Y6P-21337-34370

2 vaccinations 8 coded responses 25 check-ins 8 free-text entries 1 call case

Sex: Female
Age at first dose: 56-60
ZIP prefix: 801 / CO
Registered: 2021-03-24

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

2021-03-23
Dose 1 — Moderna
2021-03-24
Registered in v-safe
2021-03-24
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-03-25
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-29
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-30
Health check-in — day 7, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-06
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-13
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-20
Dose 2 — Moderna
2021-04-20
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-04-21
Survey response — days 1–6 daily, dose 2
MedDRA: Lymph node pain, Lymphadenopathy, Medical counselling, Self-medication, Sleep disorder — Feeling: Poor · Site: Pain · Fever · Chills, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Severe swelling and pain of armpit lymph nodes · Healthcare visit (other): Called Dr's office, spoke witb nurse. Lymph node pain kept me from sleeping, even with advil, and hot compresses.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
Report sent to call center — days 1–6 daily, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-22
Survey response — days 1–6 daily, dose 2
MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Poor · Site: Pain · Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: Very painful and swollen lymph nodes in my armpit

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-23
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Poor · Site: Pain · Headache, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Severe swelling of armpit and now collarbone lymph nodes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-24
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Massively swollen lymph nodes in my armpit

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-25
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Good · Fatigue or tiredness

Free text: Very swollen lymph nodes in my armpit

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-26
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Fair · Fatigue or tiredness

Free text: Massively swollen lymph nodes in my armpit

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-27
Survey response — day 7, dose 2
MedDRA: Lymphadenopathy — Feeling: Fair

Free text: Massively swollen lymph node in my armpit

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

Adult check-in
2021-05-11
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-18
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-25
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-01
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-20
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-21
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-04-01
Call 1 — Left Voicemail
2022-04-22
Survey response — 12 months, dose 2
MedDRA: Influenza, SARS-CoV-2 test negative — Feeling: Fair · Be unable to work or attend school

Free text: Flu. (2 neg covid tests)

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-23	Moderna
2	2021-04-20	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-04-21	Unsuccessful

Free text

Release 7 — days 1–6 daily, dose 2

2021-04-21

Systemic reaction (other): Severe swelling and pain of armpit lymph nodes

Healthcare visit (other): Called Dr's office, spoke witb nurse. Lymph node pain kept me from sleeping, even with advil, and hot compresses.

2021-04-22

Systemic reaction (other): Very painful and swollen lymph nodes in my armpit

2021-04-23

Systemic reaction (other): Severe swelling of armpit and now collarbone lymph nodes

2021-04-24

Systemic reaction (other): Massively swollen lymph nodes in my armpit

2021-04-25

Systemic reaction (other): Very swollen lymph nodes in my armpit

Release 8 — days 1–6 daily, dose 2

2021-04-26

Systemic reaction (other): Massively swollen lymph nodes in my armpit

Release 8 — day 7, dose 2

2021-04-27

Systemic reaction (other): Massively swollen lymph node in my armpit

Release 11 — 12 months, dose 2

2022-04-22

Symptoms: Flu. (2 neg covid tests)

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	Lymph node pain	✓	✓	✓
HCVO	Medical counselling	✓	✓	✓
HCVO	Self-medication	✓	✓	✓
HCVO	Sleep disorder	✓	✓	✓
SD	Influenza	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SRO	Lymph node pain	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓

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