3EL-78417-28673

2 vaccinations 12 coded responses 23 check-ins 12 free-text entries 0 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 797 / TX
Registered: 2021-01-21

Relationship: Self
Race: Multiracial
Ethnicity: 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

2021-01-20
Dose 1 — Moderna
2021-01-21
Registered in v-safe
2021-01-22
Survey response — days 1–6 daily, dose 1
MedDRA: Chills, Fatigue, Lymphadenopathy, Pain, Pyrexia — Feeling: Fair · Site: Pain, Swelling, Itching · Headache · Be unable to do your normal daily activities

Free text: 1st and 2nd day I experienced fever, chills, fatigue, and body aches.I also now have swollen lymph nodes under armpit of infection arm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-23
Survey response — days 1–6 daily, dose 1
MedDRA: Axillary pain — Feeling: Fair · Site: Pain, Itching · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Severe pain in armpit area under injection site

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-24
Survey response — days 1–6 daily, dose 1
MedDRA: Axillary pain, Lymphadenopathy — Feeling: Good · Site: Pain · Headache

Free text: Pain in armpit underneath injection sight, feel lymph nodes are swollen

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-25
Survey response — days 1–6 daily, dose 1
MedDRA: Axillary pain — Feeling: Good · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Same pain in armpit under Injection site

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-27
Survey response — day 7, dose 1
MedDRA: Chest pain, Myalgia — Feeling: Fair · Site: Pain · Fatigue or tiredness

Free text: Muscle pain in upper left chest area same side as injection site

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-03
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-10
Survey response — day 21, dose 1
MedDRA: Fatigue — Feeling: Fair

Free text: Tiredness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-19
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-02-24
Health check-in — day 35, dose 1
Feeling: Good

Adult check-in
2021-02-25
Dose 2 — Moderna
2021-02-25
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-26
Survey response — days 1–6 daily, dose 2
MedDRA: Breast tenderness — 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

Free text: Breast tenderness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-27
Survey response — days 1–6 daily, dose 2
MedDRA: Breast pain — Feeling: Fair · Site: Pain, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Pain in Breast area

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-28
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Joint pains

Adult check-in
2021-03-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Itching · Rash, not including the immediate area around the injection site

Adult check-in
2021-03-04
Survey response — day 7, dose 2
MedDRA: Lymphadenopathy — Feeling: Good · Site: Swelling, Itching · Rash, not including the immediate area around the injection site

Free text: Swollen lymph nodes in armpit area same side as injection

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-11
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-18
Survey response — day 21, dose 2
MedDRA: Lymphadenopathy — Feeling: Good

Free text: Swollen lymph pain around chest area and under armpits

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-25
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-03
Survey response — day 35, dose 2
MedDRA: Fatigue — Feeling: Fair

Free text: Tiredness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-09
Survey response — day 42, dose 2
MedDRA: Fatigue — Feeling: Fair · Be unable to do your normal daily activities

Free text: Tiredness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-28
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-02-25
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-20	Moderna
2	2021-02-25	Moderna

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-22

Systemic reaction (other): 1st and 2nd day I experienced fever, chills, fatigue, and body aches.I also now have swollen lymph nodes under armpit of infection arm

2021-01-23

Systemic reaction (other): Severe pain in armpit area under injection site

2021-01-24

Systemic reaction (other): Pain in armpit underneath injection sight, feel lymph nodes are swollen

2021-01-25

Systemic reaction (other): Same pain in armpit under Injection site

Release 2 — day 7, dose 1

2021-01-27

Systemic reaction (other): Muscle pain in upper left chest area same side as injection site

Release 4 — day 21, dose 1

2021-02-10

Symptoms: Tiredness

Release 4 — days 1–6 daily, dose 2

2021-02-26

Systemic reaction (other): Breast tenderness

2021-02-27

Systemic reaction (other): Pain in Breast area

Release 5 — day 7, dose 2

2021-03-04

Systemic reaction (other): Swollen lymph nodes in armpit area same side as injection

Release 5 — day 21, dose 2

2021-03-18

Symptoms: Swollen lymph pain around chest area and under armpits

Release 6 — day 35, dose 2

2021-04-03

Symptoms: Tiredness

Release 7 — day 42, dose 2

2021-04-09

Symptoms: Tiredness

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	Fatigue	✓	✓	✓
SD	Lymphadenopathy	✓	✓	✓
SRO	Axillary pain	✓	✓	✓
SRO	Breast pain	✓	✓	✓
SRO	Breast tenderness	✓	✓	✓
SRO	Chest pain	✓	✓	✓
SRO	Chills	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Myalgia	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pyrexia	✓	✓	✓

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