6HB-22674-10036

5 vaccinations 35 coded responses 56 check-ins 34 free-text entries 2 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 206 / MD
Registered: 2021-02-07

Relationship: Self
Race: Black or African American
Ethnicity: Not Hispanic or Latino

Timeline

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

2021-02-07
Registered in v-safe
2021-02-07
Dose 1 — Moderna
2021-02-07
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-02-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-10
Survey response — days 1–6 daily, dose 1
MedDRA: No adverse event — Feeling: Good · Diarrhea, Abdominal pain

Free text: None

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

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

Adult check-in
2021-02-14
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-21
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-28
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-07
Dose 2 — Moderna
2021-03-07
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-08
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache · Be unable to do your normal daily activities

Adult check-in
2021-03-09
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache · Be unable to do your normal daily activities

Adult check-in
2021-03-11
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None · Be unable to work

Adult check-in
2021-03-12
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site reaction, Oropharyngeal pain, Throat irritation — Feeling: Good · Site: Pain · Headache · Be unable to do your normal daily activities

Free text: Feel like sore throat is coming scratch also the site is round as years ago when you got a vaccine as a kid

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-13
Survey response — days 1–6 daily, dose 2
MedDRA: Sneezing, Throat irritation — Feeling: Fair · Site: Pain, Itching · Headache

Free text: Sneezing and scratchy throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-14
Health check-in — day 7, dose 2
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-03-21
Survey response — day 14, dose 2
MedDRA: Abdominal pain upper, Headache, Musculoskeletal stiffness — Feeling: Poor · Be unable to do your normal daily activities

Free text: Stiff neck headache stomach pains

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-28
Survey response — day 21, dose 2
MedDRA: Headache — Feeling: Poor · Be unable to work

Free text: Headaches continue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-04
Survey response — day 28, dose 2
MedDRA: Headache, Pyrexia — Feeling: Poor · Be unable to work

Free text: Low grade fever and headaches

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-11
Survey response — day 35, dose 2
MedDRA: Headache, Oropharyngeal pain — Feeling: Good · Be unable to work

Free text: Headaches continue and throat off and on sore

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-18
Survey response — day 42, dose 2
MedDRA: Abdominal pain upper, Headache — Feeling: Fair · Be unable to work

Free text: Headaches and stomach aches

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-06
Survey response — 3 months, dose 2
MedDRA: Arthralgia, Gait disturbance — Feeling: Good · Be unable to do your normal daily activities

Free text: Both knees hurting so bad could barely walk

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-09-05
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-25
Dose 3 — Moderna
2021-10-28
Survey response — days 1–6 daily, dose 3
MedDRA: Lymphadenopathy — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Joint pains, Muscle or body aches · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Swollen lymph nodes gland in armpit in arm where shot was given

MedDRA releases: 2024-11 · check-in free text available
2021-10-29
Survey response — days 1–6 daily, dose 3
MedDRA: Lymphadenopathy — Feeling: Poor · Site: Pain, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Lymph node gland swollen under the armpit same arm of injection

MedDRA releases: 2024-11 · check-in free text available
2021-10-30
Survey response — days 1–6 daily, dose 3
MedDRA: Lymphadenopathy — Feeling: Poor · Site: Pain, Redness, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Swollen lymph nodes gland under armpit

MedDRA releases: 2024-11 · check-in free text available
2021-10-31
Survey response — days 1–6 daily, dose 3
MedDRA: Lymphadenopathy — Feeling: Poor · Site: Pain, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Swollen lymph nodes gland under the armpit only on the side of the vaccine

MedDRA releases: 2024-11 · check-in free text available
2021-11-01
Survey response — day 7, dose 3
MedDRA: Unevaluable event — Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Lymph nodes gland under the armpit

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

Adult check-in
2021-11-15
Health check-in — day 21, dose 3
Feeling: Fair

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

Adult check-in
2021-11-30
Survey response — day 35, dose 3
MedDRA: Arthralgia, Pain in extremity — Feeling: Fair · Be unable to do your normal daily activities

Free text: Arm and shoulder pain

MedDRA releases: 2024-11 · check-in free text available
2021-12-07
Survey response — day 42, dose 3
MedDRA: Headache, Pain in extremity — Feeling: Poor · Be unable to do your normal daily activities

Free text: Arm and head hurting all the time.

MedDRA releases: 2024-11 · check-in free text available
2022-01-24
Survey response — 3 months, dose 3
MedDRA: Dysphagia, Headache — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Extremely bad headaches and problems swallowing

MedDRA releases: 2024-11 · check-in free text available
2022-05-22
Dose 4 — Moderna
2022-05-24
Survey response — days 1–6 daily, dose 4
MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Poor · Site: Pain · Headache · Be unable to work or attend school

Free text: The arm which I received the vaccine lymph node gland under my armpit is swollen and hurting

MedDRA releases: 2024-11 · check-in free text available
2022-05-25
Survey response — days 1–6 daily, dose 4
MedDRA: Lymphadenopathy — Feeling: Poor · Site: Pain · Headache · Be unable to do your normal daily activities

Free text: Swollen lymph nodes under armpit of the arm the shot was given in

MedDRA releases: 2024-11 · check-in free text available
2022-05-26
Survey response — days 1–6 daily, dose 4
MedDRA: Groin pain, Lymph node pain, Lymphadenopathy — Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Free text: The shot was given in left arm since the shot left armpit lymph node gland is swollen and huts lije heck. The left goin area hurts also

MedDRA releases: 2024-11 · check-in free text available
2022-05-29
Health check-in — day 7, dose 4
Feeling: Fair · Site: Pain · Headache, Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2022-06-05
Survey response — day 14, dose 4
MedDRA: Groin pain, Lymphadenopathy, Pain in extremity — Feeling: Fair · Be unable to do your normal daily activities

Free text: Pain in groin area and legs since the booster the lymph gland under the arm swollen in arm of the injection

MedDRA releases: 2024-11 · check-in free text available
2022-06-13
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-06-19
Survey response — day 28, dose 4
MedDRA: Groin pain — Feeling: Fair · Be unable to work or attend school

Free text: Pain in groin area

MedDRA releases: 2024-11 · check-in free text available
2022-06-26
Survey response — day 35, dose 4
MedDRA: Pain — Feeling: Fair · Be unable to work or attend school

Free text: Extremely pain have not been the same since this booster

MedDRA releases: 2024-11 · check-in free text available
2022-07-03
Survey response — day 42, dose 4
MedDRA: Gait disturbance, Groin pain, Pain, Pain in extremity — Feeling: Poor · Be unable to work or attend school

Free text: Extremely bad pain in goin area arm area barely can walk. The side of my body where the shot was given has been in extreme pain

MedDRA releases: 2024-11 · check-in free text available
2022-08-21
Survey response — 3 months, dose 4
MedDRA: Headache — Feeling: Good · Be unable to do your normal daily activities

Free text: Constantly head aches since getting the last vaccine

MedDRA releases: 2024-11 · check-in free text available
2022-10-06
Dose 5 — Moderna
2022-10-06
Health check-in — day 0, dose 5
Feeling: Good · None

Adult check-in
2022-10-07
Survey response — days 1–6 daily, dose 5
MedDRA: Lymph node pain, Lymphadenopathy, Pre-existing disease — Feeling: Poor · Site: Pain · Joint pains · Be unable to work or attend school

Free text: Lymph under arm gland swollen and hurting. I have Non Hodgkin's lymphoma cancer

MedDRA releases: 2024-11 · check-in free text available
2022-10-08
Survey response — days 1–6 daily, dose 5
MedDRA: Lymphadenopathy — Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches · Be unable to work or attend school

Free text: Lymph node gland under armpit swollen in arm i got the vaccine.

MedDRA releases: 2024-11 · check-in free text available
2022-10-10
Survey response — days 1–6 daily, dose 5
MedDRA: Lymphadenopathy, Pre-existing disease — Feeling: Poor · Site: Pain · Headache · Be unable to work or attend school

Free text: Swollen.lymph node gland under armpit in the arm of injection. I'm a non Hodgkin's lymphoma patient who has cancer in armpits lymph nodes

MedDRA releases: 2024-11 · check-in free text available
2022-10-11
Survey response — days 1–6 daily, dose 5
MedDRA: Axillary pain, Lymphadenopathy — Feeling: Poor · Site: Pain · Fever · Headache, Muscle or body aches · Be unable to work or attend school

Free text: Pain armpit swollen lymph. Node glands under armpit

MedDRA releases: 2024-11 · check-in free text available
2022-10-12
Survey response — days 1–6 daily, dose 5
MedDRA: Axillary pain, Injection site pain, Pre-existing disease — Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches · Be unable to work or attend school

Free text: Armpit hurting. Pain in injection site. Lymphoma cancer patient

MedDRA releases: 2024-11 · check-in free text available
2022-10-13
Survey response — day 7, dose 5
MedDRA: Lymphadenopathy, Office visit — Feeling: Poor · Site: Pain · Headache, Joint pains · Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Swollen armpit gland in arm where injection given · Healthcare visit (other): Primary dr

MedDRA releases: 2024-11 · check-in free text available
2022-10-13
Report sent to call center — day 7, dose 5
Get care from a doctor or other healthcare professional

1 call case(s)
2022-10-14
Call 1 — Could Not Reach Participant
2022-10-20
Health check-in — day 14, dose 5
Feeling: Fair

Adult check-in
2022-10-20
Call successful
Participant prefers to complete VAERS report online
2022-10-27
Survey response — day 21, dose 5
MedDRA: Headache, Lymph node pain — Feeling: Fair · Be unable to work or attend school

Free text: Extremely bad headaches and lymph node glands hurting under armpit

MedDRA releases: 2024-11 · check-in free text available
2022-11-05
Health check-in — day 28, dose 5
Feeling: Good

Adult check-in
2022-11-10
Survey response — day 35, dose 5
MedDRA: Dizziness, Headache — Feeling: Poor · Be unable to work or attend school

Free text: Extremely bad headaches and dizziness

MedDRA releases: 2024-11 · check-in free text available
2022-11-17
Survey response — day 42, dose 5
MedDRA: Headache, Lymphadenopathy — Feeling: Fair · Be unable to work or attend school

Free text: Armpit swollen gland headaches

MedDRA releases: 2024-11 · check-in free text available
2023-01-05
Survey response — 3 months, dose 5
MedDRA: Headache, Office visit, Unevaluable event — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit, Hospitalization

MedDRA releases: 2024-11
2023-01-05
Report sent to call center — 3 months, dose 5
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · Hospitalization · 1 call case(s)
2023-01-06
Call successful
Participant prefers to complete VAERS report online

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-07	Moderna
2	2021-03-07	Moderna
3	2021-10-25	Moderna	No
4	2022-05-22	Moderna	No
5	2022-10-06	Moderna	No

Call center

2 call center cases

2 successful

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-10

Systemic reaction (other): None

Release 5 — days 1–6 daily, dose 2

2021-03-12

Systemic reaction (other): Feel like sore throat is coming scratch also the site is round as years ago when you got a vaccine as a kid

2021-03-13

Systemic reaction (other): Sneezing and scratchy throat

Release 6 — day 14, dose 2

2021-03-21

Symptoms: Stiff neck headache stomach pains

Release 6 — day 21, dose 2

2021-03-28

Symptoms: Headaches continue

Release 6 — day 28, dose 2

2021-04-04

Symptoms: Low grade fever and headaches

Release 7 — day 35, dose 2

2021-04-11

Symptoms: Headaches continue and throat off and on sore

Release 7 — day 42, dose 2

2021-04-18

Symptoms: Headaches and stomach aches

Release 8 — 3 months, dose 2

2021-06-06

Symptoms: Both knees hurting so bad could barely walk

Release 10 — days 1–6 daily, dose 3

2021-10-28

Systemic reaction (other): Swollen lymph nodes gland in armpit in arm where shot was given

2021-10-29

Systemic reaction (other): Lymph node gland swollen under the armpit same arm of injection

2021-10-30

Systemic reaction (other): Swollen lymph nodes gland under armpit

2021-10-31

Systemic reaction (other): Swollen lymph nodes gland under the armpit only on the side of the vaccine

Release 10 — day 7, dose 3

2021-11-01

Systemic reaction (other): Lymph nodes gland under the armpit

Release 10 — day 35, dose 3

2021-11-30

Symptoms: Arm and shoulder pain

Release 10 — day 42, dose 3

2021-12-07

Symptoms: Arm and head hurting all the time.

Release 11 — 3 months, dose 3

2022-01-24

Symptoms: Extremely bad headaches and problems swallowing

Release 11 — days 1–6 daily, dose 4

2022-05-24

Systemic reaction (other): The arm which I received the vaccine lymph node gland under my armpit is swollen and hurting

2022-05-25

Systemic reaction (other): Swollen lymph nodes under armpit of the arm the shot was given in

2022-05-26

Systemic reaction (other): The shot was given in left arm since the shot left armpit lymph node gland is swollen and huts lije heck. The left goin area hurts also

Release 11 — day 14, dose 4

2022-06-05

Symptoms: Pain in groin area and legs since the booster the lymph gland under the arm swollen in arm of the injection

Release 12 — day 28, dose 4

2022-06-19

Symptoms: Pain in groin area

Release 12 — day 35, dose 4

2022-06-26

Symptoms: Extremely pain have not been the same since this booster

Release 12 — day 42, dose 4

2022-07-03

Symptoms: Extremely bad pain in goin area arm area barely can walk. The side of my body where the shot was given has been in extreme pain

Release 12 — 3 months, dose 4

2022-08-21

Symptoms: Constantly head aches since getting the last vaccine

Release 12 — days 1–6 daily, dose 5

2022-10-07

Systemic reaction (other): Lymph under arm gland swollen and hurting. I have Non Hodgkin's lymphoma cancer

2022-10-08

Systemic reaction (other): Lymph node gland under armpit swollen in arm i got the vaccine.

2022-10-10

Systemic reaction (other): Swollen.lymph node gland under armpit in the arm of injection. I'm a non Hodgkin's lymphoma patient who has cancer in armpits lymph nodes

2022-10-11

Systemic reaction (other): Pain armpit swollen lymph. Node glands under armpit

2022-10-12

Systemic reaction (other): Armpit hurting. Pain in injection site. Lymphoma cancer patient

Release 12 — day 7, dose 5

2022-10-13

Systemic reaction (other): Swollen armpit gland in arm where injection given

Healthcare visit (other): Primary dr

Release 12 — day 21, dose 5

2022-10-27

Symptoms: Extremely bad headaches and lymph node glands hurting under armpit

Release 12 — day 35, dose 5

2022-11-10

Symptoms: Extremely bad headaches and dizziness

Release 12 — day 42, dose 5

2022-11-17

Symptoms: Armpit swollen gland headaches

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	Unevaluable event	·	·	✓
SD	Abdominal pain upper	✓	✓	✓
SD	Arthralgia	✓	✓	✓
SD	Dizziness	·	·	✓
SD	Dysphagia	·	·	✓
SD	Gait disturbance	·	·	✓
SD	Groin pain	·	·	✓
SD	Headache	✓	✓	✓
SD	Lymph node pain	·	·	✓
SD	Lymphadenopathy	·	·	✓
SD	Musculoskeletal stiffness	✓	✓	✓
SD	Office visit	·	·	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Pain	·	·	✓
SD	Pain in extremity	·	·	✓
SD	Pyrexia	✓	✓	✓
SRO	Axillary pain	·	·	✓
SRO	Groin pain	·	·	✓
SRO	Injection site pain	·	·	✓
SRO	Injection site reaction	✓	✓	✓
SRO	Lymph node pain	·	·	✓
SRO	Lymphadenopathy	·	·	✓
SRO	No adverse event	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Pre-existing disease	·	·	✓
SRO	Sneezing	✓	✓	✓
SRO	Throat irritation	✓	✓	✓
SRO	Unevaluable event	·	·	✓

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