6JG-21991-80148

2 vaccinations 11 coded responses 25 check-ins 11 free-text entries 2 call cases

Sex: —
Age at first dose: 56-60
ZIP prefix: 970 / OR
Registered: 2021-02-18

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

2021-02-16
Dose 1 — Moderna
2021-02-18
Registered in v-safe
2021-02-18
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site warmth — Feeling: Good · Site: Pain · Headache, Fatigue or tiredness

Free text: Injection site warm to touch, thermometer on forehead 97.5 on arm at inject site 98.6. (My normal range is 97.5 or lower).

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-19
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Itching · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-20
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-23
Health check-in — day 7, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-02
Survey response — day 14, dose 1
MedDRA: Lymphadenopathy — Feeling: Good

Free text: Swollen lymph node on left clavicle, same side as vaccinated.

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

Adult check-in
2021-03-16
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-03-18
Dose 2 — Moderna
2021-03-18
Survey response — day 0, dose 2
MedDRA: Injection site pain, Lymphadenopathy — Feeling: Good · Site: Pain, Swelling

Free text: Continued swollen lymph node from 1st vaccine, 2nd vaccine aggregated area; feels sore.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-19
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy, Neck pain — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Swollen lymph node collar bone, pain going neck.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-20
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling, Itching · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-03-21
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain, Redness · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Swollen lymph node, collarbone left side (same side as shot).

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-22
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain, Redness · Fatigue or tiredness

Free text: Swollen lymph node, left collarbone (shot left arm).

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-23
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain

Free text: Swollen lymph node left collarbone (shot left arm)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-24
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain

Free text: Swollen lymph node left collarbone (shot left arm)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-25
Survey response — day 7, dose 2
MedDRA: Lymphadenopathy — Feeling: Good

Free text: Swollen lymph node left collarbone (shot left arm)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-01
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-08
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-15
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-22
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-30
Survey response — day 42, dose 2
MedDRA: Hypoaesthesia, Lymphadenopathy — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Emergency room or emergency department visit

Free text: Swollen lymph node, left side neck. Numbness in face and areas of left leg.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-30
Report sent to call center — day 42, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-18
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-16
Survey response — 6 months, dose 2
MedDRA: Hypoaesthesia, Lymphadenopathy, Paraesthesia — Feeling: Good · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Numbness and tingling on head, face, neck, and legs that come and go.Continue to have swollen lymph node on neck. (Left side)

MedDRA releases: 2024-11 · check-in free text available
2021-09-16
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-09-20
Call successful
Participant prefers to complete VAERS report online
2022-03-21
Health check-in — 12 months, dose 2
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-16	Moderna
2	2021-03-18	Moderna

Call center

2 call center cases

2 successful

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-18

Systemic reaction (other): Injection site warm to touch, thermometer on forehead 97.5 on arm at inject site 98.6. (My normal range is 97.5 or lower).

Release 4 — day 14, dose 1

2021-03-02

Symptoms: Swollen lymph node on left clavicle, same side as vaccinated.

Release 5 — day 0, dose 2

2021-03-18

Systemic reaction (other): Continued swollen lymph node from 1st vaccine, 2nd vaccine aggregated area; feels sore.

Release 5 — days 1–6 daily, dose 2

2021-03-19

Systemic reaction (other): Swollen lymph node collar bone, pain going neck.

Release 6 — days 1–6 daily, dose 2

2021-03-21

Systemic reaction (other): Swollen lymph node, collarbone left side (same side as shot).

2021-03-22

Systemic reaction (other): Swollen lymph node, left collarbone (shot left arm).

2021-03-23

Systemic reaction (other): Swollen lymph node left collarbone (shot left arm)

2021-03-24

Systemic reaction (other): Swollen lymph node left collarbone (shot left arm)

Release 6 — day 7, dose 2

2021-03-25

Systemic reaction (other): Swollen lymph node left collarbone (shot left arm)

Release 8 — day 42, dose 2

2021-04-30

Symptoms: Swollen lymph node, left side neck. Numbness in face and areas of left leg.

Release 9 — 6 months, dose 2

2021-09-16

Symptoms: Numbness and tingling on head, face, neck, and legs that come and go.Continue to have swollen lymph node on neck. (Left side)

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	Hypoaesthesia	✓	✓	✓
SD	Lymphadenopathy	✓	✓	✓
SD	Paraesthesia	·	·	✓
SRO	Injection site pain	✓	✓	✓
SRO	Injection site warmth	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Neck pain	✓	✓	✓

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