36Z-26826-68274

3 vaccinations 14 coded responses 38 check-ins 14 free-text entries 1 call case

Sex: Female
Age at first dose: 46-50
ZIP prefix: 906 / CA
Registered: 2021-01-22

Relationship: Self
Race: Asian
Ethnicity: Not Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-01-22
Registered in v-safe
2021-01-22
Dose 1 — Moderna
2021-01-22
Health check-in — day 0, dose 1
Feeling: Fair · Site: Pain · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to work

Adult check-in
2021-01-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-29
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-05
Survey response — day 14, dose 1
MedDRA: Injection site pain, Injection site rash — Feeling: Good

Free text: Minor skin rash on upper arm near injection site, and pain at injection site returned on day 8 for 2 days.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-12
Survey response — day 21, dose 1
MedDRA: Anxiety, Throat tightness — Feeling: Fair

Free text: Anixety worsen with tightness of throat, not sure if it's covid vaccine related.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-19
Dose 2 — Moderna
2021-02-19
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-20
Survey response — days 1–6 daily, dose 2
MedDRA: Pain — Feeling: Poor · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Inside upper body has occassionally pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-21
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Itching · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain

Adult check-in
2021-02-22
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-23
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-26
Survey response — day 7, dose 2
MedDRA: Anxiety, Productive cough, Throat tightness — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Anxiety worsen since 2nd shot, tightness of throat and phlegm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-26
Report sent to call center — day 7, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-05
Survey response — day 14, dose 2
MedDRA: Anxiety, Axial spondyloarthritis, Heart rate increased, Throat tightness — Feeling: Good

Free text: Last week worse anixety with fast heart beats and tightness of throat, slowly getting better with medication given by doctor

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-12
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-19
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-27
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-03
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-23
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-20
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-09-08
Call 1 — Could Not Reach Participant
2021-09-13
Call 2 — Left Voicemail
2021-11-08
Dose 3 — Moderna
2021-11-08
Survey response — day 0, dose 3
MedDRA: Heart rate increased — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Free text: Slightly faster heart beats

MedDRA releases: 2024-11 · check-in free text available
2021-11-09
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain, Swelling, Itching · Fever · Chills, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-11-10
Survey response — days 1–6 daily, dose 3
MedDRA: Lymphadenopathy — Feeling: Poor · Site: Pain, Swelling, Itching · Fever · Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Swollen lymph nodes injection side

MedDRA releases: 2024-11 · check-in free text available
2021-11-11
Survey response — days 1–6 daily, dose 3
MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain, Swelling · Fever · Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school

Free text: Very swollen lymph nodes especially under armpit on injection side

MedDRA releases: 2024-11 · check-in free text available
2021-11-12
Survey response — days 1–6 daily, dose 3
MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain, Swelling, Itching · Muscle or body aches · Be unable to work or attend school

Free text: Swollen lymph nodes mostly under armpit area

MedDRA releases: 2024-11 · check-in free text available
2021-11-14
Survey response — days 1–6 daily, dose 3
MedDRA: Lymphadenopathy — Feeling: Good

Free text: Swollen lumph nodes at armpit area on injection side

MedDRA releases: 2024-11 · check-in free text available
2021-11-15
Survey response — day 7, dose 3
MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain · Muscle or body aches

Free text: Swelling lymph nodes under armpit area on injection side

MedDRA releases: 2024-11 · check-in free text available
2021-11-23
Survey response — day 14, dose 3
MedDRA: Lymphadenopathy — Feeling: Good

Free text: Still have swollen lymph nodes under armpit on injection side

MedDRA releases: 2024-11 · check-in free text available
2021-11-30
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-12-06
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-15
Survey response — day 35, dose 3
MedDRA: Oropharyngeal pain, Respiratory tract inflammation, SARS-CoV-2 test — Feeling: Fair · Be unable to work or attend school

Free text: Bad sore throat, inflamed respiratory tract, possibly flu. Waiting for Covid result.

MedDRA releases: 2024-11 · check-in free text available
2021-12-21
Survey response — day 42, dose 3
MedDRA: Influenza like illness, Nasopharyngitis — Feeling: Fair · Be unable to work or attend school

Free text: Flu, cold like symptoms

MedDRA releases: 2024-11 · check-in free text available
2022-02-07
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-05-12
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-11-08
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-22	Moderna
2	2021-02-19	Moderna
3	2021-11-08	Moderna	No

Call center

1 call center case

1 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 3 — day 14, dose 1

2021-02-05

Symptoms: Minor skin rash on upper arm near injection site, and pain at injection site returned on day 8 for 2 days.

Release 4 — day 21, dose 1

2021-02-12

Symptoms: Anixety worsen with tightness of throat, not sure if it's covid vaccine related.

Release 4 — days 1–6 daily, dose 2

2021-02-20

Systemic reaction (other): Inside upper body has occassionally pain

Release 4 — day 7, dose 2

2021-02-26

Systemic reaction (other): Anxiety worsen since 2nd shot, tightness of throat and phlegm

Release 5 — day 14, dose 2

2021-03-05

Symptoms: Last week worse anixety with fast heart beats and tightness of throat, slowly getting better with medication given by doctor

Release 10 — day 0, dose 3

2021-11-08

Systemic reaction (other): Slightly faster heart beats

Release 10 — days 1–6 daily, dose 3

2021-11-10

Systemic reaction (other): Swollen lymph nodes injection side

2021-11-11

Systemic reaction (other): Very swollen lymph nodes especially under armpit on injection side

2021-11-12

Systemic reaction (other): Swollen lymph nodes mostly under armpit area

2021-11-14

Systemic reaction (other): Swollen lumph nodes at armpit area on injection side

Release 10 — day 7, dose 3

2021-11-15

Systemic reaction (other): Swelling lymph nodes under armpit area on injection side

Release 10 — day 14, dose 3

2021-11-23

Symptoms: Still have swollen lymph nodes under armpit on injection side

Release 10 — day 35, dose 3

2021-12-15

Symptoms: Bad sore throat, inflamed respiratory tract, possibly flu. Waiting for Covid result.

Release 10 — day 42, dose 3

2021-12-21

Symptoms: Flu, cold like symptoms

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	Anxiety	✓	✓	✓
SD	Axial spondyloarthritis	○	✓	○
SD	Heart rate increased	✓	✓	✓
SD	Influenza like illness	·	·	✓
SD	Injection site pain	✓	✓	✓
SD	Injection site rash	✓	✓	✓
SD	Lymphadenopathy	·	·	✓
SD	Nasopharyngitis	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Respiratory tract inflammation	·	·	✓
SD	SARS-CoV-2 test	·	·	✓
SD	Throat tightness	✓	✓	✓
SRO	Anxiety	✓	✓	✓
SRO	Heart rate increased	·	·	✓
SRO	Lymphadenopathy	·	·	✓
SRO	Pain	✓	✓	✓
SRO	Productive cough	✓	✓	✓
SRO	Throat tightness	✓	✓	✓

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