YNZ-27314-44024

4 vaccinations 17 coded responses 41 check-ins 15 free-text entries 0 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 731 / OK
Registered: 2021-01-05

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Timeline Vaccinations Free text MedDRA terms

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2020-12-28
Dose 1 — Moderna
2021-01-05
Registered in v-safe
2021-01-05
Health check-in — day 7, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-11
Survey response — day 14, dose 1
MedDRA: Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth — Feeling: Fair

Free text: 10 days after vaccination, site turned red. Entire upper arm was a red circle around site. Became swollen and warm to touch on day 11. Days 12 and 13 began to itch. 98 percent fine today.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-18
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-01-25
Dose 2 — Moderna
2021-01-26
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-01-27
Survey response — days 1–6 daily, dose 2
MedDRA: Axillary mass, Chest pain, Pain in extremity — Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Joint pains, Muscle or body aches, Diarrhea · Be unable to do your normal daily activities

Free text: Baseball size lump under arm of injection site. Assuming to be lymph nodes. Causing pain in arm, chest and ribcage.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-28
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Joint pains · Be unable to do your normal daily activities

Free text: Baseball size lump still under my arm spreading across chest

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-29
Survey response — days 1–6 daily, dose 2
MedDRA: Axillary mass, Mass — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Diarrhea · Be unable to do your normal daily activities

Free text: Baseball lump under arm into chest and rib cage.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-30
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy, Oedema peripheral — Feeling: Good · Site: Pain, Redness, Swelling, Itching · Diarrhea

Free text: Swelling under arm is much better today.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-02
Health check-in — day 7, dose 2
Feeling: Good · Site: Itching · None

Adult check-in
2021-02-08
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-15
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-22
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-01
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-08
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-04-26
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-07-26
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-12-02
Dose 3 — Moderna
2021-12-05
Survey response — days 1–6 daily, dose 3
MedDRA: Rash — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: Rash on my face

MedDRA releases: 2024-11 · check-in free text available
2021-12-06
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Rash, not including the immediate area around the injection site

Adult check-in
2021-12-07
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Redness, Swelling, Itching · Rash, not including the immediate area around the injection site

Adult check-in
2021-12-08
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Redness, Swelling, Itching · None

Adult check-in
2021-12-09
Health check-in — day 7, dose 3
Feeling: Good · Site: Redness, Itching · None

Adult check-in
2021-12-16
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-12-23
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-12-30
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-01-06
Survey response — day 35, dose 3
MedDRA: Nasopharyngitis, SARS-CoV-2 test negative — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Cold symptoms negative covid test

MedDRA releases: 2024-11 · check-in free text available
2022-01-13
Survey response — day 42, dose 3
MedDRA: Nasopharyngitis — Feeling: Fair · Be unable to work or attend school

Free text: Cold symptoms

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

Adult check-in
2022-10-26
Dose 4 — Pfizer-BioNTech
Co-administered: Flu
2022-10-26
Health check-in — day 0, dose 4
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches

Adult check-in
2022-10-27
Survey response — days 1–6 daily, dose 4
MedDRA: Lymphadenopathy — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Very swollen lymph nodes. Baseball size

MedDRA releases: 2024-11 · check-in free text available
2022-10-28
Survey response — days 1–6 daily, dose 4
MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Swollen lymph nodes

MedDRA releases: 2024-11 · check-in free text available
2022-10-29
Survey response — days 1–6 daily, dose 4
MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches

Free text: Lymph nodes are very swollen. Baseball size under a

MedDRA releases: 2024-11 · check-in free text available
2022-10-30
Survey response — days 1–6 daily, dose 4
MedDRA: Lymphadenopathy — Feeling: Fair · Site: Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness

Free text: Lymph nodes are very swollen

MedDRA releases: 2024-11 · check-in free text available
2022-10-31
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Swelling · Muscle or body aches

Adult check-in
2022-11-01
Survey response — days 1–6 daily, dose 4
MedDRA: Lymphadenopathy — Feeling: Good · Site: Swelling

Free text: Swollen lymph nodes

MedDRA releases: 2024-11 · check-in free text available
2022-11-04
Survey response — day 7, dose 4
MedDRA: Lymphadenopathy — Feeling: Fair · Site: Redness, Swelling · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Swollen lymph nodes

MedDRA releases: 2024-11 · check-in free text available
2022-11-09
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-11-18
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-11-25
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-11-30
Survey response — day 35, dose 4
MedDRA: Diarrhoea, Headache, Pain, Pyrexia, Vomiting — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Vomiting, diarrhea, headache, fever, body aches

MedDRA releases: 2024-11 · check-in free text available
2023-01-25
Survey response — 3 months, dose 4
MedDRA: Diarrhoea, Lymphadenopathy — Feeling: Good · Be unable to work or attend school

MedDRA releases: 2024-11
2023-04-28
Survey response — 6 months, dose 4
MedDRA: Cough, Oropharyngeal pain, Rhinorrhoea — Feeling: Fair · Be unable to do your normal daily activities

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-28	Moderna
2	2021-01-25	Moderna
3	2021-12-02	Moderna	No
4	2022-10-26	Pfizer-BioNTech	Flu

Free text

Release 1 — day 14, dose 1

2021-01-11

Symptoms: 10 days after vaccination, site turned red. Entire upper arm was a red circle around site. Became swollen and warm to touch on day 11. Days 12 and 13 began to itch. 98 percent fine today.

Release 2 — days 1–6 daily, dose 2

2021-01-27

Systemic reaction (other): Baseball size lump under arm of injection site. Assuming to be lymph nodes. Causing pain in arm, chest and ribcage.

2021-01-28

Systemic reaction (other): Baseball size lump still under my arm spreading across chest

Release 3 — days 1–6 daily, dose 2

2021-01-29

Systemic reaction (other): Baseball lump under arm into chest and rib cage.

2021-01-30

Systemic reaction (other): Swelling under arm is much better today.

Release 10 — days 1–6 daily, dose 3

2021-12-05

Systemic reaction (other): Rash on my face

Release 10 — day 35, dose 3

2022-01-06

Symptoms: Cold symptoms negative covid test

Release 10 — day 42, dose 3

2022-01-13

Symptoms: Cold symptoms

Release 12 — days 1–6 daily, dose 4

2022-10-27

Systemic reaction (other): Very swollen lymph nodes. Baseball size

2022-10-28

Systemic reaction (other): Swollen lymph nodes

2022-10-29

Systemic reaction (other): Lymph nodes are very swollen. Baseball size under a

2022-10-30

Systemic reaction (other): Lymph nodes are very swollen

2022-11-01

Systemic reaction (other): Swollen lymph nodes

Release 12 — day 7, dose 4

2022-11-04

Systemic reaction (other): Swollen lymph nodes

Release 12 — day 35, dose 4

2022-11-30

Symptoms: Vomiting, diarrhea, headache, fever, body aches

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	Cough	·	·	✓
SD	Diarrhoea	·	·	✓
SD	Headache	·	·	✓
SD	Injection site erythema	✓	✓	✓
SD	Injection site pruritus	✓	✓	✓
SD	Injection site swelling	✓	✓	✓
SD	Injection site warmth	✓	✓	✓
SD	Lymphadenopathy	·	·	✓
SD	Nasopharyngitis	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pain	·	·	✓
SD	Pyrexia	·	·	✓
SD	Rhinorrhoea	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	Vomiting	·	·	✓
SRO	Axillary mass	✓	✓	✓
SRO	Chest pain	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Mass	✓	✓	✓
SRO	Oedema peripheral	·	·	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Rash	·	·	✓

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