3YL-16179-93637

4 vaccinations 14 coded responses 49 check-ins 14 free-text entries 1 call case

Sex: Female
Age at first dose: 36-40
ZIP prefix: 052 / VT
Registered: 2021-04-21

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

2021-04-21
Registered in v-safe
2021-04-21
Dose 1 — Moderna
2021-04-21
Health check-in — day 0, dose 1
Feeling: Fair · Site: Pain · Chills, Headache, Fatigue or tiredness

Adult check-in
2021-04-22
Survey response — days 1–6 daily, dose 1
MedDRA: Rhinorrhoea — Feeling: Poor · Site: Pain · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Runny nose

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache, Muscle or body aches

Adult check-in
2021-04-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-28
Health check-in — day 7, dose 1
Feeling: Good · Site: Itching · None

Adult check-in
2021-05-05
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-05-14
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-05-18
Dose 2 — Moderna
2021-05-19
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site erythema, Injection site warmth — Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Injection area is hot to the touch but no sign of redness or swelling

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: Pyrexia — Feeling: Good · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Fever broke shortly after midnight. After getting 8 more hours of sleep I woke up feeling normal.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-21
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness · Rash, not including the immediate area around the injection site

Adult check-in
2021-05-22
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness · Rash, not including the immediate area around the injection site

Adult check-in
2021-05-23
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Rash, not including the immediate area around the injection site

Adult check-in
2021-05-24
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Rash, not including the immediate area around the injection site

Adult check-in
2021-05-25
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-06-01
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-06-08
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-06-15
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-24
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-29
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-08-17
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-11-16
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-19
Dose 3 — Moderna
2021-11-19
Survey response — day 0, dose 3
MedDRA: Rhinorrhoea — Feeling: Fair · Site: Pain · Chills, Fatigue or tiredness

Free text: Runny nose

MedDRA releases: 2024-11 · check-in free text available
2021-11-20
Survey response — days 1–6 daily, dose 3
MedDRA: Arthritis, Axillary pain, Pre-existing disease — Feeling: Poor · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Free text: Arthritis flare up, pain in arm pit of the arm where injected

MedDRA releases: 2024-11 · check-in free text available
2021-11-21
Survey response — days 1–6 daily, dose 3
MedDRA: Axillary pain, Pain — Feeling: Fair · Site: Pain · Chills, Joint pains, Muscle or body aches

Free text: Pain in arm pit on arm where injected. Other pains mild but this pain is severe. I understand from article by Sanjay Gupta this is a normal reactio

MedDRA releases: 2024-11 · check-in free text available
2021-11-22
Survey response — days 1–6 daily, dose 3
MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches

Free text: Continued severe pain in arm pit / swollen lymphnode

MedDRA releases: 2024-11 · check-in free text available
2021-11-23
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Joint pains, Muscle or body aches

Adult check-in
2021-11-24
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Joint pains, Muscle or body aches

Adult check-in
2021-11-25
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Joint pains

Adult check-in
2021-11-26
Health check-in — day 7, dose 3
Feeling: Good · Joint pains, Muscle or body aches

Adult check-in
2021-12-03
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-12-10
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-12-17
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-24
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-31
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-02-18
Survey response — 3 months, dose 3
MedDRA: Back pain, Brain fog, Chills, Cough, Fatigue, Myalgia, Pyrexia, Rhinorrhoea, Vertigo — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Fever,cough,chills,sore throat,runny nose, fatigue,muscle soreness,brain fog, vertigo. Symptoms 10 days before + test. Husband & 3 daughters also +. Husband same Symptoms & timeline. Vaxed & boosted. 1 daughter vaxed. Other 2 too young.106 fevers

MedDRA releases: 2024-11 · check-in free text available
2022-05-22
Survey response — 6 months, dose 3
MedDRA: Headache, Myalgia, Oropharyngeal pain, Respiratory tract congestion, Sneezing — Feeling: Good · Be unable to work or attend school

Free text: Sore throat, headache, sneezing, congestion, sore muscle

MedDRA releases: 2024-11 · check-in free text available
2022-09-15
Dose 4 — Pfizer-BioNTech
2022-09-16
Survey response — days 1–6 daily, dose 4
MedDRA: Body temperature decreased, Chills, Dizziness, Ear discomfort, Feeling cold, Lymph node pain, Secretion discharge, Upper-airway cough syndrome — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to work or attend school

Free text: Lymph node in armpit of injection arm is painful. Disgusting amounts of mucus. Post nasal drip. Clogged ears. Dizziness after a warm shower. Chills/cant get warm but temperature hasnt gone above 98.3. As low as 96.5

MedDRA releases: 2024-11 · check-in free text available
2022-09-18
Survey response — days 1–6 daily, dose 4
MedDRA: Axillary pain, Ear discomfort, Paranasal sinus discomfort — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Pain in armpit. Sinus pressure. Ear pressure

MedDRA releases: 2024-11 · check-in free text available
2022-09-18
Report sent to call center — days 1–6 daily, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-09-19
Survey response — days 1–6 daily, dose 4
MedDRA: Lymph node pain, Paranasal sinus discomfort, Secretion discharge — Feeling: Fair · Headache, Fatigue or tiredness, Diarrhea · Be unable to work or attend school

Free text: Painful lymphnode in armpit. Sinus pressure. Mucus.

MedDRA releases: 2024-11 · check-in free text available
2022-09-19
Call 1 — Left Voicemail
2022-09-21
Survey response — days 1–6 daily, dose 4
MedDRA: Sinusitis — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea

Free text: Sinusitis

MedDRA releases: 2024-11 · check-in free text available
2022-09-24
Survey response — day 7, dose 4
MedDRA: Ear discomfort, Oropharyngeal pain — Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Free text: Plugged ears. Sore throat.

MedDRA releases: 2024-11 · check-in free text available
2022-10-01
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-10-06
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-10-20
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-10-27
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-12-17
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2023-03-16
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-21	Moderna
2	2021-05-18	Moderna
3	2021-11-19	Moderna	No
4	2022-09-15	Pfizer-BioNTech	No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-22

Systemic reaction (other): Runny nose

Release 8 — days 1–6 daily, dose 2

2021-05-19

Systemic reaction (other): Injection area is hot to the touch but no sign of redness or swelling

2021-05-20

Systemic reaction (other): Fever broke shortly after midnight. After getting 8 more hours of sleep I woke up feeling normal.

Release 10 — day 0, dose 3

2021-11-19

Systemic reaction (other): Runny nose

Release 10 — days 1–6 daily, dose 3

2021-11-20

Systemic reaction (other): Arthritis flare up, pain in arm pit of the arm where injected

2021-11-21

Systemic reaction (other): Pain in arm pit on arm where injected. Other pains mild but this pain is severe. I understand from article by Sanjay Gupta this is a normal reactio

2021-11-22

Systemic reaction (other): Continued severe pain in arm pit / swollen lymphnode

Release 11 — 3 months, dose 3

2022-02-18

Symptoms: Fever,cough,chills,sore throat,runny nose, fatigue,muscle soreness,brain fog, vertigo. Symptoms 10 days before + test. Husband & 3 daughters also +. Husband same Symptoms & timeline. Vaxed & boosted. 1 daughter vaxed. Other 2 too young.106 fevers

Release 11 — 6 months, dose 3

2022-05-22

Symptoms: Sore throat, headache, sneezing, congestion, sore muscle

Release 12 — days 1–6 daily, dose 4

2022-09-16

Systemic reaction (other): Lymph node in armpit of injection arm is painful. Disgusting amounts of mucus. Post nasal drip. Clogged ears. Dizziness after a warm shower. Chills/cant get warm but temperature hasnt gone above 98.3. As low as 96.5

2022-09-18

Systemic reaction (other): Pain in armpit. Sinus pressure. Ear pressure

2022-09-19

Systemic reaction (other): Painful lymphnode in armpit. Sinus pressure. Mucus.

2022-09-21

Systemic reaction (other): Sinusitis

Release 12 — day 7, dose 4

2022-09-24

Systemic reaction (other): Plugged ears. Sore throat.

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	Back pain	·	·	✓
SD	Brain fog	·	·	✓
SD	Chills	·	·	✓
SD	Cough	·	·	✓
SD	Fatigue	·	·	✓
SD	Headache	·	·	✓
SD	Myalgia	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pyrexia	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	Rhinorrhoea	·	·	✓
SD	Sneezing	·	·	✓
SD	Vertigo	·	·	✓
SRO	Arthritis	·	·	✓
SRO	Axillary pain	·	·	✓
SRO	Body temperature decreased	·	·	✓
SRO	Chills	·	·	✓
SRO	Dizziness	·	·	✓
SRO	Ear discomfort	·	·	✓
SRO	Feeling cold	·	·	✓
SRO	Injection site erythema	✓	✓	✓
SRO	Injection site warmth	✓	✓	✓
SRO	Lymph node pain	·	·	✓
SRO	Lymphadenopathy	·	·	✓
SRO	Oropharyngeal pain	·	·	✓
SRO	Pain	·	·	✓
SRO	Paranasal sinus discomfort	·	·	✓
SRO	Pre-existing disease	·	·	✓
SRO	Pyrexia	✓	✓	✓
SRO	Rhinorrhoea	✓	✓	✓
SRO	Secretion discharge	·	·	✓
SRO	Sinusitis	·	·	✓
SRO	Upper-airway cough syndrome	·	·	✓

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