3A8-10563-96113

3 vaccinations 11 coded responses 34 check-ins 11 free-text entries 1 call case

Sex: Female
Age at first dose: 36-40
ZIP prefix: 787 / TX
Registered: 2021-03-03

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

2021-03-02
Dose 1 — Moderna
2021-03-03
Registered in v-safe
2021-03-03
Survey response — days 1–6 daily, dose 1
MedDRA: Adverse reaction — Feeling: Good · Site: Pain · Headache, Fatigue or tiredness

Free text: On my period right now, fyi for symptom overlap

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-04
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-05
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-07
Survey response — days 1–6 daily, dose 1
MedDRA: Dry mouth, Seasonal allergy — Feeling: Good · Fatigue or tiredness

Free text: Dry mouth- probably more to do with seasonal allergies

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-09
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-16
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-23
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-30
Dose 2 — Moderna
2021-03-30
Survey response — day 0, dose 2
MedDRA: Hypoaesthesia, Pain — Feeling: Fair · Site: Pain · Headache

Free text: Muscle around injection site is also slightly numb and slightly sore. It's only been 2hrs since shot was given

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-31
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Poor · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Swollen lymph nodes in neck, arm, collar bone, and along rib cage of injection site side

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-01
Survey response — days 1–6 daily, dose 2
MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: No VCD today but lymph nodes in the armpit, neck, collar bone, and back are swollen and very sore.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain, Swelling · Muscle or body aches

Free text: Swollen lymph nodes in arm, chest, and armpit area

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-04
Survey response — days 1–6 daily, dose 2
MedDRA: Hypoaesthesia, Lymphadenopathy — Feeling: Good · Site: Pain, Swelling

Free text: Swollen lymph nodes and hand numbness in left hand

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-05
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Good · Site: Swelling

Free text: Minor swollen lymph nodes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-06
Survey response — day 7, dose 2
MedDRA: Lymphadenopathy — Feeling: Good

Free text: Swollen lymph nodes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-13
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-20
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-27
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-04
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-11
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-29
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-28
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-23
Dose 3 — Moderna
2021-10-28
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Chills, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-10-29
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-30
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-11-06
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-13
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-20
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-27
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-04
Survey response — day 42, dose 3
MedDRA: Blood cholesterol increased, Blood thyroid stimulating hormone increased, Low density lipoprotein increased — Feeling: Good

Free text: Increased ultra sensitive Thyroid stimulating hormone (maybe unrelated) Increased overall cholesterol & c-LDL (again maybe unrelated)

MedDRA releases: 2024-11 · check-in free text available
2022-01-22
Survey response — 3 months, dose 3
MedDRA: Condition aggravated, Post-traumatic stress disorder, Pre-existing disease — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Physical symptoms from personal ptsd unrelated to the pandemic or vaccine. Hashimoto's thyroiditis flared up resulting in need for higher dose (prev dose same for 9+yrs).

MedDRA releases: 2024-11 · check-in free text available
2022-01-22
Report sent to call center — 3 months, dose 3
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-01-25
Call 1 — Could Not Reach Participant
2022-01-28
Call 2 — Could Not Reach Participant
2022-04-23
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-10-24
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-02	Moderna
2	2021-03-30	Moderna
3	2021-10-23	Moderna	No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-03

Systemic reaction (other): On my period right now, fyi for symptom overlap

2021-03-07

Systemic reaction (other): Dry mouth- probably more to do with seasonal allergies

Release 6 — day 0, dose 2

2021-03-30

Systemic reaction (other): Muscle around injection site is also slightly numb and slightly sore. It's only been 2hrs since shot was given

Release 6 — days 1–6 daily, dose 2

2021-03-31

Systemic reaction (other): Swollen lymph nodes in neck, arm, collar bone, and along rib cage of injection site side

2021-04-01

Systemic reaction (other): No VCD today but lymph nodes in the armpit, neck, collar bone, and back are swollen and very sore.

2021-04-02

Systemic reaction (other): Swollen lymph nodes in arm, chest, and armpit area

2021-04-04

Systemic reaction (other): Swollen lymph nodes and hand numbness in left hand

2021-04-05

Systemic reaction (other): Minor swollen lymph nodes

Release 7 — day 7, dose 2

2021-04-06

Systemic reaction (other): Swollen lymph nodes

Release 10 — day 42, dose 3

2021-12-04

Symptoms: Increased ultra sensitive Thyroid stimulating hormone (maybe unrelated) Increased overall cholesterol & c-LDL (again maybe unrelated)

Release 11 — 3 months, dose 3

2022-01-22

Symptoms: Physical symptoms from personal ptsd unrelated to the pandemic or vaccine. Hashimoto's thyroiditis flared up resulting in need for higher dose (prev dose same for 9+yrs).

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	Blood cholesterol increased	·	·	✓
SD	Blood thyroid stimulating hormone increased	·	·	✓
SD	Condition aggravated	·	·	✓
SD	Low density lipoprotein increased	·	·	✓
SD	Post-traumatic stress disorder	·	·	✓
SD	Pre-existing disease	·	·	✓
SRO	Adverse reaction	✓	✓	✓
SRO	Dry mouth	✓	✓	✓
SRO	Hypoaesthesia	✓	✓	✓
SRO	Lymph node pain	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Seasonal allergy	✓	✓	✓

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