ZCG-30435-64157

3 vaccinations 10 coded responses 39 check-ins 10 free-text entries 2 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 200 / DC
Registered: 2021-04-08

Relationship: Self
Race: White
Ethnicity: Hispanic or Latino

Timeline

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

2021-04-08
Registered in v-safe
2021-04-08
Dose 1 — Moderna
2021-04-08
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-04-09
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · None

Adult check-in
2021-04-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-15
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-22
Survey response — day 14, dose 1
MedDRA: Injection site erythema, Injection site rash, Injection site swelling — Feeling: Good

Free text: Big red swollen rash appeared at the injection site 8 days after my vaccination. It was red, firm, swollen & itchy. Approximately 3 inches in diameter. It disappeared after 2 days.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-29
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-05-06
Dose 2 — Moderna
2021-05-06
Health check-in — day 0, dose 2
Feeling: Fair · Nausea, Diarrhea, Abdominal pain

Adult check-in
2021-05-07
Survey response — days 1–6 daily, dose 2
MedDRA: Oropharyngeal pain — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: Sore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-08
Survey response — days 1–6 daily, dose 2
MedDRA: Axillary pain, Oedema peripheral, Swelling — Feeling: Fair · Site: Pain · Muscle or body aches, Nausea, Diarrhea, Abdominal pain

Free text: Swelling in the armpit of the arm where I received the shot. Like an edema. It is swollen and hurts.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-09
Survey response — days 1–6 daily, dose 2
MedDRA: Axillary pain, Oedema peripheral, Tenderness — Feeling: Fair · Site: Pain · Muscle or body aches, Abdominal pain

Free text: Edema in the armpit of the arm where I received the second shot-it is nothing as swollen as yesterday, but is swollen, tender and painful

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-10
Survey response — days 1–6 daily, dose 2
MedDRA: Axillary pain, Oedema peripheral, Tenderness — Feeling: Good · Muscle or body aches

Free text: Edema in the armpit of the arm where I received my second shot has decreased in size, pain and tenderness, but is still present

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-11
Survey response — days 1–6 daily, dose 2
MedDRA: Oedema peripheral, Peripheral swelling, Tenderness — Feeling: Good · Muscle or body aches

Free text: Edema in the armpit of the arm where I received the shot continues to subsidestill a little swollen and tender.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-12
Survey response — days 1–6 daily, dose 2
MedDRA: Oedema peripheral — Feeling: Good · Muscle or body aches

Free text: Some lingering sensitivity from the edema in my armpit.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-14
Survey response — day 7, dose 2
MedDRA: Oedema peripheral, Sensitive skin, Tenderness — Feeling: Good · Muscle or body aches

Free text: The edema in my armpit is still reducing but remains a little swollen and sensitive

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-20
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-27
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-06-03
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-10
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-17
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-08-05
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-11-04
Survey response — 6 months, dose 2
MedDRA: Iron deficiency anaemia — Feeling: Fair · Be unable to work or attend school, 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: Iron deficiency anemia (presumably completely unrelated to the vaccine)

MedDRA releases: 2024-11 · check-in free text available
2021-11-04
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

Telehealth, virtual health, or email health consultation · 1 call case(s)
2021-11-08
Call 1 — Left Voicemail
2021-11-10
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-11-24
Dose 3 — Moderna
2021-11-26
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Redness, Swelling · None

Adult check-in
2021-11-27
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Redness, Swelling, Itching · Nausea, Abdominal pain

Adult check-in
2021-11-28
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Itching · None

Adult check-in
2021-11-29
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Itching · None

Adult check-in
2021-11-30
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · None

Adult check-in
2021-12-01
Health check-in — day 7, dose 3
Feeling: Fair · None

Adult check-in
2021-12-08
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-12-16
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-12-22
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-29
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-01-05
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2022-02-23
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-05-27
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-11-24
Survey response — 12 months, dose 3
MedDRA: Menstruation irregular — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: My menstrual cycle changed after my last booster

MedDRA releases: 2024-11 · check-in free text available
2022-11-24
Report sent to call center — 12 months, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-11-25
Call 1 — Requested Callback
2022-12-02
Call 2 — Left Voicemail
2022-12-02
Callback requested for
04:00PM ET

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-08	Moderna
2	2021-05-06	Moderna
3	2021-11-24	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2021-11-04	Successful 2021-11-10	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-11-24	Unsuccessful

Free text

Release 7 — day 14, dose 1

2021-04-22

Symptoms: Big red swollen rash appeared at the injection site 8 days after my vaccination. It was red, firm, swollen & itchy. Approximately 3 inches in diameter. It disappeared after 2 days.

Release 8 — days 1–6 daily, dose 2

2021-05-07

Systemic reaction (other): Sore throat

2021-05-08

Systemic reaction (other): Swelling in the armpit of the arm where I received the shot. Like an edema. It is swollen and hurts.

2021-05-09

Systemic reaction (other): Edema in the armpit of the arm where I received the second shot-it is nothing as swollen as yesterday, but is swollen, tender and painful

2021-05-10

Systemic reaction (other): Edema in the armpit of the arm where I received my second shot has decreased in size, pain and tenderness, but is still present

2021-05-11

Systemic reaction (other): Edema in the armpit of the arm where I received the shot continues to subsidestill a little swollen and tender.

2021-05-12

Systemic reaction (other): Some lingering sensitivity from the edema in my armpit.

Release 8 — day 7, dose 2

2021-05-14

Systemic reaction (other): The edema in my armpit is still reducing but remains a little swollen and sensitive

Release 10 — 6 months, dose 2

2021-11-04

Symptoms: Iron deficiency anemia (presumably completely unrelated to the vaccine)

Release 12 — 12 months, dose 3

2022-11-24

Symptoms: My menstrual cycle changed after my last booster

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	Injection site erythema	✓	✓	✓
SD	Injection site rash	✓	✓	✓
SD	Injection site swelling	✓	✓	✓
SD	Iron deficiency anaemia	·	·	✓
SD	Menstruation irregular	·	·	✓
SRO	Axillary pain	✓	✓	✓
SRO	Oedema peripheral	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Peripheral swelling	✓	✓	✓
SRO	Sensitive skin	✓	✓	○
SRO	Swelling	✓	✓	✓
SRO	Tenderness	✓	✓	✓

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