YUN-16742-05134

5 vaccinations 11 coded responses 44 check-ins 11 free-text entries 0 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 955 / CA
Registered: 2021-02-04

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

2021-01-27
Dose 1 — Moderna
2021-02-04
Registered in v-safe
2021-02-04
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-11
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-17
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-24
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-02-26
Dose 2 — Moderna
2021-02-26
Health check-in — day 0, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-02-27
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-28
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Redness · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-01
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-03
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Rash, not including the immediate area around the injection site

Adult check-in
2021-03-04
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Rash, not including the immediate area around the injection site

Adult check-in
2021-03-05
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-12
Survey response — day 14, dose 2
MedDRA: Kidney infection — Feeling: Good · Be unable to work, Be unable to do your normal daily activities

Free text: Kidney infection, not related to the vaccines

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-19
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-26
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-02
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-11
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-28
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-27
Survey response — 6 months, dose 2
MedDRA: Diarrhoea, Headache, Nausea, Pyrexia — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Diarrhea, fever, headache, nausea

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-10-23
Dose 3 — Pfizer-BioNTech
2021-10-25
Survey response — days 1–6 daily, dose 3
MedDRA: Ear pain, Lymph node pain, Lymphadenopathy — Feeling: Fair · Site: Pain · Chills

Free text: Extreme Lymph node swelling and pain in the arm pit, earache

MedDRA releases: 2024-11 · check-in free text available
2021-10-26
Survey response — days 1–6 daily, dose 3
MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Fair · Site: Pain · Chills

Free text: Large swelling and pain in lymph node in left arm pir worse than yesterday

MedDRA releases: 2024-11 · check-in free text available
2021-10-27
Survey response — days 1–6 daily, dose 3
MedDRA: Axillary pain, Lymphadenopathy, Pain in extremity — Feeling: Fair · Site: Pain · Fever · Chills

Free text: Large lynph node and severe pain in ledt arm pit spreading to upper left arm

MedDRA releases: 2024-11 · check-in free text available
2021-10-29
Survey response — days 1–6 daily, dose 3
MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Fair

Free text: Lymph nodes under left armpit swollen and painful

MedDRA releases: 2024-11 · check-in free text available
2021-10-30
Survey response — day 7, dose 3
MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Fair

Free text: Left lymph node swelling in the arm pit severe with pain

MedDRA releases: 2024-11 · check-in free text available
2021-11-06
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-13
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-20
Survey response — day 28, dose 3
MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Fair · Be unable to do your normal daily activities

Free text: Lymph node under left arm pit larger and more painful

MedDRA releases: 2024-11 · check-in free text available
2021-11-28
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-04
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-22
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-04-02
Dose 4 — Pfizer-BioNTech
2022-04-14
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-04-16
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-04-25
Survey response — day 21, dose 4
MedDRA: Nephrolithiasis — Feeling: Poor · Be unable to work or attend school

Free text: Kidney stone

MedDRA releases: 2024-11 · check-in free text available
2022-04-30
Survey response — day 28, dose 4
MedDRA: Nephrolithiasis — Feeling: Fair · Be unable to work or attend school

Free text: Kidney stones

MedDRA releases: 2024-11 · check-in free text available
2022-05-07
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-05-16
Health check-in — day 42, dose 4
Feeling: Fair

Adult check-in
2022-07-04
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-09-10
Dose 5 — Pfizer-BioNTech
Co-administered: Flu
2022-10-01
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in
2022-10-06
Health check-in — day 21, dose 5
Feeling: Good

Adult check-in
2022-10-08
Health check-in — day 28, dose 5
Feeling: Good

Adult check-in
2022-10-17
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2022-10-22
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2022-12-12
Survey response — 3 months, dose 5
MedDRA: COVID-19 — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: I had Covid

MedDRA releases: 2024-11 · check-in free text available
2023-03-11
Health check-in — 6 months, dose 5
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-27	Moderna
2	2021-02-26	Moderna
3	2021-10-23	Pfizer-BioNTech	No
4	2022-04-02	Pfizer-BioNTech	No
5	2022-09-10	Pfizer-BioNTech	Flu

Free text

Release 5 — day 14, dose 2

2021-03-12

Symptoms: Kidney infection, not related to the vaccines

Release 9 — 6 months, dose 2

2021-08-27

Symptoms: Diarrhea, fever, headache, nausea

Release 10 — days 1–6 daily, dose 3

2021-10-25

Systemic reaction (other): Extreme Lymph node swelling and pain in the arm pit, earache

2021-10-26

Systemic reaction (other): Large swelling and pain in lymph node in left arm pir worse than yesterday

2021-10-27

Systemic reaction (other): Large lynph node and severe pain in ledt arm pit spreading to upper left arm

2021-10-29

Systemic reaction (other): Lymph nodes under left armpit swollen and painful

Release 10 — day 7, dose 3

2021-10-30

Systemic reaction (other): Left lymph node swelling in the arm pit severe with pain

Release 10 — day 28, dose 3

2021-11-20

Symptoms: Lymph node under left arm pit larger and more painful

Release 11 — day 21, dose 4

2022-04-25

Symptoms: Kidney stone

Release 11 — day 28, dose 4

2022-04-30

Symptoms: Kidney stones

Release 12 — 3 months, dose 5

2022-12-12

Symptoms: I had Covid

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	COVID-19	·	·	✓
SD	Diarrhoea	✓	·	✓
SD	Headache	✓	·	✓
SD	Kidney infection	✓	✓	✓
SD	Lymph node pain	·	·	✓
SD	Lymphadenopathy	·	·	✓
SD	Nausea	✓	·	✓
SD	Nephrolithiasis	·	·	✓
SD	Pyrexia	✓	·	✓
SRO	Axillary pain	·	·	✓
SRO	Ear pain	·	·	✓
SRO	Lymph node pain	·	·	✓
SRO	Lymphadenopathy	·	·	✓
SRO	Pain in extremity	·	·	✓

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