5B7-61269-58395

4 vaccinations 18 coded responses 44 check-ins 18 free-text entries 0 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 750 / TX
Registered: 2021-02-25

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

2021-01-20
Dose 1 — Moderna
2021-02-24
Dose 2 — Moderna
2021-02-25
Registered in v-safe
2021-02-25
Survey response — days 1–6 daily, dose 2
MedDRA: Tachycardia — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: Tachycardia when lying in bed

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-26
Survey response — days 1–6 daily, dose 2
MedDRA: Erythema, Injection site erythema, Injection site pruritus, Injection site swelling, Lymphadenopathy — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: Swollen lymph node in neck on injection arm site. Skin over lymph node is red. Also, the injection site swelling, redness and itchiness had spread down my arm into a much larger patch, toward my shoulder too.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-27
Survey response — days 1–6 daily, dose 2
MedDRA: Localised oedema, Lymphadenopathy — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Joint pains, Fatigue or tiredness, Diarrhea, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: The lump on my neck by my collarbone (most likely swollen lymph node) is larger and has more fluid around it. There seems to be associated edema up my neck with that.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-01
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Good · Site: Redness, Itching

Free text: Swollen lymph node on neck near collarbone is a bit smaller.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-02
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Good · Site: Itching

Free text: Lymph node still slightly swollen on neck by collar bone on injection side.

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

Free text: Lymph node on neck on injection side by collarbone is still swollen

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-10
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-17
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-24
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-31
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-07
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-26
Survey response — 3 months, dose 2
MedDRA: Diarrhoea, Pyrexia, Vomiting — Feeling: Good · Be unable to do your normal daily activities

Free text: Diarrhea and vomiting and fever

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-25
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-02
Dose 3 — Moderna
2021-11-02
Health check-in — day 0, dose 3
Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain

Adult check-in
2021-11-03
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-04
Survey response — days 1–6 daily, dose 3
MedDRA: Induration, Lymphadenopathy — Feeling: Good · Site: Redness, Swelling · Joint pains, Muscle or body aches

Free text: Lymph node on neck on injection side is VERY swollen and hard.

MedDRA releases: 2024-11 · check-in free text available
2021-11-05
Survey response — days 1–6 daily, dose 3
MedDRA: Induration, Lymphadenopathy — Feeling: Good · Site: Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Lymph node on neck on injection side is swollen and hard

MedDRA releases: 2024-11 · check-in free text available
2021-11-06
Survey response — days 1–6 daily, dose 3
MedDRA: Induration, Lymphadenopathy — Feeling: Good · Site: Swelling · Headache

Free text: Lymph node on injection side in neck is still swollen and hard.

MedDRA releases: 2024-11 · check-in free text available
2021-11-07
Survey response — days 1–6 daily, dose 3
MedDRA: Induration, Lymphadenopathy — Feeling: Good · Site: Swelling

Free text: Lymph node on injection side of neck is swollen and hard

MedDRA releases: 2024-11 · check-in free text available
2021-11-08
Survey response — days 1–6 daily, dose 3
MedDRA: Induration, Lymphadenopathy — Feeling: Good

Free text: Still have a hard swollen lymph node on my neck on the injection side

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

Free text: Swollen lymph node on neck on my injection side

MedDRA releases: 2024-11 · check-in free text available
2021-11-16
Survey response — day 14, dose 3
MedDRA: Diarrhoea, Pre-existing disease, Vomiting — Feeling: Fair · Be unable to do your normal daily activities

Free text: I had vomiting and diarrhea yesterday but I think it's an underlying GI condition.

MedDRA releases: 2024-11 · check-in free text available
2021-11-23
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-30
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-07
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-14
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-02-01
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-05-03
Dose 4 — Moderna
2022-05-03
Health check-in — day 0, dose 4
Feeling: Fair · Site: Pain, Redness, Swelling · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-05-03
Survey response — 6 months, dose 3
MedDRA: Pre-existing disease, SARS-CoV-2 test negative — Feeling: Fair

Free text: I have Spring oak tree nasal allergies. I get them every year at this time, but thought I'd mention them. I am certain it is just that as I took a COVID-19 at home nasal swab test that was negative.

MedDRA releases: 2024-11 · check-in free text available
2022-05-04
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-05-05
Survey response — days 1–6 daily, dose 4
MedDRA: Lymphadenopathy, Reaction to previous exposure to any vaccine — Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness

Free text: I still have a swollen lymph node on my injection side up on my neck by my collar bone (I've had this on ALL 4 COVID-19 vaccinations and it lasts 2-4weeks post vax each time)

MedDRA releases: 2024-11 · check-in free text available
2022-05-06
Survey response — days 1–6 daily, dose 4
MedDRA: Lymphadenopathy — Feeling: Good · Site: Swelling, Itching

Free text: Still have the swollen lymph node on my neck by my collar bone on my injection side

MedDRA releases: 2024-11 · check-in free text available
2022-05-07
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-05-08
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-05-09
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Itching · None

Adult check-in
2022-05-11
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-05-17
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-05-24
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-05-31
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-06-07
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-06-14
Survey response — day 42, dose 4
MedDRA: Eye pruritus, Oropharyngeal pain, Pre-existing disease, SARS-CoV-2 test negative — Feeling: Good

Free text: Seasonal grass allergies: itchy eyes and sore throat. (COVID-19 tests negative)

MedDRA releases: 2024-11 · check-in free text available
2022-08-02
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-11-01
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in
2023-05-03
Health check-in — 12 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-20	Moderna
2	2021-02-24	Moderna
3	2021-11-02	Moderna	No
4	2022-05-03	Moderna	No

Free text

Release 4 — days 1–6 daily, dose 2

2021-02-25

Systemic reaction (other): Tachycardia when lying in bed

2021-02-26

Systemic reaction (other): Swollen lymph node in neck on injection arm site. Skin over lymph node is red. Also, the injection site swelling, redness and itchiness had spread down my arm into a much larger patch, toward my shoulder too.

2021-02-27

Systemic reaction (other): The lump on my neck by my collarbone (most likely swollen lymph node) is larger and has more fluid around it. There seems to be associated edema up my neck with that.

2021-03-01

Systemic reaction (other): Swollen lymph node on neck near collarbone is a bit smaller.

2021-03-02

Systemic reaction (other): Lymph node still slightly swollen on neck by collar bone on injection side.

Release 5 — day 7, dose 2

2021-03-03

Systemic reaction (other): Lymph node on neck on injection side by collarbone is still swollen

Release 8 — 3 months, dose 2

2021-05-26

Symptoms: Diarrhea and vomiting and fever

Release 10 — days 1–6 daily, dose 3

2021-11-04

Systemic reaction (other): Lymph node on neck on injection side is VERY swollen and hard.

2021-11-05

Systemic reaction (other): Lymph node on neck on injection side is swollen and hard

2021-11-06

Systemic reaction (other): Lymph node on injection side in neck is still swollen and hard.

2021-11-07

Systemic reaction (other): Lymph node on injection side of neck is swollen and hard

2021-11-08

Systemic reaction (other): Still have a hard swollen lymph node on my neck on the injection side

Release 10 — day 7, dose 3

2021-11-09

Systemic reaction (other): Swollen lymph node on neck on my injection side

Release 10 — day 14, dose 3

2021-11-16

Symptoms: I had vomiting and diarrhea yesterday but I think it's an underlying GI condition.

Release 11 — 6 months, dose 3

2022-05-03

Symptoms: I have Spring oak tree nasal allergies. I get them every year at this time, but thought I'd mention them. I am certain it is just that as I took a COVID-19 at home nasal swab test that was negative.

Release 11 — days 1–6 daily, dose 4

2022-05-05

Systemic reaction (other): I still have a swollen lymph node on my injection side up on my neck by my collar bone (I've had this on ALL 4 COVID-19 vaccinations and it lasts 2-4weeks post vax each time)

2022-05-06

Systemic reaction (other): Still have the swollen lymph node on my neck by my collar bone on my injection side

Release 12 — day 42, dose 4

2022-06-14

Symptoms: Seasonal grass allergies: itchy eyes and sore throat. (COVID-19 tests negative)

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	Diarrhoea	✓	✓	✓
SD	Eye pruritus	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Pyrexia	✓	✓	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	Vomiting	✓	✓	✓
SRO	Erythema	✓	✓	✓
SRO	Induration	·	·	✓
SRO	Injection site erythema	✓	✓	✓
SRO	Injection site pruritus	✓	✓	✓
SRO	Injection site swelling	✓	✓	✓
SRO	Localised oedema	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Reaction to previous exposure to any vaccine	·	·	✓
SRO	Tachycardia	✓	✓	✓

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