UWZ-15111-50525

4 vaccinations 12 coded responses 37 check-ins 11 free-text entries 4 call cases

Sex: Female
Age at first dose: 31-35
ZIP prefix: 605 / IL
Registered: 2021-03-29

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

2021-03-29
Registered in v-safe
2021-03-29
Dose 1 — Moderna
2021-03-29
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-03-30
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-31
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-01
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fever · None

Adult check-in
2021-04-02
Survey response — days 1–6 daily, dose 1
MedDRA: Lymphadenopathy — Feeling: Fair · 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: Swollen lymph nodes in underarm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-03
Survey response — days 1–6 daily, dose 1
MedDRA: Lymphadenopathy — Feeling: Fair · Be unable to do your normal daily activities

Free text: Swollen lymph nodes on armpit

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

Free text: Swollen lymph nodes in armpit

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

Free text: Swollen lymph nodes in armpit

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

Adult check-in
2021-04-19
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-26
Dose 2 — Moderna
2021-04-26
Survey response — day 0, dose 2
MedDRA: Dizziness — Feeling: Fair · Site: Pain · Be unable to do your normal daily activities

Free text: Dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-27
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Nausea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-28
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Fair · Site: Pain · Be unable to work, Be unable to do your normal daily activities

Free text: Dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-29
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Rash, not including the immediate area around the injection site

Adult check-in
2021-04-30
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Fair · Headache

Free text: Dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-03
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-05-10
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-17
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-24
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-31
Survey response — day 35, dose 2
MedDRA: Axillary pain, Lymph node pain — Feeling: Good

Free text: Pain under armpits/lymph nodes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-07
Survey response — day 42, dose 2
MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Good · 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: Swollen lymph nodes/pain in armpits

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-07
Report sent to call center — day 42, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-14
Call 1 — Left Voicemail
2021-06-15
Call successful
Participant prefers to complete VAERS report online
2021-07-26
Survey response — 3 months, dose 2
MedDRA: Breast mass, Lymphadenopathy — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Swollen lymph nodes in under arm, small lump in breast

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-26
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-03
Call 1 — Left Voicemail
2021-10-25
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-12-14
Dose 3 — Moderna
2022-04-28
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-11-01
Dose 4 — Moderna
2022-11-04
Survey response — days 1–6 daily, dose 4
MedDRA: Axillary pain — Feeling: Good

Free text: Soreness in armpit on arm with injection

MedDRA releases: 2024-11 · check-in free text available
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 — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-11-15
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-11-22
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-11-29
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-12-06
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-12-13
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2023-01-31
Survey response — 3 months, dose 4
MedDRA: Pre-eclampsia, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional · Hospitalization

MedDRA releases: 2024-11
2023-01-31
Report sent to call center — 3 months, dose 4
Get care from a doctor or other healthcare professional

Hospitalization · 1 call case(s)
2023-02-01
Call successful
Participant prefers to complete VAERS report online
2023-02-01
Call successful
Participant prefers to complete VAERS report online
2023-05-04
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-29	Moderna
2	2021-04-26	Moderna
3	2021-12-14	Moderna	No
4	2022-11-01	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2021-04-02	Successful	Participant prefers to complete VAERS report online
2021-06-07	Successful 2021-06-15	Participant prefers to complete VAERS report online
2021-07-26	Successful 2023-02-01	Participant prefers to complete VAERS report online
2023-01-31	Successful 2023-02-01	Participant prefers to complete VAERS report online

Free text

Release 6 — days 1–6 daily, dose 1

2021-04-02

Systemic reaction (other): Swollen lymph nodes in underarm

2021-04-03

Systemic reaction (other): Swollen lymph nodes on armpit

2021-04-04

Systemic reaction (other): Swollen lymph nodes in armpit

Release 6 — day 7, dose 1

2021-04-05

Systemic reaction (other): Swollen lymph nodes in armpit

Release 8 — day 0, dose 2

2021-04-26

Systemic reaction (other): Dizziness

Release 8 — days 1–6 daily, dose 2

2021-04-28

Systemic reaction (other): Dizziness

2021-04-30

Systemic reaction (other): Dizziness

Release 8 — day 35, dose 2

2021-05-31

Symptoms: Pain under armpits/lymph nodes

Release 8 — day 42, dose 2

2021-06-07

Symptoms: Swollen lymph nodes/pain in armpits

Release 9 — 3 months, dose 2

2021-07-26

Symptoms: Swollen lymph nodes in under arm, small lump in breast

Release 12 — days 1–6 daily, dose 4

2022-11-04

Systemic reaction (other): Soreness in armpit on arm with injection

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	Unevaluable event	·	·	✓
SD	Axillary pain	✓	✓	✓
SD	Breast mass	✓	·	✓
SD	Lymph node pain	✓	✓	✓
SD	Lymphadenopathy	✓	✓	✓
SD	Pre-eclampsia	·	·	✓
SRO	Axillary pain	·	·	✓
SRO	Dizziness	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓

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