GXU-20988-15595

4 vaccinations 14 coded responses 49 check-ins 14 free-text entries 3 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 972 / OR
Registered: 2020-12-30

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

Registered dependents

CNE-31584-62335 Child or adolescent in my care · Male · 2022-06-23

W3E-46965-07819 Child or adolescent in my care · Female · 2022-06-23

Timeline

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

2020-12-30
Registered in v-safe
2020-12-30
Dose 1 — Moderna
2020-12-30
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2020-12-31
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-01-02
Survey response — days 1–6 daily, dose 1
MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain · Fatigue or tiredness

Free text: Swollen glands on side of body where injection was administered (yesterday)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-03
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-04
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-06
Survey response — day 7, dose 1
MedDRA: Unevaluable event — Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Free text: pregnancy?

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-13
Survey response — day 14, dose 1
MedDRA: Muscle strain — Feeling: Good · Be unable to do your normal daily activities

Free text: Strained shoulder, opposite side of injection so probably unrelated but felt similar

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-13
Report sent to call center — day 14, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-20
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-01-27
Dose 2 — Moderna
2021-01-27
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-01-29
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches

Free text: Swollen lymph nodes and glands, especially on the injection side

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-30
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain

Free text: Swollen lymph nodes, especially on injection side

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-31
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Good

Free text: Some residual lymph node swelling underarm on injection side

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-02
Call 1 — Left Voicemail
2021-02-02
Call successful
Reported to VAERS voluntarily prior to GDIT contact
2021-02-03
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-02-10
Survey response — day 14, dose 2
MedDRA: Massage, Muscle spasms — Feeling: Fair · 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: Symptoms: Muscle spasm in neck · Healthcare visit (other): Massage

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-10
Report sent to call center — day 14, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-17
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-26
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-05
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-10
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-04-28
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-07-28
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-25
Dose 3 — Moderna
2021-10-26
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-10-27
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-10-28
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-29
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-30
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-31
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-01
Survey response — day 7, dose 3
MedDRA: Lymphadenopathy, Oropharyngeal pain — Feeling: Fair

Free text: Sore throat, swollen lymph nodes

MedDRA releases: 2024-11 · check-in free text available
2021-11-08
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-15
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-22
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-29
Health check-in — day 35, dose 3
Feeling: Fair

Adult check-in
2021-12-06
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-24
Survey response — 3 months, dose 3
MedDRA: Influenza, Nasopharyngitis — Feeling: Good · Be unable to do your normal daily activities

Free text: Cold and flu symptoms (negative PCR and rapid tests)

MedDRA releases: 2024-11 · check-in free text available
2022-04-25
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-09-21
Dose 4 — Pfizer-BioNTech
2022-09-21
Survey response — day 0, dose 4
MedDRA: Skin odour abnormal — Feeling: Good · Site: Pain · Nausea, Diarrhea

Free text: Increased body odor/smelly sweat

MedDRA releases: 2024-11 · check-in free text available
2022-09-22
Survey response — days 1–6 daily, dose 4
MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Free text: Swollen lymph nodes

MedDRA releases: 2024-11 · check-in free text available
2022-09-23
Survey response — days 1–6 daily, dose 4
MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain · Headache, Joint pains

Free text: Swollen lymph nodes

MedDRA releases: 2024-11 · check-in free text available
2022-09-24
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2022-09-25
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-09-26
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Fatigue or tiredness

Adult check-in
2022-09-28
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-10-07
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-10-12
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-10-19
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-10-26
Survey response — day 35, dose 4
MedDRA: Ear pain — Feeling: Fair

Free text: Ear pain

MedDRA releases: 2024-11 · check-in free text available
2022-11-02
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-12-21
Survey response — 3 months, dose 4
MedDRA: Influenza, Respiratory syncytial virus infection — Feeling: Good · 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: Flu infection and RSV

MedDRA releases: 2024-11 · check-in free text available
2022-12-21
Report sent to call center — 3 months, dose 4
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)
2022-12-22
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2023-03-22
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-30	Moderna
2	2021-01-27	Moderna
3	2021-10-25	Moderna	No
4	2022-09-21	Pfizer-BioNTech	No

Call center

3 call center cases

3 successful

VAERS report filed, before or during a call: 2

See the call center timeline

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-02

Systemic reaction (other): Swollen glands on side of body where injection was administered (yesterday)

Release 1 — day 7, dose 1

2021-01-06

Systemic reaction (other): pregnancy?

Release 1 — day 14, dose 1

2021-01-13

Symptoms: Strained shoulder, opposite side of injection so probably unrelated but felt similar

Release 3 — days 1–6 daily, dose 2

2021-01-29

Systemic reaction (other): Swollen lymph nodes and glands, especially on the injection side

2021-01-30

Systemic reaction (other): Swollen lymph nodes, especially on injection side

2021-01-31

Systemic reaction (other): Some residual lymph node swelling underarm on injection side

Release 4 — day 14, dose 2

2021-02-10

Symptoms: Muscle spasm in neck

Healthcare visit (other): Massage

Release 10 — day 7, dose 3

2021-11-01

Systemic reaction (other): Sore throat, swollen lymph nodes

Release 11 — 3 months, dose 3

2022-01-24

Symptoms: Cold and flu symptoms (negative PCR and rapid tests)

Release 12 — day 0, dose 4

2022-09-21

Systemic reaction (other): Increased body odor/smelly sweat

Release 12 — days 1–6 daily, dose 4

2022-09-22

Systemic reaction (other): Swollen lymph nodes

2022-09-23

Systemic reaction (other): Swollen lymph nodes

Release 12 — day 35, dose 4

2022-10-26

Symptoms: Ear pain

Release 12 — 3 months, dose 4

2022-12-21

Symptoms: Flu infection and RSV

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	Massage	✓	✓	✓
SD	Ear pain	·	·	✓
SD	Influenza	·	·	✓
SD	Muscle spasms	✓	✓	✓
SD	Muscle strain	✓	✓	✓
SD	Nasopharyngitis	·	·	✓
SD	Respiratory syncytial virus infection	·	·	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Oropharyngeal pain	·	·	✓
SRO	Pregnancy	○	○	○
SRO	Skin odour abnormal	·	·	✓
SRO	Unevaluable event	✓	✓	✓

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