ZTD-20296-80087

2 vaccinations 6 coded responses 24 check-ins 6 free-text entries 1 call case

Sex: Female
Age at first dose: 56-60
ZIP prefix: 707 / LA
Registered: 2021-03-30

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

2021-03-29
Dose 1 — Moderna
2021-03-30
Registered in v-safe
2021-03-30
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work

Adult check-in
2021-03-31
Survey response — days 1–6 daily, dose 1
MedDRA: Lymph node pain — Feeling: Good · Site: Pain

Free text: Lymph node in armpit near shot hurting

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-01
Survey response — days 1–6 daily, dose 1
MedDRA: Axillary pain, Feeling abnormal, Night sweats — Feeling: Good · Site: Pain

Free text: Woke up this morning coated in sweat and felt odd for a few hours after I woke up and still have soreness in armpit near injection site

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Survey response — days 1–6 daily, dose 1
MedDRA: Axillary pain — Feeling: Good · Site: Pain

Free text: Slight soreness in armpit near injection. Best day since getting vaccinated!

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-03
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-04
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-05
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-12
Survey response — day 14, dose 1
MedDRA: Nasal congestion, Throat irritation — Feeling: Fair

Free text: Nasal Congestion, scratchy throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-19
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-26
Dose 2 — Moderna
2021-04-26
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2021-04-27
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-29
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-04-30
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-05-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-05-03
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-05-10
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-17
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-24
Survey response — day 28, dose 2
MedDRA: Periarthritis — Feeling: Good

Free text: A few weeks ago, at some point after being vaccinated, my shoulders were sore like with frozen shoulder, which I previously had. I had done nothing to make them sore.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-31
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-07
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-07-26
Survey response — 3 months, dose 2
MedDRA: Headache, Nausea, Oropharyngeal pain, SARS-CoV-2 test negative — Feeling: Good · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: I was exposed at work to someone who was around a Covid positive person a lot. 2 days later I had a sore throat, headache & nausea. It lasted 2 days. I tested negative for COVID.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-26
Report sent to call center — 3 months, dose 2
Be unable to work or attend school · Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-09
Call 1 — Left Voicemail
2021-08-09
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-10-25
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2022-04-26
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-29	Moderna
2	2021-04-26	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-07-26	Successful 2021-08-09	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-31

Systemic reaction (other): Lymph node in armpit near shot hurting

2021-04-01

Systemic reaction (other): Woke up this morning coated in sweat and felt odd for a few hours after I woke up and still have soreness in armpit near injection site

2021-04-02

Systemic reaction (other): Slight soreness in armpit near injection. Best day since getting vaccinated!

Release 7 — day 14, dose 1

2021-04-12

Symptoms: Nasal Congestion, scratchy throat

Release 8 — day 28, dose 2

2021-05-24

Symptoms: A few weeks ago, at some point after being vaccinated, my shoulders were sore like with frozen shoulder, which I previously had. I had done nothing to make them sore.

Release 9 — 3 months, dose 2

2021-07-26

Symptoms: I was exposed at work to someone who was around a Covid positive person a lot. 2 days later I had a sore throat, headache & nausea. It lasted 2 days. I tested negative for COVID.

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	Exposure to SARS-CoV-2	○	·	○
SD	Headache	✓	·	✓
SD	Nasal congestion	✓	✓	✓
SD	Nausea	✓	·	✓
SD	Oropharyngeal pain	✓	·	✓
SD	Periarthritis	✓	✓	✓
SD	SARS-CoV-2 test negative	✓	·	✓
SD	Throat irritation	✓	✓	✓
SRO	Axillary pain	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Lymph node pain	✓	✓	✓
SRO	Night sweats	✓	✓	✓

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