632-23072-76344

2 vaccinations 9 coded responses 25 check-ins 9 free-text entries 1 call case

Sex: Female
Age at first dose: 66+
ZIP prefix: 224 / VA
Registered: 2021-03-15

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

2021-03-15
Registered in v-safe
2021-03-15
Dose 1 — Moderna
2021-03-15
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-03-16
Survey response — days 1–6 daily, dose 1
MedDRA: Unevaluable event — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: l just recovered from covid in February

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-17
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Redness, Swelling · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-18
Survey response — days 1–6 daily, dose 1
MedDRA: Body temperature increased, Chest discomfort, Dyspnoea, Emergency care — Feeling: Good · Site: Pain, Redness, Swelling, Itching · Headache

Free text: Wanted to let you know i ended up in ER Tuesday night with SOB, temp of 102 and chest pressure.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-19
Survey response — days 1–6 daily, dose 1
MedDRA: Unevaluable event — Feeling: Good · Site: Pain, Redness, Swelling · Diarrhea

Free text: Should i still get tbe 2nd dose since I've had covid and such a strong reaction to the 1st shot

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-21
Survey response — days 1–6 daily, dose 1
MedDRA: Adverse reaction — Feeling: Good · Headache

Free text: Is anybody ever gonna call me about the significant response i had to the first shot?

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-22
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-30
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-07
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-12
Dose 2 — Moderna
2021-04-12
Survey response — day 0, dose 2
MedDRA: Unevaluable event — Feeling: Fair · Site: Pain · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: hope I don't end up in the ER again

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-13
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-04-14
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-04-15
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-16
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-18
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-19
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-26
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-03
Survey response — day 21, dose 2
MedDRA: Pulmonary mass — Feeling: Good

Free text: I have a lung nodule that has grown 2.5 mm since last year. Could inflammation from the vaccine or my bout with Covid in February contribute this increase in the size of the nodule. It has been stable sine 2015

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-10
Survey response — day 28, dose 2
MedDRA: Pulmonary mass — Feeling: Good

Free text: So do you think the vaccine may the nodule grow in my lung, or could it have been Covid i got while waiting on vaccine. Still waiting on a response from you

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-17
Survey response — day 35, dose 2
MedDRA: Nodule — Feeling: Good

Free text: Still haven't got an answer about the nodule growing 2.5 mm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-26
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-12
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-11
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-04-12
Survey response — 12 months, dose 2
MedDRA: Back pain, Mobility decreased — Feeling: Poor · Be unable to work or attend school, 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: Severe low back pain that has kept me in bed for past 2 weeks

MedDRA releases: 2024-11 · check-in free text available
2022-04-12
Report sent to call center — 12 months, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-04-15
Call successful
Does not wish to fill out VAERS report

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-15	Moderna
2	2021-04-12	Moderna

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-16

Systemic reaction (other): l just recovered from covid in February

2021-03-18

Systemic reaction (other): Wanted to let you know i ended up in ER Tuesday night with SOB, temp of 102 and chest pressure.

2021-03-19

Systemic reaction (other): Should i still get tbe 2nd dose since I've had covid and such a strong reaction to the 1st shot

Release 6 — days 1–6 daily, dose 1

2021-03-21

Systemic reaction (other): Is anybody ever gonna call me about the significant response i had to the first shot?

Release 7 — day 0, dose 2

2021-04-12

Systemic reaction (other): hope I don't end up in the ER again

Release 8 — day 21, dose 2

2021-05-03

Symptoms: I have a lung nodule that has grown 2.5 mm since last year. Could inflammation from the vaccine or my bout with Covid in February contribute this increase in the size of the nodule. It has been stable sine 2015

Release 8 — day 28, dose 2

2021-05-10

Symptoms: So do you think the vaccine may the nodule grow in my lung, or could it have been Covid i got while waiting on vaccine. Still waiting on a response from you

Release 8 — day 35, dose 2

2021-05-17

Symptoms: Still haven't got an answer about the nodule growing 2.5 mm

Release 11 — 12 months, dose 2

2022-04-12

Symptoms: Severe low back pain that has kept me in bed for past 2 weeks

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	Back pain	·	·	✓
SD	Mobility decreased	·	·	✓
SD	Nodule	✓	✓	✓
SD	Pulmonary mass	✓	✓	✓
SRO	Adverse reaction	✓	✓	✓
SRO	Body temperature increased	✓	✓	✓
SRO	Chest discomfort	✓	✓	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Emergency care	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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