2YM-13905-94434

4 vaccinations 9 coded responses 14 check-ins 8 free-text entries 0 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 900 / CA
Registered: 2022-04-08

Relationship: Self
Race: Asian
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

2021-04-02
Dose 1 — Pfizer-BioNTech
2021-04-26
Dose 2 — Pfizer-BioNTech
2021-11-08
Dose 3 — Moderna
Co-administered: Flu
2022-04-07
Dose 4 — Moderna
2022-04-08
Registered in v-safe
2022-04-08
Survey response — days 1–6 daily, dose 4
MedDRA: Skin burning sensation — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: My skin over most of my body feels like I have sunburn

MedDRA releases: 2024-11 · check-in free text available
2022-04-09
Survey response — days 1–6 daily, dose 4
MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Lymph nodes under my left arm feel tender and swollen. FYI, my regular temperature is 97.4

MedDRA releases: 2024-11 · check-in free text available
2022-04-10
Survey response — days 1–6 daily, dose 4
MedDRA: Body temperature increased, Lymph node pain, Lymphadenopathy — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Headache, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Free text: Lymph nodes under both arms tender and swollen and temp went up to 99 from normal 97.4 after I reported

MedDRA releases: 2024-11 · check-in free text available
2022-04-11
Survey response — days 1–6 daily, dose 4
MedDRA: Lymph node pain, Musculoskeletal stiffness — Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Free text: Lymph nodes under arms still tender, stiff neck. My normal temperature is 97.4

MedDRA releases: 2024-11 · check-in free text available
2022-04-12
Survey response — days 1–6 daily, dose 4
MedDRA: Body temperature decreased, Lymph node pain — Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Free text: Still have tenderness in lymph nodes under left arm. My normal temperature is 97.4.

MedDRA releases: 2024-11 · check-in free text available
2022-04-13
Survey response — days 1–6 daily, dose 4
MedDRA: Gastrooesophageal reflux disease, Throat irritation — Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Free text: I've had mild acid reflux since I received booster but last night it was so bad, it burned my throat. I'm not sure if it's related but I've haven't had such a prolonged period of it.

MedDRA releases: 2024-11 · check-in free text available
2022-04-14
Survey response — day 7, dose 4
MedDRA: Dry eye — Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness

Free text: Eyes have been very dry all week.

MedDRA releases: 2024-11 · check-in free text available
2022-04-22
Health check-in — day 14, dose 4
Feeling: Fair

Adult check-in
2022-04-28
Health check-in — day 21, dose 4
Feeling: Fair

Adult check-in
2022-05-06
Health check-in — day 28, dose 4
Feeling: Fair

Adult check-in
2022-05-13
Health check-in — day 35, dose 4
Feeling: Fair

Adult check-in
2022-05-21
Health check-in — day 42, dose 4
Feeling: Fair

Adult check-in
2022-07-07
Survey response — 3 months, dose 4
MedDRA: Condition aggravated, Gastrooesophageal reflux disease, Headache, Insomnia, Lymphadenopathy, Pre-existing disease, Sleep disorder — Feeling: Fair · Be unable to do your normal daily activities

Free text: Seem to be more sensitive to foods that cause allergies, getting more headaches and glands swell under my arms. Also have worse acid reflux which often keeps me up at night or wakes me up.

MedDRA releases: 2024-11 · check-in free text available
2023-04-09
Survey response — 12 months, dose 4
MedDRA: Blood pressure increased, Food allergy, Gastrooesophageal reflux disease, Hypersensitivity — Feeling: Fair · Be unable to do your normal daily activities

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-02	Pfizer-BioNTech	No
2	2021-04-26	Pfizer-BioNTech	No
3	2021-11-08	Moderna	Flu
4	2022-04-07	Moderna	No

Free text

Release 11 — days 1–6 daily, dose 4

2022-04-08

Systemic reaction (other): My skin over most of my body feels like I have sunburn

2022-04-09

Systemic reaction (other): Lymph nodes under my left arm feel tender and swollen. FYI, my regular temperature is 97.4

2022-04-10

Systemic reaction (other): Lymph nodes under both arms tender and swollen and temp went up to 99 from normal 97.4 after I reported

2022-04-11

Systemic reaction (other): Lymph nodes under arms still tender, stiff neck. My normal temperature is 97.4

2022-04-12

Systemic reaction (other): Still have tenderness in lymph nodes under left arm. My normal temperature is 97.4.

2022-04-13

Systemic reaction (other): I've had mild acid reflux since I received booster but last night it was so bad, it burned my throat. I'm not sure if it's related but I've haven't had such a prolonged period of it.

Release 11 — day 7, dose 4

2022-04-14

Systemic reaction (other): Eyes have been very dry all week.

Release 12 — 3 months, dose 4

2022-07-07

Symptoms: Seem to be more sensitive to foods that cause allergies, getting more headaches and glands swell under my arms. Also have worse acid reflux which often keeps me up at night or wakes me up.

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
SD	Blood pressure increased	·	·	✓
SD	Condition aggravated	·	·	✓
SD	Food allergy	·	·	✓
SD	Gastrooesophageal reflux disease	·	·	✓
SD	Headache	·	·	✓
SD	Hypersensitivity	·	·	✓
SD	Insomnia	·	·	✓
SD	Lymphadenopathy	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Sleep disorder	·	·	✓
SRO	Body temperature decreased	·	·	✓
SRO	Body temperature increased	·	·	✓
SRO	Dry eye	·	·	✓
SRO	Gastrooesophageal reflux disease	·	·	✓
SRO	Lymph node pain	·	·	✓
SRO	Lymphadenopathy	·	·	✓
SRO	Musculoskeletal stiffness	·	·	✓
SRO	Skin burning sensation	·	·	✓
SRO	Throat irritation	·	·	✓

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