44V-41886-72490

2 vaccinations 11 coded responses 26 check-ins 11 free-text entries 0 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 535 / WI
Registered: 2021-03-02

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

2021-03-02
Registered in v-safe
2021-03-02
Dose 1 — Moderna
2021-03-02
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-03
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Muscle or body aches

Adult check-in
2021-03-04
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-03-05
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-09
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-16
Survey response — day 14, dose 1
MedDRA: Pain in extremity — Feeling: Good

Free text: My arm has started to hurt where I had the shot.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-23
Survey response — day 21, dose 1
MedDRA: Pain in extremity — Feeling: Good

Free text: Sore arm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-30
Dose 2 — Moderna
2021-03-30
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-03-31
Survey response — days 1–6 daily, dose 2
MedDRA: Back pain, Chills, Muscle spasms, Tremor — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Lower back pain, involuntary muscle spasm, involuntary shaking with chills.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-01
Survey response — days 1–6 daily, dose 2
MedDRA: Back pain — Feeling: Poor · Site: Pain, Redness, Itching · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Lower back pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Survey response — days 1–6 daily, dose 2
MedDRA: Back pain, Lymphadenopathy — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Swollen lymph nodes in neck,very sore neck with lymph node swelling, sore lower back

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-03
Survey response — days 1–6 daily, dose 2
MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Swollen, tender, and sore lymph nodes-especially at neck.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-04
Survey response — days 1–6 daily, dose 2
MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Swollen lymph nodes in neck that are tender and sore

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-05
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Muscle or body aches, Fatigue or tiredness

Free text: Lymph nodes in neck are swollen.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-06
Survey response — day 7, dose 2
MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain, Redness, Itching · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Swollen and tender lymph nodes in neck

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-13
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-20
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-04-27
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-04
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-11
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-29
Survey response — 3 months, dose 2
MedDRA: Lymphadenopathy — Feeling: Good

Free text: Lymph nodes co to us to be swollen.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-09-28
Survey response — 6 months, dose 2
MedDRA: Lymphadenopathy — Feeling: Good

Free text: Ongoing swollen lymph nodes since vaccine

MedDRA releases: 2024-11 · check-in free text available
2022-03-31
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-02	Moderna
2	2021-03-30	Moderna

Free text

Release 5 — day 14, dose 1

2021-03-16

Symptoms: My arm has started to hurt where I had the shot.

Release 6 — day 21, dose 1

2021-03-23

Symptoms: Sore arm

Release 6 — days 1–6 daily, dose 2

2021-03-31

Systemic reaction (other): Lower back pain, involuntary muscle spasm, involuntary shaking with chills.

2021-04-01

Systemic reaction (other): Lower back pain

2021-04-02

Systemic reaction (other): Swollen lymph nodes in neck,very sore neck with lymph node swelling, sore lower back

2021-04-03

Systemic reaction (other): Swollen, tender, and sore lymph nodes-especially at neck.

2021-04-04

Systemic reaction (other): Swollen lymph nodes in neck that are tender and sore

2021-04-05

Systemic reaction (other): Lymph nodes in neck are swollen.

Release 7 — day 7, dose 2

2021-04-06

Systemic reaction (other): Swollen and tender lymph nodes in neck

Release 9 — 3 months, dose 2

2021-06-29

Symptoms: Lymph nodes co to us to be swollen.

Release 9 — 6 months, dose 2

2021-09-28

Symptoms: Ongoing swollen lymph nodes since vaccine

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	Lymphadenopathy	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SRO	Back pain	✓	✓	✓
SRO	Chills	✓	✓	✓
SRO	Lymph node pain	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Muscle spasms	✓	✓	✓
SRO	Tremor	✓	✓	✓

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