973-17389-37865

3 vaccinations 20 coded responses 31 check-ins 20 free-text entries 4 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 301 / GA
Registered: 2021-03-13

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

2021-03-03
Dose 1 — Moderna
2021-03-13
Registered in v-safe
2021-03-13
Survey response — day 7, dose 1
MedDRA: Fatigue, Feeling abnormal, Headache, Nodule, Pruritus, Pyrexia — Feeling: Fair · Site: Redness, Swelling, Itching · Be unable to do your normal daily activities

Free text: I had felt bad up until today, low grade fever, headache, exhaustion, but now the spot on my arm is itchy. It's about the size of a quarter, and a hard lump under the skin.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-17
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-24
Survey response — day 21, dose 1
MedDRA: Condition aggravated, Pre-existing disease, Renal pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: I have stage 3 kidney, but it usually doesn't hurt all the time. They have been aching pretty bad.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-31
Dose 2 — Moderna
2021-04-01
Survey response — days 1–6 daily, dose 2
MedDRA: Axillary mass, Oedema peripheral — Feeling: Fair · 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

Free text: Lump and swelling in my armpit on the side of injection

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Survey response — days 1–6 daily, dose 2
MedDRA: Axillary mass, Lymph node pain, Lymphadenopathy — Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Lump, swelling, and tenderness in my armpit on the side of the injection

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-03
Survey response — days 1–6 daily, dose 2
MedDRA: Axillary mass, Axillary pain, Oedema peripheral — Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Lump, swelling and pain under my right arm/armpit

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-05
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Swelling · None

Adult check-in
2021-04-06
Survey response — days 1–6 daily, dose 2
MedDRA: Nodule — Feeling: Good · Site: Swelling · Headache, Fatigue or tiredness, Diarrhea

Free text: Still have the knot in my armpit

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-09
Survey response — day 7, dose 2
MedDRA: Adverse reaction — Feeling: Good · Headache, Diarrhea

Free text: I'm not sure either have to do with the shot

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-21
Survey response — day 21, dose 2
MedDRA: Fatigue — Feeling: Fair

Free text: Snotty and tired.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-28
Survey response — day 28, dose 2
MedDRA: Diarrhoea — Feeling: Fair

Free text: Still diarrhea

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-05
Survey response — day 35, dose 2
MedDRA: Body temperature increased, Chills, Cough, Ear pain, Headache, Oropharyngeal pain, Respiratory tract congestion, Unevaluable event — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Up to a 103.5 temp, congestion, headache, chill, ear ache, sore throat amd the beginning of s cough · Healthcare visit (other): Called the dr, waiting for a call back about being tested

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-05
Report sent to call center — day 35, dose 2
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)
2021-05-14
Survey response — day 42, dose 2
MedDRA: Cough, Headache, Influenza virus test negative, Office visit, Oropharyngeal pain, Pain, Pyrexia, Respiratory tract congestion, SARS-CoV-2 test negative — Feeling: Poor · 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: Symptoms: Sore throat congestion high fever body aches headaches cough 103.5 highest tempCovid and flu rapid test neg · Healthcare visit (other): Primary

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-14
Report sent to call center — day 42, dose 2
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)
2021-06-30
Survey response — 3 months, dose 2
MedDRA: Adverse reaction, Influenza virus test negative, Office visit, SARS-CoV-2 test negative — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Thought i had covid or flu, both trsts were negative · Healthcare visit (other): Primary care did tests

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-30
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)
2021-07-06
Call 1 — Left Voicemail
2021-07-07
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-09-29
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-12-10
Dose 3 — Moderna
2021-12-10
Health check-in — day 0, dose 3
Feeling: Fair · Site: Pain, Redness · Headache, Fatigue or tiredness

Adult check-in
2021-12-11
Survey response — days 1–6 daily, dose 3
MedDRA: Chest pain, Fatigue — Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Breathing with exwrtion makes my chest ache

MedDRA releases: 2024-11 · check-in free text available
2021-12-12
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-12-13
Survey response — days 1–6 daily, dose 3
MedDRA: Chest pain — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea

Free text: Chest ache with exertion

MedDRA releases: 2024-11 · check-in free text available
2021-12-14
Survey response — days 1–6 daily, dose 3
MedDRA: Respiratory tract congestion — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Free text: Congestion

MedDRA releases: 2024-11 · check-in free text available
2021-12-15
Survey response — days 1–6 daily, dose 3
MedDRA: Respiratory disorder, Respiratory tract congestion — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Congestion snd breathing issues with exertion

MedDRA releases: 2024-11 · check-in free text available
2021-12-16
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-12-17
Health check-in — day 7, dose 3
Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-12-24
Survey response — day 14, dose 3
MedDRA: Respiratory tract congestion, Rhinorrhoea — Feeling: Fair

Free text: Snotty and congestion

MedDRA releases: 2024-11 · check-in free text available
2021-12-31
Survey response — day 21, dose 3
MedDRA: Dyspnoea, Headache, Pain, Rhinorrhoea — Feeling: Poor · Be unable to work or attend school, 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: Snotty, hard to breathe, headache, bodyaches

MedDRA releases: 2024-11 · check-in free text available
2021-12-31
Report sent to call center — day 21, dose 3
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Emergency room or emergency department visit · 1 call case(s)
2022-01-03
Call 1 — Left Voicemail
2022-01-04
Call 2 — Left Voicemail
2022-01-04
Call successful
Participant prefers to complete VAERS report online
2022-01-08
Health check-in — day 28, dose 3
Feeling: Poor

Adult check-in
2022-01-14
Survey response — day 35, dose 3
MedDRA: COVID-19, Choking, Discharge, Fatigue, Headache, Hypersomnia, Increased viscosity of upper respiratory secretion, Nasopharyngitis, Office visit, Pain, SARS-CoV-2 test positive, Somnolence — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: We got covid and tested pos 12/24 and it was like a cold. My headache hasnt gone away, the drainage is thick enough to choke me and my body aches soooo bad. And I'm exhausted all the time, sleeping most of the day and night. Alreafy been to the dr.

MedDRA releases: 2024-11 · check-in free text available
2022-01-21
Health check-in — day 42, dose 3
Feeling: Poor

Adult check-in
2022-03-11
Survey response — 3 months, dose 3
MedDRA: Increased upper airway secretion, Speech disorder, Throat tightness — Feeling: Fair

Free text: I feel like my throat is full/lined with of liquid. It makes talking at length difficult.

MedDRA releases: 2024-11 · check-in free text available
2022-12-10
Health check-in — 12 months, dose 3
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-03	Moderna
2	2021-03-31	Moderna
3	2021-12-10	Moderna	No

Call center

4 call center cases

4 successful

See the call center timeline

Free text

Release 5 — day 7, dose 1

2021-03-13

Systemic reaction (other): I had felt bad up until today, low grade fever, headache, exhaustion, but now the spot on my arm is itchy. It's about the size of a quarter, and a hard lump under the skin.

Release 6 — day 21, dose 1

2021-03-24

Symptoms: I have stage 3 kidney, but it usually doesn't hurt all the time. They have been aching pretty bad.

Release 6 — days 1–6 daily, dose 2

2021-04-01

Systemic reaction (other): Lump and swelling in my armpit on the side of injection

2021-04-02

Systemic reaction (other): Lump, swelling, and tenderness in my armpit on the side of the injection

2021-04-03

Systemic reaction (other): Lump, swelling and pain under my right arm/armpit

Release 7 — days 1–6 daily, dose 2

2021-04-06

Systemic reaction (other): Still have the knot in my armpit

Release 7 — day 7, dose 2

2021-04-09

Systemic reaction (other): I'm not sure either have to do with the shot

Release 7 — day 21, dose 2

2021-04-21

Symptoms: Snotty and tired.

Release 8 — day 28, dose 2

2021-04-28

Symptoms: Still diarrhea

Release 8 — day 35, dose 2

2021-05-05

Symptoms: Up to a 103.5 temp, congestion, headache, chill, ear ache, sore throat amd the beginning of s cough

Healthcare visit (other): Called the dr, waiting for a call back about being tested

Release 8 — day 42, dose 2

2021-05-14

Symptoms: Sore throat congestion high fever body aches headaches cough 103.5 highest tempCovid and flu rapid test neg

Healthcare visit (other): Primary

Release 9 — 3 months, dose 2

2021-06-30

Symptoms: Thought i had covid or flu, both trsts were negative

Healthcare visit (other): Primary care did tests

Release 10 — days 1–6 daily, dose 3

2021-12-11

Systemic reaction (other): Breathing with exwrtion makes my chest ache

2021-12-13

Systemic reaction (other): Chest ache with exertion

2021-12-14

Systemic reaction (other): Congestion

2021-12-15

Systemic reaction (other): Congestion snd breathing issues with exertion

Release 10 — day 14, dose 3

2021-12-24

Symptoms: Snotty and congestion

Release 10 — day 21, dose 3

2021-12-31

Symptoms: Snotty, hard to breathe, headache, bodyaches

Release 10 — day 35, dose 3

2022-01-14

Symptoms: We got covid and tested pos 12/24 and it was like a cold. My headache hasnt gone away, the drainage is thick enough to choke me and my body aches soooo bad. And I'm exhausted all the time, sleeping most of the day and night. Alreafy been to the dr. cut off by CDC

Release 11 — 3 months, dose 3

2022-03-11

Symptoms: I feel like my throat is full/lined with of liquid. It makes talking at length difficult.

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	✓	✓	✓
HCVO	Unevaluable event	✓	✓	✓
SD	Adverse reaction	✓	✓	✓
SD	Body temperature increased	✓	✓	✓
SD	Chills	✓	✓	✓
SD	Choking	·	·	✓
SD	Condition aggravated	✓	✓	✓
SD	Cough	✓	✓	✓
SD	COVID-19	·	·	✓
SD	Diarrhoea	✓	✓	✓
SD	Discharge	·	·	✓
SD	Dyspnoea	·	·	✓
SD	Ear pain	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Hypersomnia	·	·	✓
SD	Increased upper airway secretion	·	·	✓
SD	Increased viscosity of upper respiratory secretion	·	·	✓
SD	Influenza virus test negative	✓	✓	✓
SD	Nasopharyngitis	·	·	✓
SD	Office visit	·	·	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Pyrexia	✓	✓	✓
SD	Renal pain	✓	✓	✓
SD	Respiratory tract congestion	✓	✓	✓
SD	Rhinorrhoea	·	·	✓
SD	SARS-CoV-2 test negative	✓	✓	✓
SD	SARS-CoV-2 test positive	·	·	✓
SD	Somnolence	·	·	✓
SD	Speech disorder	·	·	✓
SD	Throat tightness	·	·	✓
SRO	Adverse reaction	✓	✓	✓
SRO	Axillary mass	✓	✓	✓
SRO	Axillary pain	✓	✓	✓
SRO	Chest pain	·	·	✓
SRO	Fatigue	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Lymph node pain	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Nodule	✓	✓	✓
SRO	Oedema peripheral	✓	✓	✓
SRO	Pruritus	✓	✓	✓
SRO	Pyrexia	✓	✓	✓
SRO	Respiratory disorder	·	·	✓
SRO	Respiratory tract congestion	·	·	✓

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