3JR-23450-94421

3 vaccinations 8 coded responses 34 check-ins 8 free-text entries 6 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 936 / CA
Registered: 2021-02-26

Relationship: Self
Race: Multiracial
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: Good · Site: Pain · Chills

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

Adult check-in
2021-02-28
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-01
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fever · Chills, Headache, Fatigue or tiredness · Be unable to work

Adult check-in
2021-03-02
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Chills, Headache, Fatigue or tiredness · Be unable to work

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

Adult check-in
2021-03-05
Health check-in — day 7, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-12
Survey response — day 14, dose 1
MedDRA: Oral herpes — Feeling: Good

Free text: Fever blisters

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
Dose 2 — Moderna
2021-03-26
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Fever · Fatigue or tiredness · Be unable to work

Adult check-in
2021-03-27
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-03-28
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-29
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-30
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Swelling, Itching · Fever · Chills, Headache, Fatigue or tiredness

Adult check-in
2021-03-31
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fever · Headache, Fatigue or tiredness

Adult check-in
2021-04-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Itching · Fever · Chills, Headache

Adult check-in
2021-04-02
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-11
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-16
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-23
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-30
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-07
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-25
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-24
Survey response — 6 months, dose 2
MedDRA: Cough — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Recent cough

MedDRA releases: 2024-11 · check-in free text available
2021-09-24
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2021-09-28
Call 1 — Left Voicemail
2021-09-28
Call successful
Does not wish to fill out VAERS report
2021-10-28
Dose 3 — Moderna
2021-10-28
Health check-in — day 0, dose 3
Feeling: Good · Site: Pain, Swelling · Headache

Adult check-in
2021-10-29
Survey response — days 1–6 daily, dose 3
MedDRA: Dizziness — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Very dizzy

MedDRA releases: 2024-11 · check-in free text available
2021-10-30
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-10-31
Survey response — days 1–6 daily, dose 3
MedDRA: Dizziness, Peripheral swelling, Swelling, Unevaluable event — Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · 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: Systemic reaction (other): Dizziness and swelling at my neck and collarbone and arm · Healthcare visit (other): I have a call into my dr have not heard back yet.

MedDRA releases: 2024-11 · check-in free text available
2021-10-31
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 · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-11-01
Survey response — days 1–6 daily, dose 3
MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, 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: Swollen lymph nodes

MedDRA releases: 2024-11 · check-in free text available
2021-11-01
Report sent to call center — days 1–6 daily, dose 3
Be unable to work or attend school · 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)
2021-11-02
Call successful
Participant prefers to complete VAERS report online
2021-11-03
Survey response — days 1–6 daily, dose 3
MedDRA: Lymphadenopathy, Medical counselling — Feeling: Fair · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Systemic reaction (other): Very swollen lymph nodes · Healthcare visit (other): Dr called in steroids last night, started today

MedDRA releases: 2024-11 · check-in free text available
2021-11-03
Report sent to call center — days 1–6 daily, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-11-04
Survey response — day 7, dose 3
MedDRA: Lymphadenopathy, Unevaluable event — Feeling: Fair · Fever · Headache, Muscle or body aches, Fatigue or tiredness · 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: Systemic reaction (other): Severe lymph node swelling started steroids · Healthcare visit (other): Will have in person appointment tomorrow with dr

MedDRA releases: 2024-11 · check-in free text available
2021-11-04
Report sent to call center — day 7, 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)
2021-11-04
Call 1 — Left Voicemail
2021-11-05
Call 1 — Left Voicemail
2021-11-13
Survey response — day 14, dose 3
MedDRA: Impaired work ability, Lymphadenopathy, Mobility decreased — 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

Free text: Was treated for swollen lymph nodes and missed several days of work was hard to turn my head.

MedDRA releases: 2024-11 · check-in free text available
2021-11-13
Report sent to call center — day 14, 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)
2021-11-16
Call 1 — Left Voicemail
2021-11-16
Call successful
Participant prefers to complete VAERS report online
2022-01-28
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-04-30
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-26	Moderna
2	2021-03-26	Moderna
3	2021-10-28	Moderna	No

Call center

6 call center cases

6 successful

See the call center timeline

Free text

Release 5 — day 14, dose 1

2021-03-12

Symptoms: Fever blisters

Release 9 — 6 months, dose 2

2021-09-24

Symptoms: Recent cough

Release 10 — days 1–6 daily, dose 3

2021-10-29

Systemic reaction (other): Very dizzy

2021-10-31

Systemic reaction (other): Dizziness and swelling at my neck and collarbone and arm

Healthcare visit (other): I have a call into my dr have not heard back yet.

2021-11-01

Systemic reaction (other): Swollen lymph nodes

2021-11-03

Systemic reaction (other): Very swollen lymph nodes

Healthcare visit (other): Dr called in steroids last night, started today

Release 10 — day 7, dose 3

2021-11-04

Systemic reaction (other): Severe lymph node swelling started steroids

Healthcare visit (other): Will have in person appointment tomorrow with dr

Release 10 — day 14, dose 3

2021-11-13

Symptoms: Was treated for swollen lymph nodes and missed several days of work was hard to turn my head.

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	Cough	·	·	✓
SD	Impaired work ability	·	·	✓
SD	Lymphadenopathy	·	·	✓
SD	Mobility decreased	·	·	✓
SD	Oral herpes	✓	✓	✓
SRO	Dizziness	·	·	✓
SRO	Lymphadenopathy	·	·	✓
SRO	Peripheral swelling	·	·	✓
SRO	Swelling	·	·	✓

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