ZFV-33258-23690

3 vaccinations 8 coded responses 15 check-ins 8 free-text entries 2 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 403 / KY
Registered: 2021-03-18

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

2021-03-17
Dose 1 — Moderna
2021-03-18
Registered in v-safe
2021-03-18
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site pain — Feeling: Good · Site: Pain

Free text: Mild pain was like tender, if you pressed where you got ya shot, doesnt hurt really bad, more like alittle bruise, but theres no bruise there, and my whole arm does not hurt .. just like a bruise if you touched it at the injection site..not red in color, and no bruise..

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-19
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site bruising, Injection site swelling — Feeling: Good · Site: Swelling

Free text: Just that at the injection site, notice it was swelled some where i got the shot in my left arm, and still feels like a bruise, but other than that just fine...

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-20
Survey response — days 1–6 daily, dose 1
MedDRA: Swelling — Feeling: Good · Site: Swelling

Free text: Swell, but not as bad, asit has been.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-24
Survey response — day 7, dose 1
MedDRA: Injection site pain — Feeling: Good

Free text: At site still sore alittle like bruise

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-31
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-07
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-14
Dose 2 — Moderna
2021-04-21
Survey response — day 7, dose 2
MedDRA: Tenderness — Feeling: Good · Site: Swelling

Free text: Only likea brise again if you touch it, but theres no bruise

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-28
Survey response — day 14, dose 2
MedDRA: Fatigue, Headache, Pyrexia, Somnolence — Feeling: Good · Be unable to work, Be unable to do your normal daily activities

Free text: My husband and i both felt the after effects of the moderna vaccine with both fatigue, he came home from going to work around 200pm feeling fatigued we both had that, and I had a fever, we went to bed around 6:00pm and slept untill 11:00 pm.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-05
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-21
Survey response — day 35, dose 2
MedDRA: Computerised tomogram abnormal, Emergency care, Hepatic mass, Limb discomfort — Feeling: Fair · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: I still have like a bruise on my left arm, that feels like a bruise, but theres no bruise where the 2nd vaccine was given figured just normal so didnt tell dr,did go to E.R.on 10th of this month,thought I had kidney stone, but CTscanshowmassonliv

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-21
Report sent to call center — day 35, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-26
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-07-16
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-10-20
Survey response — 6 months, dose 2
MedDRA: Computerised tomogram liver abnormal, Emergency care, Hepatic lesion — Feeling: Fair · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Symptoms: May 10th they found a liver lesion on my liver when they did a cat scan at (b)(6) hospital, when I thought I had a kidney stone, no kidney stone was found only the liver lesion, never had it before.. when I had a cat scan before.... · Healthcare visit (other): Went to Er May 10th-2021 thought I had a kidney stone, they ran a cat scan and liver lesion showed up on my liver

MedDRA releases: 2024-11 · check-in free text available
2021-10-20
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

Emergency room or emergency department visit · 1 call case(s)
2021-10-22
Call 1 — Left Voicemail
2021-10-30
Dose 3 — Moderna
Co-administered: Flu
2022-04-15
Health check-in — 12 months, dose 2
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-17	Moderna
2	2021-04-14	Moderna
3	2021-10-30	Moderna	Flu

Call center

Reported	Outcome	VAERS-related outcome
2021-05-21	Unsuccessful
2021-10-20	Unsuccessful

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-18

Systemic reaction (other): Mild pain was like tender, if you pressed where you got ya shot, doesnt hurt really bad, more like alittle bruise, but theres no bruise there, and my whole arm does not hurt .. just like a bruise if you touched it at the injection site..not red in color, and no bruise..

2021-03-19

Systemic reaction (other): Just that at the injection site, notice it was swelled some where i got the shot in my left arm, and still feels like a bruise, but other than that just fine...

Release 6 — days 1–6 daily, dose 1

2021-03-20

Systemic reaction (other): Swell, but not as bad, asit has been.

Release 6 — day 7, dose 1

2021-03-24

Systemic reaction (other): At site still sore alittle like bruise

Release 7 — day 7, dose 2

2021-04-21

Systemic reaction (other): Only likea brise again if you touch it, but theres no bruise

Release 8 — day 14, dose 2

2021-04-28

Symptoms: My husband and i both felt the after effects of the moderna vaccine with both fatigue, he came home from going to work around 200pm feeling fatigued we both had that, and I had a fever, we went to bed around 6:00pm and slept untill 11:00 pm.

Release 8 — day 35, dose 2

2021-05-21

Symptoms: I still have like a bruise on my left arm, that feels like a bruise, but theres no bruise where the 2nd vaccine was given figured just normal so didnt tell dr,did go to E.R.on 10th of this month,thought I had kidney stone, but CTscanshowmassonliv

Release 10 — 6 months, dose 2

2021-10-20

Symptoms: May 10th they found a liver lesion on my liver when they did a cat scan at (b)(6) hospital, when I thought I had a kidney stone, no kidney stone was found only the liver lesion, never had it before.. when I had a cat scan before....

Healthcare visit (other): Went to Er May 10th-2021 thought I had a kidney stone, they ran a cat scan and liver lesion showed up on my liver

redacted (b)(6)

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	Computerised tomogram liver abnormal	·	·	✓
HCVO	Emergency care	·	·	✓
HCVO	Hepatic lesion	·	·	✓
SD	Computerised tomogram abnormal	✓	✓	✓
SD	Computerised tomogram liver abnormal	·	·	✓
SD	Emergency care	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Hepatic lesion	·	·	✓
SD	Hepatic mass	✓	✓	✓
SD	Limb discomfort	✓	✓	✓
SD	Pyrexia	✓	✓	✓
SD	Somnolence	✓	✓	✓
SRO	Injection site bruising	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Injection site swelling	✓	✓	✓
SRO	Swelling	✓	✓	✓
SRO	Tenderness	✓	✓	✓

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