YZN-21043-58012

3 vaccinations 9 coded responses 22 check-ins 9 free-text entries 2 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 221 / VA
Registered: 2021-01-29

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

2020-12-30
Dose 1 — Moderna
2021-01-27
Dose 2 — Moderna
2021-01-29
Registered in v-safe
2021-01-29
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work

Free text: Lymphadenopathy above collar bone

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 — Feeling: Fair · Site: Pain · Be unable to do your normal daily activities

Free text: Still have significant lymphadenopathy above collarbone on side of injection

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-31
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2021-02-01
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Good

Free text: Still some swelling above left clavical in lymph nodes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-02
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia, Lymph node pain, Lymphadenopathy, Tenderness — Feeling: Good · Muscle or body aches

Free text: Still have sore shoulder and mild swelling and tenderness of supraclavicular lymph nodes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-03
Survey response — day 7, dose 2
MedDRA: Lymph node pain — Feeling: Good · Muscle or body aches

Free text: Still slightly tender lymph nodes.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-10
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-17
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-07-28
Survey response — 6 months, dose 2
MedDRA: Back pain, Physiotherapy, Spinal osteoarthritis — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Back pain, dx with spinal arthritis. Did PT 6 weeks. I feel better.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-28
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-05
Call 1 — Left Voicemail
2021-08-10
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-11-19
Dose 3 — Moderna
2021-11-20
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fever · Chills, Fatigue or tiredness

Adult check-in
2021-11-21
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2021-11-22
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-11-23
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-24
Survey response — days 1–6 daily, dose 3
MedDRA: Lymphadenopathy — Feeling: Good

Free text: Mild lymphadenopathy in left axilla

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: Lymphadenopathy left axilla

MedDRA releases: 2024-11 · check-in free text available
2021-11-26
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-12-03
Health check-in — day 14, dose 3
Feeling: Fair

Adult check-in
2021-12-10
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-12-19
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-26
Health check-in — day 35, dose 3
Feeling: Good

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

Adult check-in
2022-02-18
Survey response — 3 months, dose 3
MedDRA: Oedema peripheral, Periarthritis — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Adhesive capsulites of shoulder. Peripheral edema , hands and legs.

MedDRA releases: 2024-11 · check-in free text available
2022-02-18
Report sent to call center — 3 months, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-02-24
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-30	Moderna
2	2021-01-27	Moderna
3	2021-11-19	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2021-07-28	Successful 2021-08-10	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-02-18	Unsuccessful

Free text

Release 3 — days 1–6 daily, dose 2

2021-01-29

Systemic reaction (other): Lymphadenopathy above collar bone

2021-01-30

Systemic reaction (other): Still have significant lymphadenopathy above collarbone on side of injection

2021-02-01

Systemic reaction (other): Still some swelling above left clavical in lymph nodes

2021-02-02

Systemic reaction (other): Still have sore shoulder and mild swelling and tenderness of supraclavicular lymph nodes

Release 3 — day 7, dose 2

2021-02-03

Systemic reaction (other): Still slightly tender lymph nodes.

Release 9 — 6 months, dose 2

2021-07-28

Symptoms: Back pain, dx with spinal arthritis. Did PT 6 weeks. I feel better.

Release 10 — days 1–6 daily, dose 3

2021-11-24

Systemic reaction (other): Mild lymphadenopathy in left axilla

2021-11-25

Systemic reaction (other): Lymphadenopathy left axilla

Release 11 — 3 months, dose 3

2022-02-18

Symptoms: Adhesive capsulites of shoulder. Peripheral edema , hands and legs.

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	Back pain	✓	·	✓
SD	Oedema peripheral	·	·	✓
SD	Periarthritis	·	·	✓
SD	Physiotherapy	✓	·	✓
SD	Spinal osteoarthritis	✓	·	✓
SRO	Arthralgia	✓	✓	✓
SRO	Lymph node pain	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Tenderness	✓	✓	○

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