5W3-17303-95181

2 vaccinations 10 coded responses 14 check-ins 10 free-text entries 4 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 577 / SD
Registered: 2021-03-21

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

2021-03-16
Dose 1 — Moderna
2021-03-21
Registered in v-safe
2021-03-21
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-03-22
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Abdominal pain · Be unable to work, 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
2021-03-22
Report sent to call center — days 1–6 daily, dose 1
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)
2021-03-25
Survey response — day 7, dose 1
MedDRA: Dyspnoea — Feeling: Poor · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activities

Free text: Still hard to breathe

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-30
Survey response — day 14, dose 1
MedDRA: Abdominal pain upper, Headache, Myalgia, Oropharyngeal pain, Vomiting — Feeling: Good · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: I got extremely sick with the first Moderna shot severe headache vomiting sore muscles sore throat severe stomach pains it was awful

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-30
Report sent to call center — day 14, dose 1
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)
2021-04-08
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-04-13
Survey response — day 28, dose 1
MedDRA: Dyspnoea, Muscle spasms, Pulmonary pain, Sinusitis — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: Severe muscle cramping, sinus infection, lungs hurt! Hard to breathe

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-20
Dose 2 — Moderna
2021-04-20
Survey response — day 0, dose 2
MedDRA: Hyperhidrosis — Feeling: Good · Site: Pain · Headache, Fatigue or tiredness

Free text: Severe sweating

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-26
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache

Adult check-in
2021-04-29
Survey response — day 7, dose 2
MedDRA: Lymphadenopathy — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Lymph nodes swollen!!

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-12
Survey response — day 21, dose 2
MedDRA: Breast cyst, Lymphadenopathy — Feeling: Poor

Free text: Lymph nodes and cysts in my breast and under arms have swollen

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-18
Survey response — day 28, dose 2
MedDRA: Breast cyst, Cyst, Swelling — Feeling: Fair

Free text: Cysts underneath my armpits and in my breasts are very swollen

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-01
Survey response — day 42, dose 2
MedDRA: Asthenia, Breast cyst, Breast swelling, Cyst, Dyspnoea, Medical counselling, Oedema peripheral, Pulmonary pain — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Lungs hurt, hard to breathe! Cysts swollen underneath my armpits and breast area, very weak! No energy! · Healthcare visit (other): Talked to doctor

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-01
Report sent to call center — day 42, 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)
2021-07-09
Call 1 — Left Voicemail
2021-10-20
Survey response — 6 months, dose 2
MedDRA: Dyspnoea, Rash — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Can't breathe as well, and I have a rash all over my legs and arms since I have had the vaccine

MedDRA releases: 2024-11 · check-in free text available
2021-10-20
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2021-10-22
Call successful
Does not wish to fill out VAERS report
2021-10-22
Call successful
Does not wish to fill out VAERS report
2022-04-22
Survey response — 12 months, dose 2
MedDRA: Abdominal pain upper, Chest pain, Dyspnoea, Ear infection, Sinus disorder — Feeling: Fair · Be unable to do your normal daily activities

Free text: Struggling breathing still! Sinus issues chest pain ear infections. Stomach cramping

MedDRA releases: 2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-16	Moderna
2	2021-04-20	Moderna

Call center

4 call center cases

4 successful

See the call center timeline

Free text

Release 6 — day 7, dose 1

2021-03-25

Systemic reaction (other): Still hard to breathe

Release 6 — day 14, dose 1

2021-03-30

Symptoms: I got extremely sick with the first Moderna shot severe headache vomiting sore muscles sore throat severe stomach pains it was awful

Release 7 — day 28, dose 1

2021-04-13

Symptoms: Severe muscle cramping, sinus infection, lungs hurt! Hard to breathe

Release 7 — day 0, dose 2

2021-04-20

Systemic reaction (other): Severe sweating

Release 8 — day 7, dose 2

2021-04-29

Systemic reaction (other): Lymph nodes swollen!!

Release 8 — day 21, dose 2

2021-05-12

Symptoms: Lymph nodes and cysts in my breast and under arms have swollen

Release 8 — day 28, dose 2

2021-05-18

Symptoms: Cysts underneath my armpits and in my breasts are very swollen

Release 8 — day 42, dose 2

2021-06-01

Symptoms: Lungs hurt, hard to breathe! Cysts swollen underneath my armpits and breast area, very weak! No energy!

Healthcare visit (other): Talked to doctor

Release 10 — 6 months, dose 2

2021-10-20

Symptoms: Can't breathe as well, and I have a rash all over my legs and arms since I have had the vaccine

Release 11 — 12 months, dose 2

2022-04-22

Symptoms: Struggling breathing still! Sinus issues chest pain ear infections. Stomach cramping

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	✓	✓	✓
SD	Abdominal pain upper	✓	✓	✓
SD	Asthenia	✓	✓	✓
SD	Breast cyst	✓	✓	✓
SD	Breast swelling	✓	✓	✓
SD	Chest pain	·	·	✓
SD	Cyst	✓	✓	✓
SD	Dyspnoea	✓	✓	✓
SD	Ear infection	·	·	✓
SD	Headache	✓	✓	✓
SD	Lymphadenopathy	✓	✓	✓
SD	Muscle spasms	✓	✓	✓
SD	Myalgia	✓	✓	✓
SD	Oedema peripheral	✓	✓	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Pulmonary pain	✓	✓	✓
SD	Rash	·	·	✓
SD	Sinus disorder	·	·	✓
SD	Sinusitis	✓	✓	✓
SD	Swelling	✓	✓	✓
SD	Vomiting	✓	✓	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Hyperhidrosis	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓

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