47A-16770-35903

4 vaccinations 23 coded responses 44 check-ins 23 free-text entries 0 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 910 / CA
Registered: 2021-01-30

Relationship: Self
Race: Multiracial
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

2021-01-29
Dose 1 — Moderna
2021-01-30
Registered in v-safe
2021-01-30
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness, Sluggishness — Feeling: Fair · Site: Pain, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: dizzy/lightheaded, sluggish movement of arms/hands

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-01
Survey response — days 1–6 daily, dose 1
MedDRA: Feeling abnormal — Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: brain fog

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-02
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Itching · Headache, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Adult check-in
2021-02-03
Survey response — days 1–6 daily, dose 1
MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Fair · Site: Itching · Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: Very painful and swollen underarm lymph nodes, more pronounced for the vaccine arm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-04
Survey response — days 1–6 daily, dose 1
MedDRA: Lymphadenopathy — Feeling: Poor · Site: Itching · Fatigue or tiredness, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: very swollen and painful lymph nodes in underarms, especially the injection arm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-05
Survey response — day 7, dose 1
MedDRA: Lymphadenopathy, Pain — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Severe pain and swelling of lymph nodes in underarm (same arm as injected) , wearing clothing was painful and I could not put my arm down by my side most of the day

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-12
Survey response — day 14, dose 1
MedDRA: Erythema, Pruritus, Rash, Skin warm, Swelling, Urticaria, Vaccination site rash — Feeling: Good

Free text: large rash emerged morning of 2/6 at the vaccination site along w/a smaller but similar rash on my collar bone. swollen and warm to the touch. became larger, redder, and itchier, forearm hives by evening. rashes gone by 2/10 but areas remain itchy.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-21
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-26
Dose 2 — Moderna
2021-02-26
Survey response — day 0, dose 2
MedDRA: Pruritus — Feeling: Fair · Site: Pain, Swelling, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Free text: Generally feeling very itchy on neck, arms, torso

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-27
Survey response — days 1–6 daily, dose 2
MedDRA: Dyspnoea, Palpitations, Pruritus — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activities

Free text: generally itchy all over, mild heart racing/breathlessness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-28
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy, Pruritus — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: lymph nodes swollen on neck, left side, and both underarms (left worse, same side as injection). still feeling itchy all over.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-01
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activities

Free text: swollen lymph node on neck near clavicle

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-02
Survey response — days 1–6 daily, dose 2
MedDRA: Axillary mass, Lymph node pain, Lymphadenopathy — Feeling: Good · Site: Pain, Redness, Swelling, Itching · Headache, Fatigue or tiredness, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Underarm and neck lymph nodes still swollen and tender/painful

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-03
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Itching · Fever · Headache, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-03-04
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness, Itching · Fatigue or tiredness, Abdominal pain

Adult check-in
2021-03-07
Survey response — day 7, dose 2
MedDRA: Injection site bruising — Feeling: Good · Site: Pain · Headache, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Free text: bruising at injection site

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-17
Survey response — day 14, dose 2
MedDRA: Abdominal pain — Feeling: Fair

Free text: abdominal pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-02
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-11
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-29
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-27
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-19
Dose 3 — Moderna
2021-11-19
Health check-in — day 0, dose 3
Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-11-20
Survey response — days 1–6 daily, dose 3
MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Very swollen and painful underarm lymph nodes (same arm as injection site)

MedDRA releases: 2024-11 · check-in free text available
2021-11-21
Survey response — days 1–6 daily, dose 3
MedDRA: Erythema, Lymph node pain, Lymphadenopathy — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: Still have very swollen and painful lymph nodes in my underarm, also have a swollen red and itchy lymph node at my collarbone/base of my neck, which is very tender

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, Pruritus, Rash, Rash pruritic — Feeling: Fair · Site: Pain, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Still have a lot of swelling and pain in my underarm lymph nodes. Also a lot of general itchiness and with some small (pinhead sized) but very itchy bumps on my arms and face.

MedDRA releases: 2024-11 · check-in free text available
2021-11-24
Survey response — days 1–6 daily, dose 3
MedDRA: Rash, Rash pruritic, Vaccine positive rechallenge — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: I broke out on my neck with a few small itchy spots, similar to the ones I've been getting on my arms. The same thing happened with dose 1 & 2. I've never experienced these intensely itchy spots ever before, only after each dose of this vaccine.

MedDRA releases: 2024-11 · check-in free text available
2021-11-26
Health check-in — day 7, dose 3
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-12-04
Survey response — day 14, dose 3
MedDRA: Fatigue, Nasopharyngitis, Nausea, Respiratory tract congestion — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: cold/congestion, nausea, tired

MedDRA releases: 2024-11 · check-in free text available
2021-12-12
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-12-19
Survey response — day 28, dose 3
MedDRA: Migraine, Pruritus — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: migraines, itchy spot on my arms, neck, chest

MedDRA releases: 2024-11 · check-in free text available
2021-12-26
Survey response — day 35, dose 3
MedDRA: Migraine — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Migraines

MedDRA releases: 2024-11 · check-in free text available
2022-01-02
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2022-02-24
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-05-20
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-11-07
Dose 4 — Pfizer-BioNTech
2022-11-12
Survey response — days 1–6 daily, dose 4
MedDRA: Lymphadenopathy — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: swollen lymph nodes in underarm (same side as injection site)

MedDRA releases: 2024-11 · check-in free text available
2022-11-13
Survey response — days 1–6 daily, dose 4
MedDRA: Fatigue, Lymphadenopathy, Myalgia — Feeling: Fair · Be unable to do your normal daily activities

Free text: muscle aches, fatigue, swollen lymph nodes in left underarm

MedDRA releases: 2024-11 · check-in free text available
2022-11-14
Health check-in — day 7, dose 4
Feeling: Fair · Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2022-11-23
Survey response — day 14, dose 4
MedDRA: Fatigue, Myalgia, Nausea, Oropharyngeal pain, Respiratory tract congestion — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: congestion, sore throat, fatigue, nausea, muscle soreness (and have tested negative)

MedDRA releases: 2024-11 · check-in free text available
2022-12-04
Health check-in — day 21, dose 4
Feeling: Fair

Adult check-in
2022-12-07
Health check-in — day 28, dose 4
Feeling: Fair

Adult check-in
2022-12-19
Health check-in — day 42, dose 4
Feeling: Fair

Adult check-in
2023-02-12
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2023-05-08
Health check-in — 6 months, dose 4
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-29	Moderna
2	2021-02-26	Moderna
3	2021-11-19	Moderna	No
4	2022-11-07	Pfizer-BioNTech	No

Free text

Release 3 — days 1–6 daily, dose 1

2021-01-30

Systemic reaction (other): dizzy/lightheaded, sluggish movement of arms/hands

2021-02-01

Systemic reaction (other): brain fog

2021-02-03

Systemic reaction (other): Very painful and swollen underarm lymph nodes, more pronounced for the vaccine arm

2021-02-04

Systemic reaction (other): very swollen and painful lymph nodes in underarms, especially the injection arm

Release 3 — day 7, dose 1

2021-02-05

Systemic reaction (other): Severe pain and swelling of lymph nodes in underarm (same arm as injected) , wearing clothing was painful and I could not put my arm down by my side most of the day

Release 4 — day 14, dose 1

2021-02-12

Symptoms: large rash emerged morning of 2/6 at the vaccination site along w/a smaller but similar rash on my collar bone. swollen and warm to the touch. became larger, redder, and itchier, forearm hives by evening. rashes gone by 2/10 but areas remain itchy. cut off by CDC

Release 4 — day 0, dose 2

2021-02-26

Systemic reaction (other): Generally feeling very itchy on neck, arms, torso

Release 4 — days 1–6 daily, dose 2

2021-02-27

Systemic reaction (other): generally itchy all over, mild heart racing/breathlessness

2021-02-28

Systemic reaction (other): lymph nodes swollen on neck, left side, and both underarms (left worse, same side as injection). still feeling itchy all over.

2021-03-01

Systemic reaction (other): swollen lymph node on neck near clavicle

2021-03-02

Systemic reaction (other): Underarm and neck lymph nodes still swollen and tender/painful

Release 5 — day 7, dose 2

2021-03-07

Systemic reaction (other): bruising at injection site

Release 5 — day 14, dose 2

2021-03-17

Symptoms: abdominal pain

Release 10 — days 1–6 daily, dose 3

2021-11-20

Systemic reaction (other): Very swollen and painful underarm lymph nodes (same arm as injection site)

2021-11-21

Systemic reaction (other): Still have very swollen and painful lymph nodes in my underarm, also have a swollen red and itchy lymph node at my collarbone/base of my neck, which is very tender

2021-11-22

Systemic reaction (other): Still have a lot of swelling and pain in my underarm lymph nodes. Also a lot of general itchiness and with some small (pinhead sized) but very itchy bumps on my arms and face.

2021-11-24

Systemic reaction (other): I broke out on my neck with a few small itchy spots, similar to the ones I've been getting on my arms. The same thing happened with dose 1 & 2. I've never experienced these intensely itchy spots ever before, only after each dose of this vaccine.

Release 10 — day 14, dose 3

2021-12-04

Symptoms: cold/congestion, nausea, tired

Release 10 — day 28, dose 3

2021-12-19

Symptoms: migraines, itchy spot on my arms, neck, chest

Release 10 — day 35, dose 3

2021-12-26

Symptoms: Migraines

Release 12 — days 1–6 daily, dose 4

2022-11-12

Systemic reaction (other): swollen lymph nodes in underarm (same side as injection site)

2022-11-13

Systemic reaction (other): muscle aches, fatigue, swollen lymph nodes in left underarm

Release 12 — day 14, dose 4

2022-11-23

Symptoms: congestion, sore throat, fatigue, nausea, muscle soreness (and have tested negative)

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	Abdominal pain	✓	✓	✓
SD	Erythema	✓	✓	✓
SD	Fatigue	·	·	✓
SD	Migraine	·	·	✓
SD	Myalgia	·	·	✓
SD	Nasopharyngitis	·	·	✓
SD	Nausea	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pruritus	✓	✓	✓
SD	Rash	✓	✓	✓
SD	Respiratory tract congestion	·	·	✓
SD	Skin warm	✓	✓	✓
SD	Swelling	✓	✓	✓
SD	Urticaria	✓	✓	✓
SD	Vaccination site rash	✓	✓	✓
SRO	Axillary mass	✓	✓	○
SRO	Dizziness	✓	✓	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Erythema	·	·	✓
SRO	Fatigue	·	·	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Injection site bruising	✓	✓	✓
SRO	Lymph node pain	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Myalgia	·	·	✓
SRO	Pain	✓	✓	✓
SRO	Palpitations	✓	✓	✓
SRO	Pruritus	✓	✓	✓
SRO	Rash	·	·	✓
SRO	Rash pruritic	·	·	✓
SRO	Sluggishness	✓	✓	✓
SRO	Vaccine positive rechallenge	·	·	✓

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