2G3-76233-85054

5 vaccinations 10 coded responses 59 check-ins 9 free-text entries 0 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 308 / GA
Registered: 2021-01-29

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

2021-01-29
Registered in v-safe
2021-01-29
Dose 1 — Moderna
2021-01-29
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-01-30
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-31
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-01
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Nausea

Adult check-in
2021-02-02
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-02-03
Survey response — days 1–6 daily, dose 1
MedDRA: Decreased appetite — Feeling: Good · Joint pains, Nausea

Free text: Loss of appetite

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-04
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-05
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-12
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-19
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-26
Dose 2 — Moderna
2021-02-26
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-02-27
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-02-28
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Itching · None

Adult check-in
2021-03-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Swelling, Itching · None

Adult check-in
2021-03-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Itching · None

Adult check-in
2021-03-03
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-04
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-05
Health check-in — day 7, dose 2
Feeling: Good · Headache

Adult check-in
2021-03-12
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-19
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-26
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-02
Survey response — day 35, dose 2
MedDRA: Arthralgia — Feeling: Fair

Free text: Joint pain in left hip

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-09
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-28
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-27
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-08
Dose 3 — Moderna
2021-11-09
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain, Swelling · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-11-10
Survey response — days 1–6 daily, dose 3
MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain, Swelling · Fever · Muscle or body aches, Fatigue or tiredness

Free text: Lymph nodes swollen in armpit & neck

MedDRA releases: 2024-11 · check-in free text available
2021-11-11
Survey response — days 1–6 daily, dose 3
MedDRA: Epistaxis, Lymphadenopathy — Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness

Free text: Lymph node swelling in armpit & collarbone on injection side & bloody nose

MedDRA releases: 2024-11 · check-in free text available
2021-11-12
Survey response — days 1–6 daily, dose 3
MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain, Swelling

Free text: Lymph nodes on armpit & neck still swollen

MedDRA releases: 2024-11 · check-in free text available
2021-11-13
Survey response — days 1–6 daily, dose 3
MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain

Free text: Still have slight swelling of lymph nodes in armpit & neck, but diminishing daily.

MedDRA releases: 2024-11 · check-in free text available
2021-11-14
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-15
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-11-22
Survey response — day 14, dose 3
MedDRA: Headache — Feeling: Good

Free text: Mild headaches

MedDRA releases: 2024-11 · check-in free text available
2021-11-29
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-12-06
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-13
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-20
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-02-07
Survey response — 3 months, dose 3
MedDRA: Exposure to SARS-CoV-2, Fatigue, Myalgia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Fatigue and muscle pain. Note that I've been exposed to Covid positive person for past 3 days.

MedDRA releases: 2024-11 · check-in free text available
2022-04-12
Dose 4 — Pfizer-BioNTech
Co-administered: Flu
2022-04-19
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-04-26
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-05-03
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-05-10
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-05-19
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-07-12
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-10-11
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in
2022-10-12
Dose 5 — Pfizer-BioNTech
Co-administered: Flu
2022-10-13
Health check-in — days 1–6 daily, dose 5
Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2022-10-14
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Site: Pain, Swelling · Muscle or body aches

Adult check-in
2022-10-15
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Site: Pain, Swelling · None

Adult check-in
2022-10-16
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Site: Pain · None

Adult check-in
2022-10-17
Survey response — days 1–6 daily, dose 5
MedDRA: Lymphadenopathy — Feeling: Fair

Free text: Swollen lymph nodes below jaw

MedDRA releases: 2024-11 · check-in free text available
2022-10-18
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Headache

Adult check-in
2022-10-19
Health check-in — day 7, dose 5
Feeling: Good · Headache

Adult check-in
2022-10-26
Health check-in — day 14, dose 5
Feeling: Good

Adult check-in
2022-11-02
Health check-in — day 21, dose 5
Feeling: Good

Adult check-in
2022-11-09
Health check-in — day 28, dose 5
Feeling: Good

Adult check-in
2022-11-16
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2022-11-23
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2023-01-11
Health check-in — 3 months, dose 5
Feeling: Good

Adult check-in
2023-04-12
Survey response — 6 months, dose 5
MedDRA: Cough, Dysphonia — Feeling: Fair

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-29	Moderna
2	2021-02-26	Moderna
3	2021-11-08	Moderna	No
4	2022-04-12	Pfizer-BioNTech	Flu
5	2022-10-12	Pfizer-BioNTech	Flu

Free text

Release 3 — days 1–6 daily, dose 1

2021-02-03

Systemic reaction (other): Loss of appetite

Release 6 — day 35, dose 2

2021-04-02

Symptoms: Joint pain in left hip

Release 10 — days 1–6 daily, dose 3

2021-11-10

Systemic reaction (other): Lymph nodes swollen in armpit & neck

2021-11-11

Systemic reaction (other): Lymph node swelling in armpit & collarbone on injection side & bloody nose

2021-11-12

Systemic reaction (other): Lymph nodes on armpit & neck still swollen

2021-11-13

Systemic reaction (other): Still have slight swelling of lymph nodes in armpit & neck, but diminishing daily.

Release 10 — day 14, dose 3

2021-11-22

Symptoms: Mild headaches

Release 11 — 3 months, dose 3

2022-02-07

Symptoms: Fatigue and muscle pain. Note that I've been exposed to Covid positive person for past 3 days.

Release 12 — days 1–6 daily, dose 5

2022-10-17

Systemic reaction (other): Swollen lymph nodes below jaw

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	Arthralgia	✓	✓	✓
SD	Cough	·	·	✓
SD	Dysphonia	·	·	✓
SD	Exposure to SARS-CoV-2	·	·	✓
SD	Fatigue	·	·	✓
SD	Headache	·	·	✓
SD	Myalgia	·	·	✓
SRO	Decreased appetite	✓	✓	✓
SRO	Epistaxis	·	·	✓
SRO	Lymphadenopathy	·	·	✓

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