Z24-26806-50461

2 vaccinations 8 coded responses 14 check-ins 8 free-text entries 1 call case

Sex: Female
Age at first dose: 56-60
ZIP prefix: 253 / WV
Registered: 2021-04-23

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

2021-03-25
Dose 1 — Moderna
2021-04-22
Dose 2 — Moderna
2021-04-23
Registered in v-safe
2021-04-23
Survey response — days 1–6 daily, dose 2
MedDRA: Dyspnoea — Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Had difficulty breathing at 12:30am. Took two puffs of albuterol and antihistamine for allergies and side effect subsided

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-24
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-25
Survey response — days 1–6 daily, dose 2
MedDRA: Breast tenderness, Lymphadenopathy — Feeling: Fair · Site: Redness, Swelling · Fever · Fatigue or tiredness

Free text: Swollen lymph nodes in armpit and left breast near injection site that are very tender.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-26
Survey response — days 1–6 daily, dose 2
MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Fair · Site: Redness, Swelling · Fever · Fatigue or tiredness

Free text: Lymph nodes under armpit and into left breast swollen and tender.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-27
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain, Swelling · Diarrhea · Be unable to do your normal daily activities

Free text: Underarm swelling in lymph nodes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-28
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness

Adult check-in
2021-04-29
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-05-06
Survey response — day 14, dose 2
MedDRA: Chills, Cold sweat, Irritability, Lymphadenopathy, Malaise — Feeling: Fair · Be unable to do your normal daily activities

Free text: Clammy chills, irritability, new lymph node issues on other side of my body (non-vaccinated side), general malaise.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-13
Survey response — day 21, dose 2
MedDRA: Condition aggravated, Pre-existing disease — Feeling: Poor · Be unable to do your normal daily activities

Free text: Pre-existing PTSD is being triggered.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-20
Survey response — day 28, dose 2
MedDRA: Atypical pneumonia — Feeling: Poor · 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: I developed walking pneumonia.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-20
Report sent to call center — day 28, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-27
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-06-03
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-07-22
Survey response — 3 months, dose 2
MedDRA: Bladder pain, Bruxism, Condition aggravated, Lymphadenopathy, Pre-existing disease, Pyrexia, Tooth fracture — Feeling: Fair · Be unable to work or attend school

Free text: Intermittent lymph node swelling on armpit where vaccine was given, low grade fever that shows in evening and resolves. I also have bladder pain. Tooth (molar) cracked and half broke off from teeth grinding. PTSD increased.

MedDRA releases: 2024-11 · check-in free text available
2021-10-21
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-04-28
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-25	Moderna
2	2021-04-22	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-05-20	Unsuccessful

Free text

Release 7 — days 1–6 daily, dose 2

2021-04-23

Systemic reaction (other): Had difficulty breathing at 12:30am. Took two puffs of albuterol and antihistamine for allergies and side effect subsided

2021-04-25

Systemic reaction (other): Swollen lymph nodes in armpit and left breast near injection site that are very tender.

Release 8 — days 1–6 daily, dose 2

2021-04-26

Systemic reaction (other): Lymph nodes under armpit and into left breast swollen and tender.

2021-04-27

Systemic reaction (other): Underarm swelling in lymph nodes

Release 8 — day 14, dose 2

2021-05-06

Symptoms: Clammy chills, irritability, new lymph node issues on other side of my body (non-vaccinated side), general malaise.

Release 8 — day 21, dose 2

2021-05-13

Symptoms: Pre-existing PTSD is being triggered.

Release 8 — day 28, dose 2

2021-05-20

Symptoms: I developed walking pneumonia.

Release 9 — 3 months, dose 2

2021-07-22

Symptoms: Intermittent lymph node swelling on armpit where vaccine was given, low grade fever that shows in evening and resolves. I also have bladder pain. Tooth (molar) cracked and half broke off from teeth grinding. PTSD increased.

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	Atypical pneumonia	✓	✓	✓
SD	Bladder pain	·	·	✓
SD	Bruxism	·	·	✓
SD	Chills	✓	✓	✓
SD	Cold sweat	✓	✓	✓
SD	Condition aggravated	✓	✓	✓
SD	Irritability	✓	✓	✓
SD	Lymphadenopathy	✓	✓	✓
SD	Malaise	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Pyrexia	·	·	✓
SD	Tooth fracture	·	·	✓
SRO	Breast tenderness	✓	✓	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Lymph node pain	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓

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