6UZ-77841-08253

5 vaccinations 14 coded responses 43 check-ins 13 free-text entries 2 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 454 / OH
Registered: 2021-01-16

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

2021-01-16
Registered in v-safe
2021-01-16
Dose 1 — Moderna
2021-01-16
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-01-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-21
Survey response — days 1–6 daily, dose 1
MedDRA: Nasal congestion — Feeling: Good

Free text: Nasal congestion

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-23
Health check-in — day 7, dose 1
Feeling: Good · Headache

Adult check-in
2021-01-30
Survey response — day 14, dose 1
MedDRA: Injection site pruritus — Feeling: Good

Free text: Itching at site of injection

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-06
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-16
Dose 2 — Moderna
2021-02-16
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-17
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-02-18
Survey response — days 1–6 daily, dose 2
MedDRA: Epistaxis — Feeling: Poor · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Nose bleeds

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-19
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Itching · Fatigue or tiredness

Adult check-in
2021-02-20
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-02-21
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-02-22
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-23
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-02
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-09
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-16
Survey response — day 28, dose 2
MedDRA: Dizziness — Feeling: Good · Be unable to do your normal daily activities

Free text: Dizziness yesterday for no reason. Covid shot? I'm not sure. I don't get dizzy usually

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-23
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-30
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-18
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-17
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-25
Dose 3 — Moderna
2021-10-27
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Headache

Adult check-in
2021-10-28
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Redness, Swelling · Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-10-29
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Itching · Fatigue or tiredness

Adult check-in
2021-10-30
Survey response — days 1–6 daily, dose 3
MedDRA: Abdominal pain, Lymph node pain, Lymphadenopathy, Menopausal symptoms — Feeling: Poor · Site: Swelling · Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Free text: Swollen lymph nodes at edge of right breast that really hurts. I got my shot in my LEFT arm. Feel like I'm having menstrual cramps and I'm post-menopause. Abdominal pains

MedDRA releases: 2024-11 · check-in free text available
2021-10-31
Survey response — days 1–6 daily, dose 3
MedDRA: Lymph node pain — Feeling: Good · Site: Swelling · Headache

Free text: Lymph nodes under right arm still a bit sore, but nothing like yesterday! Haven't had to take any meds today

MedDRA releases: 2024-11 · check-in free text available
2021-11-01
Health check-in — day 7, dose 3
Feeling: Good · Muscle or body aches

Adult check-in
2021-11-08
Survey response — day 14, dose 3
MedDRA: Induration, Lymph node pain, Lymphadenopathy, Self-medication — Feeling: Good

Free text: Enlarged lymph nodes are hurting on both sides. I have 1 under my 1st rib on the left side that is swollen, painful to touch and hard. I believe that's what it is. I took Aleve and it helped some.

MedDRA releases: 2024-11 · check-in free text available
2021-11-15
Survey response — day 21, dose 3
MedDRA: Postmenopause, Premenstrual pain — Feeling: Good

Free text: Pre-menstrual cramps and I'm post menopause! Very unnerving

MedDRA releases: 2024-11 · check-in free text available
2021-11-22
Survey response — day 28, dose 3
MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Fair

Free text: I'm still having issues with my swollen lymph nodes. They hurt!

MedDRA releases: 2024-11 · check-in free text available
2021-11-29
Survey response — day 35, dose 3
MedDRA: Lymph node pain, Premenstrual pain, Self-medication — Feeling: Good · Be unable to do your normal daily activities

Free text: My lymph nodes under both arms and around my breasts still hurt; sometimes terribly. I have to take Aleve for it. I sometimes sleep with a heating pad across my chest. Also, I feel like I'm getting my period with pre-menstrual cramps and I'm post men

MedDRA releases: 2024-11 · check-in free text available
2021-12-06
Survey response — day 42, dose 3
MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Good

Free text: My lymph nodes are still swollen and hurt.

MedDRA releases: 2024-11 · check-in free text available
2022-01-24
Survey response — 3 months, dose 3
MedDRA: Lipoma, Office visit, Pain, Postmenopause, Premenstrual pain, Ultrasound scan abnormal — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Right after my booster shot, I developed a lipoma on my left upper chest. It hurts at times. An ultrasound confirmed it. I'm also experiencing pre-menstrual cramps and I'm post menopausal! That started right after the booster. No bleeding though. · Healthcare visit (other): My family doctor sent me for an ultrasound

MedDRA releases: 2024-11 · check-in free text available
2022-01-24
Report sent to call center — 3 months, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2022-01-26
Call 1 — Left Voicemail
2022-02-01
Call successful
Participant prefers to complete VAERS report online
2022-04-25
Dose 4 — Pfizer-BioNTech
2022-04-25
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-05-18
Survey response — day 21, dose 4
MedDRA: COVID-19 — Feeling: Good · Be unable to do your normal daily activities

Free text: I got Covid

MedDRA releases: 2024-11 · check-in free text available
2022-05-23
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-05-30
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-06-06
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-07-25
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-10-26
Health check-in — 6 months, dose 4
Feeling: Fair

Adult check-in
2022-11-08
Dose 5 — Moderna
2023-05-09
Survey response — 6 months, dose 5
MedDRA: COVID-19 — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

MedDRA releases: 2024-11
2023-05-09
Report sent to call center — 6 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 · 1 call case(s)
2023-05-10
Call successful
Does not wish to fill out VAERS report

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-16	Moderna
2	2021-02-16	Moderna
3	2021-10-25	Moderna	No
4	2022-04-25	Pfizer-BioNTech	No
5	2022-11-08	Moderna	No

Call center

2 call center cases

2 successful

See the call center timeline

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-21

Systemic reaction (other): Nasal congestion

Release 3 — day 14, dose 1

2021-01-30

Symptoms: Itching at site of injection

Release 4 — days 1–6 daily, dose 2

2021-02-18

Systemic reaction (other): Nose bleeds

Release 5 — day 28, dose 2

2021-03-16

Symptoms: Dizziness yesterday for no reason. Covid shot? I'm not sure. I don't get dizzy usually

Release 10 — days 1–6 daily, dose 3

2021-10-30

Systemic reaction (other): Swollen lymph nodes at edge of right breast that really hurts. I got my shot in my LEFT arm. Feel like I'm having menstrual cramps and I'm post-menopause. Abdominal pains

2021-10-31

Systemic reaction (other): Lymph nodes under right arm still a bit sore, but nothing like yesterday! Haven't had to take any meds today

Release 10 — day 14, dose 3

2021-11-08

Symptoms: Enlarged lymph nodes are hurting on both sides. I have 1 under my 1st rib on the left side that is swollen, painful to touch and hard. I believe that's what it is. I took Aleve and it helped some.

Release 10 — day 21, dose 3

2021-11-15

Symptoms: Pre-menstrual cramps and I'm post menopause! Very unnerving

Release 10 — day 28, dose 3

2021-11-22

Symptoms: I'm still having issues with my swollen lymph nodes. They hurt!

Release 10 — day 35, dose 3

2021-11-29

Symptoms: My lymph nodes under both arms and around my breasts still hurt; sometimes terribly. I have to take Aleve for it. I sometimes sleep with a heating pad across my chest. Also, I feel like I'm getting my period with pre-menstrual cramps and I'm post men cut off by CDC

Release 10 — day 42, dose 3

2021-12-06

Symptoms: My lymph nodes are still swollen and hurt.

Release 11 — 3 months, dose 3

2022-01-24

Symptoms: Right after my booster shot, I developed a lipoma on my left upper chest. It hurts at times. An ultrasound confirmed it. I'm also experiencing pre-menstrual cramps and I'm post menopausal! That started right after the booster. No bleeding though.

Healthcare visit (other): My family doctor sent me for an ultrasound

Release 11 — day 21, dose 4

2022-05-18

Symptoms: I got Covid

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	COVID-19	·	·	✓
SD	Dizziness	✓	✓	✓
SD	Induration	·	·	✓
SD	Injection site pruritus	✓	✓	✓
SD	Lipoma	·	·	✓
SD	Lymph node pain	·	·	✓
SD	Lymphadenopathy	·	·	✓
SD	Pain	·	·	✓
SD	Postmenopause	·	·	✓
SD	Premenstrual pain	·	·	✓
SD	Self-medication	·	·	✓
SD	Ultrasound scan abnormal	·	·	✓
SRO	Abdominal pain	·	·	✓
SRO	Epistaxis	✓	✓	✓
SRO	Lymph node pain	·	·	✓
SRO	Lymphadenopathy	·	·	✓
SRO	Menopausal symptoms	·	·	✓
SRO	Nasal congestion	✓	✓	✓

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