Q24-17533-47322

4 vaccinations 14 coded responses 50 check-ins 14 free-text entries 0 call cases

Sex: Female
Age at first dose: 31-35
ZIP prefix: 917 / CA
Registered: 2021-01-13

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Registered dependents

5QH-31718-81575 Child or adolescent in my care · Male · 2022-07-01

Timeline Vaccinations Free text MedDRA terms

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-01-11
Dose 1 — Moderna
2021-01-13
Registered in v-safe
2021-01-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-18
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-25
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-01
Survey response — day 21, dose 1
MedDRA: Lymphadenitis — Feeling: Good

Free text: Inflamed left supraclavicular lymph node, beginning on 1/25/2021.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-08
Dose 2 — Moderna
2021-02-08
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · Headache, Muscle or body aches

Adult check-in
2021-02-09
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain · Chills, Headache, Muscle or body aches

Free text: Left supraclavicular lymph node is slightly inflamed

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-10
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Good

Free text: Inflamed left supraclavicular lymph node

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

Free text: Left supraclavicular lymph node inflamed

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-12
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Good

Free text: Slightly inflamed left supraclavicular lymph node

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-13
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Good

Free text: Mild inflammation of left supraclavicular lymph node

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-14
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenitis — Feeling: Good

Free text: Slight inflammation of the left supraclavicular lymph node

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-15
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-02-22
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-01
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-08
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-15
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-22
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-10
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-09
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-05
Dose 3 — Moderna
2021-11-06
Survey response — days 1–6 daily, dose 3
MedDRA: Lymphadenitis — Feeling: Good · Site: Pain · Headache

Free text: Inflamed left supraclavicular nymph node

MedDRA releases: 2024-11 · check-in free text available
2021-11-07
Survey response — days 1–6 daily, dose 3
MedDRA: Lymph node pain, Lymphadenitis — Feeling: Good · Site: Pain

Free text: Inflamed/painful left supraclavicular nymph node

MedDRA releases: 2024-11 · check-in free text available
2021-11-08
Survey response — days 1–6 daily, dose 3
MedDRA: Lymph node pain, Lymphadenitis — Feeling: Fair · Fatigue or tiredness

Free text: Inflamed/painful left supraclavicular lymph node

MedDRA releases: 2024-11 · check-in free text available
2021-11-09
Survey response — days 1–6 daily, dose 3
MedDRA: Lymph node pain, Lymphadenitis — Feeling: Good

Free text: Inflamed/painful left supraclavicular lymph node

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

Free text: Inflamed left supraclavicular lymph node

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

Free text: Inflamed left supraclavicular lymph node

MedDRA releases: 2024-11 · check-in free text available
2021-11-12
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-11-19
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-26
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-12-03
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-10
Survey response — day 35, dose 3
MedDRA: Pregnancy — Feeling: Good

Free text: Positive pregnancy test

MedDRA releases: 2024-11 · check-in free text available
2021-12-17
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-02-04
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-05-06
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-11-02
Dose 4 — Moderna
Co-administered: Flu
2022-11-02
Health check-in — day 0, dose 4
Feeling: Good · Site: Pain · Headache

Adult check-in
2022-11-03
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-11-05
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-11-06
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-11-07
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-11-08
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-11-09
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-11-23
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-12-01
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-12-07
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-12-14
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2023-02-01
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2023-05-03
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-11	Moderna
2	2021-02-08	Moderna
3	2021-11-05	Moderna	No
4	2022-11-02	Moderna	Flu

Free text

Release 3 — day 21, dose 1

2021-02-01

Symptoms: Inflamed left supraclavicular lymph node, beginning on 1/25/2021.

Release 3 — days 1–6 daily, dose 2

2021-02-09

Systemic reaction (other): Left supraclavicular lymph node is slightly inflamed

Release 4 — days 1–6 daily, dose 2

2021-02-10

Systemic reaction (other): Inflamed left supraclavicular lymph node

2021-02-11

Systemic reaction (other): Left supraclavicular lymph node inflamed

2021-02-12

Systemic reaction (other): Slightly inflamed left supraclavicular lymph node

2021-02-13

Systemic reaction (other): Mild inflammation of left supraclavicular lymph node

2021-02-14

Systemic reaction (other): Slight inflammation of the left supraclavicular lymph node

Release 10 — days 1–6 daily, dose 3

2021-11-06

Systemic reaction (other): Inflamed left supraclavicular nymph node

2021-11-07

Systemic reaction (other): Inflamed/painful left supraclavicular nymph node

2021-11-08

Systemic reaction (other): Inflamed/painful left supraclavicular lymph node

2021-11-09

Systemic reaction (other): Inflamed/painful left supraclavicular lymph node

2021-11-10

Systemic reaction (other): Inflamed left supraclavicular lymph node

2021-11-11

Systemic reaction (other): Inflamed left supraclavicular lymph node

Release 10 — day 35, dose 3

2021-12-10

Symptoms: Positive pregnancy test

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	Lymphadenitis	✓	✓	✓
SD	Pregnancy	·	·	✓
SRO	Lymph node pain	·	·	✓
SRO	Lymphadenitis	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓

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