2LW-25505-13122

4 vaccinations 2 coded responses 52 check-ins 2 free-text entries 0 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 841 / UT
Registered: 2021-01-06

Relationship: Self
Race: Multiracial
Ethnicity: Not Hispanic or Latino

Timeline Vaccinations Free text MedDRA terms

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-01-06
Registered in v-safe
2021-01-06
Dose 1 — Moderna
2021-01-06
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Redness, Swelling · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness

Adult check-in
2021-01-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

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

Adult check-in
2021-01-12
Survey response — days 1–6 daily, dose 1
MedDRA: Lymphadenopathy — Feeling: Good · Fatigue or tiredness

Free text: Enlarged lymph node under left armpit on side of injection (noticed yesterday morning)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-13
Survey response — day 7, dose 1
MedDRA: Lymph node pain — Feeling: Good · Fatigue or tiredness

Free text: Sore lymph node under left armpit

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-21
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-27
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-03
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-02-04
Dose 2 — Moderna
2021-02-04
Health check-in — day 0, dose 2
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-05
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-02-06
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-08
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Chills, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-09
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-10
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-11
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-02-18
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-25
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-05
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-11
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-18
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-08
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-05
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-01-08
Dose 3 — Pfizer-BioNTech
2022-01-08
Health check-in — day 0, dose 3
Feeling: Poor · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2022-01-09
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2022-01-11
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Abdominal pain

Adult check-in
2022-01-12
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Fatigue or tiredness

Adult check-in
2022-01-13
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2022-01-14
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2022-01-17
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2022-01-22
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-01-31
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-02-05
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-02-14
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-02-20
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-04-09
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-07-09
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-11-17
Dose 4 — Moderna
2022-11-17
Health check-in — day 0, dose 4
Feeling: Good · Site: Pain · None

Adult check-in
2022-11-18
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Fever · Headache, 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
2022-11-20
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-11-22
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-11-23
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-11-24
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-12-01
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-12-08
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-12-15
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-12-22
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-12-29
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2023-02-18
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2023-05-21
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-06	Moderna
2	2021-02-04	Moderna
3	2022-01-08	Pfizer-BioNTech	No
4	2022-11-17	Moderna	No

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-12

Systemic reaction (other): Enlarged lymph node under left armpit on side of injection (noticed yesterday morning)

Release 1 — day 7, dose 1

2021-01-13

Systemic reaction (other): Sore lymph node under left armpit

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
SRO	Lymph node pain	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓

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