38J-19283-01464

3 vaccinations 7 coded responses 23 check-ins 7 free-text entries 0 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 030 / NH
Registered: 2021-04-20

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

2021-04-19
Dose 1 — Moderna
2021-04-20
Registered in v-safe
2021-04-20
Survey response — days 1–6 daily, dose 1
MedDRA: Lymphadenopathy, Musculoskeletal chest pain — Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work

Free text: Rib cage pain, swollen lymph nodes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
Survey response — days 1–6 daily, dose 1
MedDRA: Headache, Photophobia — Feeling: Fair · Site: Pain, Swelling, Itching · Headache, Fatigue or tiredness

Free text: Photophobia with headache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Redness, Swelling · Chills, Headache, Fatigue or tiredness, Diarrhea

Adult check-in
2021-04-23
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-24
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-25
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-26
Health check-in — day 7, dose 1
Feeling: Fair · Joint pains, Muscle or body aches

Adult check-in
2021-05-03
Survey response — day 14, dose 1
MedDRA: Arthralgia, Lymphadenopathy, Urticaria — Feeling: Fair

Free text: The sore, red welt came back at the vaccination on arm on day seven/eight and is starting to go away again. There is an small ache between shoulder blades these last few days. Also underarm on vaccine side feels like lymph node is swollen.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-10
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-05-17
Dose 2 — Moderna
2021-05-17
Health check-in — day 0, dose 2
Feeling: Good · Fever · Headache

Adult check-in
2021-05-18
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work

Adult check-in
2021-05-19
Survey response — days 1–6 daily, dose 2
MedDRA: Neck pain — Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Free text: Neck pain last night that has since gone away

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-20
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-05-21
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Joint pains, Fatigue or tiredness

Adult check-in
2021-05-22
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-05-23
Survey response — days 1–6 daily, dose 2
MedDRA: Fatigue — Feeling: Good · Fatigue or tiredness

Free text: Lingering tiredness that I did not experience before shots. Feel like I could fall asleep at the drop of a hat but not sleeping as deeply.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-26
Survey response — day 7, dose 2
MedDRA: Joint swelling — Feeling: Fair · Fever · Muscle or body aches, Fatigue or tiredness

Free text: Ankles swelling. Never experienced ankle swelling before unless injury

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-07
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-06-15
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-21
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-28
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-08-16
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-11-17
Survey response — 6 months, dose 2
MedDRA: Alopecia — Feeling: Good

Free text: Hair loss

MedDRA releases: 2024-11 · check-in free text available
2021-12-08
Dose 3 — Pfizer-BioNTech

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-19	Moderna
2	2021-05-17	Moderna
3	2021-12-08	Pfizer-BioNTech	No

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-20

Systemic reaction (other): Rib cage pain, swollen lymph nodes

2021-04-21

Systemic reaction (other): Photophobia with headache

Release 8 — day 14, dose 1

2021-05-03

Symptoms: The sore, red welt came back at the vaccination on arm on day seven/eight and is starting to go away again. There is an small ache between shoulder blades these last few days. Also underarm on vaccine side feels like lymph node is swollen.

Release 8 — days 1–6 daily, dose 2

2021-05-19

Systemic reaction (other): Neck pain last night that has since gone away

2021-05-23

Systemic reaction (other): Lingering tiredness that I did not experience before shots. Feel like I could fall asleep at the drop of a hat but not sleeping as deeply.

Release 8 — day 7, dose 2

2021-05-26

Systemic reaction (other): Ankles swelling. Never experienced ankle swelling before unless injury

Release 10 — 6 months, dose 2

2021-11-17

Symptoms: Hair loss

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	Alopecia	·	·	✓
SD	Arthralgia	✓	✓	✓
SD	Lymphadenopathy	✓	✓	✓
SD	Urticaria	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Joint swelling	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Musculoskeletal chest pain	✓	✓	✓
SRO	Neck pain	✓	✓	✓
SRO	Photophobia	✓	✓	✓

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