4GF-28895-70272

4 vaccinations 22 coded responses 55 check-ins 22 free-text entries 4 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 787 / TX
Registered: 2021-02-24

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

2021-02-24
Registered in v-safe
2021-02-24
Dose 1 — Moderna
2021-02-24
Survey response — day 0, dose 1
MedDRA: Feeling abnormal — Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Just feeling a bit off. Not ill, just off.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling · Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-26
Survey response — days 1–6 daily, dose 1
MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain

Free text: A supraclavicular lymph node has popped up on my vaccine side (left)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-27
Survey response — days 1–6 daily, dose 1
MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain

Free text: Still have supraclavicular lymph node on vaccine side. May be Slightly smaller and it is not sore anymore.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-28
Survey response — days 1–6 daily, dose 1
MedDRA: Lymphadenopathy — Feeling: Good

Free text: No change to left supraclavicular lymph node.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-01
Survey response — days 1–6 daily, dose 1
MedDRA: Lymphadenopathy — Feeling: Good

Free text: Still have my lymph node. No change from yesterday.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-02
Survey response — days 1–6 daily, dose 1
MedDRA: Unevaluable event — Feeling: Good

Free text: Still have the supraclavicular lymph node. No change.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-03
Survey response — day 7, dose 1
MedDRA: Adverse reaction — Feeling: Fair · Joint pains, Fatigue or tiredness

Free text: Lymph node on vaccine side still there. Above clavicle. Left.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-10
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-03-18
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-03-24
Survey response — day 28, dose 1
MedDRA: Tinnitus — Feeling: Good

Free text: Increased tinnitus in left ear- vaccine side.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-25
Dose 2 — Moderna
2021-03-25
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-03-26
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-03-27
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain, Swelling · Joint pains, Fatigue or tiredness, Diarrhea

Free text: Lymph node at collarbone on vax side is back.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-28
Survey response — days 1–6 daily, dose 2
MedDRA: Feeling abnormal, Mood altered — Feeling: Fair · Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Free text: Just kind of out of it. And a bit delicate emotionally for no obvious reason.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-29
Survey response — days 1–6 daily, dose 2
MedDRA: Unevaluable event — Feeling: Fair · Fatigue or tiredness

Free text: Supraclavicular lymph node is back on vax side

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-30
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Good · Fatigue or tiredness

Free text: Supraclavicular lymph node persists.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-31
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Good · Fatigue or tiredness

Free text: Lymph node at collarbone still doing its thing.

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

Free text: Supraclavicular lymph node still hanging tough.

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

Adult check-in
2021-04-15
Health check-in — day 21, dose 2
Feeling: Poor

Adult check-in
2021-04-22
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-29
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-06
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-24
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-26
Dose 3 — Moderna
2021-08-26
Health check-in — day 0, dose 3
Feeling: Good · Headache, Joint pains, Muscle or body aches

Adult check-in
2021-08-27
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-08-28
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain

Adult check-in
2021-08-29
Survey response — days 1–6 daily, dose 3
MedDRA: Lymph node pain, Lymphadenopathy, Tenderness, Tinnitus — Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains

Free text: Superclavicular lymph node on vaccine side is once again palpable and sore. May have other lymph node action going on in my axilla- as I feel some tenderness there too. Slight tinnitus in left (vaccine) side ear as well.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-30
Survey response — days 1–6 daily, dose 3
MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains · Be unable to do your normal daily activities

Free text: Supraclavicular lymph node is less sore but still about the size of a marble.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-31
Survey response — days 1–6 daily, dose 3
MedDRA: Headache, Lymph node pain, Lymphadenopathy, Massage, Office visit, Tinnitus — Feeling: Fair · Headache, Nausea · Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Still have my supraclavicular lymph node on vax side. No longer tender and may be a bit smaller. Still intermittent tinnitus in vax side ear. · Healthcare visit (other): Received craniosacral therapy from an LMT for headache.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-31
Report sent to call center — days 1–6 daily, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2021-09-01
Survey response — days 1–6 daily, dose 3
MedDRA: Lymph node pain, Lymphadenopathy, Tinnitus — Feeling: Good · Headache

Free text: Supraclavicular vax side lymph node still persists, but is less prominent and no longer tender. Tinnitus is now intermittent instead of constant.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-09-02
Survey response — day 7, dose 3
MedDRA: Lymphadenopathy, Tinnitus — Feeling: Good · Muscle or body aches

Free text: Tinnitus and supraclavicular lymph node on vax side are diminishing.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-09-03
Call 1 — Could Not Reach Participant
2021-09-07
Call 2 — Could Not Reach Participant
2021-09-09
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-09-18
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2021-09-23
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-09-30
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-10-07
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2021-11-25
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-02-24
Survey response — 6 months, dose 3
MedDRA: Viral infection — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: Had some nasty viral infection back in January- but 6 negative COVID tests for it so whatever it was, it didn't appear to be COVID. Very steep like in presentation, but negative strep test as well.

MedDRA releases: 2024-11 · check-in free text available
2022-02-24
Report sent to call center — 6 months, dose 3
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-02-25
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-02-25
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-08-26
Survey response — 12 months, dose 3
MedDRA: COVID-19, Office visit, Shoulder operation, Surgery — Feeling: Good · Be unable to work or attend school, 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: Had major shoulder reconstruction surgery 7/1/22. Then caught COVID 2 wks into recovery · Healthcare visit (other): Outpatient surgery at hospital, and follow up in office visits

MedDRA releases: 2024-11 · check-in free text available
2022-08-26
Report sent to call center — 12 months, dose 3
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-08-29
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-10-14
Dose 4 — Moderna
Co-administered: Flu
2022-10-14
Health check-in — day 0, dose 4
Feeling: Good · Joint pains, Diarrhea, Abdominal pain

Adult check-in
2022-10-15
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain

Adult check-in
2022-10-16
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain

Adult check-in
2022-10-17
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · Headache, Joint pains

Adult check-in
2022-10-18
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · Joint pains, Muscle or body aches

Adult check-in
2022-10-20
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-10-21
Health check-in — day 7, dose 4
Feeling: Good · Headache, Joint pains, Muscle or body aches

Adult check-in
2022-10-28
Survey response — day 14, dose 4
MedDRA: Arthralgia, Condition aggravated, Office visit, Pain in extremity, Pre-existing disease — Feeling: Good · 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: Had a huge systemic inflammatory flare- lasted about 5 days- pain in both feet, right ankle, both knees, right hand and left wrist. My Dr was unsure of whether it was a post vax immune response but couldn't rule that out

MedDRA releases: 2024-11 · check-in free text available
2022-10-28
Report sent to call center — day 14, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-10-31
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-11-04
Health check-in — day 21, dose 4
Feeling: Good

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

Adult check-in
2022-11-20
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-11-27
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2023-01-13
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2023-04-14
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-24	Moderna
2	2021-03-25	Moderna
3	2021-08-26	Moderna	No
4	2022-10-14	Moderna	Flu

Call center

4 call center cases

4 successful

See the call center timeline

Free text

Release 4 — day 0, dose 1

2021-02-24

Systemic reaction (other): Just feeling a bit off. Not ill, just off.

Release 4 — days 1–6 daily, dose 1

2021-02-26

Systemic reaction (other): A supraclavicular lymph node has popped up on my vaccine side (left)

2021-02-27

Systemic reaction (other): Still have supraclavicular lymph node on vaccine side. May be Slightly smaller and it is not sore anymore.

2021-02-28

Systemic reaction (other): No change to left supraclavicular lymph node.

2021-03-01

Systemic reaction (other): Still have my lymph node. No change from yesterday.

2021-03-02

Systemic reaction (other): Still have the supraclavicular lymph node. No change.

Release 5 — day 7, dose 1

2021-03-03

Systemic reaction (other): Lymph node on vaccine side still there. Above clavicle. Left.

Release 6 — day 28, dose 1

2021-03-24

Symptoms: Increased tinnitus in left ear- vaccine side.

Release 6 — days 1–6 daily, dose 2

2021-03-27

Systemic reaction (other): Lymph node at collarbone on vax side is back.

2021-03-28

Systemic reaction (other): Just kind of out of it. And a bit delicate emotionally for no obvious reason.

2021-03-29

Systemic reaction (other): Supraclavicular lymph node is back on vax side

2021-03-30

Systemic reaction (other): Supraclavicular lymph node persists.

2021-03-31

Systemic reaction (other): Lymph node at collarbone still doing its thing.

Release 6 — day 7, dose 2

2021-04-01

Systemic reaction (other): Supraclavicular lymph node still hanging tough.

Release 9 — days 1–6 daily, dose 3

2021-08-29

Systemic reaction (other): Superclavicular lymph node on vaccine side is once again palpable and sore. May have other lymph node action going on in my axilla- as I feel some tenderness there too. Slight tinnitus in left (vaccine) side ear as well.

2021-08-30

Systemic reaction (other): Supraclavicular lymph node is less sore but still about the size of a marble.

2021-08-31

Systemic reaction (other): Still have my supraclavicular lymph node on vax side. No longer tender and may be a bit smaller. Still intermittent tinnitus in vax side ear.

Healthcare visit (other): Received craniosacral therapy from an LMT for headache.

2021-09-01

Systemic reaction (other): Supraclavicular vax side lymph node still persists, but is less prominent and no longer tender. Tinnitus is now intermittent instead of constant.

Release 9 — day 7, dose 3

2021-09-02

Systemic reaction (other): Tinnitus and supraclavicular lymph node on vax side are diminishing.

Release 11 — 6 months, dose 3

2022-02-24

Symptoms: Had some nasty viral infection back in January- but 6 negative COVID tests for it so whatever it was, it didn't appear to be COVID. Very steep like in presentation, but negative strep test as well.

Release 12 — 12 months, dose 3

2022-08-26

Symptoms: Had major shoulder reconstruction surgery 7/1/22. Then caught COVID 2 wks into recovery

Healthcare visit (other): Outpatient surgery at hospital, and follow up in office visits

Release 12 — day 14, dose 4

2022-10-28

Symptoms: Had a huge systemic inflammatory flare- lasted about 5 days- pain in both feet, right ankle, both knees, right hand and left wrist. My Dr was unsure of whether it was a post vax immune response but couldn't rule that out

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	Headache	✓	·	✓
HCVO	Massage	✓	·	✓
HCVO	Office visit	✓	·	✓
HCVO	Surgery	·	·	✓
SD	Arthralgia	·	·	✓
SD	Condition aggravated	·	·	✓
SD	COVID-19	·	·	✓
SD	Office visit	·	·	✓
SD	Pain in extremity	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Shoulder operation	·	·	✓
SD	Tinnitus	✓	✓	✓
SD	Viral infection	·	·	✓
SRO	Adverse reaction	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Lymph node pain	✓	·	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Mood altered	✓	✓	✓
SRO	Tenderness	✓	·	✓
SRO	Tinnitus	✓	·	✓
SRO	Unevaluable event	✓	✓	✓

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