2NL-25806-07677

2 vaccinations 9 coded responses 18 check-ins 9 free-text entries 1 call case

Sex: Female
Age at first dose: 31-35
ZIP prefix: 346 / FL
Registered: 2021-08-12

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

2021-08-06
Dose 1 — Moderna
2021-08-12
Registered in v-safe
2021-08-12
Survey response — days 1–6 daily, dose 1
MedDRA: Lymphadenopathy — Feeling: Fair

Free text: Lymphadenopathy of left side supraclavicular lymph nodes (same side as infection site)

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-13
Survey response — day 7, dose 1
MedDRA: Arthralgia, Lymphadenopathy, Neck pain, Pain — Feeling: Fair

Free text: Lymphadenopathy of left supraclavicular lymph nodes unilateral to infection site, pain 6/10 and radiating to shoulder and neck.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-20
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-08-27
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-09-03
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-09-10
Dose 2 — Moderna
2021-09-10
Health check-in — day 35, dose 1
Feeling: Good

Adult check-in
2021-09-11
Survey response — days 1–6 daily, dose 2
MedDRA: Induration, Lymph node pain, Lymphadenopathy, Reaction to previous exposure to any vaccine — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, 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

Free text: My supraclavicular lymph node unilateral to injection site is as large as a grape and painful. My lymph node remained swollen and hard from the previous injection (this never resolved) and not its growing larger in size and pain.

MedDRA releases: 2024-11 · check-in free text available
2021-09-12
Survey response — days 1–6 daily, dose 2
MedDRA: Joint swelling, Lymphadenopathy, Pain, Rash, Swelling — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: My supraclavicular lymph node unilateral to injection site is now the size of a golf ball and swelling has spread to my shoulder and up my neck. Pain is a 7/10 on a 0 to 10 pain scale. A rash has developed bilaterally on my anterior forearms.

MedDRA releases: 2024-11 · check-in free text available
2021-09-13
Survey response — days 1–6 daily, dose 2
MedDRA: Joint swelling, Lymph node pain, Lymphadenopathy, Unevaluable event — Feeling: Fair · Site: Swelling · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Systemic reaction (other): Golf ball size supraclavicular lymph node unilateral to injection site. Pain 5/10. Swelling spreading to neck and shoulder. · Healthcare visit (other): Immune boosting IV Infusion

MedDRA releases: 2024-11 · check-in free text available
2021-09-13
Report sent to call center — days 1–6 daily, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-09-14
Survey response — days 1–6 daily, dose 2
MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Good · Site: Swelling

Free text: Supraclavicular lymph node unilateral to injection site is still enlarged and painful

MedDRA releases: 2024-11 · check-in free text available
2021-09-15
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Good

Free text: Swollen lymph node

MedDRA releases: 2024-11 · check-in free text available
2021-09-16
Survey response — days 1–6 daily, dose 2
MedDRA: Induration, Lymphadenopathy — Feeling: Good

Free text: Enlarged, hard lymph node unilateral to injection site

MedDRA releases: 2024-11 · check-in free text available
2021-09-17
Survey response — day 7, dose 2
MedDRA: Induration, Lymphadenopathy — Feeling: Good

Free text: Lymph node enlarged and hard unilateral to injection site

MedDRA releases: 2024-11 · check-in free text available
2021-09-20
Call successful
Participant prefers to complete VAERS report online
2021-09-26
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-10-10
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-10-17
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-10-24
Health check-in — day 42, dose 2
Feeling: Good

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

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-08-06	Moderna	No
2	2021-09-10	Moderna	No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 9 — days 1–6 daily, dose 1

2021-08-12

Systemic reaction (other): Lymphadenopathy of left side supraclavicular lymph nodes (same side as infection site)

Release 9 — day 7, dose 1

2021-08-13

Systemic reaction (other): Lymphadenopathy of left supraclavicular lymph nodes unilateral to infection site, pain 6/10 and radiating to shoulder and neck.

Release 9 — days 1–6 daily, dose 2

2021-09-11

Systemic reaction (other): My supraclavicular lymph node unilateral to injection site is as large as a grape and painful. My lymph node remained swollen and hard from the previous injection (this never resolved) and not its growing larger in size and pain.

2021-09-12

Systemic reaction (other): My supraclavicular lymph node unilateral to injection site is now the size of a golf ball and swelling has spread to my shoulder and up my neck. Pain is a 7/10 on a 0 to 10 pain scale. A rash has developed bilaterally on my anterior forearms.

2021-09-13

Systemic reaction (other): Golf ball size supraclavicular lymph node unilateral to injection site. Pain 5/10. Swelling spreading to neck and shoulder.

Healthcare visit (other): Immune boosting IV Infusion

2021-09-14

Systemic reaction (other): Supraclavicular lymph node unilateral to injection site is still enlarged and painful

2021-09-15

Systemic reaction (other): Swollen lymph node

2021-09-16

Systemic reaction (other): Enlarged, hard lymph node unilateral to injection site

Release 9 — day 7, dose 2

2021-09-17

Systemic reaction (other): Lymph node enlarged and hard unilateral to injection site

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	Unevaluable event	·	·	✓
SRO	Arthralgia	✓	·	✓
SRO	Induration	·	·	✓
SRO	Joint swelling	·	·	✓
SRO	Lymph node pain	·	·	✓
SRO	Lymphadenopathy	✓	·	✓
SRO	Neck pain	✓	·	✓
SRO	Pain	✓	·	✓
SRO	Rash	·	·	✓
SRO	Reaction to previous exposure to any vaccine	·	·	✓
SRO	Swelling	·	·	✓

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