2RD-32183-17134

3 vaccinations 14 coded responses 39 check-ins 14 free-text entries 1 call case

Sex: Female
Age at first dose: 36-40
ZIP prefix: 184 / PA
Registered: 2020-12-29

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

2020-12-28
Dose 1 — Moderna
2020-12-29
Registered in v-safe
2020-12-29
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Redness, Swelling · None

Adult check-in
2020-12-30
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Redness, Swelling · None

Adult check-in
2020-12-31
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

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

Adult check-in
2021-01-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-03
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-01-04
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-11
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-18
Survey response — day 21, dose 1
MedDRA: Dyspnoea, Pyrexia — Feeling: Good

Free text: Some shortness of breath and a fever

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-25
Dose 2 — Moderna
2021-01-25
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · None

Adult check-in
2021-01-26
Survey response — days 1–6 daily, dose 2
MedDRA: Breast pain, Pain — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Radiating towards right breast

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-27
Survey response — days 1–6 daily, dose 2
MedDRA: Axillary pain, Breast pain, Pain — Feeling: Fair · Site: Pain · Fever · Chills, Headache

Free text: Pain radiating to arm pit and rt breast.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-28
Survey response — days 1–6 daily, dose 2
MedDRA: Axillary pain, Breast pain, Pain, Pain in extremity — Feeling: Good · Site: Pain · Chills

Free text: Pain radiating from arm to armpit and breast

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-29
Survey response — days 1–6 daily, dose 2
MedDRA: Pain — Feeling: Good · Site: Pain

Free text: Pain from shot radiating towards rt breast

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-30
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-01-31
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-01
Health check-in — day 7, dose 2
Feeling: Good · Diarrhea

Adult check-in
2021-02-08
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-15
Survey response — day 21, dose 2
MedDRA: Arthralgia — Feeling: Good · Be unable to do your normal daily activities

Free text: Joint pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-23
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-01
Survey response — day 35, dose 2
MedDRA: Arthralgia, Dyspnoea, Upper-airway cough syndrome, Wheezing — Feeling: Good

Free text: Shortness of breath, wheezing, post nasal drip and achy joints.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-10
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-04-26
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-07-26
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-12-20
Dose 3 — Moderna
2021-12-21
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Itching · Diarrhea

Adult check-in
2021-12-22
Survey response — days 1–6 daily, dose 3
MedDRA: Axillary pain, Breast pain — Feeling: Good · Site: Pain, Swelling

Free text: Armpit pain and left breast pain.

MedDRA releases: 2024-11 · check-in free text available
2021-12-23
Survey response — days 1–6 daily, dose 3
MedDRA: Axillary pain, Breast pain, Pruritus — Feeling: Good · Site: Pain

Free text: Pain and itching under armpit and pain in left breast

MedDRA releases: 2024-11 · check-in free text available
2021-12-24
Survey response — days 1–6 daily, dose 3
MedDRA: Axillary pain — Feeling: Good

Free text: Pain in the armpit

MedDRA releases: 2024-11 · check-in free text available
2021-12-25
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-12-26
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-12-27
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2022-01-03
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-01-10
Survey response — day 21, dose 3
MedDRA: Chest discomfort, Cough, Dysphonia, Sneezing — Feeling: Fair · 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

Free text: Horse voice, sneezing, coughing, chest heaviness.

MedDRA releases: 2024-11 · check-in free text available
2022-01-10
Report sent to call center — day 21, 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 · 1 call case(s)
2022-01-12
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-01-17
Health check-in — day 28, dose 3
Feeling: Fair

Adult check-in
2022-01-24
Survey response — day 35, dose 3
MedDRA: Cough, Pyrexia — Feeling: Fair · Be unable to work or attend school

Free text: Fever & cough

MedDRA releases: 2024-11 · check-in free text available
2022-01-31
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-03-21
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-06-22
Survey response — 6 months, dose 3
MedDRA: Migraine, Vomiting — Feeling: Good · Be unable to work or attend school

Free text: Migraine with vomiting

MedDRA releases: 2024-11 · check-in free text available
2022-12-20
Survey response — 12 months, dose 3
MedDRA: Dyspnoea — Feeling: Fair

Free text: More shortness of breath

MedDRA releases: 2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-28	Moderna
2	2021-01-25	Moderna
3	2021-12-20	Moderna	No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 2 — day 21, dose 1

2021-01-18

Symptoms: Some shortness of breath and a fever

Release 2 — days 1–6 daily, dose 2

2021-01-26

Systemic reaction (other): Radiating towards right breast

2021-01-27

Systemic reaction (other): Pain radiating to arm pit and rt breast.

Release 3 — days 1–6 daily, dose 2

2021-01-28

Systemic reaction (other): Pain radiating from arm to armpit and breast

2021-01-29

Systemic reaction (other): Pain from shot radiating towards rt breast

Release 4 — day 21, dose 2

2021-02-15

Symptoms: Joint pain

Release 4 — day 35, dose 2

2021-03-01

Symptoms: Shortness of breath, wheezing, post nasal drip and achy joints.

Release 10 — days 1–6 daily, dose 3

2021-12-22

Systemic reaction (other): Armpit pain and left breast pain.

2021-12-23

Systemic reaction (other): Pain and itching under armpit and pain in left breast

2021-12-24

Systemic reaction (other): Pain in the armpit

Release 10 — day 21, dose 3

2022-01-10

Symptoms: Horse voice, sneezing, coughing, chest heaviness.

Release 11 — day 35, dose 3

2022-01-24

Symptoms: Fever & cough

Release 12 — 6 months, dose 3

2022-06-22

Symptoms: Migraine with vomiting

Release 12 — 12 months, dose 3

2022-12-20

Symptoms: More shortness of breath

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	Chest discomfort	·	·	✓
SD	Cough	·	·	✓
SD	Dysphonia	·	·	✓
SD	Dyspnoea	✓	✓	✓
SD	Migraine	·	·	✓
SD	Pyrexia	✓	✓	✓
SD	Sneezing	·	·	✓
SD	Upper-airway cough syndrome	✓	✓	✓
SD	Vomiting	·	·	✓
SD	Wheezing	✓	✓	✓
SRO	Axillary pain	✓	✓	✓
SRO	Breast pain	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Pruritus	·	·	✓

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