669-28056-54245

4 vaccinations 6 coded responses 44 check-ins 5 free-text entries 1 call case

Sex: Female
Age at first dose: 31-35
ZIP prefix: 430 / OH
Registered: 2020-12-24

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Registered dependents

GZD-10486-59759 Child or adolescent in my care · Male · 2022-06-21

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2020-12-24
Registered in v-safe
2020-12-24
Dose 1 — Moderna
2020-12-25
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2020-12-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2020-12-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2020-12-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2020-12-29
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2020-12-30
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2020-12-31
Survey response — day 7, dose 1
MedDRA: Lymphadenopathy — Feeling: Good

Free text: Swollen lymph nodes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-07
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-14
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-01-19
Dose 2 — Moderna
2021-01-20
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain

Adult check-in
2021-01-21
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Itching · Fatigue or tiredness

Adult check-in
2021-01-22
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-01-23
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-01-24
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache

Adult check-in
2021-01-25
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-01-26
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-02-02
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-09
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-16
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-02-23
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-02
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-04-20
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-07-20
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-29
Dose 3 — Moderna
2021-11-02
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Itching · None

Adult check-in
2021-11-03
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-04
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-05
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-11-12
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-26
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-03
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-01-28
Survey response — 3 months, dose 3
MedDRA: Delivery — Feeling: Good · Get care from a doctor or other healthcare professional · Hospitalization

Free text: Gave birth.

MedDRA releases: 2024-11 · check-in free text available
2022-01-28
Report sent to call center — 3 months, dose 3
Get care from a doctor or other healthcare professional

Hospitalization · 1 call case(s)
2022-01-31
Call 1 — Left Voicemail
2022-05-01
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-10-26
Dose 4 — Pfizer-BioNTech
2022-10-27
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-10-28
Survey response — days 1–6 daily, dose 4
MedDRA: Swelling, Tenderness — Feeling: Fair · Site: Pain · Muscle or body aches

Free text: Swelling and tenderness at neck/collar bone area on the same side of body as injection

MedDRA releases: 2024-11 · check-in free text available
2022-10-29
Survey response — days 1–6 daily, dose 4
MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain · Muscle or body aches

Free text: Swelling in neck/collar bone area/ lymph node on same side of vaccine

MedDRA releases: 2024-11 · check-in free text available
2022-10-30
Survey response — days 1–6 daily, dose 4
MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain

Free text: Swollen lymph node

MedDRA releases: 2024-11 · check-in free text available
2022-10-31
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-11-01
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-11-02
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-11-09
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-11-16
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-11-23
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-12-07
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2023-04-28
Survey response — 6 months, dose 4
MedDRA: Ageusia, Anosmia, COVID-19, Cough, Oropharyngeal pain, Pain, Pyrexia — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-24	Moderna
2	2021-01-19	Moderna
3	2021-10-29	Moderna	No
4	2022-10-26	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2022-01-28	Unsuccessful

Free text

Release 1 — day 7, dose 1

2020-12-31

Systemic reaction (other): Swollen lymph nodes

Release 11 — 3 months, dose 3

2022-01-28

Symptoms: Gave birth.

Release 12 — days 1–6 daily, dose 4

2022-10-28

Systemic reaction (other): Swelling and tenderness at neck/collar bone area on the same side of body as injection

2022-10-29

Systemic reaction (other): Swelling in neck/collar bone area/ lymph node on same side of vaccine

2022-10-30

Systemic reaction (other): Swollen lymph node

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	Ageusia	·	·	✓
SD	Anosmia	·	·	✓
SD	Cough	·	·	✓
SD	COVID-19	·	·	✓
SD	Delivery	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pain	·	·	✓
SD	Pyrexia	·	·	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Swelling	·	·	✓
SRO	Tenderness	·	·	✓

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