4E6-27781-67581

2 vaccinations 10 coded responses 18 check-ins 10 free-text entries 1 call case

Sex: Female
Age at first dose: 46-50
ZIP prefix: 891 / NV
Registered: 2021-02-20

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

2021-02-12
Dose 1 — Moderna
2021-02-20
Registered in v-safe
2021-02-20
Survey response — day 7, dose 1
MedDRA: Axillary mass, Axillary pain, Induration — Feeling: Fair · Site: Swelling · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Large hard oval mobile lump under my left armpit not allowing my left arm ( area of vaccination) freely hang down. Painful. Pain in left axilla occurred on day 7 after injection, lump about 4cm in diameter today, on day 8.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-26
Survey response — day 14, dose 1
MedDRA: Lymph node pain, Rash, Rash erythematous — Feeling: Fair · Be unable to do your normal daily activities

Free text: Rash on my left hand for 5 days, just red, no itching neither hurting. Left armpit lymph node is still the same, hurts during activity and feels as a foreign object that does not have enough room

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-05
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-12
Dose 2 — Moderna
2021-03-12
Survey response — day 0, dose 2
MedDRA: Dizziness, Vision blurred — Feeling: Poor · Site: Pain · Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Blurry vision and dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-13
Survey response — days 1–6 daily, dose 2
MedDRA: Frustration tolerance decreased, Lymphadenopathy — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Large lymph nodes in the right axilla , painfully disturbing.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-14
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy, Movement disorder — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work

Free text: Lymph nodes under right armpit still large and bother to move the arm down

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-15
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-03-17
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Good · Site: Swelling

Free text: Lymph node in axilla ( armpit) is large

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-18
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Good

Free text: Large lymph node in my armit

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-19
Survey response — day 7, dose 2
MedDRA: Unevaluable event — Feeling: Good

Free text: Lymph node in axilla

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-04
Survey response — day 21, dose 2
MedDRA: Diarrhoea, Pyrexia — Feeling: Poor · Be unable to work

Free text: Diarrhea, fever 101.1

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-09
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-16
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-23
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-13
Survey response — 3 months, dose 2
MedDRA: Condition aggravated, Epstein-Barr virus antibody positive, Pre-existing disease — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: High titers of Epstein Barr virus antibodies, reactivation of chronic autoimmune conditions

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-13
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-23
Call 1 — Could Not Reach Participant
2021-06-28
Call 2 — Could Not Reach Participant
2021-09-10
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-03-12
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-12	Moderna
2	2021-03-12	Moderna

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 4 — day 7, dose 1

2021-02-20

Systemic reaction (other): Large hard oval mobile lump under my left armpit not allowing my left arm ( area of vaccination) freely hang down. Painful. Pain in left axilla occurred on day 7 after injection, lump about 4cm in diameter today, on day 8.

Release 4 — day 14, dose 1

2021-02-26

Symptoms: Rash on my left hand for 5 days, just red, no itching neither hurting. Left armpit lymph node is still the same, hurts during activity and feels as a foreign object that does not have enough room

Release 5 — day 0, dose 2

2021-03-12

Systemic reaction (other): Blurry vision and dizziness

Release 5 — days 1–6 daily, dose 2

2021-03-13

Systemic reaction (other): Large lymph nodes in the right axilla , painfully disturbing.

2021-03-14

Systemic reaction (other): Lymph nodes under right armpit still large and bother to move the arm down

2021-03-17

Systemic reaction (other): Lymph node in axilla ( armpit) is large

2021-03-18

Systemic reaction (other): Large lymph node in my armit

Release 5 — day 7, dose 2

2021-03-19

Systemic reaction (other): Lymph node in axilla

Release 6 — day 21, dose 2

2021-04-04

Symptoms: Diarrhea, fever 101.1

Release 9 — 3 months, dose 2

2021-06-13

Symptoms: High titers of Epstein Barr virus antibodies, reactivation of chronic autoimmune conditions

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	Condition aggravated	✓	✓	✓
SD	Diarrhoea	✓	✓	✓
SD	Epstein-Barr virus antibody positive	✓	✓	✓
SD	Lymph node pain	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Pyrexia	✓	✓	✓
SD	Rash	✓	✓	✓
SD	Rash erythematous	✓	✓	✓
SRO	Axillary mass	✓	✓	✓
SRO	Axillary pain	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Frustration tolerance decreased	✓	✓	✓
SRO	Induration	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Movement disorder	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓
SRO	Vision blurred	✓	✓	✓

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