YJR-19865-44709

2 vaccinations 10 coded responses 21 check-ins 10 free-text entries 3 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 952 / CA
Registered: 2021-01-14

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

2021-01-14
Registered in v-safe
2021-01-14
Dose 1 — Moderna
2021-01-14
Survey response — day 0, dose 1
MedDRA: Dizziness — Feeling: Good

Free text: Mild dizziness post injection for approx 1 minute.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-15
Survey response — days 1–6 daily, dose 1
MedDRA: Migraine, Neck pain — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · 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: Migraine, neck pain.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-15
Report sent to call center — days 1–6 daily, dose 1
Be unable to work · Be unable to do your normal daily activities

1 call case(s)
2021-01-16
Survey response — days 1–6 daily, dose 1
MedDRA: Adverse reaction — Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Symptoms better later in day. Just want to note that I had covid Dec 4-24. I don't remember seeing a question as to whether or not you've had covid 19.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-16
Report sent to call center — days 1–6 daily, dose 1
Be unable to work · Be unable to do your normal daily activities

1 call case(s)
2021-01-17
Survey response — days 1–6 daily, dose 1
MedDRA: Axillary mass, Lymphadenopathy, Medical counselling — Feeling: Good · Site: Pain, Redness, Swelling, Itching · Muscle or body aches

Free text: Wanted to mention that I thought I sent yesterday's information and however today I got a notice that it was too late to send it in. It must not have went. Also wanted to mention that I have a lump in my armpit on the side where my injection was given. It is probably a swollen lymph node but I'm going to get it checked out. Could you let me know if this is common? Call me or text please.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-18
Survey response — days 1–6 daily, dose 1
MedDRA: Axillary mass, Confusional state, Memory impairment — Feeling: Good · Site: Pain, Redness, Swelling, Itching

Free text: Still have lump under the arm on the side where I got the injection. after I filled out my question here yesterday I noticed I seemed a little confused at times and forgetful.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-21
Health check-in — day 7, dose 1
Feeling: Good · Site: Swelling · Muscle or body aches, Fatigue or tiredness, Diarrhea

Adult check-in
2021-01-28
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-02-04
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-11
Health check-in — day 28, dose 1
Feeling: Fair

Adult check-in
2021-02-12
Dose 2 — Moderna
2021-02-14
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work

Adult check-in
2021-02-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Swelling, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-18
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Swelling · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-19
Health check-in — day 7, dose 2
Feeling: Good · Site: Pain, Redness, Swelling, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-28
Survey response — day 14, dose 2
MedDRA: Back pain, Spinal pain — Feeling: Good

Free text: Back pain, feels like mostly the spinal column. Haven't been doing anything to cause that.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-06
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-03-12
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-19
Survey response — day 35, dose 2
MedDRA: Lymphadenopathy — Feeling: Good

Free text: Lymph node under right arm being evaluated as it doesn't seem to be going away. Appeared two or three days after first covid vaccination.I also feel it worthy to note that my first covid vaccination was very rough-build worse than when I had covid.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-14
Survey response — 3 months, dose 2
MedDRA: Hepatic steatosis, Laboratory test abnormal — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Hepatic steatosis. Liver enzymes were two & three times normal amount at the end of January 2021. Much higher than they had been but they had been slightly elevated prior to that. Next test a few months later was much improved.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-14
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-14
Call 1 — Left Voicemail
2021-08-13
Survey response — 6 months, dose 2
MedDRA: Fatigue, Insomnia — Feeling: Fair

Free text: Just feel tired today. Trouble with sleep.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2022-02-12
Survey response — 12 months, dose 2
MedDRA: Migraine — Feeling: Poor · Be unable to do your normal daily activities

Free text: Migraines. May be related to neck issues ( disc problems), stress and tension, but is worse in the last month

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-14	Moderna
2	2021-02-12	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-01-15	priority 2/3
2021-01-16	priority 2/3
2021-05-14	Unsuccessful

Free text

Release 2 — day 0, dose 1

2021-01-14

Systemic reaction (other): Mild dizziness post injection for approx 1 minute.

Release 2 — days 1–6 daily, dose 1

2021-01-15

Systemic reaction (other): Migraine, neck pain.

2021-01-16

Systemic reaction (other): Symptoms better later in day. Just want to note that I had covid Dec 4-24. I don't remember seeing a question as to whether or not you've had covid 19.

2021-01-17

Systemic reaction (other): Wanted to mention that I thought I sent yesterday's information and however today I got a notice that it was too late to send it in. It must not have went. Also wanted to mention that I have a lump in my armpit on the side where my injection was given. It is probably a swollen lymph node but I'm going to get it checked out. Could you let me know if this is common? Call me or text please.

2021-01-18

Systemic reaction (other): Still have lump under the arm on the side where I got the injection. after I filled out my question here yesterday I noticed I seemed a little confused at times and forgetful.

Release 4 — day 14, dose 2

2021-02-28

Symptoms: Back pain, feels like mostly the spinal column. Haven't been doing anything to cause that.

Release 5 — day 35, dose 2

2021-03-19

Symptoms: Lymph node under right arm being evaluated as it doesn't seem to be going away. Appeared two or three days after first covid vaccination.I also feel it worthy to note that my first covid vaccination was very rough-build worse than when I had covid. cut off by CDC

Release 8 — 3 months, dose 2

2021-05-14

Symptoms: Hepatic steatosis. Liver enzymes were two & three times normal amount at the end of January 2021. Much higher than they had been but they had been slightly elevated prior to that. Next test a few months later was much improved.

Release 9 — 6 months, dose 2

2021-08-13

Symptoms: Just feel tired today. Trouble with sleep.

Release 11 — 12 months, dose 2

2022-02-12

Symptoms: Migraines. May be related to neck issues ( disc problems), stress and tension, but is worse in the last month

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	Back pain	✓	✓	✓
SD	Fatigue	✓	·	✓
SD	Hepatic steatosis	✓	✓	✓
SD	Insomnia	✓	·	✓
SD	Laboratory test abnormal	✓	✓	✓
SD	Lymphadenopathy	✓	✓	✓
SD	Migraine	·	·	✓
SD	Spinal pain	✓	✓	✓
SRO	Adverse reaction	✓	✓	✓
SRO	Axillary mass	✓	✓	✓
SRO	Confusional state	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Medical counselling	✓	✓	✓
SRO	Memory impairment	✓	✓	✓
SRO	Migraine	✓	✓	✓
SRO	Neck pain	✓	✓	✓

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