64H-22385-73638

3 vaccinations 10 coded responses 27 check-ins 10 free-text entries 1 call case

Sex: Female
Age at first dose: 66+
ZIP prefix: 787 / TX
Registered: 2021-02-25

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

2021-01-22
Dose 1 — Moderna
2021-02-24
Dose 2 — Moderna
2021-02-25
Registered in v-safe
2021-02-25
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-26
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling · Joint pains

Adult check-in
2021-02-27
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain · Fatigue or tiredness

Free text: I could feel the lymph nodes in my injection side armpit last night and thiz morning. Not now.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-28
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-01
Survey response — days 1–6 daily, dose 2
MedDRA: Asthenia — Feeling: Good · Fatigue or tiredness

Free text: Ran out of energy. Took a nap which is uncommon and then felt better

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Joint pains

Adult check-in
2021-03-04
Survey response — day 7, dose 2
MedDRA: Lymphadenopathy — Feeling: Good

Free text: Aware of lymph nodes, still, under injection arm; only when i wad carrying heavy items.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-10
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-17
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-24
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-31
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-07
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-31
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-25
Survey response — 6 months, dose 2
MedDRA: Intermenstrual bleeding, Office visit, Uterine dilation and curettage — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: I had a 2nd occurrence of breakthrough bleeding. This necessitated an OR procedure to verify it was not endometriosis. Uterus was cleaned of dried blood. The 2nd event happened 4 mos after 2nd dose. · Healthcare visit (other): Dr consult after ultrasound, decision to have D&C done in an OR.followed by D&C in OR

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-25
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-10-26
Dose 3 — Pfizer-BioNTech
2021-10-27
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Fatigue or tiredness

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

Adult check-in
2021-10-29
Survey response — days 1–6 daily, dose 3
MedDRA: Lymphadenopathy — Feeling: Good · Fatigue or tiredness

Free text: Lymph node is swollen

MedDRA releases: 2024-11 · check-in free text available
2021-10-30
Survey response — days 1–6 daily, dose 3
MedDRA: Lymph node pain — Feeling: Good · Muscle or body aches

Free text: Lymph node under left arm still sore

MedDRA releases: 2024-11 · check-in free text available
2021-11-01
Survey response — days 1–6 daily, dose 3
MedDRA: Injection site reaction, Lymphadenopathy — Feeling: Good · Muscle or body aches

Free text: Only lymph node swelling beneath i jection site arm

MedDRA releases: 2024-11 · check-in free text available
2021-11-02
Survey response — day 7, dose 3
MedDRA: Lymphadenopathy — Feeling: Good · Muscle or body aches

Free text: Lymph node in injection side breast tissue

MedDRA releases: 2024-11 · check-in free text available
2021-11-09
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-17
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-23
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-30
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-07
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2021-12-09
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-01-25
Survey response — 3 months, dose 3
MedDRA: Adverse reaction, SARS-CoV-2 test positive — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: I tested positive for Covid on Jan 12th. I'd had symptoms similar to Cedar Fever for 4 days. My 2 consecutive negative tests were Jan 21st & 22nd

MedDRA releases: 2024-11 · check-in free text available
2022-04-26
Survey response — 6 months, dose 3
MedDRA: Cough, Dysphonia, Oropharyngeal pain, Paranasal sinus hypersecretion, Parosmia, Sneezing — Feeling: Fair

Free text: In late March, I had one day of a screaming sore throat, one day as it reduced on left, one day reducing on right. Raspy voice, some cough, and sneezy, wet sinuses. No test. None available where i was. Still cannot smell the coffee since Feb

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-22	Moderna
2	2021-02-24	Moderna
3	2021-10-26	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-08-25	Successful 2021-12-09	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Free text

Release 4 — days 1–6 daily, dose 2

2021-02-27

Systemic reaction (other): I could feel the lymph nodes in my injection side armpit last night and thiz morning. Not now.

2021-03-01

Systemic reaction (other): Ran out of energy. Took a nap which is uncommon and then felt better

Release 5 — day 7, dose 2

2021-03-04

Systemic reaction (other): Aware of lymph nodes, still, under injection arm; only when i wad carrying heavy items.

Release 9 — 6 months, dose 2

2021-08-25

Symptoms: I had a 2nd occurrence of breakthrough bleeding. This necessitated an OR procedure to verify it was not endometriosis. Uterus was cleaned of dried blood. The 2nd event happened 4 mos after 2nd dose.

Healthcare visit (other): Dr consult after ultrasound, decision to have D&C done in an OR.followed by D&C in OR

Release 10 — days 1–6 daily, dose 3

2021-10-29

Systemic reaction (other): Lymph node is swollen

2021-10-30

Systemic reaction (other): Lymph node under left arm still sore

2021-11-01

Systemic reaction (other): Only lymph node swelling beneath i jection site arm

Release 10 — day 7, dose 3

2021-11-02

Systemic reaction (other): Lymph node in injection side breast tissue

Release 11 — 3 months, dose 3

2022-01-25

Symptoms: I tested positive for Covid on Jan 12th. I'd had symptoms similar to Cedar Fever for 4 days. My 2 consecutive negative tests were Jan 21st & 22nd

Release 11 — 6 months, dose 3

2022-04-26

Symptoms: In late March, I had one day of a screaming sore throat, one day as it reduced on left, one day reducing on right. Raspy voice, some cough, and sneezy, wet sinuses. No test. None available where i was. Still cannot smell the coffee since Feb

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	Office visit	✓	·	✓
HCVO	Uterine dilation and curettage	✓	·	✓
SD	Adverse reaction	·	·	✓
SD	Cough	·	·	✓
SD	Dysphonia	·	·	✓
SD	Intermenstrual bleeding	✓	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Paranasal sinus hypersecretion	·	·	✓
SD	Parosmia	·	·	✓
SD	SARS-CoV-2 test positive	·	·	✓
SD	Sneezing	·	·	✓
SD	Uterine dilation and curettage	✓	·	✓
SRO	Asthenia	✓	✓	✓
SRO	Injection site reaction	·	·	✓
SRO	Lymph node pain	·	·	✓
SRO	Lymphadenopathy	✓	✓	✓

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