XZY-13351-46868

2 vaccinations 6 coded responses 22 check-ins 6 free-text entries 0 call cases

Sex: Female
Age at first dose: 21-25
ZIP prefix: 919 / CA
Registered: 2021-03-25

Relationship: Self
Race: N/A
Ethnicity: Hispanic or Latino

Timeline

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

2021-03-25
Registered in v-safe
2021-03-25
Dose 1 — Moderna
2021-03-25
Survey response — day 0, dose 1
MedDRA: Myalgia — Feeling: Good · Site: Swelling · Muscle or body aches

Free text: Only mild muscle aches in the injection arm. Nothing too distracting

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Redness, Swelling · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-03-29
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Fatigue or tiredness, Nausea

Adult check-in
2021-03-30
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness — Feeling: Fair · Nausea

Free text: Wooziness (not sure if it was vaccine related)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-31
Survey response — days 1–6 daily, dose 1
MedDRA: Lymphadenopathy — Feeling: Fair · Be unable to do your normal daily activities

Free text: *Extremely* swollen lymph nodes on injection side

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-01
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-08
Survey response — day 14, dose 1
MedDRA: Injection site rash, Injection site swelling, Medical counselling — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: I got COVID arm. Huge swelling and rash :( Showed up in all my best friend's wedding pictures lol · Healthcare visit (other): Pharmacist doctor

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Report sent to call center — day 14, dose 1
Get care from a doctor or other healthcare professional

no matching call case
2021-04-15
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-21
Dose 2 — Moderna
2021-04-21
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain, Redness · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-22
Survey response — days 1–6 daily, dose 2
MedDRA: Gastrointestinal disorder — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Fatigue or tiredness, Nausea, Vomiting, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Digestive problems

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-23
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Vomiting, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Adult check-in
2021-04-24
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · Fatigue or tiredness

Adult check-in
2021-04-25
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Muscle or body aches · Be unable to work

Adult check-in
2021-04-26
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2021-04-27
Survey response — days 1–6 daily, dose 2
MedDRA: Erythema, Mobility decreased, Pain in extremity, Peripheral swelling, Swelling — Feeling: Good · Site: Pain, Redness, Itching

Free text: Yesterday my injection arm was in so much pain I couldnt move it (ie literally couldnt drive with both hands) and the swelling and redness traveled around my entire arm and to my shoulderblade

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-28
Health check-in — day 7, dose 2
Feeling: Good · Site: Itching · None

Adult check-in
2021-05-07
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-14
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-07-21
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2022-04-23
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-25	Moderna
2	2021-04-21	Moderna

Call center

Reported	Outcome	VAERS-related outcome

1 report(s) with no call case — see the timeline.

Free text

Release 6 — day 0, dose 1

2021-03-25

Systemic reaction (other): Only mild muscle aches in the injection arm. Nothing too distracting

Release 6 — days 1–6 daily, dose 1

2021-03-30

Systemic reaction (other): Wooziness (not sure if it was vaccine related)

2021-03-31

Systemic reaction (other): *Extremely* swollen lymph nodes on injection side

Release 7 — day 14, dose 1

2021-04-08

Symptoms: I got COVID arm. Huge swelling and rash :( Showed up in all my best friend's wedding pictures lol

Healthcare visit (other): Pharmacist doctor

Release 7 — days 1–6 daily, dose 2

2021-04-22

Systemic reaction (other): Digestive problems

Release 8 — days 1–6 daily, dose 2

2021-04-27

Systemic reaction (other): Yesterday my injection arm was in so much pain I couldnt move it (ie literally couldnt drive with both hands) and the swelling and redness traveled around my entire arm and to my shoulderblade

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	Medical counselling	✓	✓	✓
SD	Injection site rash	✓	✓	✓
SD	Injection site swelling	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Erythema	✓	✓	✓
SRO	Gastrointestinal disorder	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Mobility decreased	✓	✓	✓
SRO	Myalgia	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Peripheral swelling	✓	✓	✓
SRO	Swelling	✓	✓	✓

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