ZDN-26471-73970

2 vaccinations 9 coded responses 19 check-ins 9 free-text entries 3 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 784 / TX
Registered: 2020-12-29

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

2020-12-28
Dose 1 — Moderna
2020-12-29
Registered in v-safe
2020-12-29
Survey response — days 1–6 daily, dose 1
MedDRA: Hypoaesthesia — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea

Free text: Numbness on face a bit , especially sinus area

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-30
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Redness, Swelling · Muscle or body aches, Fatigue or tiredness

Adult check-in
2020-12-31
Survey response — days 1–6 daily, dose 1
MedDRA: Oropharyngeal pain — Feeling: Fair · Site: Redness, Swelling · Fatigue or tiredness

Free text: Sore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-04
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-18
Survey response — day 21, dose 1
MedDRA: Pain in extremity — Feeling: Good

Free text: Arm still sore . Sometimes a sharp pain to the underarm ..

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-22
Dose 2 — Moderna
2021-01-23
Survey response — days 1–6 daily, dose 2
MedDRA: Axillary pain — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Free text: Pain under arm pits both sides

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-24
Survey response — days 1–6 daily, dose 2
MedDRA: Oedema peripheral — Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Feels like under-armpits are swollen

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-25
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fatigue or tiredness, Abdominal pain

Adult check-in
2021-01-26
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling, Itching · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-27
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling, Itching · Headache, Joint pains, Fatigue or tiredness

Adult check-in
2021-01-28
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Redness, Swelling, Itching · Headache, Fatigue or tiredness

Adult check-in
2021-01-31
Health check-in — day 7, dose 2
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-02-07
Survey response — day 14, dose 2
MedDRA: Injection site pain — Feeling: Good

Free text: Still first injection site on left arm still feels pain along with right arm injection site

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-14
Survey response — day 21, dose 2
MedDRA: Abdominal pain upper — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Sharp Stomach pain its there .. got X-ray , blood work and ultra sound . Waiting on results .

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-14
Report sent to call center — day 21, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-19
Survey response — day 28, dose 2
MedDRA: Pain — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Still left side hurts and dont know why.. they ran test but everything shows normal . My body aches a bit

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-19
Report sent to call center — day 28, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-28
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-03-07
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-07-25
Survey response — 6 months, dose 2
MedDRA: Liver disorder — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Liver

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-25
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-27
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-28	Moderna
2	2021-01-22	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-02-14	Unsuccessful
2021-02-19	Unsuccessful
2021-07-25	Unsuccessful

Free text

Release 1 — days 1–6 daily, dose 1

2020-12-29

Systemic reaction (other): Numbness on face a bit , especially sinus area

2020-12-31

Systemic reaction (other): Sore throat

Release 2 — day 21, dose 1

2021-01-18

Symptoms: Arm still sore . Sometimes a sharp pain to the underarm ..

Release 2 — days 1–6 daily, dose 2

2021-01-23

Systemic reaction (other): Pain under arm pits both sides

2021-01-24

Systemic reaction (other): Feels like under-armpits are swollen

Release 3 — day 14, dose 2

2021-02-07

Symptoms: Still first injection site on left arm still feels pain along with right arm injection site

Release 4 — day 21, dose 2

2021-02-14

Symptoms: Sharp Stomach pain its there .. got X-ray , blood work and ultra sound . Waiting on results .

Release 4 — day 28, dose 2

2021-02-19

Symptoms: Still left side hurts and dont know why.. they ran test but everything shows normal . My body aches a bit

Release 9 — 6 months, dose 2

2021-07-25

Symptoms: Liver

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	Abdominal pain upper	✓	✓	✓
SD	Injection site pain	✓	✓	✓
SD	Liver disorder	✓	·	✓
SD	Pain	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SRO	Axillary pain	✓	✓	✓
SRO	Hypoaesthesia	✓	✓	✓
SRO	Oedema peripheral	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓

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