498-27629-86831

5 vaccinations 9 coded responses 52 check-ins 7 free-text entries 2 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 329 / FL
Registered: 2021-03-20

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

2021-03-19
Dose 1 — Moderna
2021-03-20
Registered in v-safe
2021-03-20
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-23
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fatigue or tiredness, Abdominal pain

Adult check-in
2021-03-24
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Fatigue or tiredness, Nausea

Adult check-in
2021-03-25
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness, Nausea, Abdominal pain

Adult check-in
2021-03-26
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-02
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-09
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-16
Dose 2 — Moderna
2021-04-16
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-04-17
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-04-18
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness · Joint pains, Muscle or body aches, Nausea

Adult check-in
2021-04-19
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Itching · Fatigue or tiredness, Nausea

Adult check-in
2021-04-20
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Itching · None

Adult check-in
2021-04-21
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness, Itching · Fatigue or tiredness

Adult check-in
2021-04-22
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Itching · None

Adult check-in
2021-04-23
Health check-in — day 7, dose 2
Feeling: Good · Site: Redness, Itching · None

Adult check-in
2021-05-01
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-07
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-14
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-21
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-28
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-16
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-16
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-12-05
Dose 3 — Moderna
Co-administered: Flu
2022-05-10
Dose 4 — Moderna
2022-05-11
Health check-in — days 1–6 daily, dose 4
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2022-05-12
Survey response — days 1–6 daily, dose 4
MedDRA: Axillary pain, Lymphadenopathy — Feeling: Good · Site: Pain

Free text: Underarm pain on injection arm. Believe it's a swollen lymph node.

MedDRA releases: 2024-11 · check-in free text available
2022-05-13
Survey response — days 1–6 daily, dose 4
MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Good

Free text: Moderate to mild pain from visibly swollen lymph node under injectin arm.

MedDRA releases: 2024-11 · check-in free text available
2022-05-14
Survey response — days 1–6 daily, dose 4
MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Good · Joint pains

Free text: Swelling in lymph node in armpit of injection arm is smaller and less painful.

MedDRA releases: 2024-11 · check-in free text available
2022-05-15
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · None

Adult check-in
2022-05-16
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-05-17
Health check-in — day 7, dose 4
Feeling: Good · Joint pains

Adult check-in
2022-05-24
Survey response — day 14, dose 4
MedDRA: Axillary pain — Feeling: Good

Free text: Very mild armpit pain in my non-injected arm.

MedDRA releases: 2024-11 · check-in free text available
2022-05-31
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-06-07
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-06-14
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-06-21
Survey response — day 42, dose 4
MedDRA: Fatigue, Malaise, Paranasal sinus discomfort, Somnolence — Feeling: Fair · Be unable to do your normal daily activities

Free text: Tired/sleepy, some sinus pressure, a general feeling of malaise. Could be anything.

MedDRA releases: 2024-11 · check-in free text available
2022-08-09
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-11-10
Survey response — 6 months, dose 4
MedDRA: Tenderness — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Triggered, intense pain in big toe on roght foot when pressure applied in certain positions.

MedDRA releases: 2024-11 · check-in free text available
2022-11-10
Report sent to call center — 6 months, dose 4
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-11-11
Call 1 — Left Voicemail
2022-12-09
Dose 5 — Pfizer-BioNTech
2022-12-09
Health check-in — day 0, dose 5
Feeling: Fair · Site: Pain · Joint pains, Fatigue or tiredness, Nausea

Adult check-in
2022-12-11
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Site: Pain, Redness · Headache, Joint pains

Adult check-in
2022-12-12
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Site: Pain · Headache, Joint pains

Adult check-in
2022-12-13
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Site: Pain · None

Adult check-in
2022-12-14
Health check-in — days 1–6 daily, dose 5
Feeling: Good · None

Adult check-in
2022-12-15
Health check-in — days 1–6 daily, dose 5
Feeling: Good · None

Adult check-in
2022-12-16
Survey response — day 7, dose 5
MedDRA: Lymphadenopathy — Feeling: Good · Fatigue or tiredness

Free text: Swollen lymph nodes in armpits

MedDRA releases: 2024-11 · check-in free text available
2022-12-23
Health check-in — day 14, dose 5
Feeling: Good

Adult check-in
2022-12-30
Health check-in — day 21, dose 5
Feeling: Good

Adult check-in
2023-01-06
Health check-in — day 28, dose 5
Feeling: Good

Adult check-in
2023-01-13
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2023-01-20
Survey response — day 42, dose 5
MedDRA: Photopsia — Feeling: Fair

MedDRA releases: 2024-11
2023-03-10
Survey response — 3 months, dose 5
MedDRA: Pain in extremity — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

MedDRA releases: 2024-11
2023-03-10
Report sent to call center — 3 months, dose 5
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2023-03-14
Call successful
Participant prefers to complete VAERS report online
2023-03-14
Call successful
Participant prefers to complete VAERS report online
2023-06-11
Health check-in — 6 months, dose 5
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-19	Moderna
2	2021-04-16	Moderna
3	2021-12-05	Moderna	Flu
4	2022-05-10	Moderna	No
5	2022-12-09	Pfizer-BioNTech	No

Call center

2 call center cases

2 successful

See the call center timeline

Free text

Release 11 — days 1–6 daily, dose 4

2022-05-12

Systemic reaction (other): Underarm pain on injection arm. Believe it's a swollen lymph node.

2022-05-13

Systemic reaction (other): Moderate to mild pain from visibly swollen lymph node under injectin arm.

2022-05-14

Systemic reaction (other): Swelling in lymph node in armpit of injection arm is smaller and less painful.

Release 11 — day 14, dose 4

2022-05-24

Symptoms: Very mild armpit pain in my non-injected arm.

Release 12 — day 42, dose 4

2022-06-21

Symptoms: Tired/sleepy, some sinus pressure, a general feeling of malaise. Could be anything.

Release 12 — 6 months, dose 4

2022-11-10

Symptoms: Triggered, intense pain in big toe on roght foot when pressure applied in certain positions.

Release 12 — day 7, dose 5

2022-12-16

Systemic reaction (other): Swollen lymph nodes in armpits

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
SD	Axillary pain	·	·	✓
SD	Fatigue	·	·	✓
SD	Malaise	·	·	✓
SD	Pain in extremity	·	·	✓
SD	Paranasal sinus discomfort	·	·	✓
SD	Photopsia	·	·	✓
SD	Somnolence	·	·	✓
SD	Tenderness	·	·	✓
SRO	Axillary pain	·	·	✓
SRO	Lymph node pain	·	·	✓
SRO	Lymphadenopathy	·	·	✓

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