Z5U-16665-73375

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

Sex: Female
Age at first dose: 41-45
ZIP prefix: 786 / TX
Registered: 2021-03-07

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

2021-03-03
Dose 1 — Moderna
2021-03-07
Registered in v-safe
2021-03-09
Survey response — days 1–6 daily, dose 1
MedDRA: Lymphadenopathy — Feeling: Fair · Muscle or body aches, Fatigue or tiredness, Nausea

Free text: Swollen lymph nodes under arm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-17
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-26
Survey response — day 21, dose 1
MedDRA: Migraine, Myalgia, Nausea — Feeling: Poor · Be unable to do your normal daily activities

Free text: Migraines, muscle aches, nausea

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-31
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-04-01
Dose 2 — Moderna
2021-04-02
Survey response — days 1–6 daily, dose 2
MedDRA: Pain, Pain in extremity — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: Intermittent shooting pains in legs

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-03
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Nausea

Adult check-in
2021-04-05
Survey response — days 1–6 daily, dose 2
MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Good · Site: Pain, Swelling

Free text: Swollen painless lymph nodes under arm and on collarbone, same side as injection

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Survey response — day 7, dose 2
MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Good

Free text: Still have painless swollen lymph nodes but everything else is grand

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-22
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-29
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-06
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-13
Survey response — day 42, dose 2
MedDRA: Migraine, Pain — Feeling: Good · Be unable to do your normal daily activities

Free text: Had 6 days of migraine and body aches, no idea if it was related to the vaccine though

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-03
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-02
Survey response — 6 months, dose 2
MedDRA: Gastrointestinal disorder — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Gastro issues

MedDRA releases: 2024-11 · check-in free text available
2021-10-02
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-10-08
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-11-24
Dose 3 — Moderna
2022-04-01
Survey response — 12 months, dose 2
MedDRA: Injection site pain, Oligomenorrhoea — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: I had a menstrual cycle inexplicably last for 2 weeks. The injection site on my arm has felt tender for the last week, even though I haven't had a vaccine since my booster in late November

MedDRA releases: 2024-11 · check-in free text available
2022-04-01
Report sent to call center — 12 months, dose 2
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-04-04
Call 1 — Left Voicemail
2022-09-12
Dose 4 — Pfizer-BioNTech
2022-11-24
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in
2022-12-12
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2023-03-13
Health check-in — 6 months, dose 4
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-03	Moderna
2	2021-04-01	Moderna
3	2021-11-24	Moderna	No
4	2022-09-12	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-10-02	Successful 2021-10-08	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-04-01	Unsuccessful

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-09

Systemic reaction (other): Swollen lymph nodes under arm

Release 6 — day 21, dose 1

2021-03-26

Symptoms: Migraines, muscle aches, nausea

Release 6 — days 1–6 daily, dose 2

2021-04-02

Systemic reaction (other): Intermittent shooting pains in legs

2021-04-05

Systemic reaction (other): Swollen painless lymph nodes under arm and on collarbone, same side as injection

Release 7 — day 7, dose 2

2021-04-08

Systemic reaction (other): Still have painless swollen lymph nodes but everything else is grand

Release 8 — day 42, dose 2

2021-05-13

Symptoms: Had 6 days of migraine and body aches, no idea if it was related to the vaccine though

Release 9 — 6 months, dose 2

2021-10-02

Symptoms: Gastro issues

Release 11 — 12 months, dose 2

2022-04-01

Symptoms: I had a menstrual cycle inexplicably last for 2 weeks. The injection site on my arm has felt tender for the last week, even though I haven't had a vaccine since my booster in late November

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	Gastrointestinal disorder	·	·	✓
SD	Injection site pain	·	·	✓
SD	Migraine	✓	✓	✓
SD	Myalgia	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Oligomenorrhoea	·	·	✓
SD	Pain	✓	✓	✓
SRO	Lymph node pain	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓

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