6P6-29528-72449

3 vaccinations 20 coded responses 35 check-ins 20 free-text entries 6 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 778 / TX
Registered: 2021-04-06

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

2021-04-06
Registered in v-safe
2021-04-06
Dose 1 — Moderna
2021-04-06
Health check-in — day 0, dose 1
Feeling: Fair · None

Adult check-in
2021-04-08
Survey response — days 1–6 daily, dose 1
MedDRA: Heart rate increased — Feeling: Fair · Site: Pain, Swelling · Joint pains

Free text: Rapid heart beat noticed at night

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-10
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Joint pains, Fatigue or tiredness

Adult check-in
2021-04-11
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-13
Health check-in — day 7, dose 1
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-21
Survey response — day 14, dose 1
MedDRA: Arthralgia, Magnetic resonance imaging, Office visit, Pre-existing disease — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: More hip and back pain from my existing conditions · Healthcare visit (other): Mri

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
Report sent to call center — day 14, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-27
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-05-06
Dose 2 — Moderna
2021-05-06
Survey response — day 0, dose 2
MedDRA: Dry eye — Feeling: Good · Site: Pain · Headache, Fatigue or tiredness

Free text: Dry eyes worse

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-08
Survey response — days 1–6 daily, dose 2
MedDRA: Lymph node pain, Oedema peripheral — Feeling: Fair · Site: Pain, Redness, Swelling · Fatigue or tiredness · Be unable to work

Free text: Lymph node pain and swelling at arm pits

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-09
Survey response — days 1–6 daily, dose 2
MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Fair · Site: Pain, Swelling · Fever · Fatigue or tiredness · Be unable to work

Free text: Lymph nodes under arms painful and swollen

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-10
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to work

Free text: Swollen lymph nodes under arms

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-11
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain · Muscle or body aches

Free text: Swollen lymph glands in arm pits

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-12
Survey response — days 1–6 daily, dose 2
MedDRA: Depressed mood, Fatigue — Feeling: Fair · Fatigue or tiredness

Free text: Tired and sad

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-13
Survey response — day 7, dose 2
MedDRA: Tinnitus — Feeling: Fair · Fever · Fatigue or tiredness

Free text: Ringing in ears

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-20
Survey response — day 14, dose 2
MedDRA: Condition aggravated, Pre-existing disease — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: I already had back and joint pain that has gotten a bit worse it no way to tell if it is from vaccine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-20
Report sent to call center — day 14, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-29
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-06-03
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-10
Survey response — day 35, dose 2
MedDRA: Arthralgia, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Increased hip pain · Healthcare visit (other): Office visit

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-10
Report sent to call center — day 35, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-17
Survey response — day 42, dose 2
MedDRA: Fatigue, Pre-existing disease, Rash, Systemic lupus erythematosus — Feeling: Fair

Free text: Lupus symptom flare rash and fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-18
Call successful
Participant prefers to complete VAERS report online
2021-08-05
Survey response — 3 months, dose 2
MedDRA: Cough, Fatigue, Headache, Myalgia, Pyrexia, Wheezing — Feeling: Fair · 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: Headache, fatigue, cough, wheezing, muscle achesLow grade fever for 2.5 weeks

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-05
Report sent to call center — 3 months, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

1 call case(s)
2021-08-16
Call successful
Participant prefers to complete VAERS report online
2021-11-04
Survey response — 6 months, dose 2
MedDRA: Back injury, Spinal cord injury cervical — Feeling: Fair · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Injury to cervical spine and back

MedDRA releases: 2024-11 · check-in free text available
2021-11-04
Report sent to call center — 6 months, dose 2
Be unable to work or attend school · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-11-08
Call 1 — Left Voicemail
2021-12-31
Dose 3 — Moderna
2022-01-01
Survey response — days 1–6 daily, dose 3
MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Lymph nodes under arena swelling and painful

MedDRA releases: 2024-11 · check-in free text available
2022-01-02
Survey response — days 1–6 daily, dose 3
MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Very swollen lymph nodes under arm

MedDRA releases: 2024-11 · check-in free text available
2022-01-03
Survey response — days 1–6 daily, dose 3
MedDRA: Swelling — Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches

Free text: Swelling

MedDRA releases: 2024-11 · check-in free text available
2022-01-04
Survey response — days 1–6 daily, dose 3
MedDRA: Lymphadenopathy — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to work or attend school

Free text: Lymph node swelling

MedDRA releases: 2024-11 · check-in free text available
2022-01-05
Survey response — days 1–6 daily, dose 3
MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school

Free text: Swollen underarm lymph gland

MedDRA releases: 2024-11 · check-in free text available
2022-01-07
Health check-in — day 7, dose 3
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-01-16
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-01-21
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2022-01-28
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-02-04
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-02-11
Survey response — day 42, dose 3
MedDRA: Pain in extremity, Peripheral swelling — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Hand swelling and pain

MedDRA releases: 2024-11 · check-in free text available
2022-02-11
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 · 1 call case(s)
2022-02-14
Call 1 — Left Voicemail
2022-04-01
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-07-03
Health check-in — 6 months, dose 3
Feeling: Fair

Adult check-in
2023-01-02
Health check-in — 12 months, dose 3
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-06	Moderna
2	2021-05-06	Moderna
3	2021-12-31	Moderna	No

Call center

6 call center cases

4 successful · 2 unsuccessful

See the call center timeline

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-08

Systemic reaction (other): Rapid heart beat noticed at night

Release 7 — day 14, dose 1

2021-04-21

Symptoms: More hip and back pain from my existing conditions

Healthcare visit (other): Mri

Release 8 — day 0, dose 2

2021-05-06

Systemic reaction (other): Dry eyes worse

Release 8 — days 1–6 daily, dose 2

2021-05-08

Systemic reaction (other): Lymph node pain and swelling at arm pits

2021-05-09

Systemic reaction (other): Lymph nodes under arms painful and swollen

2021-05-10

Systemic reaction (other): Swollen lymph nodes under arms

2021-05-11

Systemic reaction (other): Swollen lymph glands in arm pits

2021-05-12

Systemic reaction (other): Tired and sad

Release 8 — day 7, dose 2

2021-05-13

Systemic reaction (other): Ringing in ears

Release 8 — day 14, dose 2

2021-05-20

Symptoms: I already had back and joint pain that has gotten a bit worse it no way to tell if it is from vaccine

Release 9 — day 35, dose 2

2021-06-10

Symptoms: Increased hip pain

Healthcare visit (other): Office visit

Release 9 — day 42, dose 2

2021-06-17

Symptoms: Lupus symptom flare rash and fatigue

Release 9 — 3 months, dose 2

2021-08-05

Symptoms: Headache, fatigue, cough, wheezing, muscle achesLow grade fever for 2.5 weeks

Release 10 — 6 months, dose 2

2021-11-04

Symptoms: Injury to cervical spine and back

Release 10 — days 1–6 daily, dose 3

2022-01-01

Systemic reaction (other): Lymph nodes under arena swelling and painful

2022-01-02

Systemic reaction (other): Very swollen lymph nodes under arm

2022-01-03

Systemic reaction (other): Swelling

2022-01-04

Systemic reaction (other): Lymph node swelling

2022-01-05

Systemic reaction (other): Swollen underarm lymph gland

Release 11 — day 42, dose 3

2022-02-11

Symptoms: Hand swelling and pain

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	Magnetic resonance imaging	✓	✓	✓
HCVO	Office visit	✓	✓	✓
SD	Arthralgia	✓	✓	✓
SD	Back injury	·	·	✓
SD	Condition aggravated	✓	✓	✓
SD	Cough	✓	·	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	·	✓
SD	Myalgia	✓	·	✓
SD	Pain in extremity	·	·	✓
SD	Peripheral swelling	·	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Pyrexia	✓	·	✓
SD	Rash	✓	✓	✓
SD	Spinal cord injury cervical	·	·	✓
SD	Systemic lupus erythematosus	✓	✓	✓
SD	Wheezing	✓	·	✓
SRO	Depressed mood	✓	✓	✓
SRO	Dry eye	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Heart rate increased	✓	✓	✓
SRO	Lymph node pain	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Oedema peripheral	✓	✓	✓
SRO	Swelling	·	·	✓
SRO	Tinnitus	✓	✓	✓

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