XJZ-13011-21654

3 vaccinations 11 coded responses 26 check-ins 11 free-text entries 2 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 787 / TX
Registered: 2020-12-31

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

2020-12-31
Registered in v-safe
2020-12-31
Dose 1 — Moderna
2020-12-31
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-01-01
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site warmth — Feeling: Good · Site: Pain

Free text: A little warmer at injection site but not red or swollen don't suspect infection

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Chills, Muscle or body aches

Adult check-in
2021-01-03
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Chills, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-04
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-01-06
Survey response — days 1–6 daily, dose 1
MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Left clavicle lymph node swollen and sore (side of injection)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-07
Survey response — day 7, dose 1
MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Swollen lymph node vaccine side

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-16
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-21
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-01-28
Dose 2 — Moderna
2021-01-28
Health check-in — day 0, dose 2
Feeling: Good · Chills, Fatigue or tiredness · Be unable to work

Adult check-in
2021-01-29
Survey response — days 1–6 daily, dose 2
MedDRA: Pollakiuria — Feeling: Poor · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to work, Be unable to do your normal daily activities

Free text: Increased urination

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: Poor · Site: Pain · 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: Swollen lymph node on right clavicle

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: Fair · Site: Pain · Abdominal pain

Free text: Swollen lymph node on side of vaccine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-01
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Fair · Chills, Muscle or body aches, Fatigue or tiredness

Free text: Swollen lymph node on side of vaccine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-02
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Good · Fatigue or tiredness, Nausea

Free text: Swollen lymph node on side of vaccine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-03
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Good · Fatigue or tiredness

Free text: Swollen lymph node on side of vaccine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-04
Health check-in — day 7, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-11
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-18
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-25
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-04
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-11
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-04-29
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-07-29
Survey response — 6 months, dose 2
MedDRA: Abortion spontaneous, Pregnancy — 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 · Outpatient clinic or urgent care clinic visit

Free text: Pregnancy and miscarriage at 10 weeks

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-29
Report sent to call center — 6 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)
2021-08-06
Call 1 — Left Voicemail
2022-01-08
Dose 3 — Moderna
2022-01-28
Health check-in — day 14, dose 3
Feeling: Fair

Adult check-in
2022-01-28
Survey response — 12 months, dose 2
MedDRA: COVID-19, Pregnancy — 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 · Telehealth, virtual health, or email health consultation

Free text: I'm pregnant and currently have COVID

MedDRA releases: 2024-11 · check-in free text available
2022-01-28
Report sent to call center — 12 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

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-02-01
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-31	Moderna
2	2021-01-28	Moderna
3	2022-01-08	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2021-07-29	Unsuccessful
2022-01-28	Unsuccessful

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-01

Systemic reaction (other): A little warmer at injection site but not red or swollen don't suspect infection

2021-01-06

Systemic reaction (other): Left clavicle lymph node swollen and sore (side of injection)

Release 1 — day 7, dose 1

2021-01-07

Systemic reaction (other): Swollen lymph node vaccine side

Release 3 — days 1–6 daily, dose 2

2021-01-29

Systemic reaction (other): Increased urination

2021-01-30

Systemic reaction (other): Swollen lymph node on right clavicle

2021-01-31

Systemic reaction (other): Swollen lymph node on side of vaccine

2021-02-01

Systemic reaction (other): Swollen lymph node on side of vaccine

2021-02-02

Systemic reaction (other): Swollen lymph node on side of vaccine

2021-02-03

Systemic reaction (other): Swollen lymph node on side of vaccine

Release 9 — 6 months, dose 2

2021-07-29

Symptoms: Pregnancy and miscarriage at 10 weeks

Release 11 — 12 months, dose 2

2022-01-28

Symptoms: I'm pregnant and currently have 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
SD	Abortion spontaneous	✓	·	✓
SD	COVID-19	·	·	✓
SD	Pregnancy	✓	·	✓
SRO	Injection site warmth	✓	✓	✓
SRO	Lymph node pain	✓	✓	✓
SRO	Lymphadenitis	○	○	○
SRO	Lymphadenopathy	✓	✓	✓
SRO	Pollakiuria	✓	✓	✓

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