54X-25239-19273

4 vaccinations 5 coded responses 52 check-ins 5 free-text entries 0 call cases

Sex: Female
Age at first dose: 31-35
ZIP prefix: 484 / MI
Registered: 2021-03-25

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

2021-03-25
Registered in v-safe
2021-03-25
Dose 1 — Moderna
2021-03-25
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-03-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-29
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-30
Survey response — days 1–6 daily, dose 1
MedDRA: Pain in extremity — Feeling: Good

Free text: Pain in left arm pit and front/right side of neck. Assuming it is lymph nodes reacting.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-31
Survey response — days 1–6 daily, dose 1
MedDRA: Myalgia — Feeling: Good

Free text: Armpit still tender but feeling better

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-01
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-08
Survey response — day 14, dose 1
MedDRA: Rash — Feeling: Good

Free text: Had a rash on arm of injection on days 8 and 9 since getting the vaccination. Rash has since cleared up

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-17
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-22
Dose 2 — Moderna
2021-04-22
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · Headache, Joint pains, Nausea

Adult check-in
2021-04-23
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-24
Survey response — days 1–6 daily, dose 2
MedDRA: Lymph node pain — Feeling: Good · Site: Pain · Fatigue or tiredness

Free text: Hurts in neck where lymph nodes are located

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-25
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Itching · Fatigue or tiredness

Adult check-in
2021-04-26
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-27
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-28
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-29
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-05-06
Survey response — day 14, dose 2
MedDRA: Breast mass, Lymphadenopathy, Mass, Pain — Feeling: Good

Free text: Noticed small paunful lump on jaw as well as lumps in the breasts around day 9 and 10 after the 2nd vaccine. Most likely swollen lymph nodes. Swelling seems to be going down as of a day or 2 ago.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-13
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-20
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-27
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-03
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-22
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-21
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-20
Dose 3 — Moderna
2021-11-20
Health check-in — day 0, dose 3
Feeling: Good · None

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

Adult check-in
2021-11-22
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2021-11-23
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-11-24
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-25
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-26
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-27
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-12-04
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-12-13
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-12-19
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-25
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-01-01
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-02-19
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-05-23
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-09-02
Dose 4 — Moderna
2022-09-03
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 · Be unable to do your normal daily activities

Adult check-in
2022-09-04
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · Headache

Adult check-in
2022-09-05
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-09-06
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Headache

Adult check-in
2022-09-07
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-09-08
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-09-11
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-09-23
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-10-02
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-10-09
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-10-14
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2023-03-03
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-25	Moderna
2	2021-04-22	Moderna
3	2021-11-20	Moderna	No
4	2022-09-02	Moderna	No

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-30

Systemic reaction (other): Pain in left arm pit and front/right side of neck. Assuming it is lymph nodes reacting.

2021-03-31

Systemic reaction (other): Armpit still tender but feeling better

Release 7 — day 14, dose 1

2021-04-08

Symptoms: Had a rash on arm of injection on days 8 and 9 since getting the vaccination. Rash has since cleared up

Release 7 — days 1–6 daily, dose 2

2021-04-24

Systemic reaction (other): Hurts in neck where lymph nodes are located

Release 8 — day 14, dose 2

2021-05-06

Symptoms: Noticed small paunful lump on jaw as well as lumps in the breasts around day 9 and 10 after the 2nd vaccine. Most likely swollen lymph nodes. Swelling seems to be going down as of a day or 2 ago.

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	Breast mass	✓	✓	✓
SD	Lymphadenopathy	✓	✓	✓
SD	Mass	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Rash	✓	✓	✓
SRO	Lymph node pain	✓	✓	✓
SRO	Myalgia	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓

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