ZBF-13609-15172

2 vaccinations 8 coded responses 22 check-ins 8 free-text entries 4 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 622 / IL
Registered: 2021-01-16

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

2021-01-14
Dose 1 — Moderna
2021-01-16
Registered in v-safe
2021-01-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Redness, Swelling · Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2021-01-16
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling · Nausea

Adult check-in
2021-01-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-01-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Joint pains, Muscle or body aches

Adult check-in
2021-01-21
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-28
Survey response — day 14, dose 1
MedDRA: Injection site erythema, Injection site induration, Injection site pain, Injection site pruritus, Injection site swelling — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: My injection site became hard, painful, red, swollen, and itchy.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-28
Report sent to call center — day 14, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-04
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-11
Dose 2 — Moderna
2021-02-11
Survey response — day 0, dose 2
MedDRA: Unevaluable event — Feeling: Good

Free text: Headache prior to injection but no meds taken.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-12
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, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-02-13
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Poor · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Swollen lymph node in armpit of injection arm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-14
Survey response — days 1–6 daily, dose 2
MedDRA: Lymph node pain — Feeling: Fair · Site: Pain, Swelling, Itching · Headache, Joint pains · Be unable to do your normal daily activities

Free text: Axillary lymph node pain is increased from yesterday.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-15
Survey response — days 1–6 daily, dose 2
MedDRA: Fungal infection, Lymph node pain — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Joint pains · Be unable to do your normal daily activities

Free text: Axillary lymph pain persists. Yeast infection and no abx used recently.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-16
Survey response — days 1–6 daily, dose 2
MedDRA: Fungal infection, Lymph node pain, Pyrexia — Feeling: Good · Site: Pain, Swelling, Itching

Free text: Axillary lymph pain persists but it easing. Yeast infection post-fever with no abx use.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-18
Health check-in — day 7, dose 2
Feeling: Good · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-25
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-04
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-11
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-18
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-25
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-04-22
Call 1 — Left Voicemail
2021-05-13
Survey response — 3 months, dose 2
MedDRA: Diverticulitis, Office visit — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Diverticulitis 4/14/21 · Healthcare visit (other): In-person visit and CT

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-13
Report sent to call center — 3 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-14
Survey response — 6 months, dose 2
MedDRA: Cholelithiasis, Diverticulitis, Hepatic steatosis, Nephrolithiasis — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: Diverticulitis twice, gall stone, kidney stone, and fatty liver changes

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-14
Report sent to call center — 6 months, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

1 call case(s)
2021-08-23
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-14	Moderna
2	2021-02-11	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-01-16	priority 2/3
2021-01-28	Unsuccessful
2021-05-13	Unsuccessful
2021-08-14	Unsuccessful

Free text

Release 3 — day 14, dose 1

2021-01-28

Symptoms: My injection site became hard, painful, red, swollen, and itchy.

Release 4 — day 0, dose 2

2021-02-11

Systemic reaction (other): Headache prior to injection but no meds taken.

Release 4 — days 1–6 daily, dose 2

2021-02-13

Systemic reaction (other): Swollen lymph node in armpit of injection arm

2021-02-14

Systemic reaction (other): Axillary lymph node pain is increased from yesterday.

2021-02-15

Systemic reaction (other): Axillary lymph pain persists. Yeast infection and no abx used recently.

2021-02-16

Systemic reaction (other): Axillary lymph pain persists but it easing. Yeast infection post-fever with no abx use.

Release 8 — 3 months, dose 2

2021-05-13

Symptoms: Diverticulitis 4/14/21

Healthcare visit (other): In-person visit and CT

Release 9 — 6 months, dose 2

2021-08-14

Symptoms: Diverticulitis twice, gall stone, kidney stone, and fatty liver changes

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
HCVO	Office visit	✓	✓	✓
SD	Cholelithiasis	✓	·	✓
SD	Diverticulitis	✓	✓	✓
SD	Hepatic steatosis	✓	·	✓
SD	Injection site erythema	✓	✓	✓
SD	Injection site induration	✓	·	✓
SD	Injection site pain	✓	✓	✓
SD	Injection site pruritus	✓	✓	✓
SD	Injection site swelling	✓	✓	✓
SD	Nephrolithiasis	✓	·	✓
SRO	Fungal infection	✓	✓	✓
SRO	Lymph node pain	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Pyrexia	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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