ZA9-60261-49314

3 vaccinations 8 coded responses 26 check-ins 8 free-text entries 1 call case

Sex: Female
Age at first dose: 61-65
ZIP prefix: 431 / OH
Registered: 2021-03-05

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

2021-03-05
Registered in v-safe
2021-03-05
Dose 1 — Moderna
2021-03-05
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-03-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-07
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site pain, Limb discomfort — Feeling: Good · Site: Swelling

Free text: Tenderness at injection site. Mild discomfort when I raid my arm.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-08
Survey response — days 1–6 daily, dose 1
MedDRA: Pre-existing disease — Feeling: Good

Free text: Just to let you know that I have Lupus and I feel no increase in my lupus symptoms since receiving the first vaccine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-14
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-19
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-26
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-02
Dose 2 — Moderna
2021-04-02
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-04-03
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-04
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-04-05
Survey response — days 1–6 daily, dose 2
MedDRA: Rhinorrhoea — Feeling: Fair

Free text: Runny nose

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-06
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-04-07
Survey response — days 1–6 daily, dose 2
MedDRA: Rhinorrhoea — Feeling: Fair · Chills, Fatigue or tiredness

Free text: Runny nose. I think I have a sinus infection.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-09
Survey response — day 7, dose 2
MedDRA: Fatigue — Feeling: Fair

Free text: Tired.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
Survey response — day 14, dose 2
MedDRA: Fatigue, Pain, Pyrexia, Rhinorrhoea — Feeling: Fair · Be unable to do your normal daily activities

Free text: Very achey, runny nose, a very slight fever,tired

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-23
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-30
Survey response — day 28, dose 2
MedDRA: Lymphadenopathy — Feeling: Good

Free text: Swollen axillary lymph node on the side of second vaccine. (Discovered during a previously scheduled breast ultrasound)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-08
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-14
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-03
Survey response — 3 months, dose 2
MedDRA: Lymphadenopathy — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: My axillary lymph nodes were swollen 10 weeks after the 2nd dose. It looked suspicious so a biopsy was done. The biopsy was negative. Repeat ultrasound in 6 months.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-03
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-07
Call 1 — Left Voicemail
2021-08-31
Dose 3 — Moderna
2021-10-01
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-30
Health check-in — 3 months, dose 3
Feeling: Fair

Adult check-in
2022-03-03
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-08-31
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-05	Moderna
2	2021-04-02	Moderna
3	2021-08-31	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2021-07-03	Unsuccessful

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-07

Systemic reaction (other): Tenderness at injection site. Mild discomfort when I raid my arm.

2021-03-08

Systemic reaction (other): Just to let you know that I have Lupus and I feel no increase in my lupus symptoms since receiving the first vaccine.

Release 6 — days 1–6 daily, dose 2

2021-04-05

Systemic reaction (other): Runny nose

Release 7 — days 1–6 daily, dose 2

2021-04-07

Systemic reaction (other): Runny nose. I think I have a sinus infection.

Release 7 — day 7, dose 2

2021-04-09

Systemic reaction (other): Tired.

Release 7 — day 14, dose 2

2021-04-16

Symptoms: Very achey, runny nose, a very slight fever,tired

Release 8 — day 28, dose 2

2021-04-30

Symptoms: Swollen axillary lymph node on the side of second vaccine. (Discovered during a previously scheduled breast ultrasound)

Release 9 — 3 months, dose 2

2021-07-03

Symptoms: My axillary lymph nodes were swollen 10 weeks after the 2nd dose. It looked suspicious so a biopsy was done. The biopsy was negative. Repeat ultrasound in 6 months.

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	Fatigue	✓	✓	✓
SD	Lymphadenopathy	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Pyrexia	✓	✓	✓
SD	Rhinorrhoea	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Limb discomfort	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Rhinorrhoea	✓	✓	✓

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