6CH-11100-32186

5 vaccinations 10 coded responses 47 check-ins 10 free-text entries 2 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 750 / TX
Registered: 2021-02-09

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

2021-02-09
Registered in v-safe
2021-02-09
Dose 1 — Moderna
2021-02-09
Health check-in — day 0, dose 1
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-02-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Redness · Muscle or body aches

Adult check-in
2021-02-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-16
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-23
Survey response — day 14, dose 1
MedDRA: Lymph node pain, Lymphadenopathy, Pain — Feeling: Fair

Free text: Swollen lymph node at left collarbone- same side as my vaccine- painful to touch - dull pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-02
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-03-05
Dose 2 — Moderna
2021-03-06
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy, Pain — Feeling: Fair · Site: Pain · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Swollen lymph nodes on side of injection at collarbone - VERY sensitive. Pain from site up to ear - but really pain near collarbone

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-07
Survey response — days 1–6 daily, dose 2
MedDRA: Contusion, Ear pain, Lymph node pain, Pain — Feeling: Fair · Site: Pain, Redness, Swelling · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Lymph node at collarbone still greatest source of pain- same side as site - arm like a light bruise - pain at collarbone up to ear dull and throbbing nonstop

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-08
Survey response — days 1–6 daily, dose 2
MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Good · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Swollen lymph node at collar bone - sensitive to touch

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

Adult check-in
2021-03-10
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Good · Site: Swelling

Free text: Swollen lymph node at collar bone

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-11
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-12
Health check-in — day 7, dose 2
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2021-03-19
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-26
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-02
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-11
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-16
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-05
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-05
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-19
Dose 3 — Moderna
2021-10-27
Health check-in — day 7, dose 3
Feeling: Good · Site: Pain, Swelling · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-11-04
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-09
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-16
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-23
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-04
Survey response — day 42, dose 3
MedDRA: Cough, Unevaluable event — Feeling: Fair

Free text: Cough, sinus

MedDRA releases: 2024-11 · check-in free text available
2022-01-20
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-04-19
Dose 4 — Moderna
2022-04-20
Survey response — days 1–6 daily, dose 4
MedDRA: Lymphadenopathy, Vaccine positive rechallenge — Feeling: Poor · Site: Pain, Redness, Swelling · Muscle or body aches, Fatigue or tiredness

Free text: For all four shots- I have had a lymph node swell for several days located at my left collar bone.

MedDRA releases: 2024-11 · check-in free text available
2022-04-22
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Redness, Swelling · Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-04-23
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain, Redness, Swelling · Fatigue or tiredness

Adult check-in
2022-04-24
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-04-26
Health check-in — day 7, dose 4
Feeling: Good · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-05-04
Survey response — day 14, dose 4
MedDRA: Dizziness, Nausea, Office visit, Tinnitus — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Dizziness, ear ringing, nausea · Healthcare visit (other): Appt with primary care

MedDRA releases: 2024-11 · check-in free text available
2022-05-04
Report sent to call center — day 14, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2022-05-05
Call 1 — Left Voicemail
2022-05-05
Call successful
Participant prefers to complete VAERS report online
2022-05-12
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-05-24
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-06-02
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-07-19
Survey response — 3 months, dose 4
MedDRA: Cough, Fatigue, Oropharyngeal pain, Pyrexia, Rhinorrhoea — Feeling: Good · 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: Runny nose Cough Fever 101.4 for one day Sore throat Fatigue

MedDRA releases: 2024-11 · check-in free text available
2022-07-19
Report sent to call center — 3 months, dose 4
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)
2022-07-21
Call 2 — Left Voicemail
2022-07-21
Call 1 — Left Voicemail
2022-09-30
Dose 5 — Moderna
2022-10-08
Health check-in — day 7, dose 5
Feeling: Good · Site: Pain, Redness, Swelling, Itching · Headache

Adult check-in
2022-10-23
Survey response — day 21, dose 5
MedDRA: Ear discomfort, Oropharyngeal pain, Rhinorrhoea, Sneezing — Feeling: Fair · Be unable to do your normal daily activities

Free text: Runny nose, plugged ears, sneezing, sore throat

MedDRA releases: 2024-11 · check-in free text available
2022-10-28
Health check-in — day 28, dose 5
Feeling: Good

Adult check-in
2022-11-06
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2022-11-13
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2022-12-30
Health check-in — 3 months, dose 5
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-09	Moderna
2	2021-03-05	Moderna
3	2021-10-19	Moderna	No
4	2022-04-19	Moderna	No
5	2022-09-30	Moderna	No

Call center

2 call center cases

1 successful · 1 unsuccessful

See the call center timeline

Free text

Release 4 — day 14, dose 1

2021-02-23

Symptoms: Swollen lymph node at left collarbone- same side as my vaccine- painful to touch - dull pain

Release 5 — days 1–6 daily, dose 2

2021-03-06

Systemic reaction (other): Swollen lymph nodes on side of injection at collarbone - VERY sensitive. Pain from site up to ear - but really pain near collarbone

2021-03-07

Systemic reaction (other): Lymph node at collarbone still greatest source of pain- same side as site - arm like a light bruise - pain at collarbone up to ear dull and throbbing nonstop

2021-03-08

Systemic reaction (other): Swollen lymph node at collar bone - sensitive to touch

2021-03-10

Systemic reaction (other): Swollen lymph node at collar bone

Release 10 — day 42, dose 3

2021-12-04

Symptoms: Cough, sinus

Release 11 — days 1–6 daily, dose 4

2022-04-20

Systemic reaction (other): For all four shots- I have had a lymph node swell for several days located at my left collar bone.

Release 11 — day 14, dose 4

2022-05-04

Symptoms: Dizziness, ear ringing, nausea

Healthcare visit (other): Appt with primary care

Release 12 — 3 months, dose 4

2022-07-19

Symptoms: Runny nose Cough Fever 101.4 for one day Sore throat Fatigue

Release 12 — day 21, dose 5

2022-10-23

Symptoms: Runny nose, plugged ears, sneezing, sore throat

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	Cough	·	·	✓
SD	Dizziness	·	·	✓
SD	Ear discomfort	·	·	✓
SD	Fatigue	·	·	✓
SD	Lymph node pain	✓	✓	✓
SD	Lymphadenopathy	✓	✓	✓
SD	Nausea	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pain	✓	✓	✓
SD	Pyrexia	·	·	✓
SD	Rhinorrhoea	·	·	✓
SD	Sneezing	·	·	✓
SD	Tinnitus	·	·	✓
SD	Unevaluable event	·	·	✓
SRO	Contusion	✓	✓	✓
SRO	Ear pain	✓	✓	✓
SRO	Lymph node pain	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Vaccine positive rechallenge	·	·	✓

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