ZK2-31473-01312

2 vaccinations 10 coded responses 24 check-ins 10 free-text entries 2 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 980 / WA
Registered: 2021-01-04

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

2021-01-02
Dose 1 — Moderna
2021-01-04
Registered in v-safe
2021-01-04
Survey response — days 1–6 daily, dose 1
MedDRA: Axillary pain — Feeling: Good · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Nausea

Free text: Pain in armpits

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-05
Survey response — days 1–6 daily, dose 1
MedDRA: Lymphadenopathy, Oropharyngeal pain, Peripheral swelling, Swelling face — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches

Free text: Sore throat, mild swelling of face and hands, swollen glands in armpits

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-06
Survey response — days 1–6 daily, dose 1
MedDRA: Axillary pain, Lymphadenopathy, Neck pain, Oropharyngeal pain — Feeling: Fair · Site: Swelling, Itching · Joint pains, Muscle or body aches

Free text: Swollen lymph nodes, painful armpits and neck. Sore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-07
Survey response — days 1–6 daily, dose 1
MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Good · Site: Itching · Headache, Joint pains

Free text: Swollen and tender lymph nodes in arm pits,

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-09
Survey response — day 7, dose 1
MedDRA: Axillary pain, Lymphadenopathy, Neck pain — Feeling: Good · Site: Itching · Headache, Joint pains, Muscle or body aches

Free text: Armpit pain, swollen lymph nodes. right more than left, left neck pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-16
Survey response — day 14, dose 1
MedDRA: Injection site erythema, Injection site swelling, Injection site warmth, Medical counselling, Self-medication — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: 8 days after my immunization, on 1/10/21 my injection site swelled up and got red and hot. Redness and swelling was very severe 7x5 in size. I had to call doctor urgently. Benadryl didnt help, Ibuprofen didnt help. Redness and size kept i

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-16
Report sent to call center — day 14, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-01-23
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-01-30
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-02-01
Dose 2 — Moderna
2021-02-01
Survey response — day 0, dose 2
MedDRA: Pain, Palpitations — Feeling: Fair · Site: Pain, Redness, Swelling · Joint pains, Nausea · Be unable to do your normal daily activities

Free text: Radiating pain down the arm, racing heart beat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-02
Survey response — days 1–6 daily, dose 2
MedDRA: Heart rate increased — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Chills, 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: Racing heart rate

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-03
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-04
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains

Adult check-in
2021-02-05
Survey response — days 1–6 daily, dose 2
MedDRA: Dyspnoea, Heart rate irregular — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Shortness of breath, irregular heart rate

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-06
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Swelling, Itching · Joint pains, Muscle or body aches

Adult check-in
2021-02-07
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness, Swelling, Itching · Joint pains

Adult check-in
2021-02-08
Health check-in — day 7, dose 2
Feeling: Good · Site: Redness, Swelling, Itching · Joint pains

Adult check-in
2021-02-15
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-22
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-01
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-08
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-12
Call successful
Does not wish to fill out VAERS report
2021-03-15
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-03
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-03
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-02-03
Survey response — 12 months, dose 2
MedDRA: Arthralgia, Condition aggravated, Cough, Dyspnoea, Nasopharyngitis, Pre-existing disease, SARS-CoV-2 test negative, Sinus congestion — 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, Outpatient clinic or urgent care clinic visit

Free text: Flare up of ankylosing spondylitis, joint pain.Had very bad cold with severe cough,SOB and sinus congestion for over 5 weeks.Tested negative for Covid. But I never before had a cold that resembled this one.Still coughing and have shortness of breath

MedDRA releases: 2024-11 · check-in free text available
2022-02-03
Report sent to call center — 12 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 · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-02-04
Call 1 — Could Not Reach Participant
2022-02-14
Call 2 — Left Voicemail

Vaccinations

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

Call center

Reported	Outcome	VAERS-related outcome
2021-01-16	Successful 2021-03-12	Does not wish to fill out VAERS report
2022-02-03	Unsuccessful

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-04

Systemic reaction (other): Pain in armpits

2021-01-05

Systemic reaction (other): Sore throat, mild swelling of face and hands, swollen glands in armpits

2021-01-06

Systemic reaction (other): Swollen lymph nodes, painful armpits and neck. Sore throat

2021-01-07

Systemic reaction (other): Swollen and tender lymph nodes in arm pits,

Release 1 — day 7, dose 1

2021-01-09

Systemic reaction (other): Armpit pain, swollen lymph nodes. right more than left, left neck pain

Release 2 — day 14, dose 1

2021-01-16

Symptoms: 8 days after my immunization, on 1/10/21 my injection site swelled up and got red and hot. Redness and swelling was very severe 7x5 in size. I had to call doctor urgently. Benadryl didnt help, Ibuprofen didnt help. Redness and size kept i

Release 3 — day 0, dose 2

2021-02-01

Systemic reaction (other): Radiating pain down the arm, racing heart beat

Release 3 — days 1–6 daily, dose 2

2021-02-02

Systemic reaction (other): Racing heart rate

2021-02-05

Systemic reaction (other): Shortness of breath, irregular heart rate

Release 11 — 12 months, dose 2

2022-02-03

Symptoms: Flare up of ankylosing spondylitis, joint pain.Had very bad cold with severe cough,SOB and sinus congestion for over 5 weeks.Tested negative for Covid. But I never before had a cold that resembled this one.Still coughing and have shortness of breath cut off by CDC

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	Arthralgia	·	·	✓
SD	Condition aggravated	·	·	✓
SD	Cough	·	·	✓
SD	Dyspnoea	·	·	✓
SD	Injection site erythema	✓	✓	✓
SD	Injection site swelling	✓	✓	✓
SD	Injection site warmth	✓	✓	✓
SD	Medical counselling	✓	✓	✓
SD	Nasopharyngitis	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	Self-medication	✓	✓	✓
SD	Sinus congestion	·	·	✓
SRO	Axillary pain	✓	✓	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Heart rate increased	✓	✓	✓
SRO	Heart rate irregular	✓	✓	✓
SRO	Lymph node pain	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Neck pain	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Palpitations	✓	✓	✓
SRO	Peripheral swelling	✓	✓	✓
SRO	Swelling face	✓	✓	✓

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