YG6-48047-94685

3 vaccinations 11 coded responses 33 check-ins 11 free-text entries 1 call case

Sex: Female
Age at first dose: 26-30
ZIP prefix: 305 / GA
Registered: 2021-01-04

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

2021-01-04
Registered in v-safe
2021-01-04
Dose 1 — Moderna
2021-01-04
Survey response — day 0, dose 1
MedDRA: Immediate post-injection reaction, Injection site pain — Feeling: Fair · Site: Pain

Free text: Burning feeling at injection site within first few minutes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-05
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling · None

Adult check-in
2021-01-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Joint pains

Adult check-in
2021-01-07
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Joint pains

Adult check-in
2021-01-08
Survey response — days 1–6 daily, dose 1
MedDRA: COVID-19, Respiratory tract congestion, SARS-CoV-2 test negative — Feeling: Fair · Headache, Joint pains · Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Congestion · Healthcare visit (other): COVID test, since in addition to recently being vaccinated I was also recently exposed,came back negative

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-08
Report sent to call center — days 1–6 daily, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-01-09
Survey response — days 1–6 daily, dose 1
MedDRA: Respiratory tract congestion — Feeling: Fair

Free text: Congestion

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-10
Survey response — days 1–6 daily, dose 1
MedDRA: Respiratory tract congestion — Feeling: Fair · Headache

Free text: Congestion

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-11
Survey response — day 7, dose 1
MedDRA: Respiratory tract congestion — Feeling: Good

Free text: Congestion

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-18
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-25
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-01
Dose 2 — Moderna
2021-02-01
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-02-02
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Free text: Lymph nodes swollen all over both sides of body, neck, collarbones, armpits, elbows, one hip and knee

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-03
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains

Free text: Continued swollen lymph nodes all over, both sides, not as bad as yesterday

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

Free text: Swollen lymph nodes in underarms both sides and opposite elbow from injection site

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-05
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-06
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-07
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-08
Health check-in — day 7, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-15
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-16
Call 1 — Left Voicemail
2021-08-02
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-27
Dose 3 — Moderna
2021-10-27
Health check-in — day 0, dose 3
Feeling: Fair · Site: Pain · None

Adult check-in
2021-10-28
Survey response — days 1–6 daily, dose 3
MedDRA: Lymphadenopathy — Feeling: Poor · Site: Pain, Swelling · Headache, Joint pains

Free text: Swollen lymph nodes under both arms and elbow on injection side

MedDRA releases: 2024-11 · check-in free text available
2021-10-29
Survey response — days 1–6 daily, dose 3
MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain · Fever · Headache, Joint pains

Free text: Swollen lymph nodes

MedDRA releases: 2024-11 · check-in free text available
2021-10-31
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Joint pains

Adult check-in
2021-11-02
Survey response — days 1–6 daily, dose 3
MedDRA: Unevaluable event — Feeling: Poor · Site: Pain · Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: PMS going on as well

MedDRA releases: 2024-11 · check-in free text available
2021-11-03
Health check-in — day 7, dose 3
Feeling: Fair · Joint pains, Fatigue or tiredness

Adult check-in
2021-11-10
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-17
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-24
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-01
Health check-in — day 35, dose 3
Feeling: Fair

Adult check-in
2021-12-08
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2022-01-28
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-04-27
Health check-in — 6 months, dose 3
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-04	Moderna
2	2021-02-01	Moderna
3	2021-10-27	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2021-01-08	Unsuccessful

Free text

Release 1 — day 0, dose 1

2021-01-04

Systemic reaction (other): Burning feeling at injection site within first few minutes

Release 1 — days 1–6 daily, dose 1

2021-01-08

Systemic reaction (other): Congestion

Healthcare visit (other): COVID test, since in addition to recently being vaccinated I was also recently exposed,came back negative

2021-01-09

Systemic reaction (other): Congestion

2021-01-10

Systemic reaction (other): Congestion

Release 1 — day 7, dose 1

2021-01-11

Systemic reaction (other): Congestion

Release 3 — days 1–6 daily, dose 2

2021-02-02

Systemic reaction (other): Lymph nodes swollen all over both sides of body, neck, collarbones, armpits, elbows, one hip and knee

2021-02-03

Systemic reaction (other): Continued swollen lymph nodes all over, both sides, not as bad as yesterday

2021-02-04

Systemic reaction (other): Swollen lymph nodes in underarms both sides and opposite elbow from injection site

Release 10 — days 1–6 daily, dose 3

2021-10-28

Systemic reaction (other): Swollen lymph nodes under both arms and elbow on injection side

2021-10-29

Systemic reaction (other): Swollen lymph nodes

2021-11-02

Systemic reaction (other): PMS going on as well

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	COVID-19	✓	✓	✓
HCVO	SARS-CoV-2 test negative	✓	✓	✓
SRO	Immediate post-injection reaction	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Respiratory tract congestion	✓	✓	✓
SRO	Unevaluable event	·	·	✓

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