6PM-18217-35754

1 vaccination 7 coded responses 9 check-ins 7 free-text entries 6 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 495 / MI
Registered: 2021-03-20

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

2021-03-17
Dose 1 — Moderna
2021-03-20
Registered in v-safe
2021-03-20
Survey response — days 1–6 daily, dose 1
MedDRA: Chest discomfort, Cough, Lymph node pain — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, 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: Cough and tight chest, very sore lymph node pain on right side of neck pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-20
Report sent to call center — days 1–6 daily, dose 1
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-21
Survey response — days 1–6 daily, dose 1
MedDRA: Cough, Lymph node pain, Lymphadenopathy — Feeling: Poor · Site: Pain, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Cough, very sore swollen neck lymph nodes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-21
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-23
Survey response — days 1–6 daily, dose 1
MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Poor · Site: Pain, Swelling, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · 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: Significant painful swelling of lymph glands on neck opposite of arm the shot was on

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-23
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-24
Survey response — day 7, dose 1
MedDRA: Cough, Lymph node pain, Lymphadenopathy — Feeling: Poor · Site: Pain, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · 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: Cough and severe neck lymph swelling and pain hi

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-24
Report sent to call center — day 7, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-31
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-04-07
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-06-17
Survey response — 3 months, dose 1
MedDRA: Emergency care, Mumps — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Ear and neck and throat on the right side where it had previously looked like mumps and sent me to the ER.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-17
Report sent to call center — 3 months, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-21
Call successful
Participant prefers to complete VAERS report online
2021-09-15
Survey response — 6 months, dose 1
MedDRA: Alopecia, Nausea — Feeling: Fair · Be unable to do your normal daily activities

Free text: Regular daily nausea. Hair loss.

MedDRA releases: 2024-11 · check-in free text available
2022-03-20
Survey response — 12 months, dose 1
MedDRA: Fatigue, Office visit, Palpitations — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Fatigue and heart palpitations · Healthcare visit (other): Regular visit

MedDRA releases: 2024-11 · check-in free text available
2022-03-20
Report sent to call center — 12 months, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2022-03-22
Call successful
Reported to VAERS voluntarily prior to GDIT contact

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-17	Moderna

Call center

6 call center cases

6 successful

VAERS report filed, before or during a call: 1

See the call center timeline

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-20

Systemic reaction (other): Cough and tight chest, very sore lymph node pain on right side of neck pain

2021-03-21

Systemic reaction (other): Cough, very sore swollen neck lymph nodes

2021-03-23

Systemic reaction (other): Significant painful swelling of lymph glands on neck opposite of arm the shot was on

Release 6 — day 7, dose 1

2021-03-24

Systemic reaction (other): Cough and severe neck lymph swelling and pain hi

Release 9 — 3 months, dose 1

2021-06-17

Symptoms: Ear and neck and throat on the right side where it had previously looked like mumps and sent me to the ER.

Release 9 — 6 months, dose 1

2021-09-15

Symptoms: Regular daily nausea. Hair loss.

Release 11 — 12 months, dose 1

2022-03-20

Symptoms: Fatigue and heart palpitations

Healthcare visit (other): Regular visit

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	·	·	✓
SD	Alopecia	·	·	✓
SD	Emergency care	✓	✓	✓
SD	Fatigue	·	·	✓
SD	Mumps	✓	✓	✓
SD	Nausea	·	·	✓
SD	Palpitations	·	·	✓
SRO	Chest discomfort	✓	✓	✓
SRO	Cough	✓	✓	✓
SRO	Lymph node pain	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓

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