YQR-43613-91971

2 vaccinations 8 coded responses 19 check-ins 8 free-text entries 4 call cases

Sex: Female
Age at first dose: 26-30
ZIP prefix: 064 / CT
Registered: 2020-12-29

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

2020-12-29
Registered in v-safe
2020-12-29
Dose 1 — Moderna
2020-12-29
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2020-12-29
Report sent to call center — day 0, dose 1
Be unable to work · Be unable to do your normal daily activities

1 call case(s)
2020-12-30
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fever · Headache

Adult check-in
2020-12-31
Survey response — days 1–6 daily, dose 1
MedDRA: Intermenstrual bleeding, Pelvic pain — Feeling: Good · Headache

Free text: This morning woke up with mild pelvic cramping and one episode of breakthrough bleeding. (Currently take continuous birth control pills and have not had spotting in 1 year or greater)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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 · Site: Pain · Fatigue or tiredness

Adult check-in
2021-01-05
Health check-in — day 7, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-12
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-19
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-01-26
Dose 2 — Moderna
2021-01-26
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · None

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

Adult check-in
2021-01-28
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site cellulitis — Feeling: Poor · Site: Pain, Redness, Swelling · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Current cellulitis to injection arm. Starting doxycycline

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-28
Report sent to call center — days 1–6 daily, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-01-29
Survey response — days 1–6 daily, dose 2
MedDRA: Swelling face — Feeling: Fair · Site: Redness, Swelling · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Enlarged cyst like bump to jaw on the side i had the shot on

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-29
Report sent to call center — days 1–6 daily, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-01-30
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Fair · Site: Redness, Itching

Free text: Swollen submental lymph node. Moderate

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-31
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Poor · Fever · Headache, Fatigue or tiredness, Nausea, Vomiting, Diarrhea

Free text: Submental lymph node swelling to injection side

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: Lymphadenopathy — Feeling: Good

Free text: Swollen lymph nodes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-02
Survey response — day 7, dose 2
MedDRA: Lymphadenopathy — Feeling: Fair · Site: Itching

Free text: Swollen lymph node

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-09
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-16
Survey response — day 21, dose 2
MedDRA: Lymphadenopathy — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: I still have a swollen nodule to my submental lymph node. 3 weeks out.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-16
Report sent to call center — day 21, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-23
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-16
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-29	Moderna
2	2021-01-26	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2020-12-29	priority 2/3
2021-01-28	Unsuccessful
2021-01-29	Unsuccessful
2021-02-16	Unsuccessful

Free text

Release 1 — days 1–6 daily, dose 1

2020-12-31

Systemic reaction (other): This morning woke up with mild pelvic cramping and one episode of breakthrough bleeding. (Currently take continuous birth control pills and have not had spotting in 1 year or greater)

Release 3 — days 1–6 daily, dose 2

2021-01-28

Systemic reaction (other): Current cellulitis to injection arm. Starting doxycycline

2021-01-29

Systemic reaction (other): Enlarged cyst like bump to jaw on the side i had the shot on

2021-01-30

Systemic reaction (other): Swollen submental lymph node. Moderate

2021-01-31

Systemic reaction (other): Submental lymph node swelling to injection side

2021-02-01

Systemic reaction (other): Swollen lymph nodes

Release 3 — day 7, dose 2

2021-02-02

Systemic reaction (other): Swollen lymph node

Release 4 — day 21, dose 2

2021-02-16

Symptoms: I still have a swollen nodule to my submental lymph node. 3 weeks out.

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	Lymphadenopathy	✓	✓	✓
SRO	Injection site cellulitis	✓	✓	✓
SRO	Intermenstrual bleeding	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Pelvic pain	✓	✓	✓
SRO	Swelling face	✓	✓	✓

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