5QK-31253-45496

2 vaccinations 12 coded responses 25 check-ins 12 free-text entries 1 call case

Sex: Female
Age at first dose: 51-55
ZIP prefix: 109 / NY
Registered: 2021-01-15

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

2021-01-15
Registered in v-safe
2021-01-15
Dose 1 — Moderna
2021-01-15
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Redness · Fatigue or tiredness

Adult check-in
2021-01-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Redness · Headache

Adult check-in
2021-01-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Redness · None

Adult check-in
2021-01-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Redness, Swelling · None

Adult check-in
2021-01-20
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-01-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Redness, Swelling · None

Adult check-in
2021-01-24
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-29
Survey response — day 14, dose 1
MedDRA: Erythema, Feeling hot, Injection site erythema, Injection site pruritus, Injection site warmth, Lymphadenopathy, Pruritus, Rash — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Developed a rash on my arm. Large red itchy and hot area where I received the shot 10 days after shot. Also have an enlarged lymph node on my collarbone

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-29
Report sent to call center — day 14, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-05
Survey response — day 21, dose 1
MedDRA: Lymphadenopathy, Rash — Feeling: Good

Free text: I had a delayed reaction with the rash on my arm and a swollen lymph node on my collarbone

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-13
Dose 2 — Moderna
2021-02-13
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-02-13
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness

Adult check-in
2021-02-14
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-15
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Fair · 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: Swollen lymph node

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-16
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain, Redness, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Free text: Swollen lymph nodes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-17
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Fair · Site: Redness, Itching · Headache, Fatigue or tiredness, Diarrhea

Free text: Swollen lymph nodes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-19
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Fair · Site: Redness, Itching · Headache, Fatigue or tiredness

Free text: Swollen lymph nodes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-20
Survey response — day 7, dose 2
MedDRA: Lymphadenopathy — Feeling: Good · Site: Redness, Itching · Headache, Fatigue or tiredness

Free text: Swollen lymph nodes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-27
Survey response — day 14, dose 2
MedDRA: Pruritus, Urticaria — Feeling: Good

Free text: Itchy hives in several areas

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-06
Survey response — day 21, dose 2
MedDRA: Pruritus, Urticaria — Feeling: Good

Free text: Itchy hives all over the place

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-13
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-20
Survey response — day 35, dose 2
MedDRA: Urticaria — Feeling: Good

Free text: Hives

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-27
Survey response — day 42, dose 2
MedDRA: Urticaria — Feeling: Good

Free text: I keep getting hives in all different areas

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-15
Survey response — 3 months, dose 2
MedDRA: Urticaria — Feeling: Good

Free text: Still getting hives

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-25
Call 1 — Left Voicemail
2021-05-26
Call successful
Participant prefers to complete VAERS report online
2021-08-16
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-15	Moderna
2	2021-02-13	Moderna

Call center

1 call center case

1 successful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 3 — day 14, dose 1

2021-01-29

Symptoms: Developed a rash on my arm. Large red itchy and hot area where I received the shot 10 days after shot. Also have an enlarged lymph node on my collarbone

Release 3 — day 21, dose 1

2021-02-05

Symptoms: I had a delayed reaction with the rash on my arm and a swollen lymph node on my collarbone

Release 4 — days 1–6 daily, dose 2

2021-02-15

Systemic reaction (other): Swollen lymph node

2021-02-16

Systemic reaction (other): Swollen lymph nodes

2021-02-17

Systemic reaction (other): Swollen lymph nodes

2021-02-19

Systemic reaction (other): Swollen lymph nodes

Release 4 — day 7, dose 2

2021-02-20

Systemic reaction (other): Swollen lymph nodes

Release 4 — day 14, dose 2

2021-02-27

Symptoms: Itchy hives in several areas

Release 5 — day 21, dose 2

2021-03-06

Symptoms: Itchy hives all over the place

Release 6 — day 35, dose 2

2021-03-20

Symptoms: Hives

Release 6 — day 42, dose 2

2021-03-27

Symptoms: I keep getting hives in all different areas

Release 8 — 3 months, dose 2

2021-05-15

Symptoms: Still getting hives

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	Erythema	○	✓	○
SD	Feeling hot	○	✓	○
SD	Injection site erythema	✓	·	✓
SD	Injection site pruritus	✓	·	✓
SD	Injection site warmth	✓	·	✓
SD	Lymphadenopathy	✓	✓	✓
SD	Pruritus	✓	✓	✓
SD	Rash	✓	✓	✓
SD	Urticaria	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓

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