2YY-33546-74374

2 vaccinations 12 coded responses 21 check-ins 12 free-text entries 0 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 871 / NM
Registered: 2021-05-06

Relationship: Self
Race: Other
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

2021-05-06
Registered in v-safe
2021-05-06
Dose 1 — Moderna
2021-05-06
Survey response — day 0, dose 1
MedDRA: Dizziness — Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-07
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness, Mobility decreased — Feeling: Fair · Site: Pain, Swelling, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Dizziness,trouble lifting arm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-08
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site swelling, Oedema peripheral — Feeling: Fair · Site: Pain, Swelling, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Swelling near armpit close to injection site

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-09
Survey response — days 1–6 daily, dose 1
MedDRA: Axillary pain, Oedema peripheral — Feeling: Good · Site: Pain, Swelling, Itching · Joint pains, Fatigue or tiredness · Be unable to work

Free text: Pain and swelling in armpit close to injection site.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-10
Survey response — days 1–6 daily, dose 1
MedDRA: Axillary pain, Oedema peripheral — Feeling: Good · Site: Pain, Swelling · Joint pains

Free text: Mild pain,swelling around left armpit.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Joint pains

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

Adult check-in
2021-05-13
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-05-20
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-05-27
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-06-01
Dose 2 — Moderna
2021-06-03
Survey response — days 1–6 daily, dose 2
MedDRA: Axillary pain, Oedema peripheral — Feeling: Fair · Site: Pain, Swelling, Itching · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Swelling on left arm pit with some moderate pain.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-04
Survey response — days 1–6 daily, dose 2
MedDRA: Oedema peripheral — Feeling: Fair · Site: Pain · Headache

Free text: Still have swelling in left armpit.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-06
Survey response — days 1–6 daily, dose 2
MedDRA: No adverse event — Feeling: Good

Free text: None at this time.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-07
Survey response — days 1–6 daily, dose 2
MedDRA: No adverse event — Feeling: Good

Free text: None at this time.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-08
Survey response — day 7, dose 2
MedDRA: No adverse event — Feeling: Good · Nausea

Free text: None at this time.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-15
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-06-22
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-07-01
Survey response — day 28, dose 2
MedDRA: Dyspnoea, Fatigue — Feeling: Poor · Be unable to do your normal daily activities

Free text: I barely run a little (half a block) and then I am drained the rest of the day. I feel like I am dragging along just trying to walk. And trouble breathing today with the humidity.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-06
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-07-15
Survey response — day 42, dose 2
MedDRA: Dyspnoea — Feeling: Fair · Be unable to do your normal daily activities

Free text: Shortness of breath, especially when the air quality is bad.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-31
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-05-06	Moderna
2	2021-06-01	Moderna

Free text

Release 8 — day 0, dose 1

2021-05-06

Systemic reaction (other): Dizziness

Release 8 — days 1–6 daily, dose 1

2021-05-07

Systemic reaction (other): Dizziness,trouble lifting arm

2021-05-08

Systemic reaction (other): Swelling near armpit close to injection site

2021-05-09

Systemic reaction (other): Pain and swelling in armpit close to injection site.

2021-05-10

Systemic reaction (other): Mild pain,swelling around left armpit.

Release 8 — days 1–6 daily, dose 2

2021-06-03

Systemic reaction (other): Swelling on left arm pit with some moderate pain.

2021-06-04

Systemic reaction (other): Still have swelling in left armpit.

2021-06-06

Systemic reaction (other): None at this time.

2021-06-07

Systemic reaction (other): None at this time.

Release 8 — day 7, dose 2

2021-06-08

Systemic reaction (other): None at this time.

Release 9 — day 28, dose 2

2021-07-01

Symptoms: I barely run a little (half a block) and then I am drained the rest of the day. I feel like I am dragging along just trying to walk. And trouble breathing today with the humidity.

Release 9 — day 42, dose 2

2021-07-15

Symptoms: Shortness of breath, especially when the air quality is bad.

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	Dyspnoea	✓	✓	✓
SD	Fatigue	✓	✓	✓
SRO	Axillary pain	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Injection site swelling	✓	✓	✓
SRO	Mobility decreased	✓	✓	✓
SRO	No adverse event	✓	✓	✓
SRO	Oedema peripheral	✓	✓	✓

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