35A-12756-81375

3 vaccinations 11 coded responses 27 check-ins 11 free-text entries 1 call case

Sex: Female
Age at first dose: 61-65
ZIP prefix: 380 / TN
Registered: 2021-03-31

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

2021-03-17
Dose 1 — Moderna
2021-03-31
Registered in v-safe
2021-03-31
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-07
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-14
Survey response — day 28, dose 1
MedDRA: Fatigue — Feeling: Fair · Be unable to do your normal daily activities

Free text: Seem to become tired easily

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
Dose 2 — Moderna
2021-04-21
Survey response — days 1–6 daily, dose 2
MedDRA: Hot flush, Hyperhidrosis — Feeling: Good · Site: Pain, Redness, Swelling, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Hot Flashes/sweating,

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-23
Survey response — day 7, dose 2
MedDRA: Vertigo — Feeling: Poor · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Vertigo

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-30
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-07
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-14
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-21
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-28
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-16
Survey response — 3 months, dose 2
MedDRA: Hyperhidrosis, Night sweats — Feeling: Fair · Be unable to do your normal daily activities

Free text: Ive noticed an increase in night/day time sweats since I received the 2nd vaccination dose. It is now starting to subside some, but was really bad for the last few months. Other than that as being unusual, nothing else has been noticed. Thank you!

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-10-16
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-12-03
Dose 3 — Moderna
2021-12-04
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, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-12-05
Survey response — days 1–6 daily, dose 3
MedDRA: Discomfort, Oedema peripheral — Feeling: Fair · Site: Pain · Fever · Chills, Headache · Be unable to do your normal daily activities

Free text: Swelling and discomfort under left arm

MedDRA releases: 2024-11 · check-in free text available
2021-12-06
Survey response — days 1–6 daily, dose 3
MedDRA: Oedema peripheral — Feeling: Good · Site: Pain, Swelling · Abdominal pain

Free text: Swelling in left armpit

MedDRA releases: 2024-11 · check-in free text available
2021-12-07
Survey response — days 1–6 daily, dose 3
MedDRA: Lymphadenopathy — Feeling: Fair · Headache, Fatigue or tiredness

Free text: Swelling of lymph nodes in left lower armpit

MedDRA releases: 2024-11 · check-in free text available
2021-12-08
Survey response — days 1–6 daily, dose 3
MedDRA: Lymphadenopathy, Oedema peripheral — Feeling: Good

Free text: Swelling in the left axilla and nodes in the left side of breast

MedDRA releases: 2024-11 · check-in free text available
2021-12-09
Survey response — days 1–6 daily, dose 3
MedDRA: Breast tenderness, Oedema peripheral — Feeling: Good · Headache

Free text: Some swelling below axillary area and tenderness in left side breast area

MedDRA releases: 2024-11 · check-in free text available
2021-12-10
Survey response — day 7, dose 3
MedDRA: Breast swelling, Oedema peripheral — Feeling: Good

Free text: Slight swelling in around axillary area and breast - both in left side

MedDRA releases: 2024-11 · check-in free text available
2021-12-17
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-12-24
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-12-31
Survey response — day 28, dose 3
MedDRA: Ageusia, Anosmia, Chills, Headache, Hypertension, Nausea, Pain, Pyrexia, Respiratory tract congestion, Rhinorrhoea, Unevaluable event — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Fever, Severe Headache, Chills, Body Aches, Nausea, Constant Runny Nose, Congestion, Lost Sense of Taste and Loss of Smell, High Blood Pressure (172/117) · Healthcare visit (other): Unable to get tested until Monday Jan.3/22

MedDRA releases: 2024-11 · check-in free text available
2021-12-31
Report sent to call center — day 28, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2022-01-05
Call 1 — Left Voicemail
2022-01-07
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-01-14
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-17	Moderna
2	2021-04-16	Moderna
3	2021-12-03	Moderna	No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 7 — day 28, dose 1

2021-04-14

Symptoms: Seem to become tired easily

Release 7 — days 1–6 daily, dose 2

2021-04-21

Systemic reaction (other): Hot Flashes/sweating,

Release 7 — day 7, dose 2

2021-04-23

Systemic reaction (other): Vertigo

Release 9 — 3 months, dose 2

2021-07-16

Symptoms: Ive noticed an increase in night/day time sweats since I received the 2nd vaccination dose. It is now starting to subside some, but was really bad for the last few months. Other than that as being unusual, nothing else has been noticed. Thank you!

Release 10 — days 1–6 daily, dose 3

2021-12-05

Systemic reaction (other): Swelling and discomfort under left arm

2021-12-06

Systemic reaction (other): Swelling in left armpit

2021-12-07

Systemic reaction (other): Swelling of lymph nodes in left lower armpit

2021-12-08

Systemic reaction (other): Swelling in the left axilla and nodes in the left side of breast

2021-12-09

Systemic reaction (other): Some swelling below axillary area and tenderness in left side breast area

Release 10 — day 7, dose 3

2021-12-10

Systemic reaction (other): Slight swelling in around axillary area and breast - both in left side

Release 10 — day 28, dose 3

2021-12-31

Symptoms: Fever, Severe Headache, Chills, Body Aches, Nausea, Constant Runny Nose, Congestion, Lost Sense of Taste and Loss of Smell, High Blood Pressure (172/117)

Healthcare visit (other): Unable to get tested until Monday Jan.3/22

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
HCVO	Unevaluable event	·	·	✓
SD	Ageusia	·	·	✓
SD	Anosmia	·	·	✓
SD	Chills	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Headache	·	·	✓
SD	Hyperhidrosis	✓	·	✓
SD	Hypertension	·	·	✓
SD	Nausea	·	·	✓
SD	Night sweats	✓	·	✓
SD	Pain	·	·	✓
SD	Pyrexia	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	Rhinorrhoea	·	·	✓
SRO	Breast swelling	·	·	✓
SRO	Breast tenderness	·	·	✓
SRO	Discomfort	·	·	✓
SRO	Hot flush	✓	✓	✓
SRO	Hyperhidrosis	✓	✓	✓
SRO	Lymphadenopathy	·	·	✓
SRO	Oedema peripheral	·	·	✓
SRO	Vertigo	✓	✓	✓

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