37J-33185-04906

2 vaccinations 6 coded responses 25 check-ins 6 free-text entries 8 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 925 / CA
Registered: 2021-01-11

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

2021-01-11
Registered in v-safe
2021-01-11
Dose 1 — Moderna
2021-01-11
Survey response — day 0, dose 1
MedDRA: Blood pressure increased, Blood pressure systolic increased, Dizziness, Feeling hot, Heart rate increased, Immediate post-injection reaction, Palpitations, Tachycardia — Feeling: Fair · Site: Pain · Chills, Headache, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: I felt lightheaded, hot in my face and my heart was racing ( tachycardic) around 10 minutes after vaccine was injected on my left deltoid, my bp was 173/106, heart rate of 135.... my bp and hr were monitored for the next 15 minutes, bp went down to systolic 140's and diastolic of 80's which is still high fir me ( my normal is low 100' s, systolic.. hr was 80's to 90's..

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-11
Report sent to call center — day 0, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-12
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-01-12
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-13
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-01-13
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-14
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to work

Adult check-in
2021-01-14
Report sent to call center — days 1–6 daily, dose 1
Be unable to work

1 call case(s)
2021-01-15
Survey response — days 1–6 daily, dose 1
MedDRA: Lymph node pain, Lymphadenitis, Lymphadenopathy — Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Right axillary lymph nodes is sore/inflamed

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-15
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-16
Survey response — days 1–6 daily, dose 1
MedDRA: Axillary pain, Lymphadenopathy — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Right axillary swelling and tenderness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-16
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-17
Survey response — days 1–6 daily, dose 1
MedDRA: Lymph node pain, Lymphadenopathy, Tenderness — Feeling: Fair · Site: Pain, Itching · Headache, Muscle or body aches · Be unable to do your normal daily activities

Free text: Right axillary lymph node swelling and tenderness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-17
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-18
Survey response — day 7, dose 1
MedDRA: Axillary pain, Lymphadenopathy — Feeling: Fair · Site: Pain, Itching · Muscle or body aches · Be unable to do your normal daily activities

Free text: Right axillary /lymph node swelling/tenderness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-18
Report sent to call center — day 7, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-25
Survey response — day 14, dose 1
MedDRA: Arthralgia — Feeling: Fair · Be unable to work

Free text: Shoulder pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-01
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-02-08
Dose 2 — Moderna
2021-02-08
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-09
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-02-10
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-02-11
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Fatigue or tiredness, Nausea · Be unable to work

Adult check-in
2021-02-12
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Fatigue or tiredness, Nausea, Diarrhea · Be unable to work

Adult check-in
2021-02-13
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness · Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-02-14
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-02-15
Health check-in — day 7, dose 2
Feeling: Fair · Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-02-22
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-03
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-08
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-15
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-22
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-10
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-11
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-11	Moderna
2	2021-02-08	Moderna

Call center

8 call center cases

8 priority 2/3 (triaged and no follow up)

See the call center timeline

Free text

Release 1 — day 0, dose 1

2021-01-11

Systemic reaction (other): I felt lightheaded, hot in my face and my heart was racing ( tachycardic) around 10 minutes after vaccine was injected on my left deltoid, my bp was 173/106, heart rate of 135.... my bp and hr were monitored for the next 15 minutes, bp went down to systolic 140's and diastolic of 80's which is still high fir me ( my normal is low 100' s, systolic.. hr was 80's to 90's..

Release 2 — days 1–6 daily, dose 1

2021-01-15

Systemic reaction (other): Right axillary lymph nodes is sore/inflamed

2021-01-16

Systemic reaction (other): Right axillary swelling and tenderness

2021-01-17

Systemic reaction (other): Right axillary lymph node swelling and tenderness

Release 2 — day 7, dose 1

2021-01-18

Systemic reaction (other): Right axillary /lymph node swelling/tenderness

Release 2 — day 14, dose 1

2021-01-25

Symptoms: Shoulder pain

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	Arthralgia	✓	✓	✓
SRO	Axillary pain	✓	✓	✓
SRO	Blood pressure increased	✓	✓	✓
SRO	Blood pressure systolic increased	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Feeling hot	✓	✓	✓
SRO	Heart rate increased	✓	✓	✓
SRO	Immediate post-injection reaction	✓	✓	✓
SRO	Lymph node pain	✓	·	✓
SRO	Lymphadenitis	·	·	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Palpitations	✓	✓	✓
SRO	Tachycardia	✓	✓	✓
SRO	Tenderness	○	✓	○

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