4B2-52897-83686

3 vaccinations 6 coded responses 36 check-ins 6 free-text entries 1 call case

Sex: Female
Age at first dose: 51-55
ZIP prefix: 770 / TX
Registered: 2021-01-08

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

2021-01-08
Registered in v-safe
2021-01-08
Dose 1 — Moderna
2021-01-08
Health check-in — day 0, dose 1
Feeling: Good · Site: Redness, Swelling · None

Adult check-in
2021-01-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Redness, Swelling · Headache

Adult check-in
2021-01-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Redness, Swelling · Fatigue or tiredness

Adult check-in
2021-01-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Redness, Swelling · None

Adult check-in
2021-01-12
Survey response — days 1–6 daily, dose 1
MedDRA: Hypertrophy of tongue papillae — Feeling: Good · Site: Redness · Headache

Free text: My doctor thought this was worth reporting on the first night of vaccine I had very enlarged taste buds on back of tongue. I didn't initially report it because it wasn't a common system.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Redness, Swelling · None

Adult check-in
2021-01-15
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-22
Survey response — day 14, dose 1
MedDRA: Injection site erythema, Injection site induration, Injection site swelling, Injection site warmth — Feeling: Fair

Free text: Red, swelling, hardness, heat at injection site about 2 in circle. . Flared up on day 8 and 9 after vaccine. I have pictures. Took bendryl. Today it is slightly red but has not bothered me otherwise. I did not know who to report it to.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-29
Survey response — day 21, dose 1
MedDRA: Injection site bruising — Feeling: Good

Free text: The injection site itself looks bruised. Again I have pics if someone would like to see them.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-05
Dose 2 — Moderna
2021-02-07
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Swelling · Joint pains, Fatigue or tiredness

Adult check-in
2021-02-09
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-10
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-02-11
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache

Adult check-in
2021-02-13
Health check-in — day 7, dose 2
Feeling: Good · Headache

Adult check-in
2021-02-19
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-27
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-05
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-12
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-19
Survey response — day 42, dose 2
MedDRA: Lymphadenopathy, Office visit — Feeling: Poor · Get care from a doctor or other healthcare professional

Free text: Symptoms: Lymph nodes on non injection side are enlarged. Having ultrasound on Monday 3/22/2021 · Healthcare visit (other): Made appointment wi my surgeon at (b)(6) who ordered ultrasound.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-19
Report sent to call center — day 42, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-07
Survey response — 3 months, dose 2
MedDRA: Fatigue — Feeling: Fair · Be unable to do your normal daily activities

Free text: Fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-06
Health check-in — 6 months, dose 2
Feeling: Poor

Adult check-in
2021-09-11
Dose 3 — Moderna
2021-09-11
Health check-in — day 0, dose 3
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-09-12
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-09-13
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Redness, Swelling · Chills, Joint pains, Muscle or body aches

Adult check-in
2021-09-14
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Swelling · None

Adult check-in
2021-09-15
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-09-17
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-09-18
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-09-25
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-10-04
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-10-09
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-10-16
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-10-23
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2021-12-11
Survey response — 3 months, dose 3
MedDRA: Arthralgia — Feeling: Fair · Be unable to do your normal daily activities

Free text: My joints have been achy since I have gotten shot

MedDRA releases: 2024-11 · check-in free text available
2021-12-28
Call successful
Participant prefers to complete VAERS report online
2022-03-12
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-08	Moderna
2	2021-02-05	Moderna
3	2021-09-11	Moderna	No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-12

Systemic reaction (other): My doctor thought this was worth reporting on the first night of vaccine I had very enlarged taste buds on back of tongue. I didn't initially report it because it wasn't a common system.

Release 2 — day 14, dose 1

2021-01-22

Symptoms: Red, swelling, hardness, heat at injection site about 2 in circle. . Flared up on day 8 and 9 after vaccine. I have pictures. Took bendryl. Today it is slightly red but has not bothered me otherwise. I did not know who to report it to.

Release 3 — day 21, dose 1

2021-01-29

Symptoms: The injection site itself looks bruised. Again I have pics if someone would like to see them.

Release 5 — day 42, dose 2

2021-03-19

Symptoms: Lymph nodes on non injection side are enlarged. Having ultrasound on Monday 3/22/2021

Healthcare visit (other): Made appointment wi my surgeon at (b)(6) who ordered ultrasound.

redacted (b)(6)

Release 8 — 3 months, dose 2

2021-05-07

Symptoms: Fatigue

Release 10 — 3 months, dose 3

2021-12-11

Symptoms: My joints have been achy since I have gotten shot

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	Office visit	✓	✓	✓
SD	Arthralgia	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Injection site bruising	✓	✓	✓
SD	Injection site erythema	✓	✓	✓
SD	Injection site induration	✓	✓	✓
SD	Injection site swelling	✓	✓	✓
SD	Injection site warmth	✓	✓	✓
SD	Lymphadenopathy	✓	✓	✓
SRO	Hypertrophy of tongue papillae	✓	✓	✓
SRO	Swollen tongue	○	○	○

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