4BU-16861-14925

4 vaccinations 8 coded responses 54 check-ins 8 free-text entries 0 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 510 / IA
Registered: 2021-01-06

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

2021-01-06
Registered in v-safe
2021-01-06
Dose 1 — Moderna
2021-01-06
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-07
Survey response — days 1–6 daily, dose 1
MedDRA: Fatigue — Feeling: Good · Site: Pain · Fatigue or tiredness

Free text: Its hard to tell if the fatigue/tiredness is from the vaccine or if its from having mu period which started yesterday. Based on past history, I would say its from that.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-08
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-01-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-13
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-21
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-27
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-03
Dose 2 — Moderna
2021-02-03
Survey response — day 0, dose 2
MedDRA: Paraesthesia — Feeling: Good · Site: Pain

Free text: Got thr shot in my right arm. R side of my face felt a little tingly as I was driving home. Mostly gone now

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-04
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-05
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Headache

Adult check-in
2021-02-06
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Itching · None

Adult check-in
2021-02-07
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Itching · None

Adult check-in
2021-02-08
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Swelling, Itching · None

Adult check-in
2021-02-09
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness · None

Adult check-in
2021-02-10
Survey response — day 7, dose 2
MedDRA: Injection site bruising, Injection site discolouration, Injection site erythema — Feeling: Good · Site: Redness

Free text: Its not redness where the shot is given, its more of a purplish/bruise color

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-17
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-24
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-03
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-10
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-17
Health check-in — day 42, dose 2
Feeling: Good

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

Adult check-in
2021-08-04
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-01
Dose 3 — Moderna
2021-11-03
Survey response — days 1–6 daily, dose 3
MedDRA: Oedema peripheral — Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Fatigue or tiredness, Nausea

Free text: Swelling in my R armpit (got the vaccine in my r arm)

MedDRA releases: 2024-11 · check-in free text available
2021-11-04
Survey response — days 1–6 daily, dose 3
MedDRA: Axillary pain, Oedema peripheral — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fatigue or tiredness

Free text: Still have some swelling and pain in R armpit

MedDRA releases: 2024-11 · check-in free text available
2021-11-05
Survey response — days 1–6 daily, dose 3
MedDRA: Oedema peripheral, Tenderness — Feeling: Good · Site: Pain, Redness, Swelling, Itching

Free text: R armpit is still a bit tender yet. Swelling has subsided

MedDRA releases: 2024-11 · check-in free text available
2021-11-06
Survey response — days 1–6 daily, dose 3
MedDRA: Tenderness — Feeling: Good · Site: Pain, Itching

Free text: Still a bit of tenderness in my r armpit

MedDRA releases: 2024-11 · check-in free text available
2021-11-07
Survey response — days 1–6 daily, dose 3
MedDRA: Tenderness — Feeling: Good · Site: Pain, Itching

Free text: Slight tenderness still in my armpit. No swelling however

MedDRA releases: 2024-11 · check-in free text available
2021-11-08
Health check-in — day 7, dose 3
Feeling: Good · Site: Itching · None

Adult check-in
2021-11-15
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-22
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-29
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-06
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-13
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-31
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-05-02
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-11-01
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in
2022-12-12
Dose 4 — Moderna
Co-administered: Flu
2022-12-12
Health check-in — day 0, dose 4
Feeling: Fair · Fatigue or tiredness

Adult check-in
2022-12-13
Health check-in — days 1–6 daily, dose 4
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-12-14
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain, Redness, Itching · Fatigue or tiredness

Adult check-in
2022-12-15
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain, Itching · None

Adult check-in
2022-12-16
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain, Itching · None

Adult check-in
2022-12-17
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain, Itching · None

Adult check-in
2022-12-18
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · None

Adult check-in
2022-12-19
Health check-in — day 7, dose 4
Feeling: Good · Site: Pain · None

Adult check-in
2022-12-26
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2023-01-02
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2023-01-09
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2023-01-16
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2023-01-23
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2023-03-13
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2023-06-13
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-06	Moderna
2	2021-02-03	Moderna
3	2021-11-01	Moderna	No
4	2022-12-12	Moderna	Flu

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-07

Systemic reaction (other): Its hard to tell if the fatigue/tiredness is from the vaccine or if its from having mu period which started yesterday. Based on past history, I would say its from that.

Release 3 — day 0, dose 2

2021-02-03

Systemic reaction (other): Got thr shot in my right arm. R side of my face felt a little tingly as I was driving home. Mostly gone now

Release 4 — day 7, dose 2

2021-02-10

Systemic reaction (other): Its not redness where the shot is given, its more of a purplish/bruise color

Release 10 — days 1–6 daily, dose 3

2021-11-03

Systemic reaction (other): Swelling in my R armpit (got the vaccine in my r arm)

2021-11-04

Systemic reaction (other): Still have some swelling and pain in R armpit

2021-11-05

Systemic reaction (other): R armpit is still a bit tender yet. Swelling has subsided

2021-11-06

Systemic reaction (other): Still a bit of tenderness in my r armpit

2021-11-07

Systemic reaction (other): Slight tenderness still in my armpit. No swelling however

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
SRO	Axillary pain	·	·	✓
SRO	Fatigue	✓	✓	✓
SRO	Injection site bruising	✓	✓	✓
SRO	Injection site discolouration	✓	✓	✓
SRO	Injection site erythema	✓	✓	✓
SRO	Oedema peripheral	·	·	✓
SRO	Paraesthesia	✓	✓	✓
SRO	Tenderness	·	·	✓

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