6DE-27008-13528

2 vaccinations 8 coded responses 22 check-ins 8 free-text entries 5 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 284 / NC
Registered: 2021-05-13

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

2021-05-13
Registered in v-safe
2021-05-13
Dose 1 — Moderna
2021-05-13
Survey response — day 0, dose 1
MedDRA: Injection site pain — Feeling: Good

Free text: I'd say 'tenderness' at the injection site, I'm only 2 hours post-injection

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling · Diarrhea

Adult check-in
2021-05-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling · None

Adult check-in
2021-05-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Abdominal pain

Adult check-in
2021-05-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-05-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-05-22
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-05-27
Survey response — day 14, dose 1
MedDRA: Rash, Urticaria — Feeling: Good

Free text: 'Rash' or hives. Not many spots but a cluster of three around my abdomen and one hive on my inner arm. Just started last night, I woke up with them today.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-03
Survey response — day 21, dose 1
MedDRA: Ear pain, Nasopharyngitis, Oropharyngeal pain, Urinary tract infection — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Cold like symptoms, ear and sore throat. Also, new urinary tract infection

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-03
Report sent to call center — day 21, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-10
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-06-17
Dose 2 — Moderna
2021-06-17
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Headache, Diarrhea

Adult check-in
2021-06-18
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-06-19
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Headache

Adult check-in
2021-06-20
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache · Be unable to do your normal daily activities

Adult check-in
2021-06-21
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain

Free text: Lymph nodes are swollen in the base of my head

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-22
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache

Adult check-in
2021-06-23
Survey response — days 1–6 daily, dose 2
MedDRA: Contusion — Feeling: Good

Free text: Bruising

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-24
Health check-in — day 7, dose 2
Feeling: Good · Joint pains · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Adult check-in
2021-06-24
Report sent to call center — day 7, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-29
Call 1 — Could Not Reach Participant
2021-06-30
Call successful
Reported to VAERS voluntarily prior to GDIT contact
2021-07-01
Survey response — day 14, dose 2
MedDRA: Adverse reaction — Feeling: Fair · 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: Filled out VAERS report with details

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-01
Report sent to call center — day 14, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-06
Call successful
Reported to VAERS voluntarily prior to GDIT contact
2021-07-15
Survey response — day 28, dose 2
MedDRA: Peripheral swelling — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Bilateral leg swelling is getting worse. Called primary care doctor again today to get seen.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-15
Report sent to call center — day 28, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-22
Call successful
Reported to VAERS during previous contact from GDIT
2021-09-16
Survey response — 3 months, dose 2
MedDRA: Office visit, Swelling — Feeling: Fair · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: I've had to go to the doctor several times to get labs. Taking Benadryl every night for swelling. Awaiting an appointment with an immunologist.

MedDRA releases: 2024-11 · check-in free text available
2021-09-16
Report sent to call center — 3 months, dose 2
Be unable to work or attend school · Get care from a doctor or other healthcare professional

1 call case(s)
2021-09-17
Call successful
Reported to VAERS voluntarily prior to GDIT contact
2021-12-17
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-05-13	Moderna
2	2021-06-17	Moderna

Call center

5 call center cases

5 successful

VAERS report filed, before or during a call: 5

See the call center timeline

Free text

Release 8 — day 0, dose 1

2021-05-13

Systemic reaction (other): I'd say 'tenderness' at the injection site, I'm only 2 hours post-injection

Release 8 — day 14, dose 1

2021-05-27

Symptoms: 'Rash' or hives. Not many spots but a cluster of three around my abdomen and one hive on my inner arm. Just started last night, I woke up with them today.

Release 8 — day 21, dose 1

2021-06-03

Symptoms: Cold like symptoms, ear and sore throat. Also, new urinary tract infection

Release 9 — days 1–6 daily, dose 2

2021-06-21

Systemic reaction (other): Lymph nodes are swollen in the base of my head

2021-06-23

Systemic reaction (other): Bruising

Release 9 — day 14, dose 2

2021-07-01

Symptoms: Filled out VAERS report with details

Release 9 — day 28, dose 2

2021-07-15

Symptoms: Bilateral leg swelling is getting worse. Called primary care doctor again today to get seen.

Release 9 — 3 months, dose 2

2021-09-16

Symptoms: I've had to go to the doctor several times to get labs. Taking Benadryl every night for swelling. Awaiting an appointment with an immunologist.

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	Adverse reaction	✓	✓	✓
SD	Ear pain	✓	✓	✓
SD	Nasopharyngitis	✓	✓	✓
SD	Office visit	·	·	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Peripheral swelling	✓	·	✓
SD	Rash	✓	✓	✓
SD	Swelling	·	·	✓
SD	Urinary tract infection	✓	✓	✓
SD	Urticaria	✓	✓	✓
SRO	Contusion	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓

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