YSD-10222-35120

5 vaccinations 12 coded responses 32 check-ins 12 free-text entries 0 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 117 / NY
Registered: 2021-01-12

Relationship: Self
Race: White
Ethnicity: Hispanic or Latino

Registered dependents

MPV-14338-21808 Child or adolescent in my care · Male · 2021-12-07

S9X-68689-35000 Child or adolescent in my care · Female · 2021-12-07

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
2021-01-12
Registered in v-safe
2021-01-12
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-18
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-01-25
Dose 2 — Moderna
2021-01-25
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-01-26
Survey response — days 1–6 daily, dose 2
MedDRA: Bone pain, Pain — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Shooting pain in long bones

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-27
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Swollen axillar lymph nodes on injection side.

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: Injection site pain, Injection site swelling — Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Significant swelling and pain at vaccine arm lymph nodes on

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-29
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Swelling · None · Be unable to do your normal daily activities

Adult check-in
2021-01-30
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain, Swelling · Joint pains

Free text: Vaccine side swollen glands continue although swelling is subsiding

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-31
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Good · Site: Swelling

Free text: Swelling in lymph nodes on vaccine arm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-01
Survey response — day 7, dose 2
MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Good · Site: Swelling

Free text: Lymph node swelling continues to decrease. No pain any longer. Almost back to normal.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-10
Survey response — day 14, dose 2
MedDRA: Condition aggravated, Pre-existing disease — Feeling: Good

Free text: Not sure if related - could be weather- or due to underlying autoimmune issues under care of rheumatologist. Last 48 hours I have had exacerbation of joint pain right knee and tendon pain left hand.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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
Survey response — day 35, dose 2
MedDRA: Arthritis, Pre-existing disease — Feeling: Good

Free text: Exacerbation of arthritic inflammation right knee and shoulder starting Saturday. Reporting in case it is deemed relevant but assuming it is coincidental.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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
2021-12-06
Dose 3 — Moderna
2021-12-07
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-12-08
Survey response — days 1–6 daily, dose 3
MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Very swollen and painful lymph nodes on injection arm axilla.

MedDRA releases: 2024-11 · check-in free text available
2021-12-09
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Redness, Swelling · Fever · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-12-11
Survey response — days 1–6 daily, dose 3
MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain · Fatigue or tiredness

Free text: Swollen axillar lymph nodes since Day 2 post injection

MedDRA releases: 2024-11 · check-in free text available
2021-12-12
Survey response — days 1–6 daily, dose 3
MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain

Free text: Axillar lymph node swelling on injection arm

MedDRA releases: 2024-11 · check-in free text available
2021-12-13
Survey response — day 7, dose 3
MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain

Free text: Swollen axillar lymph nodes in injection arm

MedDRA releases: 2024-11 · check-in free text available
2021-12-21
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-12-27
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-01-03
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-01-17
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-03-09
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-06-06
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-07-20
Dose 4 — Moderna
2022-09-21
Dose 5 — Moderna
2022-10-18
Health check-in — day 21, dose 5
Feeling: Good

Adult check-in
2022-10-26
Health check-in — day 35, dose 5
Feeling: Fair

Adult check-in
2023-03-24
Health check-in — 6 months, dose 5
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-28	Moderna
2	2021-01-25	Moderna
3	2021-12-06	Moderna	No
4	2022-07-20	Moderna	No
5	2022-09-21	Moderna	No

Free text

Release 2 — days 1–6 daily, dose 2

2021-01-26

Systemic reaction (other): Shooting pain in long bones

2021-01-27

Systemic reaction (other): Swollen axillar lymph nodes on injection side.

Release 3 — days 1–6 daily, dose 2

2021-01-28

Systemic reaction (other): Significant swelling and pain at vaccine arm lymph nodes on

2021-01-30

Systemic reaction (other): Vaccine side swollen glands continue although swelling is subsiding

2021-01-31

Systemic reaction (other): Swelling in lymph nodes on vaccine arm

Release 3 — day 7, dose 2

2021-02-01

Systemic reaction (other): Lymph node swelling continues to decrease. No pain any longer. Almost back to normal.

Release 4 — day 14, dose 2

2021-02-10

Symptoms: Not sure if related - could be weather- or due to underlying autoimmune issues under care of rheumatologist. Last 48 hours I have had exacerbation of joint pain right knee and tendon pain left hand.

Release 4 — day 35, dose 2

2021-03-01

Symptoms: Exacerbation of arthritic inflammation right knee and shoulder starting Saturday. Reporting in case it is deemed relevant but assuming it is coincidental.

Release 10 — days 1–6 daily, dose 3

2021-12-08

Systemic reaction (other): Very swollen and painful lymph nodes on injection arm axilla.

2021-12-11

Systemic reaction (other): Swollen axillar lymph nodes since Day 2 post injection

2021-12-12

Systemic reaction (other): Axillar lymph node swelling on injection arm

Release 10 — day 7, dose 3

2021-12-13

Systemic reaction (other): Swollen axillar lymph nodes in injection arm

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	Arthritis	✓	✓	✓
SD	Condition aggravated	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SRO	Bone pain	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Injection site swelling	✓	✓	✓
SRO	Lymph node pain	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Pain	✓	✓	✓

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