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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

  1. 2021-02-24
    Registered in v-safe
  2. 2021-02-24
    Dose 1 — Moderna
  3. 2021-02-24
    Health check-in — day 0, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  4. 2021-02-25
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain, Swelling · Fever · None
    Adult check-in
  5. 2021-02-26
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Fatigue or tiredness
    Adult check-in
  6. 2021-02-27
    Survey response — days 1–6 daily, dose 1
    MedDRA: Oral herpes, Pre-existing disease, Psoriasis — Feeling: Good · Site: Pain
    Free text: Psoriasis more itchy than usual and cold sore flare up
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-02-28
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  8. 2021-03-01
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  9. 2021-03-02
    Survey response — days 1–6 daily, dose 1
    MedDRA: Lymphadenopathy — Feeling: Fair · Headache, Fatigue or tiredness · Be unable to work
    Free text: Very swollen subclavicular lymph nodes on the same side as the vaccine
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-03-03
    Survey response — day 7, dose 1
    MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Fair · Fever · Headache, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Very swollen and tender lymph nodes at collarbone on side that got the vaccine shot
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-03-10
    Survey response — day 14, dose 1
    MedDRA: 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 consultation
    Free 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 test
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-03-10
    Report sent to call center — day 14, dose 1
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  13. 2021-03-17
    Survey response — day 21, dose 1
    MedDRA: Epistaxis, Fatigue, Headache, Oral pain, Pyrexia, Sinus congestion — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Slightly feverish, sinus congestion, bloody nose, painful mouth sore, headache, fatigue
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-03-24
    Dose 2 — Moderna
  15. 2021-03-24
    Health check-in — day 0, dose 2
    Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Fatigue or tiredness, Diarrhea · Be unable to work
    Adult check-in
  16. 2021-03-25
    Survey response — days 1–6 daily, dose 2
    MedDRA: 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 activities
    Free text: Very swollen, painful lymph node at collarbone on same side that arm was injected, grogginess feeling a little brain foggy
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-03-26
    Survey response — days 1–6 daily, dose 2
    MedDRA: 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 work
    Free text: Large golf ball sized, painful lymph node at collarbone on same side as shot
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-03-28
    Survey response — days 1–6 daily, dose 2
    MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Fair · Fever · Headache, Joint pains, Fatigue or tiredness, Abdominal pain
    Free text: Lymph nodes at collar bone are less swollen and painful than yesterday
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  19. 2021-03-29
    Survey response — days 1–6 daily, dose 2
    MedDRA: Lymphadenopathy — Feeling: Good · Fever · Headache, Fatigue or tiredness
    Free text: Swollen left collarbone lymph node is no longer painful
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  20. 2021-03-31
    Health check-in — day 7, dose 2
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  21. 2021-04-08
    Survey response — day 14, dose 2
    MedDRA: Pre-existing disease, Sinusitis — Feeling: Good
    Free text: Sinus infection and asthma symptoms but I'm pretty sure it's due to allergies
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  22. 2021-04-15
    Survey response — day 21, dose 2
    MedDRA: Dyspnoea, Wheezing — Feeling: Good
    Free 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
  23. 2021-04-21
    Health check-in — day 28, dose 2
    Feeling: Fair
    Adult check-in
  24. 2021-04-30
    Survey response — day 35, dose 2
    MedDRA: Headache — Feeling: Fair
    Free text: Bad headaches a few times a week
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  25. 2021-06-23
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-09-22
    Survey response — 6 months, dose 2
    MedDRA: Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Back pain but Im 46 so thats not unusual
    MedDRA releases: 2024-11 · check-in free text available
  27. 2021-10-28
    Dose 3 — Pfizer-BioNTech
  28. 2021-10-29
    Survey response — days 1–6 daily, dose 3
    MedDRA: 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 activities
    Free text: Very swollen left clavicle area lymph node. The same as the other shots
    MedDRA releases: 2024-11 · check-in free text available
  29. 2021-10-30
    Survey response — days 1–6 daily, dose 3
    MedDRA: Lymphadenopathy — Feeling: Poor · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain
    Free text: Very swollen lymph nodes on injection side of clavicle
    MedDRA releases: 2024-11 · check-in free text available
  30. 2021-10-31
    Health check-in — days 1–6 daily, dose 3
    Feeling: Poor · Site: Itching · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to do your normal daily activities
    Adult check-in
  31. 2021-11-01
    Survey response — days 1–6 daily, dose 3
    MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Fair · Site: Itching · Headache, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Ipsilateral supraclavicular lymphadenopathy is still present but swelling and tenderness is better than yesterday
    MedDRA releases: 2024-11 · check-in free text available
  32. 2021-11-02
    Survey response — days 1–6 daily, dose 3
    MedDRA: Lymphadenopathy — Feeling: Fair · Chills, Headache, Diarrhea, Abdominal pain · Be unable to do your normal daily activities
    Free text: Ipsilateral supraclavicular lymphadenopathy is getting better
    MedDRA releases: 2024-11 · check-in free text available
  33. 2021-11-03
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Muscle or body aches, Diarrhea, Abdominal pain
    Adult check-in
  34. 2021-11-04
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  35. 2021-11-11
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  36. 2021-11-18
    Survey response — day 21, dose 3
    MedDRA: Menstruation irregular, Sinusitis — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Sinus infection and menstruation 10 days earlier than usual
    MedDRA releases: 2024-11 · check-in free text available
  37. 2021-11-25
    Survey response — day 28, dose 3
    MedDRA: 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 activities
    Free 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 tests
    MedDRA releases: 2024-11 · check-in free text available
  38. 2021-12-02
    Health check-in — day 35, dose 3
    Feeling: Fair
    Adult check-in
  39. 2021-12-10
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  40. 2022-01-29
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  41. 2022-02-12
    Call successful
    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
  42. 2022-04-29
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-24Moderna
22021-03-24Moderna
32021-10-28Pfizer-BioNTech No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-27

Systemic reaction (other): Psoriasis more itchy than usual and cold sore flare up

2021-03-02

Systemic reaction (other): Very swollen subclavicular lymph nodes on the same side as the vaccine

Release 5 — day 7, dose 1

2021-03-03

Systemic reaction (other): Very swollen and tender lymph nodes at collarbone on side that got the vaccine shot

Release 5 — day 14, dose 1

2021-03-10

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

2021-03-17

Symptoms: Slightly feverish, sinus congestion, bloody nose, painful mouth sore, headache, fatigue

Release 6 — days 1–6 daily, dose 2

2021-03-25

Systemic reaction (other): Very swollen, painful lymph node at collarbone on same side that arm was injected, grogginess feeling a little brain foggy

2021-03-26

Systemic reaction (other): Large golf ball sized, painful lymph node at collarbone on same side as shot

2021-03-28

Systemic reaction (other): Lymph nodes at collar bone are less swollen and painful than yesterday

2021-03-29

Systemic reaction (other): Swollen left collarbone lymph node is no longer painful

Release 7 — day 14, dose 2

2021-04-08

Symptoms: Sinus infection and asthma symptoms but I'm pretty sure it's due to allergies

Release 7 — day 21, dose 2

2021-04-15

Symptoms: Shortness of breath and wheezing likely from seasonal allergies. Pollen has been really bad.

Release 8 — day 35, dose 2

2021-04-30

Symptoms: Bad headaches a few times a week

Release 9 — 6 months, dose 2

2021-09-22

Symptoms: Back pain but Im 46 so thats not unusual

Release 10 — days 1–6 daily, dose 3

2021-10-29

Systemic reaction (other): Very swollen left clavicle area lymph node. The same as the other shots

2021-10-30

Systemic reaction (other): Very swollen lymph nodes on injection side of clavicle

2021-11-01

Systemic reaction (other): Ipsilateral supraclavicular lymphadenopathy is still present but swelling and tenderness is better than yesterday

2021-11-02

Systemic reaction (other): Ipsilateral supraclavicular lymphadenopathy is getting better

Release 10 — day 21, dose 3

2021-11-18

Symptoms: Sinus infection and menstruation 10 days earlier than usual

Release 10 — day 28, dose 3

2021-11-25

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

FieldPreferred term2021-092023-042024-11
HCVOSARS-CoV-2 test ✓ ✓ ✓
SDDyspnoea ✓ ✓ ✓
SDEar pain · · ✓
SDEpistaxis ✓ ✓ ✓
SDFatigue ✓ ✓ ✓
SDHeadache ✓ ✓ ✓
SDLymphadenopathy ✓ ✓ ✓
SDMenstruation irregular · · ✓
SDNasopharyngitis · · ✓
SDOral pain ✓ ✓ ✓
SDOropharyngeal pain · · ✓
SDPre-existing disease ✓ ✓ ✓
SDPyrexia ✓ ✓ ✓
SDRhinalgia · · ✓
SDRhinorrhoea · · ✓
SDSARS-CoV-2 test negative · · ✓
SDSinus congestion ✓ ✓ ✓
SDSinusitis ✓ ✓ ✓
SDWheezing ✓ ✓ ✓
SROFeeling abnormal ✓ ✓ ✓
SROLymph node pain ✓ ✓ ✓
SROLymphadenopathy ✓ ✓ ✓
SROOral herpes ✓ ✓ ✓
SROPre-existing disease ✓ ✓ ✓
SROPsoriasis ✓ ✓ ✓
SROSomnolence ✓ ✓ ✓
SROVaccine positive rechallenge · · ✓

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