2TC-14663-96249

4 vaccinations 17 coded responses 37 check-ins 17 free-text entries 2 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 803 / CO
Registered: 2020-12-29

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

2020-12-28
Dose 1 — Moderna
2020-12-29
Registered in v-safe
2020-12-29
Survey response — days 1–6 daily, dose 1
MedDRA: Chills, Headache — Feeling: Good · Site: Swelling · Chills, Headache, Muscle or body aches

Free text: 2h s/p injection yesterday 12/28/20, I had chills/very mild HA. Very low fever 99.4 which returned to baseline within the hour, along w resolution of chills. None present today (1 day post).

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-30
Survey response — days 1–6 daily, dose 1
MedDRA: Chills, Pain — Feeling: Good · Site: Swelling · Fatigue or tiredness

Free text: slight ache/ chill last evening, same as the evening before. No sx present during daytime today.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-31
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

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

Adult check-in
2021-01-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-03
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-04
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-13
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-18
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-01-25
Dose 2 — Moderna
2021-01-25
Survey response — day 0, dose 2
MedDRA: Adverse reaction — Feeling: Good · Site: Pain · Headache

Free text: Currently 2.5h post 2nd vaccine, sx starting over past 30 min

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-26
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia, Chills, Insomnia, Nausea, Pain — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Nausea

Free text: 1st night post vaccine 2 was significant for chills, aches, joint pains with difficulty sleeping. mild nausea overnight, through midday. Aches/ chills disspated during day, have return around 6p today (1 day post) in mild/ mod level

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-27
Survey response — days 1–6 daily, dose 2
MedDRA: Hyperaesthesia teeth, Lymphadenopathy — Feeling: Good · Site: Pain · Muscle or body aches

Free text: Notable swelling of supraclavicular lymp nodes on same side as injection, and notable teeth sensitivity (without any other potential cause)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-28
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy, Pain — Feeling: Fair · Site: Swelling · Muscle or body aches

Free text: Checked boxed to allow for comment- not mm/ body aches. Moderate swelling noted in lymph node chain since yesterday- prominent above clavicle near ext jugular, and up through cervical region (injection side). Ongoing sensation in jaw/ teeth on injection side only (was bilateral yesterday). Lymph node swelling is notable enough to affect arm movement (horiz ADD/ cross body reach); since I'm a physical therapist, I do that all day long (ha).

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-29
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy, Mobility decreased, Pain — Feeling: Fair · Site: Pain · Muscle or body aches

Free text: Still significantly swollen in the R cervical lymph node chain (injetion side) Sore with cervical/ shoulder ROM as result. No other mm/ body aches else where.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-30
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy, Movement disorder — Feeling: Fair · Site: Itching · Muscle or body aches

Free text: Ongoing significant swelling in cervical lymph node chain on side of shot, limiting neck ROM, no longer limiting shld ROM

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-01
Survey response — day 7, dose 2
MedDRA: Hypokinesia, Lymphadenopathy — Feeling: Good · Muscle or body aches

Free text: Using this box to note ongoing swelling in ipsilat (to shot) cervical lymph node chain. No longer restricting arm movement, stil affecting slight neck rot to same side.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-08
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-15
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-22
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-01
Survey response — day 35, dose 2
MedDRA: Lymphadenopathy — Feeling: Good

Free text: ipsilateral cervical lymph node swelling again (mild) in same pattern as post vaccine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-08
Survey response — day 42, dose 2
MedDRA: Mammogram abnormal — Feeling: Good

Free text: abnormal mammogram ipsilat to injection site

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-27
Survey response — 3 months, dose 2
MedDRA: Breast cyst, Lymph node pain, Lymphadenopathy, Mammogram abnormal, Ultrasound scan abnormal, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: simple cyst R breast (ipsilat injection arm) noted on diagnostic U/S (benign); ongoing R cervical lymph node chain swelling and soreness (ipsilat injection arm) · Healthcare visit (other): required diagnostic U/S after mammorgram findings

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-27
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-26
Survey response — 6 months, dose 2
MedDRA: Lymphadenopathy — Feeling: Good

Free text: Ongoing/ intermittent cervical lymph node swelling on ipsilateral side to injection (as reported previously during check ins)

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-10-29
Dose 3 — Moderna
2022-01-25
Survey response — 12 months, dose 2
MedDRA: Breast cyst, Lymphadenopathy, Unevaluable event, Vasculitis — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: LE vasculitis, ongoing cervical lymph node swelling ipsilat injection side, enlarged benign breast cyst ipsilat injection side, · Healthcare visit (other): extensive lab work up (all neg)

MedDRA releases: 2024-11 · check-in free text available
2022-01-25
Report sent to call center — 12 months, dose 2
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-01-27
Call 1 — Left Voicemail
2022-10-24
Dose 4 — Moderna
2022-10-26
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-10-27
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2022-10-28
Survey response — days 1–6 daily, dose 4
MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain

Free text: cervical and axillary lymph node swelling

MedDRA releases: 2024-11 · check-in free text available
2022-10-29
Survey response — days 1–6 daily, dose 4
MedDRA: Injection site pain — Feeling: Good · Site: Pain

Free text: mild lingering soreness at injection site/ deltoid

MedDRA releases: 2024-11 · check-in free text available
2022-10-30
Survey response — days 1–6 daily, dose 4
MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain

Free text: continued cervial lymph node swelling (mild)

MedDRA releases: 2024-11 · check-in free text available
2022-10-31
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-11-07
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-11-14
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-11-21
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-11-28
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-12-05
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2023-01-25
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2023-04-25
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-28	Moderna
2	2021-01-25	Moderna
3	2021-10-29	Moderna	No
4	2022-10-24	Moderna	No

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 1 — days 1–6 daily, dose 1

2020-12-29

Systemic reaction (other): 2h s/p injection yesterday 12/28/20, I had chills/very mild HA. Very low fever 99.4 which returned to baseline within the hour, along w resolution of chills. None present today (1 day post).

2020-12-30

Systemic reaction (other): slight ache/ chill last evening, same as the evening before. No sx present during daytime today.

Release 2 — day 0, dose 2

2021-01-25

Systemic reaction (other): Currently 2.5h post 2nd vaccine, sx starting over past 30 min

Release 2 — days 1–6 daily, dose 2

2021-01-26

Systemic reaction (other): 1st night post vaccine 2 was significant for chills, aches, joint pains with difficulty sleeping. mild nausea overnight, through midday. Aches/ chills disspated during day, have return around 6p today (1 day post) in mild/ mod level

2021-01-27

Systemic reaction (other): Notable swelling of supraclavicular lymp nodes on same side as injection, and notable teeth sensitivity (without any other potential cause)

Release 3 — days 1–6 daily, dose 2

2021-01-28

Systemic reaction (other): Checked boxed to allow for comment- not mm/ body aches. Moderate swelling noted in lymph node chain since yesterday- prominent above clavicle near ext jugular, and up through cervical region (injection side). Ongoing sensation in jaw/ teeth on injection side only (was bilateral yesterday). Lymph node swelling is notable enough to affect arm movement (horiz ADD/ cross body reach); since I'm a physical therapist, I do that all day long (ha).

2021-01-29

Systemic reaction (other): Still significantly swollen in the R cervical lymph node chain (injetion side) Sore with cervical/ shoulder ROM as result. No other mm/ body aches else where.

2021-01-30

Systemic reaction (other): Ongoing significant swelling in cervical lymph node chain on side of shot, limiting neck ROM, no longer limiting shld ROM

Release 3 — day 7, dose 2

2021-02-01

Systemic reaction (other): Using this box to note ongoing swelling in ipsilat (to shot) cervical lymph node chain. No longer restricting arm movement, stil affecting slight neck rot to same side.

Release 4 — day 35, dose 2

2021-03-01

Symptoms: ipsilateral cervical lymph node swelling again (mild) in same pattern as post vaccine

Release 5 — day 42, dose 2

2021-03-08

Symptoms: abnormal mammogram ipsilat to injection site

Release 8 — 3 months, dose 2

2021-04-27

Symptoms: simple cyst R breast (ipsilat injection arm) noted on diagnostic U/S (benign); ongoing R cervical lymph node chain swelling and soreness (ipsilat injection arm)

Healthcare visit (other): required diagnostic U/S after mammorgram findings

Release 9 — 6 months, dose 2

2021-07-26

Symptoms: Ongoing/ intermittent cervical lymph node swelling on ipsilateral side to injection (as reported previously during check ins)

Release 11 — 12 months, dose 2

2022-01-25

Symptoms: LE vasculitis, ongoing cervical lymph node swelling ipsilat injection side, enlarged benign breast cyst ipsilat injection side,

Healthcare visit (other): extensive lab work up (all neg)

Release 12 — days 1–6 daily, dose 4

2022-10-28

Systemic reaction (other): cervical and axillary lymph node swelling

2022-10-29

Systemic reaction (other): mild lingering soreness at injection site/ deltoid

2022-10-30

Systemic reaction (other): continued cervial lymph node swelling (mild)

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	Mammogram abnormal	✓	·	✓
HCVO	Unevaluable event	○	✓	✓
SD	Breast cyst	✓	✓	✓
SD	Lymph node pain	✓	✓	✓
SD	Lymphadenopathy	✓	✓	✓
SD	Mammogram abnormal	✓	✓	✓
SD	Ultrasound scan abnormal	✓	·	✓
SD	Vasculitis	·	·	✓
SRO	Adverse reaction	✓	✓	✓
SRO	Arthralgia	✓	✓	✓
SRO	Chills	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Hyperaesthesia teeth	✓	✓	✓
SRO	Hypokinesia	✓	✓	✓
SRO	Injection site pain	·	·	✓
SRO	Insomnia	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Mobility decreased	✓	✓	✓
SRO	Movement disorder	✓	✓	✓
SRO	Nausea	✓	✓	✓
SRO	Pain	✓	✓	✓

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