YCH-29660-34212

5 vaccinations 17 coded responses 61 check-ins 17 free-text entries 1 call case

Sex: Female
Age at first dose: 51-55
ZIP prefix: 770 / TX
Registered: 2021-01-14

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

2021-01-14
Registered in v-safe
2021-01-14
Dose 1 — Moderna
2021-01-14
Health check-in — day 0, dose 1
Feeling: Fair · Site: Pain · Chills, Headache

Adult check-in
2021-01-15
Survey response — days 1–6 daily, dose 1
MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work

Free text: Swollen lymph node

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-15
Report sent to call center — days 1–6 daily, dose 1
Be unable to work

1 call case(s)
2021-01-16
Survey response — days 1–6 daily, dose 1
MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Fair · Site: Pain, Redness · Fatigue or tiredness, Nausea

Free text: Swollen painful lymphnodes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-17
Survey response — days 1–6 daily, dose 1
MedDRA: Lymphadenopathy — Feeling: Good · Site: Redness

Free text: Swollen lymph nodes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-18
Survey response — days 1–6 daily, dose 1
MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain, Itching

Free text: Swollen lymph nodes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-19
Survey response — days 1–6 daily, dose 1
MedDRA: Lymphadenopathy — Feeling: Good · Site: Itching

Free text: Swollen lymph nodes- but far less than previous

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-21
Survey response — day 7, dose 1
MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Good

Free text: Swollen and painful lymph nodes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-28
Survey response — day 14, dose 1
MedDRA: Injection site erythema, Self-medication — Feeling: Good

Free text: Redness at injection site - after taking Benadryl for a week it is fine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-04
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-11
Dose 2 — Moderna
2021-02-11
Health check-in — day 0, dose 2
Feeling: Poor · Site: Pain · Chills

Adult check-in
2021-02-12
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-02-13
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to work

Adult check-in
2021-02-14
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Itching · Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-02-15
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-02-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-02-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-18
Health check-in — day 7, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-25
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-04
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-11
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-18
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-25
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-15
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-13
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-05
Dose 3 — Moderna
2021-11-05
Health check-in — day 0, dose 3
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-11-06
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-11-07
Survey response — days 1–6 daily, dose 3
MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain

Free text: Swollen lymph nodes

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

Free text: Swollen painful lymph node

MedDRA releases: 2024-11 · check-in free text available
2021-11-09
Survey response — days 1–6 daily, dose 3
MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain

Free text: Swollen lymph nodes

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: Fair

Adult check-in
2021-12-03
Survey response — day 28, dose 3
MedDRA: Urinary tract infection — Feeling: Good · Be unable to work or attend school

Free text: UTI

MedDRA releases: 2024-11 · check-in free text available
2021-12-10
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-17
Health check-in — day 42, dose 3
Feeling: Fair

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

Adult check-in
2022-04-07
Dose 4 — Pfizer-BioNTech
2022-04-09
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · Rash, not including the immediate area around the injection site

Adult check-in
2022-04-10
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · Rash, not including the immediate area around the injection site

Adult check-in
2022-04-16
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-04-21
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-04-28
Health check-in — day 21, dose 4
Feeling: Good

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

Adult check-in
2022-05-12
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-05-19
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-07-07
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-10-06
Survey response — 6 months, dose 4
MedDRA: Pruritus — Feeling: Good

Free text: Pruritus

MedDRA releases: 2024-11 · check-in free text available
2022-10-14
Dose 5 — Moderna
2022-10-14
Health check-in — day 0, dose 5
Feeling: Good · None

Adult check-in
2022-10-15
Health check-in — days 1–6 daily, dose 5
Feeling: Poor · Site: Pain, Redness, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2022-10-16
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Site: Pain · Fatigue or tiredness, Nausea

Adult check-in
2022-10-17
Survey response — days 1–6 daily, dose 5
MedDRA: Pruritus — Feeling: Fair · Site: Pain

Free text: Itching over body

MedDRA releases: 2024-11 · check-in free text available
2022-10-18
Survey response — days 1–6 daily, dose 5
MedDRA: Pruritus — Feeling: Fair · Site: Pain

Free text: Itching all over body, particularly vulva and arms

MedDRA releases: 2024-11 · check-in free text available
2022-10-19
Survey response — days 1–6 daily, dose 5
MedDRA: Pruritus, Pruritus genital — Feeling: Good · Site: Pain

Free text: Itchiness especially in genital area and arms

MedDRA releases: 2024-11 · check-in free text available
2022-10-20
Survey response — days 1–6 daily, dose 5
MedDRA: Pruritus, Pruritus genital — Feeling: Good

Free text: Slight itching all over, especially genitalia

MedDRA releases: 2024-11 · check-in free text available
2022-10-21
Survey response — day 7, dose 5
MedDRA: Pruritus, Vulvovaginal pruritus — Feeling: Fair

Free text: Itchiness, especially vulva

MedDRA releases: 2024-11 · check-in free text available
2022-10-28
Health check-in — day 14, dose 5
Feeling: Fair

Adult check-in
2022-11-05
Health check-in — day 21, dose 5
Feeling: Good

Adult check-in
2022-11-11
Health check-in — day 28, dose 5
Feeling: Good

Adult check-in
2022-11-18
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2022-11-26
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2023-01-13
Health check-in — 3 months, dose 5
Feeling: Good

Adult check-in
2023-04-14
Health check-in — 6 months, dose 5
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-14	Moderna
2	2021-02-11	Moderna
3	2021-11-05	Moderna	No
4	2022-04-07	Pfizer-BioNTech	No
5	2022-10-14	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2021-01-15	priority 2/3

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-15

Systemic reaction (other): Swollen lymph node

2021-01-16

Systemic reaction (other): Swollen painful lymphnodes

2021-01-17

Systemic reaction (other): Swollen lymph nodes

2021-01-18

Systemic reaction (other): Swollen lymph nodes

2021-01-19

Systemic reaction (other): Swollen lymph nodes- but far less than previous

Release 2 — day 7, dose 1

2021-01-21

Systemic reaction (other): Swollen and painful lymph nodes

Release 2 — day 14, dose 1

2021-01-28

Symptoms: Redness at injection site - after taking Benadryl for a week it is fine

Release 10 — days 1–6 daily, dose 3

2021-11-07

Systemic reaction (other): Swollen lymph nodes

2021-11-08

Systemic reaction (other): Swollen painful lymph node

2021-11-09

Systemic reaction (other): Swollen lymph nodes

Release 10 — day 28, dose 3

2021-12-03

Symptoms: UTI

Release 12 — 6 months, dose 4

2022-10-06

Symptoms: Pruritus

Release 12 — days 1–6 daily, dose 5

2022-10-17

Systemic reaction (other): Itching over body

2022-10-18

Systemic reaction (other): Itching all over body, particularly vulva and arms

2022-10-19

Systemic reaction (other): Itchiness especially in genital area and arms

2022-10-20

Systemic reaction (other): Slight itching all over, especially genitalia

Release 12 — day 7, dose 5

2022-10-21

Systemic reaction (other): Itchiness, especially vulva

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	Injection site erythema	✓	✓	✓
SD	Pruritus	·	·	✓
SD	Self-medication	✓	✓	✓
SD	Urinary tract infection	·	·	✓
SRO	Lymph node pain	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Pruritus	·	·	✓
SRO	Pruritus genital	·	·	✓
SRO	Vulvovaginal pruritus	·	·	✓

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