6L9-22993-40877

3 vaccinations 9 coded responses 39 check-ins 9 free-text entries 4 call cases

Sex: Female
Age at first dose: 31-35
ZIP prefix: 494 / MI
Registered: 2020-12-27

Relationship: Self
Race: Multiracial
Ethnicity: Not Hispanic or Latino

Timeline

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

2020-12-26
Dose 1 — Moderna
2020-12-27
Registered in v-safe
2020-12-27
Survey response — days 1–6 daily, dose 1
MedDRA: Pharyngeal swelling — Feeling: Fair · Headache, Joint pains, Nausea

Free text: Left side of my throat is slightly swollen

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2020-12-29
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2020-12-30
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2020-12-31
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-01
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-02
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-09
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-16
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-01-23
Dose 2 — Moderna
2021-01-23
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-01-24
Survey response — days 1–6 daily, dose 2
MedDRA: Dyspnoea — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work

Free text: Short of breath

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-25
Survey response — days 1–6 daily, dose 2
MedDRA: Dyspnoea, Musculoskeletal chest pain — Feeling: Poor · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Emergency room or emergency department visit

Free text: Short of breath, pain on my left side rib area

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-25
Report sent to call center — days 1–6 daily, dose 2
Be unable to work · Get care from a doctor or other healthcare professional

1 call case(s)
2021-01-26
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Base of Neck & Axillae: Right subpectoral and axillary moderate lymphadenopathy with lymph nodes measuring up to 2.0 cm in greatest short axis dimension. No left-sided lymphadenopathy. Mediastinum & Hila: Enlarged prevascular space lymph node in the anterior mediastinum measuring up to 2.1 cm greatest short axis dimension.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-27
Survey response — days 1–6 daily, dose 2
MedDRA: Dyspnoea, Neck pain — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Neck pain, shortness of breath

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-28
Survey response — days 1–6 daily, dose 2
MedDRA: Dyspnoea — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Short of breath

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-29
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Fatigue or tiredness · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Adult check-in
2021-01-29
Report sent to call center — days 1–6 daily, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-01-30
Survey response — day 7, dose 2
MedDRA: Dyspnoea — Feeling: Poor · Headache, Muscle or body aches, Fatigue or tiredness · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: Short of breath

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-30
Report sent to call center — day 7, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-06
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-13
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-20
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-02-27
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-06
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-04-26
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-05-26
Call 1 — Requested Callback
2021-07-26
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-06
Dose 3 — Pfizer-BioNTech
2021-11-06
Health check-in — day 0, dose 3
Feeling: Good · Fever · Headache, Fatigue or tiredness

Adult check-in
2021-11-07
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Fever · Fatigue or tiredness

Adult check-in
2021-11-08
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-09
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-10
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-11
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-12
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-13
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-11-20
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-27
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-12-04
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-11
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-18
Survey response — day 42, dose 3
MedDRA: Unevaluable event — Feeling: Good · 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: mediastinal lymph nodes on my lungs

MedDRA releases: 2024-11 · check-in free text available
2021-12-18
Report sent to call center — day 42, dose 3
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-12-20
Call 1 — Could Not Reach Participant
2021-12-23
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-02-05
Survey response — 3 months, dose 3
MedDRA: Pre-existing disease, Pulmonary mass — Feeling: Good · Be unable to do your normal daily activities

Free text: Chronic fatigue. And I have spots on my lungs

MedDRA releases: 2024-11 · check-in free text available
2022-05-07
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-26	Moderna
2	2021-01-23	Moderna
3	2021-11-06	Pfizer-BioNTech	No

Call center

4 call center cases

4 successful

VAERS report filed, before or during a call: 3

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 1 — days 1–6 daily, dose 1

2020-12-27

Systemic reaction (other): Left side of my throat is slightly swollen

Release 2 — days 1–6 daily, dose 2

2021-01-24

Systemic reaction (other): Short of breath

2021-01-25

Systemic reaction (other): Short of breath, pain on my left side rib area

2021-01-26

Systemic reaction (other): Base of Neck & Axillae: Right subpectoral and axillary moderate lymphadenopathy with lymph nodes measuring up to 2.0 cm in greatest short axis dimension. No left-sided lymphadenopathy. Mediastinum & Hila: Enlarged prevascular space lymph node in the anterior mediastinum measuring up to 2.1 cm greatest short axis dimension.

2021-01-27

Systemic reaction (other): Neck pain, shortness of breath

Release 3 — days 1–6 daily, dose 2

2021-01-28

Systemic reaction (other): Short of breath

Release 3 — day 7, dose 2

2021-01-30

Systemic reaction (other): Short of breath

Release 10 — day 42, dose 3

2021-12-18

Symptoms: mediastinal lymph nodes on my lungs

Release 11 — 3 months, dose 3

2022-02-05

Symptoms: Chronic fatigue. And I have spots on my lungs

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	Pre-existing disease	·	·	✓
SD	Pulmonary mass	·	·	✓
SD	Unevaluable event	·	·	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Musculoskeletal chest pain	✓	✓	✓
SRO	Neck pain	✓	✓	✓
SRO	Pharyngeal swelling	✓	✓	✓

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