258-70842-03423

4 vaccinations 11 coded responses 46 check-ins 11 free-text entries 1 call case

Sex: Female
Age at first dose: 26-30
ZIP prefix: 432 / OH
Registered: 2021-01-11

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

2021-01-11
Registered in v-safe
2021-01-11
Dose 1 — Moderna
2021-01-11
Survey response — day 0, dose 1
MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain · Chills, Headache, Fatigue or tiredness, Diarrhea

Free text: Supraclavicular lymph node swelling

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-12
Survey response — days 1–6 daily, dose 1
MedDRA: Condition aggravated, Pre-existing disease — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Diarrhea · Be unable to work, Be unable to do your normal daily activities

Free text: Concern about headache - currently being treated for pseudotumor cerebri/idiopathic intracranial hypertension (pre-existing condition)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-12
Report sent to call center — days 1–6 daily, dose 1
Be unable to work · Be unable to do your normal daily activities

1 call case(s)
2021-01-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-01-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-01-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-01-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-18
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-25
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-01
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-08
Dose 2 — Moderna
2021-02-08
Survey response — day 0, dose 2
MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work

Free text: Cervical, supraclavicular, and axillary lymph node swelling on injection side

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-09
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Lymphadenitis — Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work

Free text: Axillary lymph node swelling, dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-10
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work

Adult check-in
2021-02-11
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Fair · Site: Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Axillary lymph node swelling on side of injection

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-12
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Lymphadenopathy, Tenderness — Feeling: Fair · Site: Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Axillary lymph node swelling and tenderness, mild dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-13
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Good · Site: Swelling · Muscle or body aches, Fatigue or tiredness

Free text: Axillary lymph node swelling (injection side) - mild

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-14
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Good · Site: Swelling · Fatigue or tiredness

Free text: Axillary lymph node swelling on side of injection - mild

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-15
Survey response — day 7, dose 2
MedDRA: Lymphadenopathy — Feeling: Good · Site: Swelling · Fatigue or tiredness

Free text: Axillary lymph node swelling (mild)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-22
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-01
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-08
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-15
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-22
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-10
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-09
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-27
Dose 3 — Moderna
2021-10-27
Health check-in — day 0, dose 3
Feeling: Fair · None

Adult check-in
2021-10-28
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school

Adult check-in
2021-10-29
Survey response — days 1–6 daily, dose 3
MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Free text: Lymph node swelling (axillary)

MedDRA releases: 2024-11 · check-in free text available
2021-10-30
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-10-31
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-01
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-02
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-03
Health check-in — day 7, dose 3
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-11-10
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-17
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-24
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-01
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-08
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-26
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-04-27
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-10-08
Dose 4 — Pfizer-BioNTech
2022-10-22
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-10-29
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-11-05
Survey response — day 28, dose 4
MedDRA: Sinusitis — Feeling: Fair

Free text: Sinus infection

MedDRA releases: 2024-11 · check-in free text available
2022-11-12
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-11-19
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2023-04-08
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-11	Moderna
2	2021-02-08	Moderna
3	2021-10-27	Moderna	No
4	2022-10-08	Pfizer-BioNTech	No

Call center

1 call center case

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

See the call center timeline

Free text

Release 1 — day 0, dose 1

2021-01-11

Systemic reaction (other): Supraclavicular lymph node swelling

Release 1 — days 1–6 daily, dose 1

2021-01-12

Systemic reaction (other): Concern about headache - currently being treated for pseudotumor cerebri/idiopathic intracranial hypertension (pre-existing condition)

Release 3 — day 0, dose 2

2021-02-08

Systemic reaction (other): Cervical, supraclavicular, and axillary lymph node swelling on injection side

Release 3 — days 1–6 daily, dose 2

2021-02-09

Systemic reaction (other): Axillary lymph node swelling, dizziness

Release 4 — days 1–6 daily, dose 2

2021-02-11

Systemic reaction (other): Axillary lymph node swelling on side of injection

2021-02-12

Systemic reaction (other): Axillary lymph node swelling and tenderness, mild dizziness

2021-02-13

Systemic reaction (other): Axillary lymph node swelling (injection side) - mild

2021-02-14

Systemic reaction (other): Axillary lymph node swelling on side of injection - mild

Release 4 — day 7, dose 2

2021-02-15

Systemic reaction (other): Axillary lymph node swelling (mild)

Release 10 — days 1–6 daily, dose 3

2021-10-29

Systemic reaction (other): Lymph node swelling (axillary)

Release 12 — day 28, dose 4

2022-11-05

Symptoms: Sinus infection

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	Sinusitis	·	·	✓
SRO	Condition aggravated	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Headache	○	○	○
SRO	Lymphadenitis	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Tenderness	✓	✓	✓

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