ZBM-15531-76762

3 vaccinations 6 coded responses 27 check-ins 6 free-text entries 1 call case

Sex: Female
Age at first dose: 36-40
ZIP prefix: 787 / TX
Registered: 2021-05-18

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

2021-04-20
Dose 1 — Moderna
2021-05-18
Registered in v-safe
2021-05-18
Dose 2 — Moderna
2021-05-20
Survey response — days 1–6 daily, dose 2
MedDRA: Chills, Influenza, Migraine — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Migraine, chills, generally like flu

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-21
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-05-23
Survey response — days 1–6 daily, dose 2
MedDRA: Hypersensitivity — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Allergic reaction in the shape of the nurse's hand who gave me the shot.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-24
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-05-27
Health check-in — day 7, dose 2
Feeling: Good · Site: Redness · Headache, Muscle or body aches

Adult check-in
2021-06-01
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-06-08
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-06-15
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-22
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-06-29
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-08-17
Health check-in — 3 months, dose 2
Feeling: Poor

Adult check-in
2021-11-16
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2022-03-07
Dose 3 — Moderna
Co-administered: Flu
2022-03-08
Survey response — days 1–6 daily, dose 3
MedDRA: Lymph node pain, Lymphadenopathy, Nausea — Feeling: Poor · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Axillary lymph nodes on the arm of the injection are severely swollen and painful to the point of nausea

MedDRA releases: 2024-11 · check-in free text available
2022-03-09
Survey response — days 1–6 daily, dose 3
MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Poor · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Swollen and severely painful axillary lymph nodes under the injection arm

MedDRA releases: 2024-11 · check-in free text available
2022-03-10
Survey response — days 1–6 daily, dose 3
MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Moderately swollen and painful axillary lymph nodes on injection arm

MedDRA releases: 2024-11 · check-in free text available
2022-03-11
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2022-03-12
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-03-13
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-03-14
Health check-in — day 7, dose 3
Feeling: Fair · Headache · Be unable to do your normal daily activities

Adult check-in
2022-03-21
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-03-28
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2022-04-04
Health check-in — day 28, dose 3
Feeling: Poor

Adult check-in
2022-04-13
Health check-in — day 35, dose 3
Feeling: Poor

Adult check-in
2022-04-18
Health check-in — day 42, dose 3
Feeling: Poor

Adult check-in
2022-06-06
Survey response — 3 months, dose 3
MedDRA: Asthma, Migraine, Occipital neuralgia, Supraorbital neuralgia — 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

Free text: Cheonis migraine, occipital neuralgia, asthma, supraorbital neuralgia

MedDRA releases: 2024-11 · check-in free text available
2022-06-06
Report sent to call center — 3 months, dose 3
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-06-07
Call 1 — Left Voicemail
2022-06-07
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-09-05
Health check-in — 6 months, dose 3
Feeling: Fair

Adult check-in
2023-03-07
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-20	Moderna
2	2021-05-18	Moderna
3	2022-03-07	Moderna	Flu

Call center

Reported	Outcome	VAERS-related outcome
2022-06-06	Successful 2022-06-07	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Free text

Release 8 — days 1–6 daily, dose 2

2021-05-20

Systemic reaction (other): Migraine, chills, generally like flu

2021-05-23

Systemic reaction (other): Allergic reaction in the shape of the nurse's hand who gave me the shot.

Release 11 — days 1–6 daily, dose 3

2022-03-08

Systemic reaction (other): Axillary lymph nodes on the arm of the injection are severely swollen and painful to the point of nausea

2022-03-09

Systemic reaction (other): Swollen and severely painful axillary lymph nodes under the injection arm

2022-03-10

Systemic reaction (other): Moderately swollen and painful axillary lymph nodes on injection arm

Release 11 — 3 months, dose 3

2022-06-06

Symptoms: Cheonis migraine, occipital neuralgia, asthma, supraorbital neuralgia

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	Asthma	·	·	✓
SD	Migraine	·	·	✓
SD	Occipital neuralgia	·	·	✓
SD	Supraorbital neuralgia	·	·	✓
SRO	Chills	✓	✓	✓
SRO	Hypersensitivity	✓	✓	✓
SRO	Influenza	✓	✓	✓
SRO	Lymph node pain	·	·	✓
SRO	Lymphadenopathy	·	·	✓
SRO	Migraine	✓	✓	✓
SRO	Nausea	·	·	✓

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