ZWW-13926-54921

4 vaccinations 9 coded responses 34 check-ins 9 free-text entries 9 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 191 / PA
Registered: 2021-01-17

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

2021-01-16
Dose 1 — Moderna
2021-01-17
Registered in v-safe
2021-01-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2021-01-17
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-20
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Chills, Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2021-01-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-01-23
Health check-in — day 7, dose 1
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-01-30
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-06
Survey response — day 21, dose 1
MedDRA: Inguinal mass, Unevaluable event — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: Found a complex mass in my inguinal area requiring further evaluation, testing and surgery · Healthcare visit (other): Had to get ultrasound, xrays and MRI and will need surgery

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-06
Report sent to call center — day 21, dose 1
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-10
Dose 2 — Moderna
2021-02-13
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · 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

Adult check-in
2021-02-14
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-02-15
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-02-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fever · Fatigue or tiredness

Adult check-in
2021-02-17
Health check-in — day 7, dose 2
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-24
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-03-03
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-03-11
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-03-17
Survey response — day 35, dose 2
MedDRA: Pre-existing disease, Surgery — Feeling: Good · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Hospitalization

Free text: Symptoms: Tumor removed from my leg · Healthcare visit (other): Inpatient surgery

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-17
Report sent to call center — day 35, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-24
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-05-12
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-07-14
Call 1 — Left Voicemail
2021-08-11
Survey response — 6 months, dose 2
MedDRA: Coronary artery disease, Neoplasm malignant — Feeling: Good · 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: Dx with CAD and also cancer.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-11
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)
2021-08-15
Call 1 — Left Voicemail
2021-10-29
Dose 3 — Moderna
2021-11-01
Survey response — days 1–6 daily, dose 3
MedDRA: Pollakiuria — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Excessive urination

MedDRA releases: 2024-11 · check-in free text available
2021-11-02
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-11-03
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Redness, Itching · Joint pains, Muscle or body aches

Adult check-in
2021-11-04
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Redness, Swelling, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-11-05
Health check-in — day 7, dose 3
Feeling: Good · Site: Redness, Itching · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-12
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-19
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2021-11-26
Survey response — day 28, dose 3
MedDRA: Lung neoplasm, Lymphadenopathy, Neoplasm — 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 · Outpatient clinic or urgent care clinic visit

Free text: I have enlarged nodes, severely elevated d-dimer, rapid tumor growth, and lung tumor

MedDRA releases: 2024-11 · check-in free text available
2021-11-26
Report sent to call center — day 28, dose 3
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-11-29
Call successful
Does not wish to fill out VAERS report
2021-12-05
Survey response — day 35, dose 3
MedDRA: Lung cancer metastatic, Lymphadenopathy, Surgery — 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 · Hospitalization

Free text: Symptoms: Metastasis in my lung, node enlargement on side where vaccine given and cancer diagnosis · Healthcare visit (other): Surgery

MedDRA releases: 2024-11 · check-in free text available
2021-12-05
Report sent to call center — day 35, dose 3
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Hospitalization · 1 call case(s)
2021-12-06
Call 1 — Left Voicemail
2021-12-14
Survey response — day 42, dose 3
MedDRA: Abdominal discomfort, Neuralgia, Pain — 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, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit, Hospitalization

Free text: Unrelenting pain, neuropathic pain, GI distress

MedDRA releases: 2024-11 · check-in free text available
2021-12-14
Report sent to call center — day 42, dose 3
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 · Emergency room or emergency department visit · Hospitalization · 1 call case(s)
2021-12-14
Call successful
Does not wish to fill out VAERS report
2022-01-30
Health check-in — 3 months, dose 3
Feeling: Fair

Adult check-in
2022-04-22
Dose 4 — Moderna
2022-04-29
Survey response — 6 months, dose 3
MedDRA: Neoplasm, Thrombosis — 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 · Hospitalization

Free text: Blood clots, tumor

MedDRA releases: 2024-11 · check-in free text available
2022-04-29
Report sent to call center — 6 months, dose 3
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Hospitalization · 1 call case(s)
2022-05-02
Call 1 — Could Not Reach Participant
2022-05-05
Call successful
Does not wish to fill out VAERS report
2022-06-03
Survey response — day 42, dose 4
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, Hospitalization

Free text: Cancer is worse. Tumors returned after covid vaccination.

MedDRA releases: 2024-11 · check-in free text available
2022-06-03
Report sent to call center — day 42, dose 4
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 · Hospitalization · 1 call case(s)
2022-06-06
Call successful
Other

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-16	Moderna
2	2021-02-10	Moderna
3	2021-10-29	Moderna	No
4	2022-04-22	Moderna	No

Call center

9 call center cases

8 successful · 1 priority 2/3 (triaged and no follow up)

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 3 — day 21, dose 1

2021-02-06

Symptoms: Found a complex mass in my inguinal area requiring further evaluation, testing and surgery

Healthcare visit (other): Had to get ultrasound, xrays and MRI and will need surgery

Release 5 — day 35, dose 2

2021-03-17

Symptoms: Tumor removed from my leg

Healthcare visit (other): Inpatient surgery

Release 9 — 6 months, dose 2

2021-08-11

Symptoms: Dx with CAD and also cancer.

Release 10 — days 1–6 daily, dose 3

2021-11-01

Systemic reaction (other): Excessive urination

Release 10 — day 28, dose 3

2021-11-26

Symptoms: I have enlarged nodes, severely elevated d-dimer, rapid tumor growth, and lung tumor

Release 10 — day 35, dose 3

2021-12-05

Symptoms: Metastasis in my lung, node enlargement on side where vaccine given and cancer diagnosis

Healthcare visit (other): Surgery

Release 10 — day 42, dose 3

2021-12-14

Symptoms: Unrelenting pain, neuropathic pain, GI distress

Release 11 — 6 months, dose 3

2022-04-29

Symptoms: Blood clots, tumor

Release 11 — day 42, dose 4

2022-06-03

Symptoms: Cancer is worse. Tumors returned after covid vaccination.

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	Surgery	✓	✓	✓
HCVO	Unevaluable event	✓	✓	✓
SD	Abdominal discomfort	·	·	✓
SD	Condition aggravated	·	·	✓
SD	Coronary artery disease	✓	·	✓
SD	Inguinal mass	✓	✓	✓
SD	Lung cancer metastatic	·	·	✓
SD	Lung neoplasm	·	·	✓
SD	Lymphadenopathy	·	·	✓
SD	Neoplasm	·	·	✓
SD	Neoplasm malignant	✓	·	✓
SD	Neuralgia	·	·	✓
SD	Pain	·	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Thrombosis	·	·	✓
SRO	Pollakiuria	·	·	✓

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