23U-98655-35947

4 vaccinations 8 coded responses 36 check-ins 8 free-text entries 0 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 492 / MI
Registered: 2021-04-14

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

2021-04-08
Dose 1 — Moderna
2021-04-14
Registered in v-safe
2021-04-14
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · None

Adult check-in
2021-04-16
Survey response — day 7, dose 1
MedDRA: Axillary mass, Axillary pain, Oedema peripheral, Tenderness — Feeling: Good

Free text: Yesterday my armpit starting hurting. I found a soft swollen lump deep into the crook about the size of a nickel. Tender to the touch. It hurt less today and smaller maybe marble sized but still there.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-04-30
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-05-06
Dose 2 — Moderna
2021-05-07
Survey response — days 1–6 daily, dose 2
MedDRA: Pain of skin — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: Skin pain everywhere.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-08
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache

Adult check-in
2021-05-09
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-05-10
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Fatigue or tiredness

Adult check-in
2021-05-11
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Chills, Headache, Fatigue or tiredness, Diarrhea

Adult check-in
2021-05-12
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-05-13
Health check-in — day 7, dose 2
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-05-20
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-27
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-06-03
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-06-10
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-17
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-08-07
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-11-04
Health check-in — 6 months, dose 2
Feeling: Poor

Adult check-in
2021-12-01
Dose 3 — Moderna
2021-12-02
Survey response — days 1–6 daily, dose 3
MedDRA: Hypersensitivity, Pain of skin — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Skin pain like the nerves are over sensitive.

MedDRA releases: 2024-11 · check-in free text available
2021-12-03
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-12-04
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-12-05
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-12-06
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Headache

Adult check-in
2021-12-07
Survey response — days 1–6 daily, dose 3
MedDRA: Nasal congestion, Respiratory tract congestion — Feeling: Fair · Headache

Free text: Post Nasal and Chest congestion

MedDRA releases: 2024-11 · check-in free text available
2021-12-08
Survey response — day 7, dose 3
MedDRA: Lower respiratory tract congestion, Sinus congestion — Feeling: Good

Free text: Sinus and bronchial congestion

MedDRA releases: 2024-11 · check-in free text available
2021-12-15
Health check-in — day 14, dose 3
Feeling: Poor

Adult check-in
2021-12-22
Survey response — day 21, dose 3
MedDRA: Back pain, Brain fog, Lethargy — Feeling: Poor

Free text: Back pain. Lethargy. Brain fog

MedDRA releases: 2024-11 · check-in free text available
2021-12-29
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-01-05
Health check-in — day 35, dose 3
Feeling: Fair

Adult check-in
2022-01-12
Survey response — day 42, dose 3
MedDRA: Bronchitis, Sinusitis — Feeling: Poor

Free text: Probably sinus infection, bronchitis.

MedDRA releases: 2024-11 · check-in free text available
2022-03-02
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-06-01
Health check-in — 6 months, dose 3
Feeling: Fair

Adult check-in
2022-09-23
Dose 4 — Moderna
Co-administered: Flu
2022-10-16
Health check-in — day 21, dose 4
Feeling: Fair

Adult check-in
2022-10-21
Health check-in — day 28, dose 4
Feeling: Fair

Adult check-in
2022-11-04
Survey response — day 42, dose 4
MedDRA: Arthropathy — Feeling: Fair · Be unable to do your normal daily activities

Free text: Joint issues.

MedDRA releases: 2024-11 · check-in free text available
2023-03-25
Health check-in — 6 months, dose 4
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-08	Moderna
2	2021-05-06	Moderna
3	2021-12-01	Moderna	No
4	2022-09-23	Moderna	Flu

Free text

Release 7 — day 7, dose 1

2021-04-16

Systemic reaction (other): Yesterday my armpit starting hurting. I found a soft swollen lump deep into the crook about the size of a nickel. Tender to the touch. It hurt less today and smaller maybe marble sized but still there.

Release 8 — days 1–6 daily, dose 2

2021-05-07

Systemic reaction (other): Skin pain everywhere.

Release 10 — days 1–6 daily, dose 3

2021-12-02

Systemic reaction (other): Skin pain like the nerves are over sensitive.

2021-12-07

Systemic reaction (other): Post Nasal and Chest congestion

Release 10 — day 7, dose 3

2021-12-08

Systemic reaction (other): Sinus and bronchial congestion

Release 10 — day 21, dose 3

2021-12-22

Symptoms: Back pain. Lethargy. Brain fog

Release 10 — day 42, dose 3

2022-01-12

Symptoms: Probably sinus infection, bronchitis.

Release 12 — day 42, dose 4

2022-11-04

Symptoms: Joint issues.

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	Arthropathy	·	·	✓
SD	Back pain	·	·	✓
SD	Brain fog	·	·	✓
SD	Bronchitis	·	·	✓
SD	Lethargy	·	·	✓
SD	Sinusitis	·	·	✓
SRO	Axillary mass	✓	✓	✓
SRO	Axillary pain	✓	✓	✓
SRO	Hypersensitivity	·	·	✓
SRO	Lower respiratory tract congestion	·	·	✓
SRO	Nasal congestion	·	·	✓
SRO	Oedema peripheral	✓	✓	✓
SRO	Pain of skin	✓	✓	✓
SRO	Respiratory tract congestion	·	·	✓
SRO	Sinus congestion	·	·	✓
SRO	Tenderness	✓	✓	✓

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