ZP9-30475-84623

2 vaccinations 5 coded responses 13 check-ins 5 free-text entries 4 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 770 / TX
Registered: 2021-01-29

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

2021-01-29
Registered in v-safe
2021-01-29
Dose 1 — Moderna
2021-01-30
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-01
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fever · Fatigue or tiredness, Nausea

Adult check-in
2021-02-04
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Nausea, Vomiting, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-02-05
Health check-in — day 7, dose 1
Feeling: Good · Nausea

Adult check-in
2021-02-15
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-19
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-26
Dose 2 — Moderna
2021-03-03
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-06
Survey response — day 7, dose 2
MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Poor · Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Swollen lymph gland one side extremely painful

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-21
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-12
Survey response — day 42, dose 2
MedDRA: Fatigue, Pyrexia — Feeling: Fair · Be unable to work, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Fatigue, high fever

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-12
Report sent to call center — day 42, dose 2
Be unable to work · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-30
Survey response — 3 months, dose 2
MedDRA: Headache, Neuralgia, Pyrexia — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Neuralgia, headache, low grade fever

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-30
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-29
Survey response — 6 months, dose 2
MedDRA: Condition aggravated, Pre-existing disease — 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: Preexisting chronic exacerbated by severe reaction to pneumovax 23 vaccine.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-29
Report sent to call center — 6 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

1 call case(s)
2021-09-02
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-02-28
Survey response — 12 months, dose 2
MedDRA: Blood calcium increased, Emergency care, Lymphoedema, Occipital neuralgia, Swelling, Unevaluable event — Feeling: Poor · 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, Emergency room or emergency department visit

Free text: Occipital neuralgia requiring er treatment, swelling of the neck, including lymphedema and muscular, calcium levels high. To be clear, I do not attribute this to a vaccine dose, although I am less aware of any connection than you,

MedDRA releases: 2024-11 · check-in free text available
2022-02-28
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 · Emergency room or emergency department visit · 1 call case(s)
2022-03-02
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-29	Moderna
2	2021-02-26	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-04-12	Successful	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-05-30	Successful	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-08-29	Successful 2021-09-02	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-02-28	Unsuccessful

Free text

Release 5 — day 7, dose 2

2021-03-06

Systemic reaction (other): Swollen lymph gland one side extremely painful

Release 7 — day 42, dose 2

2021-04-12

Symptoms: Fatigue, high fever

Release 8 — 3 months, dose 2

2021-05-30

Symptoms: Neuralgia, headache, low grade fever

Release 9 — 6 months, dose 2

2021-08-29

Symptoms: Preexisting chronic exacerbated by severe reaction to pneumovax 23 vaccine.

Release 11 — 12 months, dose 2

2022-02-28

Symptoms: Occipital neuralgia requiring er treatment, swelling of the neck, including lymphedema and muscular, calcium levels high. To be clear, I do not attribute this to a vaccine dose, although I am less aware of any connection than you,

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	Blood calcium increased	·	·	✓
SD	Condition aggravated	✓	·	✓
SD	Emergency care	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Lymphoedema	·	·	✓
SD	Neuralgia	✓	✓	✓
SD	Occipital neuralgia	·	·	✓
SD	Pre-existing disease	✓	·	✓
SD	Pyrexia	✓	✓	✓
SD	Swelling	·	·	✓
SD	Unevaluable event	·	·	✓
SRO	Lymph node pain	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓

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