YD5-68799-78751

3 vaccinations 10 coded responses 38 check-ins 10 free-text entries 2 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 527 / IA
Registered: 2021-01-24

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

2021-01-23
Dose 1 — Moderna
2021-01-24
Registered in v-safe
2021-01-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Joint pains, Muscle or body aches

Adult check-in
2021-01-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Joint pains, Muscle or body aches

Adult check-in
2021-01-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-01-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-29
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-30
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-08
Survey response — day 14, dose 1
MedDRA: Arthralgia, Lymphadenopathy, Tenderness — Feeling: Good

Free text: Tenderness in my armpit on the shot arm. Likely lymph node swelling. And joint pain.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-13
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-20
Dose 2 — Moderna
2021-02-20
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · Muscle or body aches, Nausea

Adult check-in
2021-02-21
Survey response — days 1–6 daily, dose 2
MedDRA: Feeling cold — Feeling: Fair · Site: Pain, Redness, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Im cold. Not chills.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-22
Survey response — days 1–6 daily, dose 2
MedDRA: Feeling cold — Feeling: Fair · Site: Pain, Redness, Swelling · Fatigue or tiredness

Free text: Felt cold. Not chills but could get warm. This is atypical for me

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-23
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Swelling · Fatigue or tiredness

Adult check-in
2021-02-24
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness · Fatigue or tiredness

Adult check-in
2021-02-25
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness · None

Adult check-in
2021-02-26
Survey response — days 1–6 daily, dose 2
MedDRA: Inflammation, Medical counselling — Feeling: Good · Muscle or body aches

Free text: Tissue inflammation per my massage therapist.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-27
Health check-in — day 7, dose 2
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-06
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-13
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-20
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-27
Survey response — day 35, dose 2
MedDRA: Dizziness — Feeling: Fair

Free text: Dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-03
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-22
Survey response — 3 months, dose 2
MedDRA: Dizziness — Feeling: Good

Free text: Dizziness has persisted.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-21
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-13
Dose 3 — Moderna
2021-11-13
Health check-in — day 0, dose 3
Feeling: Fair · Site: Pain · Muscle or body aches, Nausea

Adult check-in
2021-11-14
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Muscle or body aches, Nausea

Adult check-in
2021-11-15
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-16
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-11-17
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-22
Survey response — day 7, dose 3
MedDRA: Herpes zoster — Feeling: Good

Free text: I just saw an article on shingles and the covid post-vaccine immune reaction. I did experience a small shingles outbreak approximately 7 months after my second dose.

MedDRA releases: 2024-11 · check-in free text available
2021-11-27
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-12-04
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-12-11
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-18
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-27
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-02-12
Survey response — 3 months, dose 3
MedDRA: Influenza B virus test positive, Influenza virus test, Oral herpes, SARS-CoV-2 test, Streptococcus test positive — Feeling: Good · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Symptoms: Positive for Strep and Influenza B. Second outbreak of cold sores since my booster. · Healthcare visit (other): Drive thru for testing for COVID, strep& flu

MedDRA releases: 2024-11 · check-in free text available
2022-02-12
Report sent to call center — 3 months, dose 3
Be unable to work or attend school · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-02-21
Call 1 — Left Voicemail
2022-05-16
Survey response — 6 months, dose 3
MedDRA: COVID-19, Influenza, Streptococcal infection — Feeling: Good · Be unable to work or attend school

Free text: I've had COVID in March. At the end of Jan I had strep & influenza B.

MedDRA releases: 2024-11 · check-in free text available
2022-11-13
Survey response — 12 months, dose 3
MedDRA: Joint swelling, Office visit, Peripheral swelling — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Swelling in my legs and ankles. · Healthcare visit (other): I saw both my PCP and holistic health practitioner

MedDRA releases: 2024-11 · check-in free text available
2022-11-13
Report sent to call center — 12 months, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2022-11-14
Call 2 — Left Voicemail
2022-11-14
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-23	Moderna
2	2021-02-20	Moderna
3	2021-11-13	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2022-02-12	Unsuccessful
2022-11-13	Unsuccessful

Free text

Release 3 — day 14, dose 1

2021-02-08

Symptoms: Tenderness in my armpit on the shot arm. Likely lymph node swelling. And joint pain.

Release 4 — days 1–6 daily, dose 2

2021-02-21

Systemic reaction (other): Im cold. Not chills.

2021-02-22

Systemic reaction (other): Felt cold. Not chills but could get warm. This is atypical for me

2021-02-26

Systemic reaction (other): Tissue inflammation per my massage therapist.

Release 6 — day 35, dose 2

2021-03-27

Symptoms: Dizziness

Release 8 — 3 months, dose 2

2021-05-22

Symptoms: Dizziness has persisted.

Release 10 — day 7, dose 3

2021-11-22

Systemic reaction (other): I just saw an article on shingles and the covid post-vaccine immune reaction. I did experience a small shingles outbreak approximately 7 months after my second dose.

Release 11 — 3 months, dose 3

2022-02-12

Symptoms: Positive for Strep and Influenza B. Second outbreak of cold sores since my booster.

Healthcare visit (other): Drive thru for testing for COVID, strep& flu

Release 11 — 6 months, dose 3

2022-05-16

Symptoms: I've had COVID in March. At the end of Jan I had strep & influenza B.

Release 12 — 12 months, dose 3

2022-11-13

Symptoms: Swelling in my legs and ankles.

Healthcare visit (other): I saw both my PCP and holistic health practitioner

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	Influenza virus test	·	·	✓
HCVO	Office visit	·	·	✓
HCVO	SARS-CoV-2 test	·	·	✓
SD	Arthralgia	✓	✓	✓
SD	COVID-19	·	·	✓
SD	Dizziness	✓	✓	✓
SD	Influenza	·	·	✓
SD	Influenza B virus test positive	·	·	✓
SD	Joint swelling	·	·	✓
SD	Lymphadenopathy	✓	✓	✓
SD	Oral herpes	·	·	✓
SD	Peripheral swelling	·	·	✓
SD	Streptococcal infection	·	·	✓
SD	Streptococcus test positive	·	·	✓
SD	Tenderness	✓	✓	✓
SRO	Feeling cold	✓	✓	✓
SRO	Herpes zoster	·	·	✓
SRO	Inflammation	✓	✓	✓
SRO	Medical counselling	✓	✓	✓

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