3UL-65370-10592

5 vaccinations 13 coded responses 43 check-ins 13 free-text entries 1 call case

Sex: Female
Age at first dose: 56-60
ZIP prefix: 852 / AZ
Registered: 2021-08-19

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

2020-12-29
Dose 1 — Moderna
2021-01-29
Dose 2 — Moderna
2021-08-19
Registered in v-safe
2021-08-19
Dose 3 — Moderna
2021-08-19
Health check-in — day 0, dose 3
Feeling: Good · None

Adult check-in
2021-08-20
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Swelling · None

Adult check-in
2021-08-21
Survey response — days 1–6 daily, dose 3
MedDRA: Decreased appetite, Thirst — Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Thirstiness and loss of appetite.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-22
Survey response — days 1–6 daily, dose 3
MedDRA: Axillary pain, Oedema peripheral — Feeling: Good · Site: Pain, Redness, Swelling, Itching · Muscle or body aches, Diarrhea

Free text: My underarm has bben sore and swolen for the past 2 days.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-23
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Swelling, Itching · None

Adult check-in
2021-08-24
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Swelling · None

Adult check-in
2021-08-25
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Swelling · None

Adult check-in
2021-08-26
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-09-02
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-09-09
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-09-16
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-09-23
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-09-30
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2021-11-18
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-02-17
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-04-22
Dose 4 — Moderna
2022-04-22
Health check-in — day 0, dose 4
Feeling: Good · None

Adult check-in
2022-04-23
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Swelling · None

Adult check-in
2022-04-24
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain, Swelling, Itching · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2022-04-25
Survey response — days 1–6 daily, dose 4
MedDRA: Musculoskeletal pain — Feeling: Good · Site: Pain, Swelling, Itching

Free text: 2 days ago my opposite shoulder blade hurt. The pain is gone now.

MedDRA releases: 2024-11 · check-in free text available
2022-04-26
Survey response — days 1–6 daily, dose 4
MedDRA: Oedema peripheral, Tenderness — Feeling: Good · Site: Pain, Swelling

Free text: Pain is really just a little tenderness, and armpit is just slightly swollen.

MedDRA releases: 2024-11 · check-in free text available
2022-04-27
Survey response — days 1–6 daily, dose 4
MedDRA: Injection site pain — Feeling: Good · Site: Pain, Swelling

Free text: Very slight tenderness and soreness at injection site.

MedDRA releases: 2024-11 · check-in free text available
2022-04-28
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-04-29
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-05-06
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-05-14
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-05-20
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-05-27
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-06-03
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-07-22
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-09-04
Dose 5 — Pfizer-BioNTech
2022-09-04
Health check-in — day 0, dose 5
Feeling: Good · None

Adult check-in
2022-09-05
Survey response — days 1–6 daily, dose 5
MedDRA: Axillary pain, Injection site bruising, Oedema peripheral — Feeling: Good · Site: Pain, Redness, Swelling

Free text: Bruising at injection site, soreness and swelling in the armpit.

MedDRA releases: 2024-11 · check-in free text available
2022-09-06
Survey response — days 1–6 daily, dose 5
MedDRA: Axillary pain, Injection site bruising, Injection site swelling, Oedema peripheral — Feeling: Good · Site: Pain, Redness, Swelling

Free text: Bump and a bruise at injection site, swelling and soreness in my underarm.

MedDRA releases: 2024-11 · check-in free text available
2022-09-08
Survey response — days 1–6 daily, dose 5
MedDRA: Injection site bruising, Tenderness — Feeling: Good · Site: Pain, Swelling

Free text: Bruise at injection site. Tenderness in underarm.

MedDRA releases: 2024-11 · check-in free text available
2022-09-09
Survey response — days 1–6 daily, dose 5
MedDRA: Injection site bruising — Feeling: Good

Free text: Still have a bruise at the injection site.

MedDRA releases: 2024-11 · check-in free text available
2022-09-10
Survey response — days 1–6 daily, dose 5
MedDRA: Injection site bruising — Feeling: Good

Free text: Bruise at injection site.

MedDRA releases: 2024-11 · check-in free text available
2022-09-11
Survey response — day 7, dose 5
MedDRA: Injection site bruising — Feeling: Good

Free text: Still have a bruise at injection site.

MedDRA releases: 2024-11 · check-in free text available
2022-09-18
Health check-in — day 14, dose 5
Feeling: Good

Adult check-in
2022-09-25
Health check-in — day 21, dose 5
Feeling: Good

Adult check-in
2022-10-02
Survey response — day 28, dose 5
MedDRA: Cough, Exposure to SARS-CoV-2, Fatigue, Nasopharyngitis, Respiratory tract congestion, Rhinorrhoea, Sneezing — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Cold symptoms - tiredness, congestion, runny nose, coughing, sneezing. Was exposed to someone with Covid-19.

MedDRA releases: 2024-11 · check-in free text available
2022-10-09
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2022-10-16
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2022-12-04
Survey response — 3 months, dose 5
MedDRA: COVID-19, Malaise — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: Got Covid on Nov. 17, 2022. Was sick for 2 weeks. The doctor prescribed Paxlovid.

MedDRA releases: 2024-11 · check-in free text available
2022-12-04
Report sent to call center — 3 months, dose 5
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-12-05
Call 1 — Left Voicemail
2022-12-05
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2023-03-05
Health check-in — 6 months, dose 5
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-29	Moderna	No
2	2021-01-29	Moderna	No
3	2021-08-19	Moderna	No
4	2022-04-22	Moderna	No
5	2022-09-04	Pfizer-BioNTech	No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 9 — days 1–6 daily, dose 3

2021-08-21

Systemic reaction (other): Thirstiness and loss of appetite.

2021-08-22

Systemic reaction (other): My underarm has bben sore and swolen for the past 2 days.

Release 11 — days 1–6 daily, dose 4

2022-04-25

Systemic reaction (other): 2 days ago my opposite shoulder blade hurt. The pain is gone now.

2022-04-26

Systemic reaction (other): Pain is really just a little tenderness, and armpit is just slightly swollen.

2022-04-27

Systemic reaction (other): Very slight tenderness and soreness at injection site.

Release 12 — days 1–6 daily, dose 5

2022-09-05

Systemic reaction (other): Bruising at injection site, soreness and swelling in the armpit.

2022-09-06

Systemic reaction (other): Bump and a bruise at injection site, swelling and soreness in my underarm.

2022-09-08

Systemic reaction (other): Bruise at injection site. Tenderness in underarm.

2022-09-09

Systemic reaction (other): Still have a bruise at the injection site.

2022-09-10

Systemic reaction (other): Bruise at injection site.

Release 12 — day 7, dose 5

2022-09-11

Systemic reaction (other): Still have a bruise at injection site.

Release 12 — day 28, dose 5

2022-10-02

Symptoms: Cold symptoms - tiredness, congestion, runny nose, coughing, sneezing. Was exposed to someone with Covid-19.

Release 12 — 3 months, dose 5

2022-12-04

Symptoms: Got Covid on Nov. 17, 2022. Was sick for 2 weeks. The doctor prescribed Paxlovid.

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	Cough	·	·	✓
SD	COVID-19	·	·	✓
SD	Exposure to SARS-CoV-2	·	·	✓
SD	Fatigue	·	·	✓
SD	Malaise	·	·	✓
SD	Nasopharyngitis	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	Rhinorrhoea	·	·	✓
SD	Sneezing	·	·	✓
SRO	Axillary pain	✓	·	✓
SRO	Decreased appetite	✓	·	✓
SRO	Injection site bruising	·	·	✓
SRO	Injection site pain	·	·	✓
SRO	Injection site swelling	·	·	✓
SRO	Musculoskeletal pain	·	·	✓
SRO	Oedema peripheral	✓	·	✓
SRO	Tenderness	·	·	✓
SRO	Thirst	✓	·	✓

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