2FN-25543-80940

4 vaccinations 8 coded responses 24 check-ins 8 free-text entries 0 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 335 / FL
Registered: 2021-03-25

Relationship: Self
Race: White
Ethnicity: 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

2021-03-24
Dose 1 — Moderna
2021-03-25
Registered in v-safe
2021-03-25
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Redness, Swelling · Headache

Adult check-in
2021-03-26
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site rash, Rash — Feeling: Good · Site: Pain, Redness, Swelling · Abdominal pain

Free text: Spotty rash down my arm, where shot was administered this morning. The rash around the injection site is still there, but the one from this morning is gone.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Redness, Swelling · None

Adult check-in
2021-03-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Redness, Swelling · None

Adult check-in
2021-03-29
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Redness, Swelling · None

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

Adult check-in
2021-03-31
Health check-in — day 7, dose 1
Feeling: Good · Site: Redness · None

Adult check-in
2021-04-07
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-14
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-21
Dose 2 — Moderna
2021-04-21
Health check-in — day 0, dose 2
Feeling: Good · Headache, Abdominal pain

Adult check-in
2021-04-22
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-04-23
Survey response — days 1–6 daily, dose 2
MedDRA: Axillary pain, Oedema peripheral — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Abdominal pain

Free text: Swelling and moderate pain under armpit, right side where vaccine was administered

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: Oedema peripheral, Tenderness — Feeling: Fair · Site: Pain, Redness · Abdominal pain

Free text: Underarm, on the side where the vaccine was administered, swollen and hurts when touched

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: Axillary pain, Oedema peripheral — Feeling: Fair · Site: Pain, Redness, Swelling

Free text: Under armpit swelling and a mild pain when touched

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-26
Survey response — days 1–6 daily, dose 2
MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Good · Site: Redness · Rash, not including the immediate area around the injection site

Free text: Lymph node under armpit at injection arm, still swollen with mild pain when touched

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-27
Survey response — days 1–6 daily, dose 2
MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Good · Rash, not including the immediate area around the injection site

Free text: Lymph node under armpit side of injection site still swollen and mild pain to the touch k

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-28
Survey response — day 7, dose 2
MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Good · Rash, not including the immediate area around the injection site

Free text: Lymph node still swollen and tender when touched (mild). Under armpit on side of injection site t

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

Adult check-in
2021-05-12
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-19
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-26
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-02
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-21
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-20
Survey response — 6 months, dose 2
MedDRA: Abdominal pain, Headache, Insomnia, Nausea, Oropharyngeal pain — Feeling: Good · Be unable to do your normal daily activities

Free text: Had abdominal pain, nauseous, trouble sleeping, headaches, sore throat

MedDRA releases: 2024-11 · check-in free text available
2021-11-23
Dose 3 — Moderna
2022-04-15
Dose 4 — Moderna

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-24	Moderna
2	2021-04-21	Moderna
3	2021-11-23	Moderna	No
4	2022-04-15	Moderna	No

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-26

Systemic reaction (other): Spotty rash down my arm, where shot was administered this morning. The rash around the injection site is still there, but the one from this morning is gone.

Release 7 — days 1–6 daily, dose 2

2021-04-23

Systemic reaction (other): Swelling and moderate pain under armpit, right side where vaccine was administered

2021-04-24

Systemic reaction (other): Underarm, on the side where the vaccine was administered, swollen and hurts when touched

2021-04-25

Systemic reaction (other): Under armpit swelling and a mild pain when touched

Release 8 — days 1–6 daily, dose 2

2021-04-26

Systemic reaction (other): Lymph node under armpit at injection arm, still swollen with mild pain when touched

2021-04-27

Systemic reaction (other): Lymph node under armpit side of injection site still swollen and mild pain to the touch k

Release 8 — day 7, dose 2

2021-04-28

Systemic reaction (other): Lymph node still swollen and tender when touched (mild). Under armpit on side of injection site t

Release 10 — 6 months, dose 2

2021-10-20

Symptoms: Had abdominal pain, nauseous, trouble sleeping, headaches, sore throat

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	Abdominal pain	·	·	✓
SD	Headache	·	·	✓
SD	Insomnia	·	·	✓
SD	Nausea	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SRO	Axillary pain	✓	✓	✓
SRO	Injection site rash	✓	✓	✓
SRO	Lymph node pain	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Oedema peripheral	✓	✓	✓
SRO	Rash	✓	✓	✓
SRO	Tenderness	✓	✓	✓

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