4F9-44773-28504

3 vaccinations 8 coded responses 13 check-ins 7 free-text entries 2 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 284 / NC
Registered: 2022-10-10

Relationship: Self
Race: Other
Ethnicity: N/A

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-10-22
Dose 1 — Moderna
2021-11-19
Dose 2 — Moderna
2022-10-09
Dose 3 — Moderna
2022-10-10
Registered in v-safe
2022-10-10
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2022-10-11
Survey response — days 1–6 daily, dose 3
MedDRA: Lymph node pain, Lymphadenopathy, Pain — Feeling: Fair · Site: Pain, Swelling · Be unable to do your normal daily activities

Free text: Lymph nodes in underarm of arm injection is on are so swollen andSore it hurts to put arm down

MedDRA releases: 2024-11 · check-in free text available
2022-10-12
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Fatigue or tiredness

Adult check-in
2022-10-13
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Nausea, Abdominal pain

Adult check-in
2022-10-14
Survey response — days 1–6 daily, dose 3
MedDRA: Blood urine present, Office visit, Pre-existing disease, Self-medication, Urinary tract infection, Urine analysis abnormal — Feeling: Fair · Fever · Fatigue or tiredness, Abdominal pain

Free text: Starting yesterday felt like had uti went to dr have trace lysed cells found in urine test they are sending to culture In 2021 I had peed a clot when I had covidI am on aspirin therapy

MedDRA releases: 2024-11 · check-in free text available
2022-10-15
Survey response — days 1–6 daily, dose 3
MedDRA: Blood urine present — Feeling: Fair · Nausea

Free text: Still awaiting from dr about the trace lysed blood cells they found in urine on Thursday

MedDRA releases: 2024-11 · check-in free text available
2022-10-16
Health check-in — day 7, dose 3
Feeling: Fair · Headache, Abdominal pain

Adult check-in
2022-10-23
Survey response — day 14, dose 3
MedDRA: Abdominal discomfort, Arthralgia, Diarrhoea, Myalgia, Pain — Feeling: Fair

Free text: Diarrhea body aches muscle aches joints etc stomach upset wed night of this past week

MedDRA releases: 2024-11 · check-in free text available
2022-10-30
Survey response — day 21, dose 3
MedDRA: Headache — Feeling: Fair · Be unable to do your normal daily activities

Free text: Headache today bad

MedDRA releases: 2024-11 · check-in free text available
2022-11-06
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-11-13
Survey response — day 35, dose 3
MedDRA: Headache, Pyrexia, Respiratory tract congestion — Feeling: Fair

Free text: And headache in ability to clear throat, fever, low-grad

MedDRA releases: 2024-11 · check-in free text available
2022-11-20
Survey response — day 42, dose 3
MedDRA: Confusional state, Disorientation, Facial paralysis, Hospitalisation, Neurological symptom, Pyrexia — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, Hospitalization

Free text: Stroke symptoms facial drooping disorientation confusion low grade fever in hospiti now

MedDRA releases: 2024-11 · check-in free text available
2022-11-20
Report sent to call center — day 42, 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

Emergency room or emergency department visit · Hospitalization · 1 call case(s)
2022-11-21
Call 3 — Left Voicemail
2023-01-08
Survey response — 3 months, dose 3
MedDRA: Magnetic resonance imaging abnormal, Office visit, Osteoporosis — Feeling: Fair · Get care from a doctor or other healthcare professional

MedDRA releases: 2024-11
2023-01-08
Report sent to call center — 3 months, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2023-01-09
Call 1 — Left Voicemail
2023-01-09
Call 1 — Left Voicemail
2023-01-10
Call 2 — Left Voicemail
2023-01-10
Call 2 — Left Voicemail
2023-01-10
Call successful
Completed over the phone

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-10-22	Moderna	No
2	2021-11-19	Moderna	No
3	2022-10-09	Moderna	No

Call center

2 call center cases

1 successful · 1 unsuccessful

VAERS report filed, before or during a call: 1

See the call center timeline

Free text

Release 12 — days 1–6 daily, dose 3

2022-10-11

Systemic reaction (other): Lymph nodes in underarm of arm injection is on are so swollen andSore it hurts to put arm down

2022-10-14

Systemic reaction (other): Starting yesterday felt like had uti went to dr have trace lysed cells found in urine test they are sending to culture In 2021 I had peed a clot when I had covidI am on aspirin therapy

2022-10-15

Systemic reaction (other): Still awaiting from dr about the trace lysed blood cells they found in urine on Thursday

Release 12 — day 14, dose 3

2022-10-23

Symptoms: Diarrhea body aches muscle aches joints etc stomach upset wed night of this past week

Release 12 — day 21, dose 3

2022-10-30

Symptoms: Headache today bad

Release 12 — day 35, dose 3

2022-11-13

Symptoms: And headache in ability to clear throat, fever, low-grad

Release 12 — day 42, dose 3

2022-11-20

Symptoms: Stroke symptoms facial drooping disorientation confusion low grade fever in hospiti now

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	Abdominal discomfort	·	·	✓
SD	Arthralgia	·	·	✓
SD	Confusional state	·	·	✓
SD	Diarrhoea	·	·	✓
SD	Disorientation	·	·	✓
SD	Facial paralysis	·	·	✓
SD	Headache	·	·	✓
SD	Hospitalisation	·	·	✓
SD	Magnetic resonance imaging abnormal	·	·	✓
SD	Myalgia	·	·	✓
SD	Neurological symptom	·	·	✓
SD	Osteoporosis	·	·	✓
SD	Pain	·	·	✓
SD	Pyrexia	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SRO	Blood urine present	·	·	✓
SRO	Lymph node pain	·	·	✓
SRO	Lymphadenopathy	·	·	✓
SRO	Office visit	·	·	✓
SRO	Pain	·	·	✓
SRO	Pre-existing disease	·	·	✓
SRO	Self-medication	·	·	✓
SRO	Urinary tract infection	·	·	✓
SRO	Urine analysis abnormal	·	·	✓

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