Z4N-60797-06788

2 vaccinations 8 coded responses 24 check-ins 8 free-text entries 6 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 926 / CA
Registered: 2021-01-07

Relationship: Self
Race: Multiracial
Ethnicity: Not Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-01-07
Registered in v-safe
2021-01-07
Dose 1 — Moderna
2021-01-07
Survey response — day 0, dose 1
MedDRA: Dry eye, Eye irritation — Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: My eyes feel dry or irritated â€” like swimming in a chlorinated pool.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache, Muscle or body aches, Diarrhea, Abdominal pain

Adult check-in
2021-01-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache, Muscle or body aches, Nausea, Abdominal pain

Adult check-in
2021-01-11
Survey response — days 1–6 daily, dose 1
MedDRA: Hypoaesthesia, Pain, Paraesthesia — Feeling: Good · Site: Pain · Headache, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: Pain that radiates down to my pink, ring finger, and later side of my hands. Sometimes nerve tingling/numbness. Occurring on affected side where vaccine was given.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-11
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)
2021-01-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-01-12
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-13
Survey response — days 1–6 daily, dose 1
MedDRA: Hypoaesthesia, Pain in extremity, Paraesthesia — Feeling: Good · Site: Pain · Headache, Fatigue or tiredness, Abdominal pain

Free text: Still having intermittent pain radiating down into hand / numbness and tingling along pinky and ring finger. Not constant.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-14
Health check-in — day 7, dose 1
Feeling: Good · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-01-21
Survey response — day 14, dose 1
MedDRA: Nasal congestion, Oropharyngeal pain, Pain in extremity — Feeling: Good

Free text: Ongoing arm pain, nasal congestion & mild sore throat.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-28
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-05
Dose 2 — Moderna
2021-02-05
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-06
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-02-07
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-02-08
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work

Adult check-in
2021-02-09
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Adult check-in
2021-02-09
Report sent to call center — days 1–6 daily, dose 2
Be unable to work · Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-10
Survey response — days 1–6 daily, dose 2
MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Fair · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, 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: Developed cervical lymphadenopathy on the side of the injection. Am able to palpate 2-3 superficial nodes that are enlarged and tender.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-10
Report sent to call center — days 1–6 daily, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-11
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Poor · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: In addition to cervical lymphadenopathy that developed on 2/10, I have now developed enlarged lymph nodes in the axillary region opposite of the injection site. (Injection was in left deltoid, cervical lymph nodes enlarged on the left, axillary lymph nodes on the right)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-11
Report sent to call center — days 1–6 daily, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-12
Survey response — day 7, dose 2
MedDRA: Lymphadenopathy, Pain — Feeling: Poor · Fever · Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Every day, more swollen lymph nodes are appearing. I have cervical lymphadenopathy on the same side as the injection and bilateral axillary lymphadenopathy. Painful.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-19
Survey response — day 14, dose 2
MedDRA: Lymphadenopathy, Office visit, Pyrexia, SARS-CoV-2 test negative — Feeling: Good · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: Went to urgent care 4 times. Put on steroids and antihistamines. Fever 101-102 despite antipyretics x 10 days. Lymph node enlargement in neck, armpits, breasts, and groin. Horrible experience. Had rapid and pcr covid test - both negative.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-19
Report sent to call center — day 14, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-26
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-07
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-12
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-19
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-07
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-07-16
Call 1 — Left Voicemail
2021-08-06
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-07	Moderna
2	2021-02-05	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-01-11	priority 2/3
2021-01-12	priority 2/3
2021-02-09	Unsuccessful
2021-02-10	Unsuccessful
2021-02-11	Unsuccessful
2021-02-19	Unsuccessful

Free text

Release 1 — day 0, dose 1

2021-01-07

Systemic reaction (other): My eyes feel dry or irritated â€” like swimming in a chlorinated pool.

Release 1 — days 1–6 daily, dose 1

2021-01-11

Systemic reaction (other): Pain that radiates down to my pink, ring finger, and later side of my hands. Sometimes nerve tingling/numbness. Occurring on affected side where vaccine was given.

2021-01-13

Systemic reaction (other): Still having intermittent pain radiating down into hand / numbness and tingling along pinky and ring finger. Not constant.

Release 2 — day 14, dose 1

2021-01-21

Symptoms: Ongoing arm pain, nasal congestion & mild sore throat.

Release 4 — days 1–6 daily, dose 2

2021-02-10

Systemic reaction (other): Developed cervical lymphadenopathy on the side of the injection. Am able to palpate 2-3 superficial nodes that are enlarged and tender.

2021-02-11

Systemic reaction (other): In addition to cervical lymphadenopathy that developed on 2/10, I have now developed enlarged lymph nodes in the axillary region opposite of the injection site. (Injection was in left deltoid, cervical lymph nodes enlarged on the left, axillary lymph nodes on the right)

Release 4 — day 7, dose 2

2021-02-12

Systemic reaction (other): Every day, more swollen lymph nodes are appearing. I have cervical lymphadenopathy on the same side as the injection and bilateral axillary lymphadenopathy. Painful.

Release 4 — day 14, dose 2

2021-02-19

Symptoms: Went to urgent care 4 times. Put on steroids and antihistamines. Fever 101-102 despite antipyretics x 10 days. Lymph node enlargement in neck, armpits, breasts, and groin. Horrible experience. Had rapid and pcr covid test - both negative.

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	✓	✓	✓
SD	Nasal congestion	✓	✓	✓
SD	Office visit	✓	✓	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SD	Pyrexia	✓	✓	✓
SD	SARS-CoV-2 test negative	✓	✓	✓
SRO	Dry eye	✓	✓	✓
SRO	Eye irritation	✓	✓	✓
SRO	Hypoaesthesia	✓	✓	✓
SRO	Lymph node pain	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Paraesthesia	✓	✓	✓

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