction (other): Red itchy patch on right cheek of face. Pain and fever in arm made it difficult to sleep.

Release 7 — day 7, dose 2

2021-04-06

Systemic reaction (other): Lymph glands much better pain and redness in a ilmost to inner elbow

Release 7 — day 14, dose 2

2021-04-13

Symptoms: Rash and itchong Probably poison Ivy. GERD episode.

Release 7 — day 21, dose 2

2021-04-20

Symptoms: I am still experiencing a rapid pulse. Any type of exertion causes my heart to beat very fast. It has been doing this since I got the first shot. I tire easily. I have azked to be referred to a cardiologist.

Release 8 — day 28, dose 2

2021-04-27

Symptoms: Low white blood count and low red blood count. Elevated blood sugar. Very weak. May or may not be related.

Release 8 — day 35, dose 2

2021-05-04

Symptoms: I have Acute Leukemia

Release 8 — day 42, dose 2

2021-05-11

Symptoms: I have Leukemia . I in the hospital.

Release 9 — 6 months, dose 2

2021-09-28

Symptoms: I have Acute Myloid Leukemia.I have had my third shot.

Healthcare visit (other): Chemi infusions

Release 11 — 12 months, dose 2

2022-03-30

Symptoms: I now have Leukemia . I am getting a stem cell transplant today. I will have to take all my immunizations again. Very thankul for the vaccine and masks. They have kept me safe so far. I dread being without the vaccine protection for several mont cut off by CDC

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	Unevaluable event	·	·	✓
SD	Asthenia	✓	✓	✓
SD	Blood glucose increased	✓	✓	✓
SD	Dizziness	·	·	✓
SD	Ear pain	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Gastrooesophageal reflux disease	✓	✓	✓
SD	Heart rate increased	✓	✓	✓
SD	Hospitalisation	✓	✓	✓
SD	Leukaemia	✓	✓	✓
SD	Lymphadenopathy	✓	✓	✓
SD	Pain in jaw	·	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Pruritus	✓	✓	✓
SD	Rash	✓	✓	✓
SD	Red blood cell count decreased	✓	✓	✓
SD	White blood cell count decreased	✓	✓	✓
SRO	Back pain	✓	✓	✓
SRO	Cough	✓	✓	✓
SRO	Ear pain	✓	✓	✓
SRO	Erythema	✓	✓	✓
SRO	Feeling hot	✓	✓	✓
SRO	Heart rate increased	✓	✓	✓
SRO	Insomnia	✓	✓	✓
SRO	Lymph node pain	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Malaise	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Pruritus	✓	✓	✓
SRO	Pyrexia	✓	✓	✓

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