4KS-60865-97965

5 vaccinations 10 coded responses 41 check-ins 10 free-text entries 1 call case

Sex: Female
Age at first dose: 66+
ZIP prefix: 500 / IA
Registered: 2021-03-10

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

2021-02-02
Dose 1 — Moderna
2021-03-10
Registered in v-safe
2021-03-10
Dose 2 — Moderna
2021-03-10
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-03-11
Survey response — days 1–6 daily, dose 2
MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Free text: Swollen, tender/painful lymph node above right clavicle.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-12
Survey response — days 1–6 daily, dose 2
MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Good · Fatigue or tiredness

Free text: Lymph node above the right clavicle is still swollen and moderately painful when touched.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-13
Survey response — days 1–6 daily, dose 2
MedDRA: Ear pain, Lymph node pain, Lymphadenopathy, Neck pain — Feeling: Good · Fatigue or tiredness

Free text: I now have swelling/tenderness/itching above the right clavicle. ~ This is where I reported swollen lymph nodes and pain yesterday. There is also some pain that extends up into my neck and right ear area.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-15
Survey response — days 1–6 daily, dose 2
MedDRA: Lymph node pain — Feeling: Good

Free text: The same thing that I reported the last two days still persists and I now feel some tenderness in my right groin lymph node.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-16
Survey response — days 1–6 daily, dose 2
MedDRA: Adverse reaction — Feeling: Good

Free text: Those, as reported the last several days, still continue.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-17
Survey response — day 7, dose 2
MedDRA: Adverse reaction — Feeling: Good

Free text: Symptoms reported the last few days are improving somewhat.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-24
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-31
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-07
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-14
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-21
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-09
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-08
Survey response — 6 months, dose 2
MedDRA: Atrial fibrillation — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: Diagnosed with Atrial Fibrillation

MedDRA releases: 2024-11 · check-in free text available
2021-09-08
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-09-15
Call successful
Participant prefers to complete VAERS report online
2021-10-24
Dose 3 — Moderna
2021-10-26
Survey response — days 1–6 daily, dose 3
MedDRA: No adverse event — Feeling: Good

Free text: None

MedDRA releases: 2024-11 · check-in free text available
2021-10-27
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-28
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-29
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-30
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-31
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-11-09
Survey response — day 14, dose 3
MedDRA: Body temperature decreased, Nasopharyngitis — Feeling: Fair

Free text: Feels like I have a common cold, starting yesterday, and symptoms no different than what I have had before with a common cold. . ~ Temp is 98.4.

MedDRA releases: 2024-11 · check-in free text available
2021-11-14
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-21
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-28
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-05
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-23
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-04-26
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-05-23
Dose 4 — Moderna
2022-05-31
Health check-in — day 7, dose 4
Feeling: Good · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-06-13
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-06-22
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-06-27
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-07-04
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-08-22
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-09-27
Dose 5 — Pfizer-BioNTech
Co-administered: Flu
2022-10-10
Survey response — day 7, dose 5
MedDRA: Myalgia — Feeling: Good

Free text: Had sore arm in deltoid the next morning and it disappeared as the day went on.

MedDRA releases: 2024-11 · check-in free text available
2022-10-11
Health check-in — day 14, dose 5
Feeling: Good

Adult check-in
2022-10-18
Health check-in — day 21, dose 5
Feeling: Good

Adult check-in
2022-10-25
Health check-in — day 28, dose 5
Feeling: Good

Adult check-in
2022-11-01
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2022-11-08
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2022-12-27
Health check-in — 3 months, dose 5
Feeling: Good

Adult check-in
2023-03-28
Health check-in — 6 months, dose 5
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-02	Moderna
2	2021-03-10	Moderna
3	2021-10-24	Moderna	No
4	2022-05-23	Moderna	No
5	2022-09-27	Pfizer-BioNTech	Flu

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 2

2021-03-11

Systemic reaction (other): Swollen, tender/painful lymph node above right clavicle.

2021-03-12

Systemic reaction (other): Lymph node above the right clavicle is still swollen and moderately painful when touched.

2021-03-13

Systemic reaction (other): I now have swelling/tenderness/itching above the right clavicle. ~ This is where I reported swollen lymph nodes and pain yesterday. There is also some pain that extends up into my neck and right ear area.

2021-03-15

Systemic reaction (other): The same thing that I reported the last two days still persists and I now feel some tenderness in my right groin lymph node.

2021-03-16

Systemic reaction (other): Those, as reported the last several days, still continue.

Release 5 — day 7, dose 2

2021-03-17

Systemic reaction (other): Symptoms reported the last few days are improving somewhat.

Release 9 — 6 months, dose 2

2021-09-08

Symptoms: Diagnosed with Atrial Fibrillation

Release 10 — days 1–6 daily, dose 3

2021-10-26

Systemic reaction (other): None

Release 10 — day 14, dose 3

2021-11-09

Symptoms: Feels like I have a common cold, starting yesterday, and symptoms no different than what I have had before with a common cold. . ~ Temp is 98.4.

Release 12 — day 7, dose 5

2022-10-10

Systemic reaction (other): Had sore arm in deltoid the next morning and it disappeared as the day went on.

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	Atrial fibrillation	·	·	✓
SD	Body temperature decreased	·	·	✓
SD	Nasopharyngitis	·	·	✓
SRO	Adverse reaction	✓	✓	✓
SRO	Ear pain	✓	✓	✓
SRO	Lymph node pain	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Myalgia	·	·	✓
SRO	Neck pain	✓	✓	✓
SRO	No adverse event	·	·	✓

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