4HZ-75106-76119

2 vaccinations 18 coded responses 24 check-ins 18 free-text entries 3 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 494 / MI
Registered: 2021-03-14

Relationship: Self
Race: White
Ethnicity: N/A

Timeline

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

2021-03-12
Dose 1 — Moderna
2021-03-14
Registered in v-safe
2021-03-14
Survey response — days 1–6 daily, dose 1
MedDRA: Back pain, Ear pain, Hypoaesthesia, Lymph node pain — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: hand numbness. Ear pain. Back pain. Under arm lymph node pain.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-15
Survey response — days 1–6 daily, dose 1
MedDRA: Oedema peripheral, Pain, Swelling — Feeling: Fair · Site: Pain, Swelling · Muscle or body aches

Free text: Swelling left chest area. Under left arm. Some sharp pain.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-16
Survey response — days 1–6 daily, dose 1
MedDRA: Oedema peripheral, Swelling — Feeling: Fair · Site: Pain · Headache, Muscle or body aches

Free text: Swelling in left chest area. And under left arm.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-17
Survey response — days 1–6 daily, dose 1
MedDRA: Feeling abnormal, Peripheral swelling — Feeling: Fair · Muscle or body aches

Free text: Swelling left chest under left arm. Brain fog.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-18
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-19
Survey response — day 7, dose 1
MedDRA: Discomfort — Feeling: Fair · Muscle or body aches

Free text: Left chest under left arm uncomfortable

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
Health check-in — day 14, dose 1
Feeling: Poor

Adult check-in
2021-04-02
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-09
Dose 2 — Moderna
2021-04-09
Survey response — day 0, dose 2
MedDRA: Chest discomfort, Dizziness, Ear discomfort, Limb discomfort, Musculoskeletal discomfort — Feeling: Fair · Site: Pain, Redness · Chills, Headache, Muscle or body aches

Free text: Under arm and chest and neck discomfort. Dizzy. Ear or jaw discomfort.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-10
Survey response — days 1–6 daily, dose 2
MedDRA: Dysgeusia, Headache, Lymphadenopathy, Pain, Pain in extremity — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: terrible heD ache. Lymph nodes swelling both arms. Shooting pain both arms and feet. Metal taste in mouth.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-11
Survey response — days 1–6 daily, dose 2
MedDRA: Chest discomfort, Headache, Lymph node pain, Pain in extremity, Somnolence — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to work, Be unable to do your normal daily activities

Free text: headache. Shooti g pains in hand and feet. Slept 36hours. Chest swelling. Lymph node under arm pain.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-12
Survey response — days 1–6 daily, dose 2
MedDRA: Pain, Swelling — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: swelling. Shooting pain to my feet.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-13
Survey response — days 1–6 daily, dose 2
MedDRA: Discomfort, Lymphadenopathy — Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Free text: Lymph node swelling discomfort. Under arm chest back neck.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-14
Survey response — days 1–6 daily, dose 2
MedDRA: Pain in extremity, Swelling — Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Muscle or body aches, Fatigue or tiredness

Free text: 1 episode of severe pain in arm. Swelling in chest under arms. Neck.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy, Medical counselling — Feeling: Poor · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Systemic reaction (other): Unsteady. Swelling of lymph nodes, emotional concern, called dr office. Watching for blood clot. · Healthcare visit (other): called Dr office for advice

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
Report sent to call center — days 1–6 daily, 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)
2021-04-16
Survey response — day 7, dose 2
MedDRA: Inflammation, Self-medication, Swelling — Feeling: Fair · Site: Swelling

Free text: Instructed to rake ibuprofin. Helps with inflammation and swelling.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-23
Health check-in — day 14, dose 2
Feeling: Poor

Adult check-in
2021-04-30
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-05-07
Survey response — day 28, dose 2
MedDRA: Headache, Lymphadenopathy, Pain in extremity, Stomatitis — Feeling: Fair

Free text: Arm pain. Emotional episode. Headaches daily. Swollen lymph nodes more irritated. Mouth sores.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-14
Survey response — day 35, dose 2
MedDRA: Inflammation, Lymphadenopathy, Pain in extremity, Weight increased — Feeling: Poor

Free text: Arm sore just driving. Sharp pain at times. Inflammation. Weight gain. Lymoh nodes swollen.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-21
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-07-09
Survey response — 3 months, dose 2
MedDRA: Dyspnoea, Pain in extremity — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Still left arm pain at times.Shortness of breath at times since immunizations.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-09
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-14
Call 1 — Left Voicemail
2021-10-10
Survey response — 6 months, dose 2
MedDRA: Dyspnoea, Headache, Pain in extremity, Parosmia — Feeling: Fair

Free text: Left arm pain. Smell smoke most of the time. Headaches. Short of breath at times.

MedDRA releases: 2024-11 · check-in free text available
2021-12-13
Call successful
Does not wish to fill out VAERS report
2022-04-09
Survey response — 12 months, dose 2
MedDRA: Office visit, Pruritus, Varicella — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: I had pox. Several itching spots. Swimming helps my arm strength and range of motion and helps breathing. · Healthcare visit (other): Office visit. Suggested no booster.

MedDRA releases: 2024-11 · check-in free text available
2022-04-09
Report sent to call center — 12 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2022-04-12
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-12	Moderna
2	2021-04-09	Moderna

Call center

3 call center cases

2 successful · 1 unsuccessful

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-14

Systemic reaction (other): hand numbness. Ear pain. Back pain. Under arm lymph node pain.

2021-03-15

Systemic reaction (other): Swelling left chest area. Under left arm. Some sharp pain.

2021-03-16

Systemic reaction (other): Swelling in left chest area. And under left arm.

2021-03-17

Systemic reaction (other): Swelling left chest under left arm. Brain fog.

Release 5 — day 7, dose 1

2021-03-19

Systemic reaction (other): Left chest under left arm uncomfortable

Release 7 — day 0, dose 2

2021-04-09

Systemic reaction (other): Under arm and chest and neck discomfort. Dizzy. Ear or jaw discomfort.

Release 7 — days 1–6 daily, dose 2

2021-04-10

Systemic reaction (other): terrible heD ache. Lymph nodes swelling both arms. Shooting pain both arms and feet. Metal taste in mouth.

2021-04-11

Systemic reaction (other): headache. Shooti g pains in hand and feet. Slept 36hours. Chest swelling. Lymph node under arm pain.

2021-04-12

Systemic reaction (other): swelling. Shooting pain to my feet.

2021-04-13

Systemic reaction (other): Lymph node swelling discomfort. Under arm chest back neck.

2021-04-14

Systemic reaction (other): 1 episode of severe pain in arm. Swelling in chest under arms. Neck.

2021-04-15

Systemic reaction (other): Unsteady. Swelling of lymph nodes, emotional concern, called dr office. Watching for blood clot.

Healthcare visit (other): called Dr office for advice

Release 7 — day 7, dose 2

2021-04-16

Systemic reaction (other): Instructed to rake ibuprofin. Helps with inflammation and swelling.

Release 8 — day 28, dose 2

2021-05-07

Symptoms: Arm pain. Emotional episode. Headaches daily. Swollen lymph nodes more irritated. Mouth sores.

Release 8 — day 35, dose 2

2021-05-14

Symptoms: Arm sore just driving. Sharp pain at times. Inflammation. Weight gain. Lymoh nodes swollen.

Release 9 — 3 months, dose 2

2021-07-09

Symptoms: Still left arm pain at times.Shortness of breath at times since immunizations.

Release 10 — 6 months, dose 2

2021-10-10

Symptoms: Left arm pain. Smell smoke most of the time. Headaches. Short of breath at times.

Release 11 — 12 months, dose 2

2022-04-09

Symptoms: I had pox. Several itching spots. Swimming helps my arm strength and range of motion and helps breathing.

Healthcare visit (other): Office visit. Suggested no booster.

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	Dyspnoea	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Inflammation	✓	✓	✓
SD	Lymphadenopathy	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SD	Parosmia	·	·	✓
SD	Pruritus	·	·	✓
SD	Stomatitis	✓	✓	✓
SD	Varicella	·	·	✓
SD	Weight increased	✓	✓	✓
SRO	Back pain	✓	✓	✓
SRO	Chest discomfort	✓	✓	✓
SRO	Discomfort	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Dysgeusia	✓	✓	✓
SRO	Ear discomfort	✓	✓	✓
SRO	Ear pain	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Hypoaesthesia	✓	✓	✓
SRO	Inflammation	✓	✓	✓
SRO	Limb discomfort	✓	✓	✓
SRO	Lymph node pain	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Musculoskeletal discomfort	✓	✓	✓
SRO	Oedema peripheral	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Peripheral swelling	✓	✓	✓
SRO	Self-medication	✓	✓	✓
SRO	Somnolence	✓	✓	✓
SRO	Swelling	✓	✓	✓

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