25X-14657-26868

4 vaccinations 6 coded responses 47 check-ins 6 free-text entries 0 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 028 / RI
Registered: 2021-04-08

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

2021-04-07
Dose 1 — Moderna
2021-04-08
Registered in v-safe
2021-04-08
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness — Feeling: Fair · Site: Pain · Fatigue or tiredness, Nausea

Free text: Lightheaded

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Redness, Swelling · Fatigue or tiredness, Nausea

Adult check-in
2021-04-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Redness · Fatigue or tiredness

Adult check-in
2021-04-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Nausea

Adult check-in
2021-04-13
Survey response — days 1–6 daily, dose 1
MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Good

Free text: Armpit on injection arm feels tender. Swollen lymph node.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-14
Survey response — day 7, dose 1
MedDRA: Lymph node pain — Feeling: Good

Free text: Armpit Lymph Node tender

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-28
Survey response — day 21, dose 1
MedDRA: Breast pain, Hormone level abnormal, Pregnancy — Feeling: Good

Free text: New symptom related to hormones: Sore breasts then 1 week later menstruation at 28 days (normally 4 month cycles as perimenopausal).

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-05
Dose 2 — Moderna
2021-05-05
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Chills, Fatigue or tiredness, Nausea

Adult check-in
2021-05-06
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-05-07
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-05-08
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-05-09
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-10
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-11
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-12
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-05-19
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-26
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-06-02
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-09
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-16
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-08-04
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-11-03
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-27
Dose 3 — Moderna
2021-12-01
Survey response — days 1–6 daily, dose 3
MedDRA: Chills, Fatigue, Headache, Lymphadenopathy — Feeling: Good · Site: Swelling

Free text: 7 hours after vaccine I experienced chills, swollen lymph nodes in left armpit, headache, fatigue for 48 hours.

MedDRA releases: 2024-11 · check-in free text available
2021-12-02
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-12-03
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-12-04
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-12-11
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-12-18
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-12-25
Health check-in — day 28, dose 3
Feeling: Good

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

Adult check-in
2022-01-08
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-05-30
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-09-21
Dose 4 — Pfizer-BioNTech
2022-09-22
Health check-in — days 1–6 daily, dose 4
Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2022-09-23
Survey response — days 1–6 daily, dose 4
MedDRA: Lymphadenopathy — Feeling: Fair · Site: Swelling · Muscle or body aches, Fatigue or tiredness, Nausea

Free text: Armpit lymph node swollen on injection side

MedDRA releases: 2024-11 · check-in free text available
2022-09-24
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Swelling · Fatigue or tiredness

Adult check-in
2022-09-25
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Swelling · Fatigue or tiredness

Adult check-in
2022-09-26
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-09-27
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-09-28
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-10-05
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-10-12
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-10-19
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-10-26
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-11-02
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2023-03-22
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-07	Moderna
2	2021-05-05	Moderna
3	2021-11-27	Moderna	No
4	2022-09-21	Pfizer-BioNTech	No

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-08

Systemic reaction (other): Lightheaded

2021-04-13

Systemic reaction (other): Armpit on injection arm feels tender. Swollen lymph node.

Release 7 — day 7, dose 1

2021-04-14

Systemic reaction (other): Armpit Lymph Node tender

Release 8 — day 21, dose 1

2021-04-28

Symptoms: New symptom related to hormones: Sore breasts then 1 week later menstruation at 28 days (normally 4 month cycles as perimenopausal).

Release 10 — days 1–6 daily, dose 3

2021-12-01

Systemic reaction (other): 7 hours after vaccine I experienced chills, swollen lymph nodes in left armpit, headache, fatigue for 48 hours.

Release 12 — days 1–6 daily, dose 4

2022-09-23

Systemic reaction (other): Armpit lymph node swollen on injection side

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	Breast pain	✓	✓	✓
SD	Hormone level abnormal	✓	✓	✓
SD	Pregnancy	✓	✓	✓
SRO	Chills	·	·	✓
SRO	Dizziness	✓	✓	✓
SRO	Fatigue	·	·	✓
SRO	Headache	·	·	✓
SRO	Lymph node pain	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓

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