ZHD-30225-84842

2 vaccinations 4 coded responses 24 check-ins 4 free-text entries 5 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 210 / MD
Registered: 2021-01-08

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

2021-01-08
Registered in v-safe
2021-01-08
Dose 1 — Moderna
2021-01-08
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · Headache, Joint pains

Adult check-in
2021-01-09
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-01-09
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-10
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-01-10
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-11
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness · Be unable to work

Adult check-in
2021-01-11
Report sent to call center — days 1–6 daily, dose 1
Be unable to work

1 call case(s)
2021-01-12
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-01-13
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-01-14
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · None

Adult check-in
2021-01-15
Health check-in — day 7, dose 1
Feeling: Fair · None

Adult check-in
2021-01-22
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-01-29
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-05
Dose 2 — Moderna
2021-02-05
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Fatigue or tiredness, Nausea

Adult check-in
2021-02-06
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness · None

Adult check-in
2021-02-07
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-09
Survey response — days 1–6 daily, dose 2
MedDRA: Sarcoidosis — Feeling: Poor · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Sarcoidosis reaction - no one is helping me with it.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-10
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-12
Health check-in — day 7, dose 2
Feeling: Poor · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work

Adult check-in
2021-02-19
Survey response — day 14, dose 2
MedDRA: Granuloma skin, Inflammation, Nasal congestion, Oropharyngeal pain, Respiratory tract congestion — Feeling: Poor

Free text: Sore throat and nasal passages and chest congestion. Ive been having an inflammatory response to the vaccines and a large granuloma is still growing on my arm!!!

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-28
Survey response — day 21, dose 2
MedDRA: Condition aggravated, Granuloma annulare, Pre-existing disease, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: New granulomas from vaccines and existing is double in size. No one is listening to me about this. · Healthcare visit (other): Scheduled for this coming Friday

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-28
Report sent to call center — day 21, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-05
Survey response — day 28, dose 2
MedDRA: Adverse reaction — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: (b)(6) has confirmed that I am having a reaction to the vaccines.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-05
Report sent to call center — day 28, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-12
Health check-in — day 35, dose 2
Feeling: Poor

Adult check-in
2021-03-19
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-05-09
Health check-in — 3 months, dose 2
Feeling: Poor

Adult check-in
2021-06-03
Call successful
Participant prefers to complete VAERS report online
2021-06-03
Call successful
Participant prefers to complete VAERS report online
2021-08-06
Health check-in — 6 months, dose 2
Feeling: Poor

Adult check-in
2022-02-07
Health check-in — 12 months, dose 2
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-08	Moderna
2	2021-02-05	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-01-09	priority 2/3
2021-01-10	priority 2/3
2021-01-11	priority 2/3
2021-02-28	Successful 2021-06-03	Participant prefers to complete VAERS report online
2021-03-05	Successful 2021-06-03	Participant prefers to complete VAERS report online

Free text

Release 3 — days 1–6 daily, dose 2

2021-02-09

Systemic reaction (other): Sarcoidosis reaction - no one is helping me with it.

Release 4 — day 14, dose 2

2021-02-19

Symptoms: Sore throat and nasal passages and chest congestion. Ive been having an inflammatory response to the vaccines and a large granuloma is still growing on my arm!!!

Release 4 — day 21, dose 2

2021-02-28

Symptoms: New granulomas from vaccines and existing is double in size. No one is listening to me about this.

Healthcare visit (other): Scheduled for this coming Friday

Release 5 — day 28, dose 2

2021-03-05

Symptoms: (b)(6) has confirmed that I am having a reaction to the vaccines.

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	Unevaluable event	✓	✓	✓
SD	Adverse reaction	✓	✓	✓
SD	Condition aggravated	✓	✓	✓
SD	Granuloma annulare	✓	✓	✓
SD	Granuloma skin	✓	✓	✓
SD	Inflammation	✓	✓	✓
SD	Nasal congestion	✓	✓	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Respiratory tract congestion	✓	✓	✓
SRO	Sarcoidosis	✓	✓	✓

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