33N-74961-42006

2 vaccinations 11 coded responses 22 check-ins 11 free-text entries 0 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 021 / MA
Registered: 2021-01-30

Relationship: Self
Race: Black or African American
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

2021-01-26
Dose 1 — Moderna
2021-01-30
Registered in v-safe
2021-01-30
Survey response — days 1–6 daily, dose 1
MedDRA: Back pain — Feeling: Fair · Site: Pain, Swelling

Free text: Mild Low Back ache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-31
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling · None

Adult check-in
2021-02-01
Survey response — days 1–6 daily, dose 1
MedDRA: Lymph node pain — Feeling: Fair · Site: Pain, Swelling

Free text: Lymph nodes under left arm where I got shot really hurt today and feel tender. More than usual.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-02
Health check-in — day 7, dose 1
Feeling: Good · Site: Pain, Swelling · Muscle or body aches

Adult check-in
2021-02-11
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-02-16
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-23
Dose 2 — Moderna
2021-02-23
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain, Swelling · Chills, Headache, Fatigue or tiredness, Abdominal pain

Adult check-in
2021-02-24
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
2021-02-25
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work

Adult check-in
2021-02-26
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Redness, Itching · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-27
Survey response — days 1–6 daily, dose 2
MedDRA: Back pain — Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Free text: Right side back hurts a little

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-28
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Muscle or body aches, Abdominal pain

Adult check-in
2021-03-01
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Good · Muscle or body aches

Free text: Swollen lymph nodes in my groin area

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-02
Health check-in — day 7, dose 2
Feeling: Good · Muscle or body aches

Adult check-in
2021-03-10
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-03-16
Survey response — day 21, dose 2
MedDRA: Burning sensation, Cough — Feeling: Fair

Free text: Coughing and a burning sensation In my lungs

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-24
Survey response — day 28, dose 2
MedDRA: Cough, Fatigue, Sneezing — Feeling: Good

Free text: Cough, sneezing feeling tired

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-30
Survey response — day 35, dose 2
MedDRA: Back pain, Cough, Pain, Pulmonary pain — Feeling: Good

Free text: Pain in mid back with cough. Very sore to move when laying down. Feels like me lungs hurt.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-07
Survey response — day 42, dose 2
MedDRA: Back pain — Feeling: Good

Free text: Bad mid back pain really hard to move when laying down

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-25
Survey response — 3 months, dose 2
MedDRA: Abdominal distension, Vomiting — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities

Free text: My stomach is bloating crazy and Ive been throwing up for the last 24 hours

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-24
Survey response — 6 months, dose 2
MedDRA: Cough, Oropharyngeal pain — Feeling: Good

Free text: Cough, sore throat

MedDRA releases: 2021-09,2024-11 · check-in free text available
2022-02-24
Survey response — 12 months, dose 2
MedDRA: Abdominal pain upper, Arthritis, Diarrhoea — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Diarrhea, stomach cramps, arthritis in my hands.

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-26	Moderna
2	2021-02-23	Moderna

Free text

Release 3 — days 1–6 daily, dose 1

2021-01-30

Systemic reaction (other): Mild Low Back ache

2021-02-01

Systemic reaction (other): Lymph nodes under left arm where I got shot really hurt today and feel tender. More than usual.

Release 4 — days 1–6 daily, dose 2

2021-02-27

Systemic reaction (other): Right side back hurts a little

2021-03-01

Systemic reaction (other): Swollen lymph nodes in my groin area

Release 5 — day 21, dose 2

2021-03-16

Symptoms: Coughing and a burning sensation In my lungs

Release 6 — day 28, dose 2

2021-03-24

Symptoms: Cough, sneezing feeling tired

Release 6 — day 35, dose 2

2021-03-30

Symptoms: Pain in mid back with cough. Very sore to move when laying down. Feels like me lungs hurt.

Release 7 — day 42, dose 2

2021-04-07

Symptoms: Bad mid back pain really hard to move when laying down

Release 8 — 3 months, dose 2

2021-05-25

Symptoms: My stomach is bloating crazy and Ive been throwing up for the last 24 hours

Release 9 — 6 months, dose 2

2021-08-24

Symptoms: Cough, sore throat

Release 11 — 12 months, dose 2

2022-02-24

Symptoms: Diarrhea, stomach cramps, arthritis in my hands.

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	Abdominal distension	✓	✓	✓
SD	Abdominal pain upper	·	·	✓
SD	Arthritis	·	·	✓
SD	Back pain	✓	✓	✓
SD	Burning sensation	✓	✓	✓
SD	Cough	✓	✓	✓
SD	Diarrhoea	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Oropharyngeal pain	✓	·	✓
SD	Pain	✓	✓	✓
SD	Pulmonary pain	✓	✓	✓
SD	Sneezing	✓	✓	✓
SD	Vomiting	✓	✓	✓
SRO	Back pain	✓	✓	✓
SRO	Lymph node pain	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓

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