YN4-26372-85636

4 vaccinations 14 coded responses 48 check-ins 14 free-text entries 4 call cases

Sex: Female
Age at first dose: 21-25
ZIP prefix: 337 / FL
Registered: 2021-02-12

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

2021-02-12
Registered in v-safe
2021-02-12
Dose 1 — Moderna
2021-02-12
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness, Nausea

Adult check-in
2021-02-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Diarrhea, Abdominal pain

Adult check-in
2021-02-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

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

Adult check-in
2021-02-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-19
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-26
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-06
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-12
Dose 2 — Moderna
2021-03-13
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-03-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fever · Headache, Fatigue or tiredness, Nausea, Vomiting

Adult check-in
2021-03-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-03-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Nausea

Adult check-in
2021-03-18
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-19
Health check-in — day 7, dose 2
Feeling: Good · Headache

Adult check-in
2021-03-26
Survey response — day 14, dose 2
MedDRA: Breast pain, Pain in extremity — Feeling: Good

Free text: Soreness, possibly swollen in underarm/breast near lymph nodes on the side of the arm I got the vaccine in. Mild.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Survey response — day 21, dose 2
MedDRA: Lymph node pain, Lymphadenopathy, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Swelling and tenderness in axillary lymph nodes and breast on vaccine arm side. · Healthcare visit (other): Called doctor but have not had an appointment yet

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Report sent to call center — day 21, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-09
Survey response — day 28, dose 2
MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Good

Free text: Still having swelling and tenderness in axillary lymph nodes and chest on the side of the vaccine. Swelling has decreased slightly but the area is sore and tender.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
Survey response — day 35, dose 2
MedDRA: Lymph node pain, Lymphadenopathy, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: Continuing axillary lymph node tenderness and swelling · Healthcare visit (other): Appointment has not yet occured

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
Report sent to call center — day 35, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-23
Survey response — day 42, dose 2
MedDRA: Lymph node pain, Lymphadenopathy, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: Axillary lymph nodes swelling of vaccine side and pain · Healthcare visit (other): Ultrasound

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-23
Report sent to call center — day 42, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-11
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-06-11
Call successful
Participant prefers to complete VAERS report online
2021-09-10
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-19
Dose 3 — Pfizer-BioNTech
2021-11-19
Health check-in — day 0, dose 3
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-11-20
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Swelling · Joint pains, Fatigue or tiredness

Adult check-in
2021-11-21
Survey response — days 1–6 daily, dose 3
MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Good · Site: Pain

Free text: Axillary lymph node swelling and tenderness

MedDRA releases: 2024-11 · check-in free text available
2021-11-22
Survey response — days 1–6 daily, dose 3
MedDRA: Lymph node pain, Lymphadenitis — Feeling: Good · Site: Pain

Free text: Axillary lymph node tenderness and inflammation

MedDRA releases: 2024-11 · check-in free text available
2021-11-23
Survey response — days 1–6 daily, dose 3
MedDRA: Lymph node pain, Lymphadenitis — Feeling: Good · Site: Pain · Fatigue or tiredness

Free text: Axillary lymph node tenderness and inflammation

MedDRA releases: 2024-11 · check-in free text available
2021-11-24
Survey response — days 1–6 daily, dose 3
MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Good

Free text: Axillary lymph node tenderness and fullness

MedDRA releases: 2024-11 · check-in free text available
2021-11-25
Survey response — days 1–6 daily, dose 3
MedDRA: Lymphadenopathy — Feeling: Good

Free text: Axillary lymphadenopathy

MedDRA releases: 2024-11 · check-in free text available
2021-11-26
Survey response — day 7, dose 3
MedDRA: Lymphadenopathy — Feeling: Good

Free text: Axillary lymphadenopathy

MedDRA releases: 2024-11 · check-in free text available
2021-12-03
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-12-10
Survey response — day 21, dose 3
MedDRA: Lymphadenopathy — Feeling: Good

Free text: Bilateral axillary lymphadenopathy, right side beginning after booster

MedDRA releases: 2024-11 · check-in free text available
2021-12-17
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-24
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-31
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2022-02-20
Health check-in — 3 months, dose 3
Feeling: Fair

Adult check-in
2022-05-20
Survey response — 6 months, dose 3
MedDRA: Hordeolum — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Stye on eye

MedDRA releases: 2024-11 · check-in free text available
2022-05-20
Report sent to call center — 6 months, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-05-23
Call 1 — Left Voicemail
2022-09-09
Dose 4 — Moderna
2022-09-10
Health check-in — days 1–6 daily, dose 4
Feeling: Poor · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-09-11
Survey response — days 1–6 daily, dose 4
MedDRA: Decreased appetite, Lymphadenopathy — Feeling: Good · Site: Pain · Fever · Fatigue or tiredness

Free text: Lack of appetite, swollen axillary lymph nodes

MedDRA releases: 2024-11 · check-in free text available
2022-09-16
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-09-23
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-10-02
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-10-07
Health check-in — day 28, dose 4
Feeling: Poor

Adult check-in
2022-10-14
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-10-21
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2023-03-10
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-12	Moderna
2	2021-03-12	Moderna
3	2021-11-19	Pfizer-BioNTech	No
4	2022-09-09	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2021-04-02	Successful
2021-04-16	Successful
2021-04-23	Successful 2021-06-11	Participant prefers to complete VAERS report online
2022-05-20	Unsuccessful

Free text

Release 6 — day 14, dose 2

2021-03-26

Symptoms: Soreness, possibly swollen in underarm/breast near lymph nodes on the side of the arm I got the vaccine in. Mild.

Release 6 — day 21, dose 2

2021-04-02

Symptoms: Swelling and tenderness in axillary lymph nodes and breast on vaccine arm side.

Healthcare visit (other): Called doctor but have not had an appointment yet

Release 7 — day 28, dose 2

2021-04-09

Symptoms: Still having swelling and tenderness in axillary lymph nodes and chest on the side of the vaccine. Swelling has decreased slightly but the area is sore and tender.

Release 7 — day 35, dose 2

2021-04-16

Symptoms: Continuing axillary lymph node tenderness and swelling

Healthcare visit (other): Appointment has not yet occured

Release 7 — day 42, dose 2

2021-04-23

Symptoms: Axillary lymph nodes swelling of vaccine side and pain

Healthcare visit (other): Ultrasound

Release 10 — days 1–6 daily, dose 3

2021-11-21

Systemic reaction (other): Axillary lymph node swelling and tenderness

2021-11-22

Systemic reaction (other): Axillary lymph node tenderness and inflammation

2021-11-23

Systemic reaction (other): Axillary lymph node tenderness and inflammation

2021-11-24

Systemic reaction (other): Axillary lymph node tenderness and fullness

2021-11-25

Systemic reaction (other): Axillary lymphadenopathy

Release 10 — day 7, dose 3

2021-11-26

Systemic reaction (other): Axillary lymphadenopathy

Release 10 — day 21, dose 3

2021-12-10

Symptoms: Bilateral axillary lymphadenopathy, right side beginning after booster

Release 11 — 6 months, dose 3

2022-05-20

Symptoms: Stye on eye

Release 12 — days 1–6 daily, dose 4

2022-09-11

Systemic reaction (other): Lack of appetite, swollen axillary 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
HCVO	Unevaluable event	✓	✓	✓
SD	Breast pain	✓	✓	✓
SD	Hordeolum	·	·	✓
SD	Lymph node pain	✓	✓	✓
SD	Lymphadenopathy	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SRO	Decreased appetite	·	·	✓
SRO	Lymph node pain	·	·	✓
SRO	Lymphadenitis	·	·	✓
SRO	Lymphadenopathy	·	·	✓

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