54D-18463-89242

2 vaccinations 5 coded responses 26 check-ins 5 free-text entries 0 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 303 / GA
Registered: 2021-03-17

Relationship: Self
Race: Black or African American
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

2021-03-17
Registered in v-safe
2021-03-17
Dose 1 — Moderna
2021-03-17
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-19
Survey response — days 1–6 daily, dose 1
MedDRA: Lymphadenopathy, Musculoskeletal stiffness — Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness

Free text: Swollen lymph nodes under arm pit and along side of neck on side of injection. Muscle stiffness on side of injection

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-20
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-24
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-31
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-07
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-14
Dose 2 — Moderna
2021-04-14
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-04-15
Survey response — days 1–6 daily, dose 2
MedDRA: Fatigue, Injection site pain, Lymphadenopathy — Feeling: Fair · Site: Pain · Muscle or body aches

Free text: Swollen lymph nodes, tired, sore arm at injection site

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site reaction, Injection site warmth, Rash erythematous, Reaction to previous exposure to any vaccine — Feeling: Good · Site: Pain, Redness · Rash, not including the immediate area around the injection site

Free text: I have a rash (red area below the area of my shot) its warm to touch. I also had the same reaction two weeks after the first shot, but thought I had been bit by something. This rash is in the exact same area on my arm.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-17
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site pain — Feeling: Good · Site: Itching · Rash, not including the immediate area around the injection site

Free text: Soreness below injection site. I should have reported moderate symptoms on Thursday because I was not able to function as I normally would have.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-18
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Itching · Rash, not including the immediate area around the injection site

Adult check-in
2021-04-19
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Itching · Rash, not including the immediate area around the injection site

Adult check-in
2021-04-20
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Headache, Nausea

Adult check-in
2021-04-21
Health check-in — day 7, dose 2
Feeling: Good · Headache

Adult check-in
2021-04-28
Survey response — day 14, dose 2
MedDRA: Abdominal distension, Acne, Fatigue, Headache, Menstruation irregular, Myalgia — Feeling: Good

Free text: After getting the shot last week my cycle came 2 weeks early. This week (my normal cycle week) I have all of the symptoms of my cycle coming, without any bleeding happening. Bloating, tiredness, aching muscles, headache and acne.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-05
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-12
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-19
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-26
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-14
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-15
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-04-16
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-17	Moderna
2	2021-04-14	Moderna

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-19

Systemic reaction (other): Swollen lymph nodes under arm pit and along side of neck on side of injection. Muscle stiffness on side of injection

Release 7 — days 1–6 daily, dose 2

2021-04-15

Systemic reaction (other): Swollen lymph nodes, tired, sore arm at injection site

2021-04-16

Systemic reaction (other): I have a rash (red area below the area of my shot) its warm to touch. I also had the same reaction two weeks after the first shot, but thought I had been bit by something. This rash is in the exact same area on my arm.

2021-04-17

Systemic reaction (other): Soreness below injection site. I should have reported moderate symptoms on Thursday because I was not able to function as I normally would have.

Release 8 — day 14, dose 2

2021-04-28

Symptoms: After getting the shot last week my cycle came 2 weeks early. This week (my normal cycle week) I have all of the symptoms of my cycle coming, without any bleeding happening. Bloating, tiredness, aching muscles, headache and acne.

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 distension	✓	✓	✓
SD	Acne	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Menstruation irregular	✓	✓	✓
SD	Myalgia	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Injection site reaction	✓	✓	✓
SRO	Injection site warmth	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Musculoskeletal stiffness	✓	✓	✓
SRO	Rash erythematous	✓	✓	✓
SRO	Reaction to previous exposure to any vaccine	✓	✓	✓

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