ZCM-30808-55607

4 vaccinations 22 coded responses 54 check-ins 22 free-text entries 6 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 021 / MA
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
Survey response — day 0, dose 1
MedDRA: Dysgeusia — Feeling: Fair · Site: Pain · Nausea

Free text: I have had a salty taste in my mouth for several hours

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-06
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-03-07
Survey response — days 1–6 daily, dose 1
MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Swollen glands around left ear (got shot in left 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: Ear pain, Lymphadenopathy, Pain — Feeling: Fair

Free text: Swollen lymph nodes in neck and around ear on the side of my body where I got my shot. It hurt to wear a mask on my ears and even turn my head this morning.

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

Free text: Asthma fare up- needed rescue inhaler. Have needed it each day since shot, but not in three months prior.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-10
Survey response — days 1–6 daily, dose 1
MedDRA: Lymph node pain, Lymphadenopathy, Nasopharyngitis — Feeling: Fair · Headache, Muscle or body aches

Free text: I feel like I am getting an upper respiratory infection. Need rescue inhaler at least once a day. Felt painful swollen lymph nodes around my collarbone on the side of my body where I got my shot.

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

Free text: Still increased asthma symptoms. Need rescue inhaler daily since first shot. Get winded very easily and start wheezing every day.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-12
Survey response — day 7, dose 1
MedDRA: Hypersensitivity, Lymph node pain, Lymphadenopathy — Feeling: Fair

Free text: Swollen glands around ear. Very painful. Increased allergy symptoms.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-19
Survey response — day 14, dose 1
MedDRA: Ear pain, Injection site pain, Lymphadenopathy, Medical counselling — Feeling: Good · 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: Symptoms: I think I have swollen lymph nodes around my left ear and on the left side of my head. I got the shot on my left arm. It has been extremely painful even to touch. I can not wear masks with ear attachments because it hurts too much. · Healthcare visit (other): I called a COVID vaccine side effects line run by my doctor.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-19
Report sent to call center — day 14, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-26
Survey response — day 21, dose 1
MedDRA: Lymphadenopathy, Medical counselling — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Swollen glands near and around my ear have gotten worse again. · Healthcare visit (other): Acupuncture and called COVID hotline with doctor.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
Report sent to call center — day 21, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-02
Dose 2 — Moderna
2021-04-02
Survey response — day 0, dose 2
MedDRA: Dysgeusia, Paraesthesia, Salivary hypersecretion — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness, Nausea

Free text: Salty taste in my mouth, increased saliva production, tingling in my left hand (shot in left arm)

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: Poor · Site: Pain, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-04
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: Swollen glands in my neck and ear area on the side that I got the shot.

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

Adult check-in
2021-04-06
Survey response — days 1–6 daily, dose 2
MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Good

Free text: Swollen and painful lymph nodes in neck and around ear on left side where I got my shot

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-07
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Good

Free text: Swollen lymph nodes or glands in my neck, armpit, and ear area on the side I got my shot

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Good

Free text: Swollen glands in armpit, neck/throat, and around my ear on side of the body where I got the shot.

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

Free text: Swollen glands in armpit, neck, and around ear on the side where I got the shot.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-23
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-30
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-07
Survey response — day 35, dose 2
MedDRA: Hypersensitivity — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: I had a very strong systemic reaction to a weekly allergy shot.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-07
Report sent to call center — day 35, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-14
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-02
Survey response — 3 months, dose 2
MedDRA: Anaphylactic reaction, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: Anaphylactic reaction to an allergy shot · Healthcare visit (other): In medical office

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-02
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

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

Adult check-in
2021-10-29
Dose 3 — Moderna
2021-10-30
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness, Nausea

Adult check-in
2021-10-31
Survey response — days 1–6 daily, dose 3
MedDRA: Abdominal pain upper — Feeling: Good · Site: Pain

Free text: Stomach cramps

MedDRA releases: 2024-11 · check-in free text available
2021-11-01
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-02
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-03
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-04
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-11-05
Health check-in — day 7, dose 3
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-11-12
Survey response — day 14, dose 3
MedDRA: Fatigue — Feeling: Fair

Free text: Unusual fatigue

MedDRA releases: 2024-11 · check-in free text available
2021-11-19
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2021-11-26
Survey response — day 28, dose 3
MedDRA: Blepharospasm — Feeling: Good

Free text: Eye twitching

MedDRA releases: 2024-11 · check-in free text available
2021-12-03
Health check-in — day 35, dose 3
Feeling: Fair

Adult check-in
2021-12-10
Survey response — day 42, dose 3
MedDRA: Depressed mood, Depression — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Increased depression and low mood

MedDRA releases: 2024-11 · check-in free text available
2021-12-10
Report sent to call center — day 42, dose 3
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2021-12-13
Call 1 — Left Voicemail
2022-01-28
Survey response — 3 months, dose 3
MedDRA: Anaphylactic reaction, Hypersensitivity, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Systemic/anaphylactic reaction to xolair injection and to an allergy shot that required epinephrine · Healthcare visit (other): Both took place in doctor offices

MedDRA releases: 2024-11 · check-in free text available
2022-01-28
Report sent to call center — 3 months, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2022-02-01
Call 1 — Left Voicemail
2022-04-29
Health check-in — 6 months, dose 3
Feeling: Fair

Adult check-in
2022-10-15
Dose 4 — Pfizer-BioNTech
2022-10-15
Health check-in — day 0, dose 4
Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2022-10-16
Health check-in — days 1–6 daily, dose 4
Feeling: Poor · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2022-10-17
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Fever · Chills, Fatigue or tiredness

Adult check-in
2022-10-18
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Fatigue or tiredness

Adult check-in
2022-10-19
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2022-10-20
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-10-21
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Fatigue or tiredness

Adult check-in
2022-10-22
Health check-in — day 7, dose 4
Feeling: Fair · Headache

Adult check-in
2022-10-29
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-11-05
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-11-12
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-11-19
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-11-26
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2023-01-14
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2023-04-17
Health check-in — 6 months, dose 4
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-05	Moderna
2	2021-04-02	Moderna
3	2021-10-29	Moderna	No
4	2022-10-15	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-03-19	Unsuccessful
2021-03-26	Unsuccessful
2021-05-07	Unsuccessful
2021-07-02	Unsuccessful
2021-12-10	Unsuccessful
2022-01-28	Unsuccessful

Free text

Release 5 — day 0, dose 1

2021-03-05

Systemic reaction (other): I have had a salty taste in my mouth for several hours

Release 5 — days 1–6 daily, dose 1

2021-03-07

Systemic reaction (other): Swollen glands around left ear (got shot in left arm)

2021-03-08

Systemic reaction (other): Swollen lymph nodes in neck and around ear on the side of my body where I got my shot. It hurt to wear a mask on my ears and even turn my head this morning.

2021-03-09

Systemic reaction (other): Asthma fare up- needed rescue inhaler. Have needed it each day since shot, but not in three months prior.

2021-03-10

Systemic reaction (other): I feel like I am getting an upper respiratory infection. Need rescue inhaler at least once a day. Felt painful swollen lymph nodes around my collarbone on the side of my body where I got my shot.

2021-03-11

Systemic reaction (other): Still increased asthma symptoms. Need rescue inhaler daily since first shot. Get winded very easily and start wheezing every day.

Release 5 — day 7, dose 1

2021-03-12

Systemic reaction (other): Swollen glands around ear. Very painful. Increased allergy symptoms.

Release 5 — day 14, dose 1

2021-03-19

Symptoms: I think I have swollen lymph nodes around my left ear and on the left side of my head. I got the shot on my left arm. It has been extremely painful even to touch. I can not wear masks with ear attachments because it hurts too much.

Healthcare visit (other): I called a COVID vaccine side effects line run by my doctor.

Release 6 — day 21, dose 1

2021-03-26

Symptoms: Swollen glands near and around my ear have gotten worse again.

Healthcare visit (other): Acupuncture and called COVID hotline with doctor.

Release 6 — day 0, dose 2

2021-04-02

Systemic reaction (other): Salty taste in my mouth, increased saliva production, tingling in my left hand (shot in left arm)

Release 6 — days 1–6 daily, dose 2

2021-04-04

Systemic reaction (other): Swollen glands in my neck and ear area on the side that I got the shot.

Release 7 — days 1–6 daily, dose 2

2021-04-06

Systemic reaction (other): Swollen and painful lymph nodes in neck and around ear on left side where I got my shot

2021-04-07

Systemic reaction (other): Swollen lymph nodes or glands in my neck, armpit, and ear area on the side I got my shot

2021-04-08

Systemic reaction (other): Swollen glands in armpit, neck/throat, and around my ear on side of the body where I got the shot.

Release 7 — day 7, dose 2

2021-04-09

Systemic reaction (other): Swollen glands in armpit, neck, and around ear on the side where I got the shot.

Release 8 — day 35, dose 2

2021-05-07

Symptoms: I had a very strong systemic reaction to a weekly allergy shot.

Release 9 — 3 months, dose 2

2021-07-02

Symptoms: Anaphylactic reaction to an allergy shot

Healthcare visit (other): In medical office

Release 10 — days 1–6 daily, dose 3

2021-10-31

Systemic reaction (other): Stomach cramps

Release 10 — day 14, dose 3

2021-11-12

Symptoms: Unusual fatigue

Release 10 — day 28, dose 3

2021-11-26

Symptoms: Eye twitching

Release 10 — day 42, dose 3

2021-12-10

Symptoms: Increased depression and low mood

Release 11 — 3 months, dose 3

2022-01-28

Symptoms: Systemic/anaphylactic reaction to xolair injection and to an allergy shot that required epinephrine

Healthcare visit (other): Both took place in doctor offices

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	Medical counselling	✓	✓	✓
HCVO	Office visit	✓	✓	✓
SD	Anaphylactic reaction	✓	✓	✓
SD	Blepharospasm	·	·	✓
SD	Depressed mood	·	·	✓
SD	Depression	·	·	✓
SD	Ear pain	✓	✓	✓
SD	Fatigue	·	·	✓
SD	Hypersensitivity	✓	✓	✓
SD	Injection site pain	✓	✓	✓
SD	Lymphadenopathy	✓	✓	✓
SRO	Abdominal pain upper	·	·	✓
SRO	Asthma	✓	✓	✓
SRO	Dysgeusia	✓	✓	✓
SRO	Ear pain	✓	✓	✓
SRO	Hypersensitivity	✓	✓	✓
SRO	Lymph node pain	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Nasopharyngitis	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Paraesthesia	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Salivary hypersecretion	✓	✓	✓
SRO	Wheezing	✓	✓	✓

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