4WN-18851-58331

5 vaccinations 21 coded responses 53 check-ins 21 free-text entries 0 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 119 / NY
Registered: 2020-12-31

Relationship: Self
Race: White
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

2020-12-29
Dose 1 — Moderna
2020-12-31
Registered in v-safe
2020-12-31
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-01-01
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-01-02
Survey response — days 1–6 daily, dose 1
MedDRA: Arthralgia, Lymphadenopathy — Feeling: Good · Site: Pain · Joint pains

Free text: The joint pain is only in one hand. I also noticed last night that I have a supraclavicular swollen nodIke

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

Free text: Still Small swollen Lymph node Supraclavicular

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-05
Survey response — day 7, dose 1
MedDRA: Lymphadenopathy — Feeling: Good

Free text: Small swollen lymph node right clavicle

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-12
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-19
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-01-26
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-01-27
Dose 2 — Moderna
2021-01-28
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2021-01-29
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling · None

Adult check-in
2021-01-30
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-01-31
Survey response — days 1–6 daily, dose 2
MedDRA: Oropharyngeal pain — Feeling: Good

Free text: Slight sore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache

Adult check-in
2021-02-03
Health check-in — day 7, dose 2
Feeling: Good · Headache

Adult check-in
2021-02-10
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-17
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-24
Survey response — day 28, dose 2
MedDRA: Headache, Rhinorrhoea — Feeling: Good

Free text: Runny nose & headache this morning

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-03
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-10
Survey response — day 42, dose 2
MedDRA: Oropharyngeal pain, Rhinorrhoea — Feeling: Fair

Free text: Sore throat and runny nose ( just started today)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-28
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-07-28
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-27
Dose 3 — Moderna
2021-10-28
Survey response — days 1–6 daily, dose 3
MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain · Headache, Joint pains

Free text: Swollen supraclavicular lymph node right side

MedDRA releases: 2024-11 · check-in free text available
2021-10-29
Survey response — days 1–6 daily, dose 3
MedDRA: Lymphadenopathy — Feeling: Good · Headache, Joint pains

Free text: Still swollen lymph node Right clavicle

MedDRA releases: 2024-11 · check-in free text available
2021-10-30
Survey response — days 1–6 daily, dose 3
MedDRA: Lymphadenopathy — Feeling: Good

Free text: Still swollen lymph node right clavicle

MedDRA releases: 2024-11 · check-in free text available
2021-10-31
Survey response — days 1–6 daily, dose 3
MedDRA: Lymphadenopathy — Feeling: Good · Headache

Free text: Slightly swollen lymph node right clavicle

MedDRA releases: 2024-11 · check-in free text available
2021-11-01
Survey response — days 1–6 daily, dose 3
MedDRA: Lymphadenopathy — Feeling: Good

Free text: Still slightly swollen lymph node right clavicle

MedDRA releases: 2024-11 · check-in free text available
2021-11-02
Survey response — days 1–6 daily, dose 3
MedDRA: Lymphadenopathy — Feeling: Good

Free text: Slightly swollen lymph node right clavicle

MedDRA releases: 2024-11 · check-in free text available
2021-11-05
Survey response — day 7, dose 3
MedDRA: Lymphadenopathy — Feeling: Good

Free text: Still slightly swollen lymph node right clavicle

MedDRA releases: 2024-11 · check-in free text available
2021-11-10
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-17
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-24
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-01
Survey response — day 35, dose 3
MedDRA: Rhinorrhoea — Feeling: Good

Free text: Had a runny nose Saturday

MedDRA releases: 2024-11 · check-in free text available
2021-12-08
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-26
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-04-19
Dose 4 — Moderna
2022-04-19
Health check-in — day 0, dose 4
Feeling: Good · None

Adult check-in
2022-04-20
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain, Swelling · Headache, Fatigue or tiredness

Adult check-in
2022-04-21
Survey response — days 1–6 daily, dose 4
MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain, Swelling

Free text: Swollen supraclvicular lymph node

MedDRA releases: 2024-11 · check-in free text available
2022-04-22
Survey response — days 1–6 daily, dose 4
MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Good · Headache

Free text: Swollen supraclavicular lymph node Small sore/ swollen lymph node under my right arm

MedDRA releases: 2024-11 · check-in free text available
2022-04-23
Survey response — days 1–6 daily, dose 4
MedDRA: Lymphadenopathy, Oedema peripheral, Oropharyngeal pain — Feeling: Good

Free text: Swollen supraclavicular lymph node; very slight sore throat (might be part of allergies) ; swollen armpit

MedDRA releases: 2024-11 · check-in free text available
2022-04-24
Survey response — days 1–6 daily, dose 4
MedDRA: Lymphadenopathy — Feeling: Good

Free text: Swollen supraclavicular lymph node

MedDRA releases: 2024-11 · check-in free text available
2022-04-25
Survey response — days 1–6 daily, dose 4
MedDRA: Lymphadenopathy — Feeling: Good · Headache

Free text: Swollen supraclavicular lymph node

MedDRA releases: 2024-11 · check-in free text available
2022-04-26
Survey response — day 7, dose 4
MedDRA: Lymphadenopathy — Feeling: Good

Free text: Swollen supraclavicular lymph node

MedDRA releases: 2024-11 · check-in free text available
2022-05-03
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-05-10
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-05-17
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-05-24
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-05-31
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-07-19
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-09-15
Dose 5 — Pfizer-BioNTech
Co-administered: Flu
2022-10-17
Health check-in — day 28, dose 5
Feeling: Good

Adult check-in
2022-10-20
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2022-10-27
Survey response — day 42, dose 5
MedDRA: Eye swelling, Ocular hyperaemia — Feeling: Fair · Be unable to work or attend school

Free text: Swollen Red Right Eye

MedDRA releases: 2024-11 · check-in free text available
2022-12-15
Health check-in — 3 months, dose 5
Feeling: Good

Adult check-in
2023-03-16
Health check-in — 6 months, dose 5
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-29	Moderna
2	2021-01-27	Moderna
3	2021-10-27	Moderna	No
4	2022-04-19	Moderna	No
5	2022-09-15	Pfizer-BioNTech	Flu

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-02

Systemic reaction (other): The joint pain is only in one hand. I also noticed last night that I have a supraclavicular swollen nodIke

2021-01-03

Systemic reaction (other): Still Small swollen Lymph node Supraclavicular

Release 1 — day 7, dose 1

2021-01-05

Systemic reaction (other): Small swollen lymph node right clavicle

Release 3 — days 1–6 daily, dose 2

2021-01-31

Systemic reaction (other): Slight sore throat

Release 4 — day 28, dose 2

2021-02-24

Symptoms: Runny nose & headache this morning

Release 5 — day 42, dose 2

2021-03-10

Symptoms: Sore throat and runny nose ( just started today)

Release 10 — days 1–6 daily, dose 3

2021-10-28

Systemic reaction (other): Swollen supraclavicular lymph node right side

2021-10-29

Systemic reaction (other): Still swollen lymph node Right clavicle

2021-10-30

Systemic reaction (other): Still swollen lymph node right clavicle

2021-10-31

Systemic reaction (other): Slightly swollen lymph node right clavicle

2021-11-01

Systemic reaction (other): Still slightly swollen lymph node right clavicle

2021-11-02

Systemic reaction (other): Slightly swollen lymph node right clavicle

Release 10 — day 7, dose 3

2021-11-05

Systemic reaction (other): Still slightly swollen lymph node right clavicle

Release 10 — day 35, dose 3

2021-12-01

Symptoms: Had a runny nose Saturday

Release 11 — days 1–6 daily, dose 4

2022-04-21

Systemic reaction (other): Swollen supraclvicular lymph node

2022-04-22

Systemic reaction (other): Swollen supraclavicular lymph node Small sore/ swollen lymph node under my right arm

2022-04-23

Systemic reaction (other): Swollen supraclavicular lymph node; very slight sore throat (might be part of allergies) ; swollen armpit

2022-04-24

Systemic reaction (other): Swollen supraclavicular lymph node

2022-04-25

Systemic reaction (other): Swollen supraclavicular lymph node

Release 11 — day 7, dose 4

2022-04-26

Systemic reaction (other): Swollen supraclavicular lymph node

Release 12 — day 42, dose 5

2022-10-27

Symptoms: Swollen Red Right Eye

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	Eye swelling	·	·	✓
SD	Headache	✓	✓	✓
SD	Ocular hyperaemia	·	·	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Rhinorrhoea	✓	✓	✓
SRO	Arthralgia	✓	✓	✓
SRO	Lymph node pain	·	·	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Neck mass	○	○	○
SRO	Oedema peripheral	·	·	✓
SRO	Oropharyngeal pain	✓	✓	✓

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