YLX-13752-55293

2 vaccinations 9 coded responses 22 check-ins 9 free-text entries 1 call case

Sex: Female
Age at first dose: 41-45
ZIP prefix: 926 / CA
Registered: 2021-04-06

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

2021-04-04
Dose 1 — Moderna
2021-04-06
Registered in v-safe
2021-04-06
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Redness · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-04-07
Survey response — days 1–6 daily, dose 1
MedDRA: Lymph node pain — Feeling: Good · Site: Pain · Joint pains

Free text: Pain in lymph node under arm where injection was done

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Survey response — days 1–6 daily, dose 1
MedDRA: Axillary pain, Lymph node pain — Feeling: Good · Site: Pain · Joint pains

Free text: Pain in armpit on shot arm lymph nodes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-09
Survey response — days 1–6 daily, dose 1
MedDRA: Axillary pain, Tenderness — Feeling: Good · Site: Pain · Joint pains

Free text: Pain and tenderness in armpit on injection side (lymph node area)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-10
Survey response — days 1–6 daily, dose 1
MedDRA: Axillary pain — Feeling: Good · Site: Pain

Free text: Armpit lymph nodes on injection arm still sore

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

Free text: Armpit lymph node area sore on arm where shot was given

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-19
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-27
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-05-02
Dose 2 — Moderna
2021-05-02
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain, Redness · None

Adult check-in
2021-05-03
Survey response — days 1–6 daily, dose 2
MedDRA: Axillary pain, Oedema peripheral — Feeling: Poor · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: Swelling and tenderness in armpit on injection arm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-04
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Armpit/lymph nodes on injection arm sore

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

Adult check-in
2021-05-07
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-08
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-11
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-05-16
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-23
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-30
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-06
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-13
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-11-05
Survey response — 6 months, dose 2
MedDRA: Neuralgia, Paraesthesia — Feeling: Good

Free text: Tingling nerve pain around upper spine. Shingles like

MedDRA releases: 2024-11 · check-in free text available
2022-05-02
Survey response — 12 months, dose 2
MedDRA: Menstruation irregular — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Missed period

MedDRA releases: 2024-11 · check-in free text available
2022-05-02
Report sent to call center — 12 months, dose 2
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-05-04
Call successful
Participant prefers to complete VAERS report online

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-04	Moderna
2	2021-05-02	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2022-05-02	Successful 2022-05-04	Participant prefers to complete VAERS report online

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-07

Systemic reaction (other): Pain in lymph node under arm where injection was done

2021-04-08

Systemic reaction (other): Pain in armpit on shot arm lymph nodes

2021-04-09

Systemic reaction (other): Pain and tenderness in armpit on injection side (lymph node area)

2021-04-10

Systemic reaction (other): Armpit lymph nodes on injection arm still sore

Release 7 — day 7, dose 1

2021-04-11

Systemic reaction (other): Armpit lymph node area sore on arm where shot was given

Release 8 — days 1–6 daily, dose 2

2021-05-03

Systemic reaction (other): Swelling and tenderness in armpit on injection arm

2021-05-04

Systemic reaction (other): Armpit/lymph nodes on injection arm sore

Release 10 — 6 months, dose 2

2021-11-05

Symptoms: Tingling nerve pain around upper spine. Shingles like

Release 11 — 12 months, dose 2

2022-05-02

Symptoms: Missed period

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	Menstruation irregular	·	·	✓
SD	Neuralgia	·	·	✓
SD	Paraesthesia	·	·	✓
SRO	Axillary pain	✓	✓	✓
SRO	Lymph node pain	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Oedema peripheral	✓	✓	✓
SRO	Tenderness	✓	✓	✓

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