YT6-10723-28443

3 vaccinations 8 coded responses 25 check-ins 8 free-text entries 1 call case

Sex: Female
Age at first dose: 61-65
ZIP prefix: 336 / FL
Registered: 2021-01-21

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

2021-01-21
Registered in v-safe
2021-01-21
Dose 1 — Moderna
2021-01-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-01-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fever · Headache

Adult check-in
2021-01-24
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Redness · Headache

Adult check-in
2021-01-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-01-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-01-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-28
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-04
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-11
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-25
Dose 2 — Moderna
2021-02-25
Health check-in — day 0, dose 2
Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-02-26
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-02-27
Survey response — days 1–6 daily, dose 2
MedDRA: Erythema, Lymphadenopathy — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: Lymph nodes in armpit the size of a goose egg. Nodes in neck evident. Redness now down to 4 inches from my wrist.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-28
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: Swollen lymph nodes under arm large

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-01
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphoedema — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: Lymphedema

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-02
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Lymph node under arm swollen to size of goose egg

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-03
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fatigue or tiredness

Free text: Lymph node enlarged

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-26
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-14
Dose 3 — Moderna
2021-10-27
Survey response — day 7, dose 3
MedDRA: Chills, Fatigue, Headache, Pain, Pyrexia — Feeling: Fair · Be unable to do your normal daily activities

Free text: 2 weeks after 3rd shot- fever, chills,headache, severe fatigue, body aches

MedDRA releases: 2024-11 · check-in free text available
2021-10-28
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-04
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-13
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-18
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-11-25
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-13
Survey response — 3 months, dose 3
MedDRA: Fatigue, Lymphadenopathy, Urticaria — Feeling: Fair · Be unable to work or attend school

Free text: Severe continuing hives. Lymph node enlargement, blood work trending downwards, severe fatigue.

MedDRA releases: 2024-11 · check-in free text available
2022-04-14
Survey response — 6 months, dose 3
MedDRA: Dyspnoea, Urticaria — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Hives, shortness of breath

MedDRA releases: 2024-11 · check-in free text available
2022-04-14
Report sent to call center — 6 months, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-04-20
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-21	Moderna
2	2021-02-25	Moderna
3	2021-10-14	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2022-04-14	Unsuccessful

Free text

Release 4 — days 1–6 daily, dose 2

2021-02-27

Systemic reaction (other): Lymph nodes in armpit the size of a goose egg. Nodes in neck evident. Redness now down to 4 inches from my wrist.

2021-02-28

Systemic reaction (other): Swollen lymph nodes under arm large

2021-03-01

Systemic reaction (other): Lymphedema

2021-03-02

Systemic reaction (other): Lymph node under arm swollen to size of goose egg

Release 5 — days 1–6 daily, dose 2

2021-03-03

Systemic reaction (other): Lymph node enlarged

Release 10 — day 7, dose 3

2021-10-27

Systemic reaction (other): 2 weeks after 3rd shot- fever, chills,headache, severe fatigue, body aches

Release 10 — 3 months, dose 3

2022-01-13

Symptoms: Severe continuing hives. Lymph node enlargement, blood work trending downwards, severe fatigue.

Release 11 — 6 months, dose 3

2022-04-14

Symptoms: Hives, shortness of breath

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	Dyspnoea	·	·	✓
SD	Fatigue	·	·	✓
SD	Lymphadenopathy	·	·	✓
SD	Urticaria	·	·	✓
SRO	Chills	·	·	✓
SRO	Erythema	✓	✓	✓
SRO	Fatigue	·	·	✓
SRO	Headache	·	·	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Lymphoedema	✓	✓	✓
SRO	Pain	·	·	✓
SRO	Pyrexia	·	·	✓

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