2RY-95415-36909
3 vaccinations
19 coded responses
36 check-ins
19 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 235 / VA
- Registered
- 2021-02-24
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
YXV-12478-80660
Child or adolescent in my care · Male · 2022-07-30
Timeline
-
2021-02-24
Registered in v-safe
-
2021-02-24
Dose 1 — Moderna
- 2021-02-24
-
2021-02-25
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Swelling · Fever · NoneAdult check-in
-
2021-02-26
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Fatigue or tirednessAdult check-in
-
2021-02-27
Survey response — days 1–6 daily, dose 1MedDRA: Oral herpes, Pre-existing disease, Psoriasis — Feeling: Good · Site: PainFree text: Psoriasis more itchy than usual and cold sore flare upMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-28
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-03-01
-
2021-03-02
Survey response — days 1–6 daily, dose 1MedDRA: Lymphadenopathy — Feeling: Fair · Headache, Fatigue or tiredness · Be unable to workFree text: Very swollen subclavicular lymph nodes on the same side as the vaccineMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-03
Survey response — day 7, dose 1MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Fair · Fever · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Very swollen and tender lymph nodes at collarbone on side that got the vaccine shotMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-10
Survey response — day 14, dose 1MedDRA: Headache, Lymphadenopathy, SARS-CoV-2 test — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Symptoms: Terrible headache and swollen lymph node under clavicle starting almost 7 days after the vaccine. The headache which hasnt been as bad as it was on day 6 has caused me to decide to get a covid test to see if maybe it was covid and not side effects · Healthcare visit (other): Drive thru covid testMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-10
Report sent to call center — day 14, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-03-17
Survey response — day 21, dose 1MedDRA: Epistaxis, Fatigue, Headache, Oral pain, Pyrexia, Sinus congestion — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Slightly feverish, sinus congestion, bloody nose, painful mouth sore, headache, fatigueMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-24
Dose 2 — Moderna
-
2021-03-24
Health check-in — day 0, dose 2Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Fatigue or tiredness, Diarrhea · Be unable to workAdult check-in
-
2021-03-25
Survey response — days 1–6 daily, dose 2MedDRA: Feeling abnormal, Lymph node pain, Lymphadenopathy, Somnolence — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activitiesFree text: Very swollen, painful lymph node at collarbone on same side that arm was injected, grogginess feeling a little brain foggyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-26
Survey response — days 1–6 daily, dose 2MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Fair · Site: Pain, Swelling, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to workFree text: Large golf ball sized, painful lymph node at collarbone on same side as shotMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-28
Survey response — days 1–6 daily, dose 2MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Fair · Fever · Headache, Joint pains, Fatigue or tiredness, Abdominal painFree text: Lymph nodes at collar bone are less swollen and painful than yesterdayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-29
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy — Feeling: Good · Fever · Headache, Fatigue or tirednessFree text: Swollen left collarbone lymph node is no longer painfulMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-31
-
2021-04-08
Survey response — day 14, dose 2MedDRA: Pre-existing disease, Sinusitis — Feeling: GoodFree text: Sinus infection and asthma symptoms but I'm pretty sure it's due to allergiesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-15
Survey response — day 21, dose 2MedDRA: Dyspnoea, Wheezing — Feeling: GoodFree text: Shortness of breath and wheezing likely from seasonal allergies. Pollen has been really bad.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-21
-
2021-04-30
Survey response — day 35, dose 2MedDRA: Headache — Feeling: FairFree text: Bad headaches a few times a weekMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-23
-
2021-09-22
Survey response — 6 months, dose 2MedDRA: Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Back pain but Im 46 so thats not unusualMedDRA releases: 2024-11 · check-in free text available
-
2021-10-28
Dose 3 — Pfizer-BioNTech
-
2021-10-29
Survey response — days 1–6 daily, dose 3MedDRA: Lymphadenopathy, Vaccine positive rechallenge — Feeling: Poor · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Very swollen left clavicle area lymph node. The same as the other shotsMedDRA releases: 2024-11 · check-in free text available
-
2021-10-30
Survey response — days 1–6 daily, dose 3MedDRA: Lymphadenopathy — Feeling: Poor · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal painFree text: Very swollen lymph nodes on injection side of clavicleMedDRA releases: 2024-11 · check-in free text available
-
2021-10-31
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Itching · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
-
2021-11-01
Survey response — days 1–6 daily, dose 3MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Fair · Site: Itching · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Ipsilateral supraclavicular lymphadenopathy is still present but swelling and tenderness is better than yesterdayMedDRA releases: 2024-11 · check-in free text available
-
2021-11-02
Survey response — days 1–6 daily, dose 3MedDRA: Lymphadenopathy — Feeling: Fair · Chills, Headache, Diarrhea, Abdominal pain · Be unable to do your normal daily activitiesFree text: Ipsilateral supraclavicular lymphadenopathy is getting betterMedDRA releases: 2024-11 · check-in free text available
-
2021-11-03
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Muscle or body aches, Diarrhea, Abdominal painAdult check-in
- 2021-11-04
- 2021-11-11
-
2021-11-18
Survey response — day 21, dose 3MedDRA: Menstruation irregular, Sinusitis — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Sinus infection and menstruation 10 days earlier than usualMedDRA releases: 2024-11 · check-in free text available
-
2021-11-25
Survey response — day 28, dose 3MedDRA: Ear pain, Nasopharyngitis, Oropharyngeal pain, Rhinalgia, Rhinorrhoea, SARS-CoV-2 test negative — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: I have a terrible cold. My nose is running. I went through 2 boxes of tissues today. My nose, ears and throat are very sore. My 2yo son had the cold first. We both tested negative for Covid-19 using BinaxNow rapid testsMedDRA releases: 2024-11 · check-in free text available
- 2021-12-02
- 2021-12-10
- 2022-01-29
-
2022-02-12
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2022-04-29
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-24 | Moderna | |
| 2 | 2021-03-24 | Moderna | |
| 3 | 2021-10-28 | Pfizer-BioNTech | No |
Call center
1 call center case
1 successful
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): Psoriasis more itchy than usual and cold sore flare up
Systemic reaction (other): Very swollen subclavicular lymph nodes on the same side as the vaccine
Release 5 — day 7, dose 1
Systemic reaction (other): Very swollen and tender lymph nodes at collarbone on side that got the vaccine shot
Release 5 — day 14, dose 1
Symptoms: Terrible headache and swollen lymph node under clavicle starting almost 7 days after the vaccine. The headache which hasnt been as bad as it was on day 6 has caused me to decide to get a covid test to see if maybe it was covid and not side effects
Healthcare visit (other): Drive thru covid test
Release 5 — day 21, dose 1
Symptoms: Slightly feverish, sinus congestion, bloody nose, painful mouth sore, headache, fatigue
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Very swollen, painful lymph node at collarbone on same side that arm was injected, grogginess feeling a little brain foggy
Systemic reaction (other): Large golf ball sized, painful lymph node at collarbone on same side as shot
Systemic reaction (other): Lymph nodes at collar bone are less swollen and painful than yesterday
Systemic reaction (other): Swollen left collarbone lymph node is no longer painful
Release 7 — day 14, dose 2
Symptoms: Sinus infection and asthma symptoms but I'm pretty sure it's due to allergies
Release 7 — day 21, dose 2
Symptoms: Shortness of breath and wheezing likely from seasonal allergies. Pollen has been really bad.
Release 8 — day 35, dose 2
Symptoms: Bad headaches a few times a week
Release 9 — 6 months, dose 2
Symptoms: Back pain but Im 46 so thats not unusual
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Very swollen left clavicle area lymph node. The same as the other shots
Systemic reaction (other): Very swollen lymph nodes on injection side of clavicle
Systemic reaction (other): Ipsilateral supraclavicular lymphadenopathy is still present but swelling and tenderness is better than yesterday
Systemic reaction (other): Ipsilateral supraclavicular lymphadenopathy is getting better
Release 10 — day 21, dose 3
Symptoms: Sinus infection and menstruation 10 days earlier than usual
Release 10 — day 28, dose 3
Symptoms: I have a terrible cold. My nose is running. I went through 2 boxes of tissues today. My nose, ears and throat are very sore. My 2yo son had the cold first. We both tested negative for Covid-19 using BinaxNow rapid tests
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 | SARS-CoV-2 test | ✓ | ✓ | ✓ |
| SD | Dyspnoea | ✓ | ✓ | ✓ |
| SD | Ear pain | · | · | ✓ |
| SD | Epistaxis | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Lymphadenopathy | ✓ | ✓ | ✓ |
| SD | Menstruation irregular | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Oral pain | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Pyrexia | ✓ | ✓ | ✓ |
| SD | Rhinalgia | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Sinus congestion | ✓ | ✓ | ✓ |
| SD | Sinusitis | ✓ | ✓ | ✓ |
| SD | Wheezing | ✓ | ✓ | ✓ |
| SRO | Feeling abnormal | ✓ | ✓ | ✓ |
| SRO | Lymph node pain | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
| SRO | Oral herpes | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Psoriasis | ✓ | ✓ | ✓ |
| SRO | Somnolence | ✓ | ✓ | ✓ |
| SRO | Vaccine positive rechallenge | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release