4FE-62044-61031

4 vaccinations 11 coded responses 44 check-ins 11 free-text entries 7 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 208 / MD
Registered: 2021-01-09

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

2021-01-09
Registered in v-safe
2021-01-09
Dose 1 — Moderna
2021-01-09
Survey response — day 0, dose 1
MedDRA: Joint swelling, Lymphadenopathy, Mobility decreased, Weight bearing difficulty — Feeling: Fair · Site: Pain · Joint pains · Be unable to do your normal daily activities

Free text: 2 lymph nodes swollen in the left side of my neck, same side as the shot. Swelling in my left knee making it hard to bend or bear weight.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-09
Report sent to call center — day 0, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-10
Survey response — days 1–6 daily, dose 1
MedDRA: Lymphadenopathy — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Swollen lymph nodes in neck

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-10
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
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Joint pains

Adult check-in
2021-01-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
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: Fair · Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2021-01-14
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-15
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2021-01-15
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-16
Health check-in — day 7, dose 1
Feeling: Good · Muscle or body aches

Adult check-in
2021-01-25
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-30
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-06
Dose 2 — Moderna
2021-02-07
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-08
Survey response — days 1–6 daily, dose 2
MedDRA: Oropharyngeal pain — Feeling: Fair · Headache, Joint pains, Nausea

Free text: Sore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-09
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Joint pains, Muscle or body aches

Adult check-in
2021-02-10
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Joint pains, Muscle or body aches

Adult check-in
2021-02-11
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2021-02-12
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Joint pains, Muscle or body aches

Adult check-in
2021-02-13
Health check-in — day 7, dose 2
Feeling: Fair · Joint pains, Muscle or body aches

Adult check-in
2021-02-20
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-08-07
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-08-27
Dose 3 — Moderna
2021-08-27
Health check-in — day 0, dose 3
Feeling: Good · None

Adult check-in
2021-08-28
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-08-29
Survey response — days 1–6 daily, dose 3
MedDRA: Lymphadenopathy — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Swollen lymph node in armpit on arm I got the vaccine

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-30
Survey response — days 1–6 daily, dose 3
MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain · Fatigue or tiredness

Free text: Swollen left axillary lymph node

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-31
Survey response — days 1–6 daily, dose 3
MedDRA: Lymphadenopathy — Feeling: Good

Free text: Left axillary lymph node is still swollen

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-09-01
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-09-02
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-09-03
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-09-10
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-09-17
Survey response — day 21, dose 3
MedDRA: Headache, Nasal congestion, Oropharyngeal pain — Feeling: Poor · Be unable to do your normal daily activities

Free text: Modrrate Headache, stuffy nose, sore throat since 9/14/21

MedDRA releases: 2024-11 · check-in free text available
2021-09-24
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-10-01
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-10-08
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2021-11-26
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-02-19
Dose 4 — Pfizer-BioNTech
2022-02-21
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Adult check-in
2022-02-21
Report sent to call center — days 1–6 daily, dose 4
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)
2022-02-22
Survey response — days 1–6 daily, dose 4
MedDRA: Herpes zoster — Feeling: Fair · Site: Pain · Fever · Headache, Rash, not including the immediate area around the injection site · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Shingles, diagnosed 2/22

MedDRA releases: 2024-11 · check-in free text available
2022-02-22
Report sent to call center — days 1–6 daily, dose 4
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-02-22
Call 1 — Left Voicemail
2022-02-25
Survey response — days 1–6 daily, dose 4
MedDRA: Herpes zoster — Feeling: Fair · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site

Free text: Shingles diagnosed Monday 2/21

MedDRA releases: 2024-11 · check-in free text available
2022-02-26
Survey response — day 7, dose 4
MedDRA: Herpes zoster — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: shingles

MedDRA releases: 2024-11 · check-in free text available
2022-03-07
Survey response — day 14, dose 4
MedDRA: Pain in jaw, Swelling face — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Swollen face and aching jaw on one side

MedDRA releases: 2024-11 · check-in free text available
2022-03-07
Report sent to call center — day 14, dose 4
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-03-08
Call successful
Participant prefers to complete VAERS report online
2022-03-13
Health check-in — day 21, dose 4
Feeling: Fair

Adult check-in
2022-03-19
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-03-26
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-04-02
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-05-21
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2023-02-19
Health check-in — 12 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-09	Moderna
2	2021-02-06	Moderna
3	2021-08-27	Moderna	No
4	2022-02-19	Pfizer-BioNTech	No

Call center

7 call center cases

3 successful · 4 priority 2/3 (triaged and no follow up)

See the call center timeline

Free text

Release 1 — day 0, dose 1

2021-01-09

Systemic reaction (other): 2 lymph nodes swollen in the left side of my neck, same side as the shot. Swelling in my left knee making it hard to bend or bear weight.

Release 1 — days 1–6 daily, dose 1

2021-01-10

Systemic reaction (other): Swollen lymph nodes in neck

Release 3 — days 1–6 daily, dose 2

2021-02-08

Systemic reaction (other): Sore throat

Release 9 — days 1–6 daily, dose 3

2021-08-29

Systemic reaction (other): Swollen lymph node in armpit on arm I got the vaccine

2021-08-30

Systemic reaction (other): Swollen left axillary lymph node

2021-08-31

Systemic reaction (other): Left axillary lymph node is still swollen

Release 9 — day 21, dose 3

2021-09-17

Symptoms: Modrrate Headache, stuffy nose, sore throat since 9/14/21

Release 11 — days 1–6 daily, dose 4

2022-02-22

Systemic reaction (other): Shingles, diagnosed 2/22

2022-02-25

Systemic reaction (other): Shingles diagnosed Monday 2/21

Release 11 — day 7, dose 4

2022-02-26

Systemic reaction (other): shingles

Release 11 — day 14, dose 4

2022-03-07

Symptoms: Swollen face and aching jaw on one side

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	Headache	·	·	✓
SD	Nasal congestion	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pain in jaw	·	·	✓
SD	Swelling face	·	·	✓
SRO	Herpes zoster	·	·	✓
SRO	Joint swelling	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Mobility decreased	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Weight bearing difficulty	✓	✓	✓

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