49P-13890-46297

2 vaccinations 8 coded responses 20 check-ins 8 free-text entries 1 call case

Sex: Female
Age at first dose: 41-45
ZIP prefix: 600 / IL
Registered: 2021-04-09

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

2021-04-01
Dose 1 — Moderna
2021-04-09
Registered in v-safe
2021-04-09
Survey response — day 7, dose 1
MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Good

Free text: Swollen and tender lymph nodes in armpit region next to injection site

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-04-22
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-29
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-04-30
Dose 2 — Moderna
2021-04-30
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-05-01
Survey response — days 1–6 daily, dose 2
MedDRA: Chills, Heart rate variability decreased, Poor quality sleep, Respiratory rate increased, Tinnitus, Tremor — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: Ringing in ears, uncontrollable tremors with chills, increase in respiratory rate, decrease in HRV, poor sleep

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-02
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-05-03
Survey response — days 1–6 daily, dose 2
MedDRA: Tinnitus — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Nausea

Free text: Persistent timing in ears since day after 2nd vaccination

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-04
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site reaction, Lymphadenopathy, Tinnitus — Feeling: Good · Site: Pain

Free text: Ringing in ears; swollen lymph node near injection site

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-05
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site reaction, Lymphadenopathy, Tinnitus — Feeling: Good · Site: Pain

Free text: Swollen lymph node near injection site; ringing in ears

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-06
Survey response — days 1–6 daily, dose 2
MedDRA: Tinnitus — Feeling: Good · Site: Pain

Free text: Ringing in ears

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-07
Survey response — day 7, dose 2
MedDRA: Tinnitus — Feeling: Good

Free text: Ringing in ears

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-14
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-21
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-28
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-04
Survey response — day 35, dose 2
MedDRA: Cough, Malaise, Pyrexia, Respiratory tract congestion, Rhinorrhoea, SARS-CoV-2 test, SARS-CoV-2 test negative — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Symptoms: Was Sick with fever, cough, runny nose, congestion. Negative covid test · Healthcare visit (other): COVID test

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-04
Report sent to call center — day 35, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-12
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-30
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-29
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-01-31
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-05-01
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-01	Moderna
2	2021-04-30	Moderna

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 7 — day 7, dose 1

2021-04-09

Systemic reaction (other): Swollen and tender lymph nodes in armpit region next to injection site

Release 8 — days 1–6 daily, dose 2

2021-05-01

Systemic reaction (other): Ringing in ears, uncontrollable tremors with chills, increase in respiratory rate, decrease in HRV, poor sleep

2021-05-03

Systemic reaction (other): Persistent timing in ears since day after 2nd vaccination

2021-05-04

Systemic reaction (other): Ringing in ears; swollen lymph node near injection site

2021-05-05

Systemic reaction (other): Swollen lymph node near injection site; ringing in ears

2021-05-06

Systemic reaction (other): Ringing in ears

Release 8 — day 7, dose 2

2021-05-07

Systemic reaction (other): Ringing in ears

Release 8 — day 35, dose 2

2021-06-04

Symptoms: Was Sick with fever, cough, runny nose, congestion. Negative covid test

Healthcare visit (other): COVID test

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
HCVO	SARS-CoV-2 test	✓	✓	✓
SD	Cough	✓	✓	✓
SD	Malaise	·	·	✓
SD	Pyrexia	✓	✓	✓
SD	Respiratory tract congestion	✓	✓	✓
SD	Rhinorrhoea	✓	✓	✓
SD	SARS-CoV-2 test negative	✓	✓	✓
SRO	Chills	✓	✓	✓
SRO	Heart rate variability decreased	✓	✓	✓
SRO	Injection site reaction	✓	✓	✓
SRO	Lymph node pain	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Poor quality sleep	✓	✓	✓
SRO	Respiratory rate increased	✓	✓	✓
SRO	Tinnitus	✓	✓	✓
SRO	Tremor	✓	✓	✓

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