25J-64875-32734

2 vaccinations 8 coded responses 21 check-ins 8 free-text entries 0 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 857 / AZ
Registered: 2021-02-02

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

2021-02-02
Registered in v-safe
2021-02-02
Dose 1 — Moderna
2021-02-02
Health check-in — day 0, dose 1
Feeling: Good · Headache

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

Adult check-in
2021-02-04
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Swelling · None

Adult check-in
2021-02-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Nausea

Adult check-in
2021-02-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-08
Survey response — days 1–6 daily, dose 1
MedDRA: Lymphadenopathy — Feeling: Good · Site: Swelling · Fatigue or tiredness

Free text: Swollen lymph nodes in left armpit (got vax in left arm)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-09
Survey response — day 7, dose 1
MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness

Free text: Armpit & lymph node swelling in vaccination arm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-16
Survey response — day 14, dose 1
MedDRA: Lymphadenopathy — Feeling: Good

Free text: Swollen lymph nodes in armpit of non-vaccinated arm not as swollen as my vaccinated arm. The swelling subsided in my vaccinated arm and then I got it in the other arm a little bit.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-23
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-03-02
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-03-06
Dose 2 — Moderna
2021-03-07
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site induration, Injection site rash, Injection site swelling, Injection site urticaria, Peripheral swelling, Urticaria — Feeling: Good · Site: Redness, Swelling · Fatigue or tiredness, Rash, not including the immediate area around the injection site

Free text: Rash is on vaccinated arm below injection site. Looks like a large hive. It's swollen and hard.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-08
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness, Itching · Diarrhea

Adult check-in
2021-03-09
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Muscle or body aches

Adult check-in
2021-03-11
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Muscle or body aches, Nausea · Be unable to work

Adult check-in
2021-03-12
Survey response — days 1–6 daily, dose 2
MedDRA: Chills, Headache, Nausea — Feeling: Good · Muscle or body aches

Free text: After I did my check in yesterday, I got chills and continued to have the really bad headache with nausea. Woke up in my headache was gone today.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-13
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-20
Survey response — day 14, dose 2
MedDRA: Neck pain, Pain in extremity — Feeling: Good · Be unable to do your normal daily activities

Free text: Soreness achiness on my vaccinated arm side from my neck all the way down through my shoulder and my arm along with my pec muscle. Sometimes so significant that I would have a hard time typing on a keyboard at the end of the day. It just subsided abo

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-28
Survey response — day 21, dose 2
MedDRA: Axillary pain, Chest pain, Flank pain, Pain in extremity, Sensory disturbance — Feeling: Fair

Free text: Still having significant sensations, soreness, and sometimes pain on my vaccinated side chest toward my armpit and on my side and my arm.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-03
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-10
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-04-19
Survey response — day 42, dose 2
MedDRA: Injection site reaction — Feeling: Good

Free text: I have continued to have weird sensations in the pec muscles arm, and shoulder of my vaccinated side. I got both shots on the left side. The sensation moves around.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-02	Moderna
2	2021-03-06	Moderna

Free text

Release 3 — days 1–6 daily, dose 1

2021-02-08

Systemic reaction (other): Swollen lymph nodes in left armpit (got vax in left arm)

Release 3 — day 7, dose 1

2021-02-09

Systemic reaction (other): Armpit & lymph node swelling in vaccination arm

Release 4 — day 14, dose 1

2021-02-16

Symptoms: Swollen lymph nodes in armpit of non-vaccinated arm not as swollen as my vaccinated arm. The swelling subsided in my vaccinated arm and then I got it in the other arm a little bit.

Release 5 — days 1–6 daily, dose 2

2021-03-07

Systemic reaction (other): Rash is on vaccinated arm below injection site. Looks like a large hive. It's swollen and hard.

2021-03-12

Systemic reaction (other): After I did my check in yesterday, I got chills and continued to have the really bad headache with nausea. Woke up in my headache was gone today.

Release 6 — day 14, dose 2

2021-03-20

Symptoms: Soreness achiness on my vaccinated arm side from my neck all the way down through my shoulder and my arm along with my pec muscle. Sometimes so significant that I would have a hard time typing on a keyboard at the end of the day. It just subsided abo cut off by CDC

Release 6 — day 21, dose 2

2021-03-28

Symptoms: Still having significant sensations, soreness, and sometimes pain on my vaccinated side chest toward my armpit and on my side and my arm.

Release 7 — day 42, dose 2

2021-04-19

Symptoms: I have continued to have weird sensations in the pec muscles arm, and shoulder of my vaccinated side. I got both shots on the left side. The sensation moves around.

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	Axillary pain	✓	✓	✓
SD	Chest pain	✓	✓	✓
SD	Flank pain	✓	✓	✓
SD	Injection site reaction	✓	✓	✓
SD	Lymphadenopathy	✓	✓	✓
SD	Neck pain	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SD	Sensory disturbance	✓	✓	✓
SRO	Chills	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Injection site induration	✓	·	✓
SRO	Injection site rash	✓	✓	✓
SRO	Injection site swelling	✓	·	✓
SRO	Injection site urticaria	✓	·	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Nausea	✓	✓	✓
SRO	Peripheral swelling	○	✓	○
SRO	Urticaria	○	✓	○

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