3SL-13015-35642

2 vaccinations 12 coded responses 24 check-ins 12 free-text entries 0 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 986 / WA
Registered: 2021-08-19

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

2021-08-19
Registered in v-safe
2021-08-19
Dose 1 — Moderna
2021-08-19
Survey response — day 0, dose 1
MedDRA: Feeling hot — Feeling: Good · Site: Swelling · Headache, Muscle or body aches

Free text: Warmth/hotness feeling in stomach and right ankle

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-20
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness — Feeling: Good · Site: Pain · Abdominal pain

Free text: Dizziness

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-21
Survey response — days 1–6 daily, dose 1
MedDRA: Burning sensation — Feeling: Good · Site: Pain, Itching · Joint pains, Abdominal pain

Free text: Nerves in my finger and thumb felt like they were burning

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-22
Survey response — days 1–6 daily, dose 1
MedDRA: Lymphadenopathy, Oropharyngeal pain, Peripheral swelling — Feeling: Fair · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Free text: Swelling on legs and feet. Armpit lymph node swollen. Mild sore throat

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-23
Survey response — days 1–6 daily, dose 1
MedDRA: Gait disturbance, Peripheral swelling — Feeling: Good · Joint pains, Muscle or body aches

Free text: Swollen legs and feet, uncomfortable to walk

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-24
Survey response — days 1–6 daily, dose 1
MedDRA: Epistaxis, Lymphadenopathy — Feeling: Good · Headache

Free text: Bloody nose and swollen armpit lymph node

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-08-26
Survey response — day 7, dose 1
MedDRA: Pain, Peripheral swelling — Feeling: Good · Muscle or body aches, Fatigue or tiredness

Free text: Mild selling on the bottom of my left foot. Since getting the vaccine I have random areas of stabbing pain that lasts for a second. I hadnt reported this previously. I spoke with someone yesterday that said they had it too and it started after shot

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-09-02
Survey response — day 14, dose 1
MedDRA: Arthralgia, Hypertension, Lymphadenopathy, Swelling, Tenderness — Feeling: Fair · Be unable to do your normal daily activities

Free text: Swelling continues, but intermittent. Blood pressure is high. Glands in left elbow/arm and right side of neck are swollen. Joints hurt occasionally. Bottom of feet are very tender.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-09-09
Survey response — day 21, dose 1
MedDRA: Heart rate increased — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Heart rate is high. Normally around or lower than 70. Recently 90-115, even higher with minimal movements.

MedDRA releases: 2024-11 · check-in free text available
2021-09-16
Dose 2 — Moderna
2021-09-16
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-09-17
Survey response — days 1–6 daily, dose 2
MedDRA: Aura, Dizziness, Immediate post-injection reaction — Feeling: Good · Site: Pain, Itching · Headache, Nausea · Be unable to work or attend school

Free text: Ive had a aura feeling about 5 minutes after the shot and it lasted several hours. Gone when I woke up this morning, but came back a few hours after waking. Dizziness

MedDRA releases: 2024-11 · check-in free text available
2021-09-18
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Itching · Headache

Adult check-in
2021-09-19
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-09-20
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-09-21
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-09-22
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-09-23
Health check-in — day 7, dose 2
Feeling: Good · Site: Itching · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-09-30
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-10-07
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-10-14
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-10-21
Survey response — day 35, dose 2
MedDRA: Headache, Pain in extremity — Feeling: Good · Be unable to do your normal daily activities

Free text: Headache and bottom of my feet are sore

MedDRA releases: 2024-11 · check-in free text available
2021-10-28
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-12-18
Survey response — 3 months, dose 2
MedDRA: Cough, Pain in extremity — Feeling: Good

Free text: Feet are painful to walk on. Cough that lasted about a week.

MedDRA releases: 2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-08-19	Moderna	No
2	2021-09-16	Moderna	No

Free text

Release 9 — day 0, dose 1

2021-08-19

Systemic reaction (other): Warmth/hotness feeling in stomach and right ankle

Release 9 — days 1–6 daily, dose 1

2021-08-20

Systemic reaction (other): Dizziness

2021-08-21

Systemic reaction (other): Nerves in my finger and thumb felt like they were burning

2021-08-22

Systemic reaction (other): Swelling on legs and feet. Armpit lymph node swollen. Mild sore throat

2021-08-23

Systemic reaction (other): Swollen legs and feet, uncomfortable to walk

2021-08-24

Systemic reaction (other): Bloody nose and swollen armpit lymph node

Release 9 — day 7, dose 1

2021-08-26

Systemic reaction (other): Mild selling on the bottom of my left foot. Since getting the vaccine I have random areas of stabbing pain that lasts for a second. I hadnt reported this previously. I spoke with someone yesterday that said they had it too and it started after shot cut off by CDC

Release 9 — day 14, dose 1

2021-09-02

Symptoms: Swelling continues, but intermittent. Blood pressure is high. Glands in left elbow/arm and right side of neck are swollen. Joints hurt occasionally. Bottom of feet are very tender.

Release 9 — day 21, dose 1

2021-09-09

Symptoms: Heart rate is high. Normally around or lower than 70. Recently 90-115, even higher with minimal movements.

Release 9 — days 1–6 daily, dose 2

2021-09-17

Systemic reaction (other): Ive had a aura feeling about 5 minutes after the shot and it lasted several hours. Gone when I woke up this morning, but came back a few hours after waking. Dizziness

Release 10 — day 35, dose 2

2021-10-21

Symptoms: Headache and bottom of my feet are sore

Release 10 — 3 months, dose 2

2021-12-18

Symptoms: Feet are painful to walk on. Cough that lasted about a week.

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	✓	·	✓
SD	Cough	·	·	✓
SD	Headache	·	·	✓
SD	Heart rate increased	·	·	✓
SD	Hypertension	✓	·	✓
SD	Lymphadenopathy	✓	·	✓
SD	Pain in extremity	·	·	✓
SD	Swelling	✓	·	✓
SD	Tenderness	✓	·	✓
SRO	Aura	·	·	✓
SRO	Burning sensation	✓	·	✓
SRO	Dizziness	✓	·	✓
SRO	Epistaxis	✓	·	✓
SRO	Feeling hot	✓	·	✓
SRO	Gait disturbance	✓	·	✓
SRO	Immediate post-injection reaction	·	·	✓
SRO	Lymphadenopathy	✓	·	✓
SRO	Oropharyngeal pain	✓	·	✓
SRO	Pain	✓	·	✓
SRO	Peripheral swelling	✓	·	✓

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