255-10575-06807

4 vaccinations 15 coded responses 35 check-ins 14 free-text entries 1 call case

Sex: Female
Age at first dose: 51-55
ZIP prefix: 981 / WA
Registered: 2021-04-26

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

2021-03-27
Dose 1 — Moderna
2021-04-24
Dose 2 — Moderna
2021-04-26
Registered in v-safe
2021-04-26
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness

Free text: Swollen lymph nodes under injected arm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-27
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain, Redness · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Still swelling of lymph nodes under the injected arm.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-28
Survey response — days 1–6 daily, dose 2
MedDRA: Headache, Lymphadenopathy — Feeling: Fair · Site: Pain, Swelling, Itching · Headache, Muscle or body aches

Free text: Still swollen lymph nodes and persistent mild headache for 3 weeks

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-29
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Fair · Headache

Free text: Swelling of lymph nodes is finally starting to reduce

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-01
Survey response — day 7, dose 2
MedDRA: Lymphadenopathy — Feeling: Fair · Headache

Free text: Swollen lymph nodes are finally resolving.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-08
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-16
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-22
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-01
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-05
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-24
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-25
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-12-07
Dose 3 — Moderna
2021-12-08
Survey response — days 1–6 daily, dose 3
MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work or attend school

Free text: Swollen/painful lymph nodes under injection arm

MedDRA releases: 2024-11 · check-in free text available
2021-12-09
Survey response — days 1–6 daily, dose 3
MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Significant swelling of lymph nodes under shot arm.

MedDRA releases: 2024-11 · check-in free text available
2021-12-10
Survey response — days 1–6 daily, dose 3
MedDRA: Lymphadenopathy — Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Free text: Swelling of lymph nodes under injected arm.

MedDRA releases: 2024-11 · check-in free text available
2021-12-11
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Headache

Adult check-in
2021-12-12
Survey response — days 1–6 daily, dose 3
MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Good · Headache

Free text: Lymph node pain and swelling.

MedDRA releases: 2024-11 · check-in free text available
2021-12-14
Survey response — day 7, dose 3
MedDRA: Contusion, Lymphadenopathy, Yellow skin — Feeling: Good

Free text: Swollen lymph nodes under shot arm showing signs of yellowing like old bruise.

MedDRA releases: 2024-11 · check-in free text available
2021-12-22
Health check-in — day 14, dose 3
Feeling: Fair

Adult check-in
2021-12-29
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-01-05
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-01-11
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-01-18
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-03-08
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-05-04
Dose 4 — Pfizer-BioNTech
2022-05-07
Survey response — days 1–6 daily, dose 4
MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain, Swelling · Chills, Headache

Free text: Swelling is in the lymph nodes under the injected arm.

MedDRA releases: 2024-11 · check-in free text available
2022-05-08
Survey response — days 1–6 daily, dose 4
MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain, Swelling, Itching · Headache · Be unable to do your normal daily activities

Free text: Swollen lymph nodes under shot arm

MedDRA releases: 2024-11 · check-in free text available
2022-05-10
Survey response — days 1–6 daily, dose 4
MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain, Itching

Free text: Lymph node swelling under injected arm.

MedDRA releases: 2024-11 · check-in free text available
2022-05-11
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-05-18
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-06-02
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-06-09
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-06-15
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-08-03
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-11-03
Survey response — 6 months, dose 4
MedDRA: Chills, Headache, Lymphadenopathy, Pain — Feeling: Good · Be unable to work or attend school

Free text: Chills, swollen lymph nodes, head and body aches.

MedDRA releases: 2024-11 · check-in free text available
2023-05-10
Survey response — 12 months, dose 4
MedDRA: Arthralgia, Pruritus — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

MedDRA releases: 2024-11
2023-05-10
Report sent to call center — 12 months, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2023-05-11
Call successful
Participant prefers to complete VAERS report online

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-27	Moderna
2	2021-04-24	Moderna
3	2021-12-07	Moderna	No
4	2022-05-04	Pfizer-BioNTech	No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 8 — days 1–6 daily, dose 2

2021-04-26

Systemic reaction (other): Swollen lymph nodes under injected arm

2021-04-27

Systemic reaction (other): Still swelling of lymph nodes under the injected arm.

2021-04-28

Systemic reaction (other): Still swollen lymph nodes and persistent mild headache for 3 weeks

2021-04-29

Systemic reaction (other): Swelling of lymph nodes is finally starting to reduce

Release 8 — day 7, dose 2

2021-05-01

Systemic reaction (other): Swollen lymph nodes are finally resolving.

Release 10 — days 1–6 daily, dose 3

2021-12-08

Systemic reaction (other): Swollen/painful lymph nodes under injection arm

2021-12-09

Systemic reaction (other): Significant swelling of lymph nodes under shot arm.

2021-12-10

Systemic reaction (other): Swelling of lymph nodes under injected arm.

2021-12-12

Systemic reaction (other): Lymph node pain and swelling.

Release 10 — day 7, dose 3

2021-12-14

Systemic reaction (other): Swollen lymph nodes under shot arm showing signs of yellowing like old bruise.

Release 11 — days 1–6 daily, dose 4

2022-05-07

Systemic reaction (other): Swelling is in the lymph nodes under the injected arm.

2022-05-08

Systemic reaction (other): Swollen lymph nodes under shot arm

2022-05-10

Systemic reaction (other): Lymph node swelling under injected arm.

Release 12 — 6 months, dose 4

2022-11-03

Symptoms: Chills, swollen lymph nodes, head and body aches.

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	Arthralgia	·	·	✓
SD	Chills	·	·	✓
SD	Headache	·	·	✓
SD	Lymphadenopathy	·	·	✓
SD	Pain	·	·	✓
SD	Pruritus	·	·	✓
SRO	Contusion	·	·	✓
SRO	Headache	✓	✓	✓
SRO	Lymph node pain	·	·	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Yellow skin	·	·	✓

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