4RF-36270-73619

3 vaccinations 10 coded responses 30 check-ins 10 free-text entries 0 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 838 / ID
Registered: 2021-02-12

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

2021-01-15
Dose 1 — Moderna
2021-02-12
Registered in v-safe
2021-02-12
Dose 2 — Moderna
2021-02-12
Survey response — day 0, dose 2
MedDRA: Lymph node pain, Lymphadenopathy, Skin warm — Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Significantly swollen left clavicular lymph nodes on day six after shot #1: point tender and hot to the touch.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-13
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-02-14
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-02-15
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-02-16
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Joint pains, Fatigue or tiredness

Adult check-in
2021-02-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-02-18
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-02-19
Health check-in — day 7, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-27
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-07
Survey response — day 21, dose 2
MedDRA: Heavy menstrual bleeding — Feeling: Fair

Free text: May not be related, but I'm having extra heavy bleeding during my menses which started 2 days ago. 1+ oz of blood loss per hour for the last 8 hours.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-12
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-19
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-26
Survey response — day 42, dose 2
MedDRA: Oropharyngeal pain, Respiratory tract congestion, Upper-airway cough syndrome — Feeling: Fair

Free text: Sore throat, congestion, post-nasal drip.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-14
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-13
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-19
Dose 3 — Moderna
2021-11-20
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-11-21
Survey response — days 1–6 daily, dose 3
MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Very swollen and tender lymph nodes above left clavicle (vax side)

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, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Very swollen and tender lymph nodes above left clavicle, and swollen lymph nodes in left armpit (left arm vax site).

MedDRA releases: 2024-11 · check-in free text available
2021-11-23
Survey response — days 1–6 daily, dose 3
MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Free text: Very swollen and tender lymph nodes above the left clavicle, and slightly swollen/tender lymph nodes in left armpit (vax side).

MedDRA releases: 2024-11 · check-in free text available
2021-11-24
Survey response — days 1–6 daily, dose 3
MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Good · Site: Pain · Fatigue or tiredness

Free text: Swollen and tender lymph nodes above left clavicle and in left armpit (vax side).

MedDRA releases: 2024-11 · check-in free text available
2021-11-25
Survey response — days 1–6 daily, dose 3
MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain

Free text: Mildly swollen lymph nodes above the left clavicle (vax side).

MedDRA releases: 2024-11 · check-in free text available
2021-11-26
Survey response — day 7, dose 3
MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain

Free text: Swollen lymph nodes above the left clavicle (vax side).

MedDRA releases: 2024-11 · check-in free text available
2021-12-03
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-12-11
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: Cough, Fatigue, Pain, Paranasal sinus discomfort, Pyrexia, Respiratory tract congestion, Rhinorrhoea — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Runny nose, all over aches, fever, sinus pressure, exhaustion, congestion, cough.

MedDRA releases: 2024-11 · check-in free text available
2022-05-20
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-11-19
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-15	Moderna
2	2021-02-12	Moderna
3	2021-11-19	Moderna	No

Free text

Release 4 — day 0, dose 2

2021-02-12

Systemic reaction (other): Significantly swollen left clavicular lymph nodes on day six after shot #1: point tender and hot to the touch.

Release 5 — day 21, dose 2

2021-03-07

Symptoms: May not be related, but I'm having extra heavy bleeding during my menses which started 2 days ago. 1+ oz of blood loss per hour for the last 8 hours.

Release 6 — day 42, dose 2

2021-03-26

Symptoms: Sore throat, congestion, post-nasal drip.

Release 10 — days 1–6 daily, dose 3

2021-11-21

Systemic reaction (other): Very swollen and tender lymph nodes above left clavicle (vax side)

2021-11-22

Systemic reaction (other): Very swollen and tender lymph nodes above left clavicle, and swollen lymph nodes in left armpit (left arm vax site).

2021-11-23

Systemic reaction (other): Very swollen and tender lymph nodes above the left clavicle, and slightly swollen/tender lymph nodes in left armpit (vax side).

2021-11-24

Systemic reaction (other): Swollen and tender lymph nodes above left clavicle and in left armpit (vax side).

2021-11-25

Systemic reaction (other): Mildly swollen lymph nodes above the left clavicle (vax side).

Release 10 — day 7, dose 3

2021-11-26

Systemic reaction (other): Swollen lymph nodes above the left clavicle (vax side).

Release 11 — 3 months, dose 3

2022-02-18

Symptoms: Runny nose, all over aches, fever, sinus pressure, exhaustion, congestion, cough.

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	Cough	·	·	✓
SD	Fatigue	·	·	✓
SD	Heavy menstrual bleeding	✓	✓	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Pain	·	·	✓
SD	Paranasal sinus discomfort	·	·	✓
SD	Pyrexia	·	·	✓
SD	Respiratory tract congestion	✓	✓	✓
SD	Rhinorrhoea	·	·	✓
SD	Upper-airway cough syndrome	✓	✓	✓
SRO	Lymph node pain	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Skin warm	✓	✓	✓

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