2QJ-23681-14128

3 vaccinations 10 coded responses 40 check-ins 10 free-text entries 0 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 857 / AZ
Registered: 2021-03-29

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

2021-03-29
Registered in v-safe
2021-03-29
Dose 1 — Moderna
2021-03-29
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2021-03-30
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-31
Survey response — days 1–6 daily, dose 1
MedDRA: Discomfort, Lymph node pain — Feeling: Good

Free text: Pain/ache/discomfort in (lymph nodes/glands), right side under arm and right side of neck. NOTE:previously Covid+ 1/12/21

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-01
Survey response — days 1–6 daily, dose 1
MedDRA: Axillary pain, Lymphadenopathy — Feeling: Good

Free text: Pain/discomfort right underarm, right neck (lymph nodes/glands), like yesterday.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Survey response — days 1–6 daily, dose 1
MedDRA: Limb discomfort, Neck pain — Feeling: Good

Free text: Minor discomfort/pain under right arm and right side of neck, less than yesterday.

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

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

Adult check-in
2021-04-05
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-12
Survey response — day 14, dose 1
MedDRA: Discomfort, Joint stiffness, Musculoskeletal stiffness — Feeling: Good

Free text: More than normal muscle/joint stiffness, particularly in the upper right chest/armpit area and right side of neck. Mainly just a slight discomfort, yet notable, but not debilitating or anything. Scale of 1-10 (1=no discomfort), it would be 3-4.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-19
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-26
Dose 2 — Moderna
2021-04-26
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-27
Survey response — days 1–6 daily, dose 2
MedDRA: Axillary pain, Injection site pain, Pain in extremity — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Pain from shot site is migrating around my whole upper arm and into my armpit

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-28
Survey response — days 1–6 daily, dose 2
MedDRA: Axillary pain, Lymph node pain, Oedema peripheral, Tenderness — Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Swelling and pain/tenderness under arm where injection was given

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-29
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-30
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-05-01
Survey response — days 1–6 daily, dose 2
MedDRA: Eye pain — Feeling: Good · Headache, Fatigue or tiredness

Free text: My right eye hurts a little.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

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

Adult check-in
2021-05-10
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-17
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-24
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-31
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-07
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-26
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-25
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-04-27
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-10-15
Dose 3 — Moderna
Co-administered: Flu
2022-10-15
Health check-in — day 0, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2022-10-16
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-10-17
Survey response — days 1–6 daily, dose 3
MedDRA: Discomfort, Lymphadenopathy — Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Swelling and discomfort in the lymph nodes of armpit on same side as injection

MedDRA releases: 2024-11 · check-in free text available
2022-10-18
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-10-19
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2022-10-20
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2022-10-21
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2022-10-22
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2022-10-29
Survey response — day 14, dose 3
MedDRA: Cough, Fatigue, Nasopharyngitis, Respiratory tract congestion, Rhinorrhoea, Sneezing — Feeling: Poor · Be unable to do your normal daily activities

Free text: Head cold, incl runny nose, sneezing, congestion, slight cough, fatigue

MedDRA releases: 2024-11 · check-in free text available
2022-11-07
Survey response — day 21, dose 3
MedDRA: Nasopharyngitis — Feeling: Fair · Be unable to do your normal daily activities

Free text: I feel like I have another, different, head cold. I was mostly recovered from the last one on Saturday. Not sure how it will affect my daily activities yet.

MedDRA releases: 2024-11 · check-in free text available
2022-11-12
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-11-21
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-11-26
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2023-01-14
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-29	Moderna
2	2021-04-26	Moderna
3	2022-10-15	Moderna	Flu

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-31

Systemic reaction (other): Pain/ache/discomfort in (lymph nodes/glands), right side under arm and right side of neck. NOTE:previously Covid+ 1/12/21

2021-04-01

Systemic reaction (other): Pain/discomfort right underarm, right neck (lymph nodes/glands), like yesterday.

2021-04-02

Systemic reaction (other): Minor discomfort/pain under right arm and right side of neck, less than yesterday.

Release 7 — day 14, dose 1

2021-04-12

Symptoms: More than normal muscle/joint stiffness, particularly in the upper right chest/armpit area and right side of neck. Mainly just a slight discomfort, yet notable, but not debilitating or anything. Scale of 1-10 (1=no discomfort), it would be 3-4.

Release 8 — days 1–6 daily, dose 2

2021-04-27

Systemic reaction (other): Pain from shot site is migrating around my whole upper arm and into my armpit

2021-04-28

Systemic reaction (other): Swelling and pain/tenderness under arm where injection was given

2021-05-01

Systemic reaction (other): My right eye hurts a little.

Release 12 — days 1–6 daily, dose 3

2022-10-17

Systemic reaction (other): Swelling and discomfort in the lymph nodes of armpit on same side as injection

Release 12 — day 14, dose 3

2022-10-29

Symptoms: Head cold, incl runny nose, sneezing, congestion, slight cough, fatigue

Release 12 — day 21, dose 3

2022-11-07

Symptoms: I feel like I have another, different, head cold. I was mostly recovered from the last one on Saturday. Not sure how it will affect my daily activities yet.

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	Discomfort	✓	✓	✓
SD	Fatigue	·	·	✓
SD	Joint stiffness	✓	✓	✓
SD	Musculoskeletal stiffness	✓	✓	✓
SD	Nasopharyngitis	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	Rhinorrhoea	·	·	✓
SD	Sneezing	·	·	✓
SRO	Axillary pain	✓	✓	✓
SRO	Discomfort	✓	✓	✓
SRO	Eye pain	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Limb discomfort	✓	✓	✓
SRO	Lymph node pain	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Neck pain	✓	✓	✓
SRO	Oedema peripheral	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Tenderness	·	·	✓

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