ZRQ-16316-88116

2 vaccinations 6 coded responses 25 check-ins 6 free-text entries 2 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 770 / TX
Registered: 2021-03-26

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

2021-03-25
Dose 1 — Moderna
2021-03-26
Registered in v-safe
2021-03-26
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache

Adult check-in
2021-03-27
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache

Adult check-in
2021-03-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-29
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-30
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site pain, Injection site reaction, Lymphadenopathy — Feeling: Fair

Free text: Bilateral swelling of axillary lymph nodes. Injection side is larger and more painful.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-31
Survey response — days 1–6 daily, dose 1
MedDRA: Lymphadenopathy — Feeling: Fair · Fatigue or tiredness

Free text: Bilateral swollen axillary lymph nodes. Side with shot worse than side without injection

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-01
Health check-in — day 7, dose 1
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-04-10
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-15
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-22
Dose 2 — Moderna
2021-04-22
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · None

Adult check-in
2021-04-23
Survey response — days 1–6 daily, dose 2
MedDRA: Tachycardia — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Free text: Tachycardia

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

Adult check-in
2021-04-25
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-04-26
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Fair · Fatigue or tiredness

Free text: Swollen lymph nodes in armpits and groin

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-27
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-28
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-29
Health check-in — day 7, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-05-06
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-13
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-20
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-27
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-03
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-22
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-21
Survey response — 6 months, dose 2
MedDRA: Asthma, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: Asthma new onset · Healthcare visit (other): Specialist

MedDRA releases: 2024-11 · check-in free text available
2021-10-21
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-10-25
Call successful
Participant prefers to complete VAERS report online
2022-04-22
Survey response — 12 months, dose 2
MedDRA: COVID-19, Fatigue, Lymphadenopathy, Office visit, Ultrasound scan abnormal — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Continued swollen lymph nodes in arm where I received the vaccines. Had Ultrasound done and just says they are enlarged. Continued fatigue. Had actual Covid in Dec 2021. · Healthcare visit (other): Primary care dr

MedDRA releases: 2024-11 · check-in free text available
2022-04-22
Report sent to call center — 12 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2022-04-25
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-25	Moderna
2	2021-04-22	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-10-21	Successful 2021-10-25	Participant prefers to complete VAERS report online
2022-04-22	Unsuccessful

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-30

Systemic reaction (other): Bilateral swelling of axillary lymph nodes. Injection side is larger and more painful.

2021-03-31

Systemic reaction (other): Bilateral swollen axillary lymph nodes. Side with shot worse than side without injection

Release 7 — days 1–6 daily, dose 2

2021-04-23

Systemic reaction (other): Tachycardia

2021-04-26

Systemic reaction (other): Swollen lymph nodes in armpits and groin

Release 10 — 6 months, dose 2

2021-10-21

Symptoms: Asthma new onset

Healthcare visit (other): Specialist

Release 11 — 12 months, dose 2

2022-04-22

Symptoms: Continued swollen lymph nodes in arm where I received the vaccines. Had Ultrasound done and just says they are enlarged. Continued fatigue. Had actual Covid in Dec 2021.

Healthcare visit (other): Primary care dr

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	Office visit	·	·	✓
SD	Asthma	·	·	✓
SD	COVID-19	·	·	✓
SD	Fatigue	·	·	✓
SD	Lymphadenopathy	·	·	✓
SD	Ultrasound scan abnormal	·	·	✓
SRO	Injection site pain	✓	✓	✓
SRO	Injection site reaction	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Tachycardia	✓	✓	✓

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