3LC-26814-60570

2 vaccinations 10 coded responses 22 check-ins 10 free-text entries 0 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 050 / VT
Registered: 2021-03-31

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

2021-03-30
Dose 1 — Moderna
2021-03-31
Registered in v-safe
2021-03-31
Survey response — days 1–6 daily, dose 1
MedDRA: Hypertension — Feeling: Poor · Site: Pain, Redness, Swelling · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Blood Pressure a little high

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Survey response — days 1–6 daily, dose 1
MedDRA: Hypertension, Hypoaesthesia — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Blood Preasurr is a little high & Arm is numb some

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-03
Survey response — days 1–6 daily, dose 1
MedDRA: Hypertension, Hypoaesthesia — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: blood pressure is a little high. & a little numb & a smalle bunch on the side of the left neck !

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

Adult check-in
2021-04-05
Survey response — days 1–6 daily, dose 1
MedDRA: Hypertension, Hypoaesthesia, Rash, Swelling — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: blood Preasure is a little high , Arm is numb sometimes, Neck is a little swollen, Breaking out in to a rash on neck !

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-06
Survey response — day 7, dose 1
MedDRA: Hypertension, Hypoaesthesia, Swelling — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: blood Preasure is a little high, Arm is numb sometimes , Neck is a little swollen , Breaking out on Neck !

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-14
Survey response — day 14, dose 1
MedDRA: Chills, Dizziness, Headache, Injection site pain, Nausea, Pruritus, Swelling — Feeling: Fair · Be unable to do your normal daily activities

Free text: Still nauseous & still have chills when I get nauseous & also have head aches & also have some dizzy spells & its still sore where the shot went & I still itch on neck , shoulder, chest & neck is still little swollen!

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

Adult check-in
2021-04-27
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-05-05
Health check-in — day 35, dose 1
Feeling: Good

Adult check-in
2021-05-11
Health check-in — day 42, dose 1
Feeling: Good

Adult check-in
2021-05-17
Dose 2 — Moderna
2021-05-18
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-05-19
Survey response — days 1–6 daily, dose 2
MedDRA: Hypertension, Swelling — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: Swelling in neck , Blood Preasure is a little high

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-20
Survey response — days 1–6 daily, dose 2
MedDRA: Hypertension, Swelling — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: Swelling on neck. & Blood Pressure is a little high !

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-21
Survey response — days 1–6 daily, dose 2
MedDRA: Hypertension, Swelling — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: Swelling on my neck. & Blood Pressure is a little high. !

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-22
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Adult check-in
2021-05-24
Survey response — day 7, dose 2
MedDRA: Hypertension, Swelling — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: Neck is still swollen. , Blood Pressure is a little high

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-31
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-06-07
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-06-14
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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-30	Moderna
2	2021-05-17	Moderna

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-31

Systemic reaction (other): Blood Pressure a little high

2021-04-02

Systemic reaction (other): Blood Preasurr is a little high & Arm is numb some

2021-04-03

Systemic reaction (other): blood pressure is a little high. & a little numb & a smalle bunch on the side of the left neck !

2021-04-05

Systemic reaction (other): blood Preasure is a little high , Arm is numb sometimes, Neck is a little swollen, Breaking out in to a rash on neck !

Release 7 — day 7, dose 1

2021-04-06

Systemic reaction (other): blood Preasure is a little high, Arm is numb sometimes , Neck is a little swollen , Breaking out on Neck !

Release 7 — day 14, dose 1

2021-04-14

Symptoms: Still nauseous & still have chills when I get nauseous & also have head aches & also have some dizzy spells & its still sore where the shot went & I still itch on neck , shoulder, chest & neck is still little swollen!

Release 8 — days 1–6 daily, dose 2

2021-05-19

Systemic reaction (other): Swelling in neck , Blood Preasure is a little high

2021-05-20

Systemic reaction (other): Swelling on neck. & Blood Pressure is a little high !

2021-05-21

Systemic reaction (other): Swelling on my neck. & Blood Pressure is a little high. !

Release 8 — day 7, dose 2

2021-05-24

Systemic reaction (other): Neck is still swollen. , Blood Pressure is a little high

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	Chills	✓	✓	✓
SD	Dizziness	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Injection site pain	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Pruritus	✓	✓	✓
SD	Swelling	✓	✓	✓
SRO	Hypertension	✓	✓	✓
SRO	Hypoaesthesia	✓	✓	✓
SRO	Rash	✓	✓	✓
SRO	Swelling	✓	✓	✓

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