Z79-23648-97138 · OpenVSafe

Timeline

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

2021-04-13
Dose 1 — Moderna
2021-04-21
Registered in v-safe
2021-04-21
Survey response — day 7, dose 1
MedDRA: Immunisation reaction, Lymphadenopathy, Lymphoedema — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Systemic reaction (other): I had a bad reaction to the vaccination regarding my lymph nodes · Healthcare visit (other): Severe flare up of left arm. Lymphedema was agravated.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
Report sent to call center — day 7, dose 1
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-27
Survey response — day 14, dose 1
MedDRA: Lymphoedema, Unevaluable event — Feeling: Poor · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: I am a breast cancer survivor I have lymphedema in my left arm. I received my vaccination two days after I had a bad reaction. My lymph nodes were very swollen and my hand that I have lymphedema and got infected how to go to urgent care and get antib · Healthcare visit (other): Lymphedema on left arm got infected I did not receive my vaccination in my bad arm I did it on my good arm and still got bad reaction

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-27
Report sent to call center — day 14, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-11
Health check-in — day 28, dose 1
Feeling: Fair

Adult check-in
2021-12-22
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-13	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-04-21	Successful	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-04-27	Successful 2021-12-22	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Free text

Release 7 — day 7, dose 1

2021-04-21

Systemic reaction (other): I had a bad reaction to the vaccination regarding my lymph nodes

Healthcare visit (other): Severe flare up of left arm. Lymphedema was agravated.

Release 8 — day 14, dose 1

2021-04-27

Symptoms: I am a breast cancer survivor I have lymphedema in my left arm. I received my vaccination two days after I had a bad reaction. My lymph nodes were very swollen and my hand that I have lymphedema and got infected how to go to urgent care and get antib cut off by CDC

Healthcare visit (other): Lymphedema on left arm got infected I did not receive my vaccination in my bad arm I did it on my good arm and still got bad reaction

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
HCVO	Lymphoedema	✓	✓	✓
HCVO	Unevaluable event	✓	✓	✓
SD	Lymphoedema	✓	✓	✓
SRO	Immunisation reaction	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓

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