3V9-17070-07564

2 vaccinations 8 coded responses 27 check-ins 8 free-text entries 0 call cases

Sex: Female
Age at first dose: 31-35
ZIP prefix: 974 / OR
Registered: 2020-12-26

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

2020-12-26
Registered in v-safe
2020-12-26
Dose 1 — Moderna
2020-12-26
Survey response — day 0, dose 1
MedDRA: Pre-existing disease, Upper-airway cough syndrome — Feeling: Good · Fatigue or tiredness

Free text: Post-nasal drip (present prior to vaccine)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-27
Survey response — days 1–6 daily, dose 1
MedDRA: Upper-airway cough syndrome — Feeling: Good · Site: Pain · Fatigue or tiredness

Free text: Continued post nasal drip as prior to the vaccine. Unchanged

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2020-12-29
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2020-12-30
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2020-12-31
Survey response — days 1–6 daily, dose 1
MedDRA: Upper respiratory tract congestion — Feeling: Fair · Fatigue or tiredness

Free text: Congestion

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-01
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-01-02
Survey response — day 7, dose 1
MedDRA: Respiratory tract congestion, Upper-airway cough syndrome — Feeling: Fair · Fatigue or tiredness

Free text: Post nasal drip/congestion

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-09
Survey response — day 14, dose 1
MedDRA: Lymph node pain — Feeling: Fair

Free text: Pain at lymph node area in left armpit (vaccine given in left arm)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-16
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-01-23
Survey response — day 28, dose 1
MedDRA: Injection site pain, Sleep disorder — Feeling: Fair · Be unable to do your normal daily activities

Free text: Continued pain in left arm near injection site. To the point that it hurts to sleep on my left side. No visible bruising or redness or palpable lumps

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-26
Dose 2 — Moderna
2021-01-26
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-01-27
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-01-28
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-29
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-30
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-01-31
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Good

Free text: Swollen lymph node in neck above left clavicle area (new onset)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-01
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Fair · Headache

Free text: Increase in lymph node swelling and irritation on left side above clavicle (same side as vaccination site)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-02
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-02-09
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-16
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-23
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-02
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-09
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-04-29
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-07-29
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-01-26
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-26	Moderna
2	2021-01-26	Moderna

Free text

Release 1 — day 0, dose 1

2020-12-26

Systemic reaction (other): Post-nasal drip (present prior to vaccine)

Release 1 — days 1–6 daily, dose 1

2020-12-27

Systemic reaction (other): Continued post nasal drip as prior to the vaccine. Unchanged

2020-12-31

Systemic reaction (other): Congestion

Release 1 — day 7, dose 1

2021-01-02

Systemic reaction (other): Post nasal drip/congestion

Release 1 — day 14, dose 1

2021-01-09

Symptoms: Pain at lymph node area in left armpit (vaccine given in left arm)

Release 2 — day 28, dose 1

2021-01-23

Symptoms: Continued pain in left arm near injection site. To the point that it hurts to sleep on my left side. No visible bruising or redness or palpable lumps

Release 3 — days 1–6 daily, dose 2

2021-01-31

Systemic reaction (other): Swollen lymph node in neck above left clavicle area (new onset)

2021-02-01

Systemic reaction (other): Increase in lymph node swelling and irritation on left side above clavicle (same side as vaccination site)

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	Injection site pain	✓	✓	✓
SD	Lymph node pain	✓	✓	✓
SD	Sleep disorder	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Respiratory tract congestion	✓	✓	✓
SRO	Unevaluable event	○	○	○
SRO	Upper respiratory tract congestion	✓	✓	✓
SRO	Upper-airway cough syndrome	✓	✓	✓

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