FK3-20259-60742

3 vaccinations 11 coded responses 29 check-ins 11 free-text entries 4 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 956 / CA
Registered: 2021-04-14

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

2021-04-14
Registered in v-safe
2021-04-14
Dose 1 — Moderna
2021-04-14
Health check-in — day 0, dose 1
Feeling: Fair · Site: Pain · Headache

Adult check-in
2021-04-15
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness

Adult check-in
2021-04-16
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-04-17
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache

Adult check-in
2021-04-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-20
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache

Adult check-in
2021-04-21
Survey response — day 7, dose 1
MedDRA: Injection site reaction, Lymphadenopathy, Medical counselling, Swelling, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Systemic reaction (other): I noticed today a large bump under my collar bone on the same side as my shot. I'm going to have my doctor have a look at it tomorrow. I was wondering if maybe it is a lymph node that has enlarged due to processing the injection of the vaccine. I did some quick research online and it appears the Madonna shot does see this reaction in 10 to 15% of shot recipients. Of course my other thought was cancer! But I doubt a tumor would grow so fast to such a size. · Healthcare visit (other): I will have my appointment tomorrow morning.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
Report sent to call center — day 7, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-28
Survey response — day 14, dose 1
MedDRA: Lymphadenopathy — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: I noticed what appears to be an enlarged lymph node along my clavicle on the same side in which I got the shot. I noticed this one week after getting the shot. It has now been two weeks and the bump is still there. It causes me no pain.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-28
Report sent to call center — day 14, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-05
Survey response — day 21, dose 1
MedDRA: Unevaluable event — Feeling: Fair

Free text: Digestive. But may be diet. I eat a lot of fiber and I may be eating too much this week.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-12
Dose 2 — Moderna
2021-05-12
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness

Adult check-in
2021-05-13
Survey response — days 1–6 daily, dose 2
MedDRA: Lymph node pain, Lymphadenopathy, Vaccine positive rechallenge — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Muscle or body aches, Fatigue or tiredness · Be unable to work

Free text: Painfully enlarged lymph node at clavicle on same side as injection site. Notice the swelling a week after my first shot. It's diminished over the next three weeks but had not gone away entirely before I got the second shot. My doctor said to go ahead and get the second shot. I noticed the lymph nodes starting to enlarge again within 6 hours of getting the shot. It has continued to grow larger overnight and now today it is sore to the touch.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-14
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Now I have two lymph nodes that are huge, one below my clavicle and now a new.one right above it. Both are on the same side as injection site.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-15
Survey response — days 1–6 daily, dose 2
MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Good · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Still have the two enlarged lymph nodes. Same size but less sore now.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness

Adult check-in
2021-05-18
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Good

Free text: Still have the swollen lymph nodes along my.clavicle

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-29
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-06-06
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-06-13
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-06-16
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-06-23
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-08-13
Survey response — 3 months, dose 2
MedDRA: Mental disorder — Feeling: Fair · 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: Mental health. Unrelated to vax.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-13
Report sent to call center — 3 months, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

1 call case(s)
2021-10-27
Call 1 — Left Voicemail
2021-11-08
Dose 3 — Moderna
2021-11-10
Survey response — 6 months, dose 2
MedDRA: Mental disorder, Pregnancy — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Mental health issues and now pregnancy

MedDRA releases: 2024-11 · check-in free text available
2021-11-12
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-11-14
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Fatigue or tiredness, Abdominal pain

Adult check-in
2021-11-15
Health check-in — day 7, dose 3
Feeling: Fair · Nausea

Adult check-in
2021-11-22
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-12-02
Survey response — day 21, dose 3
MedDRA: Abortion spontaneous, Nasopharyngitis — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Got a cold and had a miscarriage

MedDRA releases: 2024-11 · check-in free text available
2021-12-02
Report sent to call center — day 21, 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

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-12-06
Call 1 — Left Voicemail
2022-02-09
Survey response — 3 months, dose 3
MedDRA: COVID-19 — Feeling: Good · Be unable to work or attend school

Free text: Covid

MedDRA releases: 2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-14	Moderna
2	2021-05-12	Moderna
3	2021-11-08	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2021-04-21	Unsuccessful
2021-04-28	Unsuccessful
2021-08-13	Unsuccessful
2021-12-02	Unsuccessful

Free text

Release 7 — day 7, dose 1

2021-04-21

Systemic reaction (other): I noticed today a large bump under my collar bone on the same side as my shot. I'm going to have my doctor have a look at it tomorrow. I was wondering if maybe it is a lymph node that has enlarged due to processing the injection of the vaccine. I did some quick research online and it appears the Madonna shot does see this reaction in 10 to 15% of shot recipients. Of course my other thought was cancer! But I doubt a tumor would grow so fast to such a size.

Healthcare visit (other): I will have my appointment tomorrow morning.

Release 8 — day 14, dose 1

2021-04-28

Symptoms: I noticed what appears to be an enlarged lymph node along my clavicle on the same side in which I got the shot. I noticed this one week after getting the shot. It has now been two weeks and the bump is still there. It causes me no pain.

Release 8 — day 21, dose 1

2021-05-05

Symptoms: Digestive. But may be diet. I eat a lot of fiber and I may be eating too much this week.

Release 8 — days 1–6 daily, dose 2

2021-05-13

Systemic reaction (other): Painfully enlarged lymph node at clavicle on same side as injection site. Notice the swelling a week after my first shot. It's diminished over the next three weeks but had not gone away entirely before I got the second shot. My doctor said to go ahead and get the second shot. I noticed the lymph nodes starting to enlarge again within 6 hours of getting the shot. It has continued to grow larger overnight and now today it is sore to the touch.

2021-05-14

Systemic reaction (other): Now I have two lymph nodes that are huge, one below my clavicle and now a new.one right above it. Both are on the same side as injection site.

2021-05-15

Systemic reaction (other): Still have the two enlarged lymph nodes. Same size but less sore now.

2021-05-18

Systemic reaction (other): Still have the swollen lymph nodes along my.clavicle

Release 9 — 3 months, dose 2

2021-08-13

Symptoms: Mental health. Unrelated to vax.

Release 10 — 6 months, dose 2

2021-11-10

Symptoms: Mental health issues and now pregnancy

Release 10 — day 21, dose 3

2021-12-02

Symptoms: Got a cold and had a miscarriage

Release 11 — 3 months, dose 3

2022-02-09

Symptoms: Covid

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	Medical counselling	○	✓	○
HCVO	Unevaluable event	✓	✓	✓
SD	Abortion spontaneous	·	·	✓
SD	COVID-19	·	·	✓
SD	Lymphadenopathy	✓	✓	✓
SD	Mental disorder	✓	·	✓
SD	Nasopharyngitis	·	·	✓
SD	Pregnancy	·	·	✓
SD	Unevaluable event	✓	✓	✓
SRO	Injection site reaction	○	✓	○
SRO	Lymph node pain	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Swelling	✓	·	✓
SRO	Vaccine positive rechallenge	✓	✓	✓

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