35C-20873-96924

3 vaccinations 10 coded responses 37 check-ins 10 free-text entries 0 call cases

Sex: Female
Age at first dose: 26-30
ZIP prefix: 991 / WA
Registered: 2021-04-10

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

2021-04-09
Dose 1 — Moderna
2021-04-10
Registered in v-safe
2021-04-10
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Abdominal pain

Adult check-in
2021-04-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Redness, Swelling, Itching · None

Adult check-in
2021-04-12
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site pain — Feeling: Good · Site: Itching

Free text: Injection site has had a burning sensation since the day after vaccination. The burning has lessened over time

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-13
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site bruising — Feeling: Good · Fatigue or tiredness

Free text: I have had a bruise at the injection site since the day of vaccination

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Itching · None

Adult check-in
2021-04-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-16
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-23
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-30
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-05-07
Dose 2 — Moderna
2021-05-07
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-05-08
Survey response — days 1–6 daily, dose 2
MedDRA: Dyspnoea, Heart rate increased — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: I have also felt like my heart rate has been elevated and I get short of breath easily.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-09
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy, Oropharyngeal pain — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Sore throat, swollen lymph node in left armpit (left arm 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 2
MedDRA: Breast swelling, Breast tenderness, Lymph node pain, Lymphadenopathy — Feeling: Fair · Fatigue or tiredness

Free text: Lymph nodes on left side (injection side) armpit/collarbone/breast still very tender and swollen

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

Free text: Lymph node tenderness improving

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-12
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-05-14
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-05-21
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-28
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-06-04
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-11
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-20
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-08-06
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-11-05
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-01-07
Dose 3 — Moderna
2022-01-08
Survey response — days 1–6 daily, dose 3
MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Poor · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Free text: Very swollen and tender lymph nodes on left (injection side) - armpit, collar bone

MedDRA releases: 2024-11 · check-in free text available
2022-01-10
Survey response — days 1–6 daily, dose 3
MedDRA: Lymph node pain — Feeling: Fair

Free text: Lymph nodes in left (injection side) armpit still sore

MedDRA releases: 2024-11 · check-in free text available
2022-01-11
Survey response — days 1–6 daily, dose 3
MedDRA: Lymph node pain — Feeling: Good

Free text: Lymph nodes on injection side still tender

MedDRA releases: 2024-11 · check-in free text available
2022-01-13
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Fever · Chills

Adult check-in
2022-01-14
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2022-01-21
Survey response — day 14, dose 3
MedDRA: Oropharyngeal pain, Tonsillolith — Feeling: Good · Be unable to do your normal daily activities

Free text: Sore throat with white spot on tonsil

MedDRA releases: 2024-11 · check-in free text available
2022-01-28
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-02-04
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-02-11
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-02-18
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-04-08
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-07-10
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2023-01-07
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-09	Moderna
2	2021-05-07	Moderna
3	2022-01-07	Moderna	No

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-12

Systemic reaction (other): Injection site has had a burning sensation since the day after vaccination. The burning has lessened over time

2021-04-13

Systemic reaction (other): I have had a bruise at the injection site since the day of vaccination

Release 8 — days 1–6 daily, dose 2

2021-05-08

Systemic reaction (other): I have also felt like my heart rate has been elevated and I get short of breath easily.

2021-05-09

Systemic reaction (other): Sore throat, swollen lymph node in left armpit (left arm injection site)

2021-05-10

Systemic reaction (other): Lymph nodes on left side (injection side) armpit/collarbone/breast still very tender and swollen

2021-05-11

Systemic reaction (other): Lymph node tenderness improving

Release 10 — days 1–6 daily, dose 3

2022-01-08

Systemic reaction (other): Very swollen and tender lymph nodes on left (injection side) - armpit, collar bone

2022-01-10

Systemic reaction (other): Lymph nodes in left (injection side) armpit still sore

2022-01-11

Systemic reaction (other): Lymph nodes on injection side still tender

Release 11 — day 14, dose 3

2022-01-21

Symptoms: Sore throat with white spot on tonsil

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	Oropharyngeal pain	·	·	✓
SD	Tonsillolith	·	·	✓
SRO	Breast swelling	✓	✓	✓
SRO	Breast tenderness	✓	✓	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Heart rate increased	✓	✓	✓
SRO	Injection site bruising	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Lymph node pain	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓

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