66X-13279-53730

2 vaccinations 9 coded responses 24 check-ins 9 free-text entries 1 call case

Sex: Female
Age at first dose: 66+
ZIP prefix: 786 / TX
Registered: 2021-01-18

Relationship: Self
Race: White
Ethnicity: Hispanic or Latino

Timeline

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

2021-01-18
Registered in v-safe
2021-01-18
Dose 1 — Moderna
2021-01-18
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-01-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

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

Adult check-in
2021-01-25
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-01
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-08
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-15
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-02-23
Dose 2 — Moderna
2021-02-23
Survey response — day 0, dose 2
MedDRA: No adverse event — Feeling: Fair · Site: Pain · Headache

Free text: No

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-24
Survey response — days 1–6 daily, dose 2
MedDRA: Pain in extremity — Feeling: Good · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Leg pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-25
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Swelling · Fever · Chills, Headache, Joint pains, 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 · Fatigue or tiredness

Adult check-in
2021-02-27
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling, Itching · Joint pains

Adult check-in
2021-02-28
Survey response — days 1–6 daily, dose 2
MedDRA: Pain in extremity — Feeling: Good · Site: Pain, Swelling, Itching · Headache

Free text: Hand fingers hurt

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling · Headache, Joint pains

Adult check-in
2021-03-02
Health check-in — day 7, dose 2
Feeling: Good · Site: Pain, Swelling · None

Adult check-in
2021-03-09
Survey response — day 14, dose 2
MedDRA: Ear pain, Lymphadenopathy, Neck pain, Pain, Pain in extremity, Pain in jaw — Feeling: Fair

Free text: Had an acute pain on the right side of my neck all the way to my ear. Then i found out i have a swollen lymph node in the neck still have it. Also acute pain in both of my jaws and strange leg pains in both legs on an off

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-16
Survey response — day 21, dose 2
MedDRA: Lymphadenopathy — Feeling: Good

Free text: Lymph node still swollen

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-24
Survey response — day 28, dose 2
MedDRA: Arthralgia, Lymphadenopathy, Pain in extremity — Feeling: Good

Free text: Pain in my joints not all the time. Still have a swollen lymph node in neck. The Pain on leg joints is the worst when i get it.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-30
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-06
Survey response — day 42, dose 2
MedDRA: Arthralgia — Feeling: Good

Free text: Still having joint and leg pain sporadivally. Not all the time but when it happens its like lightning comes and goes then i am ok

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-25
Survey response — 3 months, dose 2
MedDRA: Neoplasm — Feeling: Good

Free text: Have a tumor on my left lung

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-24
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-02-23
Survey response — 12 months, dose 2
MedDRA: Office visit, Pulmonary mass — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Have mass in both lungs. Had ctscans and pet scans. We believe is the moderna vaccine · Healthcare visit (other): Lung specialists

MedDRA releases: 2024-11 · check-in free text available
2022-02-23
Report sent to call center — 12 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2022-02-25
Call 1 — Left Voicemail
2022-03-21
Call successful
Participant prefers to complete VAERS report online

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-18	Moderna
2	2021-02-23	Moderna

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 4 — day 0, dose 2

2021-02-23

Systemic reaction (other): No

Release 4 — days 1–6 daily, dose 2

2021-02-24

Systemic reaction (other): Leg pain

2021-02-28

Systemic reaction (other): Hand fingers hurt

Release 5 — day 14, dose 2

2021-03-09

Symptoms: Had an acute pain on the right side of my neck all the way to my ear. Then i found out i have a swollen lymph node in the neck still have it. Also acute pain in both of my jaws and strange leg pains in both legs on an off

Release 5 — day 21, dose 2

2021-03-16

Symptoms: Lymph node still swollen

Release 6 — day 28, dose 2

2021-03-24

Symptoms: Pain in my joints not all the time. Still have a swollen lymph node in neck. The Pain on leg joints is the worst when i get it.

Release 7 — day 42, dose 2

2021-04-06

Symptoms: Still having joint and leg pain sporadivally. Not all the time but when it happens its like lightning comes and goes then i am ok

Release 8 — 3 months, dose 2

2021-05-25

Symptoms: Have a tumor on my left lung

Release 11 — 12 months, dose 2

2022-02-23

Symptoms: Have mass in both lungs. Had ctscans and pet scans. We believe is the moderna vaccine

Healthcare visit (other): Lung specialists

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	·	·	✓
SD	Arthralgia	✓	✓	✓
SD	Ear pain	✓	✓	✓
SD	Lymphadenopathy	✓	✓	✓
SD	Neck pain	✓	✓	✓
SD	Neoplasm	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SD	Pain in jaw	✓	✓	✓
SD	Pulmonary mass	·	·	✓
SRO	No adverse event	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓

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