2VC-21296-77321

4 vaccinations 9 coded responses 33 check-ins 9 free-text entries 0 call cases

Sex: Female
Age at first dose: 31-35
ZIP prefix: 200 / DC
Registered: 2021-05-22

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

2021-04-22
Dose 1 — Moderna
2021-05-20
Dose 2 — Moderna
2021-05-22
Registered in v-safe
2021-05-22
Survey response — days 1–6 daily, dose 2
MedDRA: Headache, Nausea — Feeling: Good · Site: Pain, Redness, Swelling · Muscle or body aches, Fatigue or tiredness

Free text: Had mild nausea/headache day after vaccine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-23
Survey response — days 1–6 daily, dose 2
MedDRA: Axillary pain, Lymphadenopathy — Feeling: Good · Site: Pain, Swelling

Free text: Sore underarm (lymph nodes)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-24
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site pain — Feeling: Good

Free text: Underarm lymph node pain; mild soreness at injection site but only when touched/bumped

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-25
Survey response — days 1–6 daily, dose 2
MedDRA: Axillary pain — Feeling: Good

Free text: Mild underarm soreness on injection side

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-26
Survey response — days 1–6 daily, dose 2
MedDRA: Axillary pain — Feeling: Good

Free text: Mild underarm soreness on injection side

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-29
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-06-03
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-06-10
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-06-17
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-24
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-07-03
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-08-19
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-11-18
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2021-12-03
Dose 3 — Moderna
2021-12-04
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-12-05
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-12-06
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-12-07
Survey response — days 1–6 daily, dose 3
MedDRA: Lymph node pain — Feeling: Good

Free text: Very mild underam lymph node pain since injection

MedDRA releases: 2024-11 · check-in free text available
2021-12-09
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2022-01-02
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-01-14
Survey response — day 42, dose 3
MedDRA: Nasopharyngitis, SARS-CoV-2 test negative — Feeling: Good

Free text: Experienced cold symptoms (multiple COVID tests came back negative for COVID-19). Symptoms eventually resolved.

MedDRA releases: 2024-11 · check-in free text available
2022-03-04
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-06-03
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-10-20
Dose 4 — Moderna
Co-administered: Flu
2022-10-22
Survey response — days 1–6 daily, dose 4
MedDRA: Lymph node pain — Feeling: Good · Site: Pain

Free text: Sore lymph nodes in underarm

MedDRA releases: 2024-11 · check-in free text available
2022-10-23
Survey response — days 1–6 daily, dose 4
MedDRA: Lymph node pain — Feeling: Good

Free text: Pain in lymph nodes in underarm

MedDRA releases: 2024-11 · check-in free text available
2022-10-24
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-10-25
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-10-26
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-10-27
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-11-03
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-11-10
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-11-17
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2023-01-19
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2023-04-20
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-22	Moderna
2	2021-05-20	Moderna
3	2021-12-03	Moderna	No
4	2022-10-20	Moderna	Flu

Free text

Release 8 — days 1–6 daily, dose 2

2021-05-22

Systemic reaction (other): Had mild nausea/headache day after vaccine

2021-05-23

Systemic reaction (other): Sore underarm (lymph nodes)

2021-05-24

Systemic reaction (other): Underarm lymph node pain; mild soreness at injection site but only when touched/bumped

2021-05-25

Systemic reaction (other): Mild underarm soreness on injection side

2021-05-26

Systemic reaction (other): Mild underarm soreness on injection side

Release 10 — days 1–6 daily, dose 3

2021-12-07

Systemic reaction (other): Very mild underam lymph node pain since injection

Release 10 — day 42, dose 3

2022-01-14

Symptoms: Experienced cold symptoms (multiple COVID tests came back negative for COVID-19). Symptoms eventually resolved.

Release 12 — days 1–6 daily, dose 4

2022-10-22

Systemic reaction (other): Sore lymph nodes in underarm

2022-10-23

Systemic reaction (other): Pain in lymph nodes in underarm

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	Nasopharyngitis	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SRO	Axillary pain	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Lymph node pain	·	·	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Nausea	✓	✓	✓

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