Y58-28202-97030

2 vaccinations 15 coded responses 24 check-ins 15 free-text entries 5 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 305 / GA
Registered: 2021-02-27

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

2021-02-27
Registered in v-safe
2021-02-27
Dose 1 — Moderna
2021-02-27
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-02-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-01
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches

Adult check-in
2021-03-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling · Headache

Adult check-in
2021-03-03
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness

Adult check-in
2021-03-04
Survey response — days 1–6 daily, dose 1
MedDRA: Pre-existing disease — Feeling: Good · Site: Pain · Headache

Free text: Probably allergies

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-05
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-06
Survey response — day 7, dose 1
MedDRA: Headache, Seasonal allergy, Sneezing — Feeling: Good · Site: Pain

Free text: Spring allergies due to pollen so dont think headache n sneezing are after getting injection

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-13
Survey response — day 14, dose 1
MedDRA: Erythema, Lymph node pain, Muscle tightness, Office visit, Pain in extremity, Peripheral swelling — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: My arm became more swollen and red and painful to the point I saw my doctor yesterday! The swollen red area has continued to spread down my arm and around underneath. My forearm muscle is now tight too. Lymph nodes under my arm is painful. (Opposite · Healthcare visit (other): Dr office physical visit yesterday.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-13
Report sent to call center — day 14, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-20
Survey response — day 21, dose 1
MedDRA: Erythema, Lymph node pain, Lymphadenopathy, Office visit, Peripheral swelling — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Swelling and redness got larger area into back of my arm. Lymph nodes in both sides of my neck and underarms got worse. Swelling n redness now hobs but lymph nodes are still very tender! · Healthcare visit (other): Dr office bisit

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-20
Report sent to call center — day 21, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-27
Dose 2 — Moderna
2021-03-29
Survey response — days 1–6 daily, dose 2
MedDRA: Migraine — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities

Free text: Migraine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-30
Survey response — days 1–6 daily, dose 2
MedDRA: Lymph node pain — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Tender lymph nodes both sides -/ neck n underarms into outside both breasts

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-31
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-04-01
Survey response — days 1–6 daily, dose 2
MedDRA: Lymph node pain — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Free text: Tender lymph nodes under both arms into outside breast areas

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness · Fever · Chills, Headache, Joint pains, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-04-03
Survey response — day 7, dose 2
MedDRA: Injection site pain, Lymph node pain — Feeling: Poor · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Free text: Underarm lymph nodes very tender both sides; opposite arm injection site area sore too

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-10
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-04-17
Survey response — day 21, dose 2
MedDRA: Fatigue, Hypoaesthesia, Muscle tightness, Paraesthesia — Feeling: Fair · Be unable to do your normal daily activities

Free text: From time to time I experience numbness and a spanning tingling in area where 1st shot was given and muscle tightness in both upper arms from time to time no warning just happens. Fatigue easily too.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-24
Survey response — day 28, dose 2
MedDRA: Ear discomfort, Injection site pain — Feeling: Fair

Free text: Sometimes get a burning down arm where got 1st shot. Sometimes get a pain at both injection sites.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-01
Survey response — day 35, dose 2
MedDRA: Erythema, Hypoaesthesia, Myalgia — Feeling: Fair

Free text: Sometimes get stabbing pain in muscle is arm where 2nd injection given. Get numbness in left hand (left arm 1st shot) red spot area on upper right arm this morning.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-08
Survey response — day 42, dose 2
MedDRA: Injection site pain, Rash — Feeling: Fair

Free text: Rash in inside of both ankles snd pain at injection sites for no reason or warning.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-26
Survey response — 3 months, dose 2
MedDRA: Injection site pain, Lymphadenopathy, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Lymph nodes under both arms and right side of my neck are tender. Sometimes get a brief intense sharp pain at injection site. Other symptoms from time to time. My entire system seems to be on super sensitive now! · Healthcare visit (other): Office visits

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-26
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-28
Call 1 — Left Voicemail
2021-09-27
Survey response — 6 months, dose 2
MedDRA: Hypersensitivity, Office visit, Poor peripheral circulation, Pre-existing disease — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Circulation seems to be worse in feet snd lower legs. Allergies are worse. Seems my body is now much more sensitive to things. · Healthcare visit (other): Office visit

MedDRA releases: 2024-11 · check-in free text available
2021-09-27
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-09-28
Call 1 — Left Voicemail
2022-03-29
Survey response — 12 months, dose 2
MedDRA: Fall — Feeling: Fair · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Had a serious fall at work due to black ice on concrete steps and landed on my back n left arm on the concrete steps.

MedDRA releases: 2024-11 · check-in free text available
2022-03-29
Report sent to call center — 12 months, dose 2
Get care from a doctor or other healthcare professional

Emergency room or emergency department visit · 1 call case(s)
2022-03-31
Call successful
Participant prefers to complete VAERS report online
2022-03-31
Call successful
Participant prefers to complete VAERS report online

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-27	Moderna
2	2021-03-27	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-03-13	Successful	Participant prefers to complete VAERS report online
2021-03-20	Successful	Participant prefers to complete VAERS report online
2021-06-26	Successful	Participant prefers to complete VAERS report online
2021-09-27	Successful 2022-03-31	Participant prefers to complete VAERS report online
2022-03-29	Successful 2022-03-31	Participant prefers to complete VAERS report online

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-04

Systemic reaction (other): Probably allergies

Release 5 — day 7, dose 1

2021-03-06

Systemic reaction (other): Spring allergies due to pollen so dont think headache n sneezing are after getting injection

Release 5 — day 14, dose 1

2021-03-13

Symptoms: My arm became more swollen and red and painful to the point I saw my doctor yesterday! The swollen red area has continued to spread down my arm and around underneath. My forearm muscle is now tight too. Lymph nodes under my arm is painful. (Opposite cut off by CDC

Healthcare visit (other): Dr office physical visit yesterday.

Release 6 — day 21, dose 1

2021-03-20

Symptoms: Swelling and redness got larger area into back of my arm. Lymph nodes in both sides of my neck and underarms got worse. Swelling n redness now hobs but lymph nodes are still very tender!

Healthcare visit (other): Dr office bisit

Release 6 — days 1–6 daily, dose 2

2021-03-29

Systemic reaction (other): Migraine

2021-03-30

Systemic reaction (other): Tender lymph nodes both sides -/ neck n underarms into outside both breasts

2021-04-01

Systemic reaction (other): Tender lymph nodes under both arms into outside breast areas

Release 6 — day 7, dose 2

2021-04-03

Systemic reaction (other): Underarm lymph nodes very tender both sides; opposite arm injection site area sore too

Release 7 — day 21, dose 2

2021-04-17

Symptoms: From time to time I experience numbness and a spanning tingling in area where 1st shot was given and muscle tightness in both upper arms from time to time no warning just happens. Fatigue easily too.

Release 7 — day 28, dose 2

2021-04-24

Symptoms: Sometimes get a burning down arm where got 1st shot. Sometimes get a pain at both injection sites.

Release 8 — day 35, dose 2

2021-05-01

Symptoms: Sometimes get stabbing pain in muscle is arm where 2nd injection given. Get numbness in left hand (left arm 1st shot) red spot area on upper right arm this morning.

Release 8 — day 42, dose 2

2021-05-08

Symptoms: Rash in inside of both ankles snd pain at injection sites for no reason or warning.

Release 9 — 3 months, dose 2

2021-06-26

Symptoms: Lymph nodes under both arms and right side of my neck are tender. Sometimes get a brief intense sharp pain at injection site. Other symptoms from time to time. My entire system seems to be on super sensitive now!

Healthcare visit (other): Office visits

Release 9 — 6 months, dose 2

2021-09-27

Symptoms: Circulation seems to be worse in feet snd lower legs. Allergies are worse. Seems my body is now much more sensitive to things.

Healthcare visit (other): Office visit

Release 11 — 12 months, dose 2

2022-03-29

Symptoms: Had a serious fall at work due to black ice on concrete steps and landed on my back n left arm on the concrete steps.

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	Ear discomfort	✓	✓	✓
SD	Erythema	✓	✓	✓
SD	Fall	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Hypersensitivity	·	·	✓
SD	Hypoaesthesia	✓	✓	✓
SD	Injection site pain	✓	✓	✓
SD	Lymph node pain	✓	✓	✓
SD	Lymphadenopathy	✓	✓	✓
SD	Muscle tightness	✓	✓	✓
SD	Myalgia	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SD	Paraesthesia	✓	✓	✓
SD	Peripheral swelling	✓	✓	✓
SD	Poor peripheral circulation	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Rash	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Lymph node pain	✓	✓	✓
SRO	Migraine	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Seasonal allergy	✓	✓	✓
SRO	Sneezing	✓	✓	✓

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