3R8-10892-07361

5 vaccinations 10 coded responses 48 check-ins 10 free-text entries 7 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 287 / NC
Registered: 2021-02-01

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

2021-01-30
Dose 1 — Moderna
2021-02-01
Registered in v-safe
2021-02-01
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Redness, Swelling · Diarrhea

Adult check-in
2021-02-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-04
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-05
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Nausea

Adult check-in
2021-02-06
Health check-in — day 7, dose 1
Feeling: Good · Site: Redness, Swelling, Itching · Headache

Adult check-in
2021-02-15
Survey response — day 14, dose 1
MedDRA: Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling — Feeling: Good

Free text: Shot site became red, swollen, itchy, sore a week after the shot. Lasted a few days.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-20
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-27
Dose 2 — Moderna
2021-02-27
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-02-28
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness

Adult check-in
2021-03-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-03
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-05
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-13
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-20
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-27
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-05
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-10
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-30
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-29
Survey response — 6 months, dose 2
MedDRA: Heart rate increased, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Rapid heartbeat. · Healthcare visit (other): Dr. Office

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-29
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-10-26
Dose 3 — Moderna
2021-10-27
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-10-29
Survey response — days 1–6 daily, dose 3
MedDRA: Unevaluable event — Feeling: Fair · Site: Redness · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: You should know that we got a super flu shot the day of the booster

MedDRA releases: 2024-11 · check-in free text available
2021-10-30
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Fever · Chills, Nausea

Adult check-in
2021-10-31
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Itching · None

Adult check-in
2021-11-02
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-11-09
Survey response — day 14, dose 3
MedDRA: Axillary mass, Fluid retention, Oedema peripheral — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: I have had a needle and 3 core biopsies of a lump under my right arm. It was swollen and filled with lots of fluid. They filled a syringe with fluid but I still have a lump. I am waiting for the results.

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

Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
2021-11-17
Survey response — day 21, dose 3
MedDRA: Axillary mass — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: I continue to wait for biopsy results for the lump under my arm. It has been sent to John Hopkins.

MedDRA releases: 2024-11 · check-in free text available
2021-11-17
Report sent to call center — day 21, dose 3
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2021-11-17
Call X — Could Not Reach Participant
2021-11-18
Call X — Left Voicemail
2021-11-23
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-30
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-07
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-26
Survey response — 3 months, dose 3
MedDRA: Office visit, Soft tissue neoplasm — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Soft tissue tumor wrapped around nerves diagnosed and scheduled for removal. · Healthcare visit (other): Visit with specialist.

MedDRA releases: 2024-11 · check-in free text available
2022-01-26
Report sent to call center — 3 months, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2022-01-28
Call 1 — Left Voicemail
2022-04-25
Dose 4 — Moderna
2022-04-26
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · None

Adult check-in
2022-04-27
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-04-28
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Diarrhea

Adult check-in
2022-04-30
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-05-02
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-05-09
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-05-16
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-05-23
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-05-30
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-07-26
Survey response — 3 months, dose 4
MedDRA: Dyspnoea — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Shortness of breath.

MedDRA releases: 2024-11 · check-in free text available
2022-07-26
Report sent to call center — 3 months, dose 4
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-07-27
Call 1 — Requested Callback
2022-07-27
Call 1 — Requested Callback
2022-07-27
Call 1 — Requested Callback
2022-07-27
Call 2 — Requested Callback
2022-07-27
Call 1 — Requested Callback
2022-08-02
Call 2 — Left Voicemail
2022-08-02
Call 2 — Left Voicemail
2022-08-02
Call 2 — Left Voicemail
2022-08-02
Call 3 — Left Voicemail
2022-08-02
Call 2 — Left Voicemail
2022-08-02
Callback requested for
03:00PM ET
2022-09-29
Dose 5 — Moderna
Co-administered: Flu
2022-10-19
Health check-in — day 14, dose 5
Feeling: Good

Adult check-in
2022-10-20
Health check-in — day 21, dose 5
Feeling: Good

Adult check-in
2022-10-27
Survey response — day 28, dose 5
MedDRA: Oropharyngeal pain — Feeling: Fair

Free text: Sore throat

MedDRA releases: 2024-11 · check-in free text available
2022-11-05
Survey response — day 35, dose 5
MedDRA: Dyspnoea — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Shortness of breath.

MedDRA releases: 2024-11 · check-in free text available
2022-11-05
Report sent to call center — day 35, dose 5
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-11-07
Call 3 — Could Not Reach Participant
2022-11-07
Call 3 — Could Not Reach Participant
2022-11-07
Call 3 — Could Not Reach Participant
2022-11-07
Call 3 — Could Not Reach Participant
2022-11-07
Call 1 — Could Not Reach Participant
2022-11-10
Call X — Left Voicemail
2022-11-10
Call X — Left Voicemail
2022-11-10
Call X — Left Voicemail
2022-11-10
Call 2 — Left Voicemail
2022-11-15
Survey response — day 42, dose 5
MedDRA: Dyspnoea — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Shortness of breath

MedDRA releases: 2024-11 · check-in free text available
2022-11-15
Report sent to call center — day 42, dose 5
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-11-16
Call successful
Participant prefers to complete VAERS report online
2022-11-16
Call successful
Participant prefers to complete VAERS report online
2022-11-16
Call successful
Participant prefers to complete VAERS report online
2022-11-16
Call successful
Participant prefers to complete VAERS report online
2022-11-16
Call successful
Participant prefers to complete VAERS report online
2022-11-16
Call successful
Participant prefers to complete VAERS report online
2022-11-16
Call successful
Participant prefers to complete VAERS report online
2022-12-29
Health check-in — 3 months, dose 5
Feeling: Fair

Adult check-in
2023-03-31
Health check-in — 6 months, dose 5
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-30	Moderna
2	2021-02-27	Moderna
3	2021-10-26	Moderna	No
4	2022-04-25	Moderna	No
5	2022-09-29	Moderna	Flu

Call center

7 call center cases

7 successful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 4 — day 14, dose 1

2021-02-15

Symptoms: Shot site became red, swollen, itchy, sore a week after the shot. Lasted a few days.

Release 9 — 6 months, dose 2

2021-08-29

Symptoms: Rapid heartbeat.

Healthcare visit (other): Dr. Office

Release 10 — days 1–6 daily, dose 3

2021-10-29

Systemic reaction (other): You should know that we got a super flu shot the day of the booster

Release 10 — day 14, dose 3

2021-11-09

Symptoms: I have had a needle and 3 core biopsies of a lump under my right arm. It was swollen and filled with lots of fluid. They filled a syringe with fluid but I still have a lump. I am waiting for the results.

Release 10 — day 21, dose 3

2021-11-17

Symptoms: I continue to wait for biopsy results for the lump under my arm. It has been sent to John Hopkins.

Release 11 — 3 months, dose 3

2022-01-26

Symptoms: Soft tissue tumor wrapped around nerves diagnosed and scheduled for removal.

Healthcare visit (other): Visit with specialist.

Release 12 — 3 months, dose 4

2022-07-26

Symptoms: Shortness of breath.

Release 12 — day 28, dose 5

2022-10-27

Symptoms: Sore throat

Release 12 — day 35, dose 5

2022-11-05

Symptoms: Shortness of breath.

Release 12 — day 42, dose 5

2022-11-15

Symptoms: Shortness of breath

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	✓	·	✓
SD	Axillary mass	·	·	✓
SD	Dyspnoea	·	·	✓
SD	Fluid retention	·	·	✓
SD	Heart rate increased	✓	·	✓
SD	Injection site erythema	✓	✓	✓
SD	Injection site pain	✓	✓	✓
SD	Injection site pruritus	✓	✓	✓
SD	Injection site swelling	✓	✓	✓
SD	Oedema peripheral	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Soft tissue neoplasm	·	·	✓
SRO	Unevaluable event	·	·	✓

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