YC5-30699-46286

2 vaccinations 8 coded responses 25 check-ins 8 free-text entries 2 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 562 / MN
Registered: 2020-12-30

Relationship: Self
Race: N/A
Ethnicity: N/A

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
Survey response — days 1–6 daily, dose 1
MedDRA: Headache — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Free text: Headache might be a mixture of tension in neck muscles before, think vaccine possibly just enhanced the discomfort

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-01
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-01-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
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
2021-01-05
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-06
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-13
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
2021-01-27
Dose 2 — Moderna
2021-01-28
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-01-29
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Lymphadenopathy — Feeling: Fair · Site: Pain · Headache, Nausea, Vomiting · Be unable to work, Be unable to do your normal daily activities

Free text: Dizziness and lightheaded. Swollen lymph node on back of skull by the neck

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: Urticaria — Feeling: Poor · Site: Itching · Rash, not including the immediate area around the injection site · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Hives all over body- face, chest, back, neck, legs, feet

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-30
Report sent to call center — days 1–6 daily, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-01-31
Survey response — days 1–6 daily, dose 2
MedDRA: Self-medication, Urticaria — Feeling: Good · Site: Itching · Rash, not including the immediate area around the injection site

Free text: Continuing to take prednisone from hives developed after shot

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: Urticaria — Feeling: Good · Rash, not including the immediate area around the injection site

Free text: Hives are improving after delayed adverse reaction with prednisone

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: Rash — Feeling: Good · Rash, not including the immediate area around the injection site

Free text: Rash is almost gone with taking prednisone and benadryl

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-05
Health check-in — day 7, dose 2
Feeling: Fair · Nausea

Adult check-in
2021-02-10
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-17
Survey response — day 21, dose 2
MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Fair · Be unable to do your normal daily activities

Free text: Swollen, tender lymph nodes in front of neck, right side.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-24
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-03
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
2021-04-29
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-05-26
Call 1 — Left Voicemail
2021-05-26
Callback requested for
12:30P EST
2021-05-26
Call successful
Reported to VAERS voluntarily prior to GDIT contact
2021-07-28
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-01-27
Survey response — 12 months, dose 2
MedDRA: COVID-19 — 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: Covid 19

MedDRA releases: 2024-11 · check-in free text available
2022-01-27
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

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-01-28
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-30	Moderna
2	2021-01-27	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-01-30	Successful 2021-05-26	Reported to VAERS voluntarily prior to GDIT contact
2022-01-27	Successful 2022-01-28	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Free text

Release 1 — days 1–6 daily, dose 1

2020-12-31

Systemic reaction (other): Headache might be a mixture of tension in neck muscles before, think vaccine possibly just enhanced the discomfort

Release 3 — days 1–6 daily, dose 2

2021-01-29

Systemic reaction (other): Dizziness and lightheaded. Swollen lymph node on back of skull by the neck

2021-01-30

Systemic reaction (other): Hives all over body- face, chest, back, neck, legs, feet

2021-01-31

Systemic reaction (other): Continuing to take prednisone from hives developed after shot

2021-02-01

Systemic reaction (other): Hives are improving after delayed adverse reaction with prednisone

2021-02-02

Systemic reaction (other): Rash is almost gone with taking prednisone and benadryl

Release 4 — day 21, dose 2

2021-02-17

Symptoms: Swollen, tender lymph nodes in front of neck, right side.

Release 11 — 12 months, dose 2

2022-01-27

Symptoms: Covid 19

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	COVID-19	·	·	✓
SD	Lymph node pain	✓	✓	✓
SD	Lymphadenopathy	✓	✓	✓
SRO	Condition aggravated	○	○	○
SRO	Dizziness	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Rash	✓	✓	✓
SRO	Self-medication	✓	✓	✓
SRO	Urticaria	✓	✓	✓

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