ZT4-10929-45901

2 vaccinations 8 coded responses 18 check-ins 8 free-text entries 2 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 488 / MI
Registered: 2021-01-23

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

2021-01-23
Registered in v-safe
2021-01-23
Dose 1 — Moderna
2021-01-23
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-01-24
Survey response — days 1–6 daily, dose 1
MedDRA: Feeling abnormal, Respiratory tract congestion — Feeling: Poor · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Congestion, brain fog

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-25
Survey response — days 1–6 daily, dose 1
MedDRA: Axillary pain, Lymphadenopathy, Pain — Feeling: Poor · Site: Pain, Swelling · Headache · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Swollen and painful under arm, armpit area, radiatling pain across body to opposite armpit

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-25
Report sent to call center — days 1–6 daily, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-01-26
Survey response — days 1–6 daily, dose 1
MedDRA: Headache, Pain — Feeling: Good · Site: Pain · Headache, Muscle or body aches

Free text: Not certain body aches or headache are from vaccine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-28
Survey response — days 1–6 daily, dose 1
MedDRA: Condition aggravated, Headache, Pre-existing disease — Feeling: Poor · Headache, Fatigue or tiredness · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Systemic reaction (other): Severe headache buy it mqy be due to MOHS skin cancer surgery · Healthcare visit (other): I am not sure which issue has caused the headache, vaccine or MOHS skin care

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-28
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-01-29
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-31
Health check-in — day 7, dose 1
Feeling: Fair · Headache

Adult check-in
2021-02-06
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-14
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-20
Dose 2 — Moderna
2021-02-22
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site pain, Lymphadenopathy — Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Swollen lymph nodes under arm. 1st night pain at injection spot was very painful

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-23
Survey response — days 1–6 daily, dose 2
MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Fair

Free text: Swollen and painful lymph nodes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-24
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

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

Adult check-in
2021-03-01
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-14
Survey response — day 21, dose 2
MedDRA: Fatigue, Lymphadenopathy — Feeling: Fair · Be unable to do your normal daily activities

Free text: Exhausted, swollen nodes,

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-21
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-03-29
Survey response — day 35, dose 2
MedDRA: Axillary pain, Lymph node pain — Feeling: Fair

Free text: My arm pit lymph node is still swollen ....since Jan 23rd....im tired on and off....

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Call 1 — Left Voicemail
2021-06-09
Call successful
Completed over the phone

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-23	Moderna
2	2021-02-20	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-01-25	Unsuccessful
2021-01-28	Successful 2021-06-09	Completed over the phone

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-24

Systemic reaction (other): Congestion, brain fog

2021-01-25

Systemic reaction (other): Swollen and painful under arm, armpit area, radiatling pain across body to opposite armpit

2021-01-26

Systemic reaction (other): Not certain body aches or headache are from vaccine

Release 3 — days 1–6 daily, dose 1

2021-01-28

Systemic reaction (other): Severe headache buy it mqy be due to MOHS skin cancer surgery

Healthcare visit (other): I am not sure which issue has caused the headache, vaccine or MOHS skin care

Release 4 — days 1–6 daily, dose 2

2021-02-22

Systemic reaction (other): Swollen lymph nodes under arm. 1st night pain at injection spot was very painful

2021-02-23

Systemic reaction (other): Swollen and painful lymph nodes

Release 5 — day 21, dose 2

2021-03-14

Symptoms: Exhausted, swollen nodes,

Release 6 — day 35, dose 2

2021-03-29

Symptoms: My arm pit lymph node is still swollen ....since Jan 23rd....im tired on and off....

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	Headache	✓	✓	✓
SD	Axillary pain	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Lymph node pain	✓	✓	✓
SD	Lymphadenopathy	✓	✓	✓
SRO	Axillary pain	✓	✓	✓
SRO	Condition aggravated	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Lymph node pain	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Respiratory tract congestion	✓	✓	✓

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