45N-30117-28003

2 vaccinations 6 coded responses 15 check-ins 6 free-text entries 4 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 752 / TX
Registered: 2021-01-04

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

2021-01-04
Registered in v-safe
2021-01-04
Dose 1 — Moderna
2021-01-04
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-01-05
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-06
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-07
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-08
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-09
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness — Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-09
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-11
Survey response — day 7, dose 1
MedDRA: Lymph node pain, Lymphadenopathy, Medical counselling, Sleep disorder — Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness · Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): On day 3-4 after vaccine I got significant tender swelling of the ipsilateral axillary nodes. It has interrupted my sleep for 3-4 nights now. Today I feel slightly better. · Healthcare visit (other): I'm a doctor. I called my doctor to discuss. The lymphadenopathy has been surprisingly uncomfortable.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-11
Report sent to call center — day 7, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-01-18
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-25
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-01
Dose 2 — Moderna
2021-02-08
Survey response — day 7, dose 2
MedDRA: Unevaluable event — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: Reporting these for last week. Didnt check in then

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-18
Call successful
Participant prefers to complete VAERS report online
2021-03-03
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-08
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-15
Survey response — day 42, dose 2
MedDRA: Medical counselling, Syncope — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: I fainted last night for no reason was injured · Healthcare visit (other): Im a doctor so I consulted my partner

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-15
Report sent to call center — day 42, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-02
Survey response — 6 months, dose 2
MedDRA: Hypoaesthesia — Feeling: Good

Free text: Numbness in my feet and hands

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-11
Call 1 — Left Voicemail
2022-02-03
Survey response — 12 months, dose 2
MedDRA: Heart rate abnormal, Hypoaesthesia, Insomnia, Syncope — Feeling: Good · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Numbness in feet. Insomnia heart rhythm disturbance. Syncope.

MedDRA releases: 2024-11 · check-in free text available
2022-02-03
Report sent to call center — 12 months, dose 2
Be unable to work or attend school · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-02-07
Call 1 — Could Not Reach Participant
2022-02-14
Call 2 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-04	Moderna
2	2021-02-01	Moderna

Call center

4 call center cases

2 successful · 2 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-09

Systemic reaction (other): Dizziness

Release 1 — day 7, dose 1

2021-01-11

Systemic reaction (other): On day 3-4 after vaccine I got significant tender swelling of the ipsilateral axillary nodes. It has interrupted my sleep for 3-4 nights now. Today I feel slightly better.

Healthcare visit (other): I'm a doctor. I called my doctor to discuss. The lymphadenopathy has been surprisingly uncomfortable.

Release 3 — day 7, dose 2

2021-02-08

Systemic reaction (other): Reporting these for last week. Didnt check in then

Release 5 — day 42, dose 2

2021-03-15

Symptoms: I fainted last night for no reason was injured

Healthcare visit (other): Im a doctor so I consulted my partner

Release 9 — 6 months, dose 2

2021-08-02

Symptoms: Numbness in my feet and hands

Release 11 — 12 months, dose 2

2022-02-03

Symptoms: Numbness in feet. Insomnia heart rhythm disturbance. Syncope.

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	Lymphadenopathy	✓	✓	✓
HCVO	Medical counselling	✓	✓	✓
SD	Heart rate abnormal	·	·	✓
SD	Hypoaesthesia	✓	·	✓
SD	Insomnia	·	·	✓
SD	Syncope	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Lymph node pain	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Sleep disorder	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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