28W-20463-27657

3 vaccinations 11 coded responses 33 check-ins 11 free-text entries 1 call case

Sex: Female
Age at first dose: 46-50
ZIP prefix: 951 / CA
Registered: 2021-03-25

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

2021-03-25
Registered in v-safe
2021-03-25
Dose 1 — Moderna
2021-03-25
Health check-in — day 0, dose 1
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-03-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Joint pains, Fatigue or tiredness

Adult check-in
2021-03-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2021-03-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fever · Headache

Adult check-in
2021-03-29
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-30
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-31
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-01
Survey response — day 7, dose 1
MedDRA: Lymph node pain, Oropharyngeal discomfort — Feeling: Fair · Site: Pain, Redness, Itching · Fever · Chills, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: My lymph nodes are tender in my arm pit and throat in the injection side of my body

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-15
Survey response — day 21, dose 1
MedDRA: Diarrhoea, Feeling abnormal, Headache — Feeling: Good

Free text: A touch of direah today. Mild headache today. Spacey brain today.All may or may not be relevant.All mild.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Dose 2 — Moderna
2021-04-22
Survey response — day 0, dose 2
MedDRA: Crepitations, Dizziness, Pruritus — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Creepy crackly feeling, light headed, skin itch no rash

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-23
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Swollen lymph nodes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-24
Survey response — days 1–6 daily, dose 2
MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Fair · Fever · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: My lymp nodes in the arm pit of the arm I got the shot in are swollen and hurt

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-25
Survey response — days 1–6 daily, dose 2
MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: My lymph nodes are swollen and painful

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-26
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-27
Survey response — days 1–6 daily, dose 2
MedDRA: Brain fog, Decreased appetite, Dizziness, Lymph node pain — Feeling: Fair · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: Lightheadedness, brain fog, lymph node soreness, loss of appetite

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-29
Survey response — day 7, dose 2
MedDRA: Lymph node pain — Feeling: Good · Headache, Fatigue or tiredness

Free text: Lymph node pain Demi I shed but still present

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-08
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-05-13
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-20
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-30
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-05
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-23
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-21
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-12-21
Dose 3 — Moderna
2021-12-30
Health check-in — day 7, dose 3
Feeling: Good · Headache

Adult check-in
2022-01-06
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-01-11
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-01-21
Survey response — day 28, dose 3
MedDRA: Cough — Feeling: Good

Free text: Cough

MedDRA releases: 2024-11 · check-in free text available
2022-01-26
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-02-01
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-03-27
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-06-21
Survey response — 6 months, dose 3
MedDRA: Cough, Headache, Throat irritation — Feeling: Good

Free text: In the past few days I felt a peppery throat and mild headache. I also have an occasional cough. Other than that I feel great. At present my throat feels fine. My headache has never been bad enough to take Tylenol. No fever so probably not Covid

MedDRA releases: 2024-11 · check-in free text available
2022-12-21
Survey response — 12 months, dose 3
MedDRA: Pleurisy, Respiratory tract infection viral, SARS-CoV-2 test negative — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: I had pleurisy caused by a respiratory virus but tested negative for Covid

MedDRA releases: 2024-11 · check-in free text available
2022-12-21
Report sent to call center — 12 months, dose 3
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
2022-12-22
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-25	Moderna
2	2021-04-22	Moderna
3	2021-12-21	Moderna	No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 6 — day 7, dose 1

2021-04-01

Systemic reaction (other): My lymph nodes are tender in my arm pit and throat in the injection side of my body

Release 7 — day 21, dose 1

2021-04-15

Symptoms: A touch of direah today. Mild headache today. Spacey brain today.All may or may not be relevant.All mild.

Release 7 — day 0, dose 2

2021-04-22

Systemic reaction (other): Creepy crackly feeling, light headed, skin itch no rash

Release 7 — days 1–6 daily, dose 2

2021-04-23

Systemic reaction (other): Swollen lymph nodes

2021-04-24

Systemic reaction (other): My lymp nodes in the arm pit of the arm I got the shot in are swollen and hurt

2021-04-25

Systemic reaction (other): My lymph nodes are swollen and painful

Release 8 — days 1–6 daily, dose 2

2021-04-27

Systemic reaction (other): Lightheadedness, brain fog, lymph node soreness, loss of appetite

Release 8 — day 7, dose 2

2021-04-29

Systemic reaction (other): Lymph node pain Demi I shed but still present

Release 11 — day 28, dose 3

2022-01-21

Symptoms: Cough

Release 12 — 6 months, dose 3

2022-06-21

Symptoms: In the past few days I felt a peppery throat and mild headache. I also have an occasional cough. Other than that I feel great. At present my throat feels fine. My headache has never been bad enough to take Tylenol. No fever so probably not Covid cut off by CDC

Release 12 — 12 months, dose 3

2022-12-21

Symptoms: I had pleurisy caused by a respiratory virus but tested negative for Covid

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	Cough	·	·	✓
SD	Diarrhoea	✓	✓	✓
SD	Feeling abnormal	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Pleurisy	·	·	✓
SD	Respiratory tract infection viral	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	Throat irritation	·	·	✓
SRO	Brain fog	✓	✓	✓
SRO	Crepitations	✓	✓	✓
SRO	Decreased appetite	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Lymph node pain	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Oropharyngeal discomfort	✓	✓	✓
SRO	Pruritus	✓	✓	✓

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