YLF-10726-18231

3 vaccinations 10 coded responses 32 check-ins 10 free-text entries 1 call case

Sex: Female
Age at first dose: 46-50
ZIP prefix: 539 / WI
Registered: 2021-04-30

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

2021-04-21
Dose 1 — Moderna
2021-04-30
Registered in v-safe
2021-04-30
Survey response — day 7, dose 1
MedDRA: Lymphadenopathy, Rash pruritic — Feeling: Fair · Site: Swelling, Itching · Headache, Joint pains, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Free text: Swollen lymph nodes under armpit with very itchy bumps

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-06
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-05-12
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-05-19
Dose 2 — Moderna
2021-05-19
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-05-20
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-05-21
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-05-22
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Redness, Swelling · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-05-23
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Itching · Fatigue or tiredness

Adult check-in
2021-05-24
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Itching · Fatigue or tiredness

Adult check-in
2021-05-25
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-05-26
Health check-in — day 7, dose 2
Feeling: Good · Site: Itching · Fatigue or tiredness, Rash, not including the immediate area around the injection site

Adult check-in
2021-06-02
Survey response — day 14, dose 2
MedDRA: Abdominal pain upper, Pre-existing disease, Sleep disorder — Feeling: Fair

Free text: Ive been having stomach pain. It even wakes me up at night its not constant. But no idea if its from vaccination or if I should make a doctors appointment.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-09
Survey response — day 21, dose 2
MedDRA: Abdominal pain upper, Diarrhoea, Sleep disorder — Feeling: Fair · Be unable to do your normal daily activities

Free text: Still get severe stomach pain and diarrhea it just hits me in middle of the night or right when I get up in morning

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-16
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-23
Survey response — day 35, dose 2
MedDRA: Axillary mass, Limb mass, Rash, Secretion discharge, Skin ulcer — Feeling: Good

Free text: Im still getting big and small bumps, lumps like soars under my armpits and on my inner thighs. Very unappealing some after being soar a few days will have liquid come out of them.. more like ongoing issue that started 4 days after first vaccine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-02
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-11-17
Survey response — 6 months, dose 2
MedDRA: Abdominal pain upper, Rash — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Stomach pain , skin rash that wouldn't go away

MedDRA releases: 2024-11 · check-in free text available
2021-11-17
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-11-18
Call 1 — Left Voicemail
2021-12-14
Dose 3 — Moderna
2021-12-15
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-12-16
Survey response — days 1–6 daily, dose 3
MedDRA: Hyperhidrosis — Feeling: Fair · Site: Redness, Swelling, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Sweating for over 2 hours

MedDRA releases: 2024-11 · check-in free text available
2021-12-17
Survey response — days 1–6 daily, dose 3
MedDRA: Oedema peripheral — Feeling: Fair · Site: Redness, Swelling, Itching · Headache, Joint pains

Free text: Swelling under armpit same arm I received vaccine

MedDRA releases: 2024-11 · check-in free text available
2021-12-18
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Redness, Itching · Joint pains, Abdominal pain

Adult check-in
2021-12-19
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Redness, Itching · Headache, Muscle or body aches

Adult check-in
2021-12-20
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Itching · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-12-21
Health check-in — day 7, dose 3
Feeling: Good · Joint pains, Muscle or body aches

Adult check-in
2021-12-28
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-01-04
Survey response — day 21, dose 3
MedDRA: Rash — Feeling: Fair

Free text: Not sure what it's from have rash that started around my right armpit 3 days ago.

MedDRA releases: 2024-11 · check-in free text available
2022-01-11
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-01-18
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-01-25
Survey response — day 42, dose 3
MedDRA: Chills, Cough, Headache, Oropharyngeal pain, Pain, Pyrexia, Rhinorrhoea — Feeling: Poor · Be unable to work or attend school

Free text: Fever chills soar throat body aches headache runny nose coughing

MedDRA releases: 2024-11 · check-in free text available
2022-03-15
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-06-15
Survey response — 6 months, dose 3
MedDRA: Ageusia, Anosmia, Arthralgia, Chills, Diarrhoea, Headache, Lymphadenopathy, Pain, Pyrexia — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Fever chills body aches severe headache diarrhea loss of taste & smell joint pain swollen lymph nodes

MedDRA releases: 2024-11 · check-in free text available
2022-12-14
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-21	Moderna
2	2021-05-19	Moderna
3	2021-12-14	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2021-11-17	Unsuccessful

Free text

Release 8 — day 7, dose 1

2021-04-30

Systemic reaction (other): Swollen lymph nodes under armpit with very itchy bumps

Release 8 — day 14, dose 2

2021-06-02

Symptoms: Ive been having stomach pain. It even wakes me up at night its not constant. But no idea if its from vaccination or if I should make a doctors appointment.

Release 9 — day 21, dose 2

2021-06-09

Symptoms: Still get severe stomach pain and diarrhea it just hits me in middle of the night or right when I get up in morning

Release 9 — day 35, dose 2

2021-06-23

Symptoms: Im still getting big and small bumps, lumps like soars under my armpits and on my inner thighs. Very unappealing some after being soar a few days will have liquid come out of them.. more like ongoing issue that started 4 days after first vaccine

Release 10 — 6 months, dose 2

2021-11-17

Symptoms: Stomach pain , skin rash that wouldn't go away

Release 10 — days 1–6 daily, dose 3

2021-12-16

Systemic reaction (other): Sweating for over 2 hours

2021-12-17

Systemic reaction (other): Swelling under armpit same arm I received vaccine

Release 10 — day 21, dose 3

2022-01-04

Symptoms: Not sure what it's from have rash that started around my right armpit 3 days ago.

Release 11 — day 42, dose 3

2022-01-25

Symptoms: Fever chills soar throat body aches headache runny nose coughing

Release 12 — 6 months, dose 3

2022-06-15

Symptoms: Fever chills body aches severe headache diarrhea loss of taste & smell joint pain swollen lymph nodes

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	Abdominal pain upper	✓	✓	✓
SD	Ageusia	·	·	✓
SD	Anosmia	·	·	✓
SD	Arthralgia	·	·	✓
SD	Axillary mass	✓	✓	✓
SD	Chills	·	·	✓
SD	Cough	·	·	✓
SD	Diarrhoea	✓	✓	✓
SD	Headache	·	·	✓
SD	Limb mass	✓	✓	✓
SD	Lymphadenopathy	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pain	·	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Pyrexia	·	·	✓
SD	Rash	✓	✓	✓
SD	Rhinorrhoea	·	·	✓
SD	Secretion discharge	✓	✓	✓
SD	Skin ulcer	✓	✓	✓
SD	Sleep disorder	✓	✓	✓
SRO	Hyperhidrosis	·	·	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Oedema peripheral	·	·	✓
SRO	Rash pruritic	✓	✓	✓

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