564-13336-69165

3 vaccinations 7 coded responses 36 check-ins 7 free-text entries 2 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 911 / CA
Registered: 2021-03-16

Relationship: Self
Race: White
Ethnicity: Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-03-15
Dose 1 — Moderna
2021-03-16
Registered in v-safe
2021-03-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-17
Survey response — days 1–6 daily, dose 1
MedDRA: Musculoskeletal stiffness — Feeling: Good · Headache

Free text: Neck Stiffness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-20
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-21
Survey response — days 1–6 daily, dose 1
MedDRA: Chest pain, Pain in extremity — Feeling: Fair

Free text: Mild chest pain and pain in my left arm. Not at the exact injection site

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-22
Survey response — day 7, dose 1
MedDRA: Axillary pain, Chest pain, Urticaria — Feeling: Fair · Rash, not including the immediate area around the injection site · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Slight chest pain. Pain in armpit that radiates down arm and on upper chest below collar board. Veins on left side appear prominent. Small amount of Hives below injection site. Area is a bit painful.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-22
Report sent to call center — day 7, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-29
Survey response — day 14, dose 1
MedDRA: Injection site pain, Injection site rash, Injection site swelling — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: I got a larger rash, 6x3.5 inches, had swelling in my upper arm and muscle pain throughout my left arm. It lasted 5 days and didnt start until 7 days post dose 1.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-29
Report sent to call center — day 14, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-05
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-12
Dose 2 — Moderna
2021-04-12
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-13
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work

Adult check-in
2021-04-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Swelling · None

Adult check-in
2021-04-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Swelling · None

Adult check-in
2021-04-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Swelling · None

Adult check-in
2021-04-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness · None

Adult check-in
2021-04-18
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness · None

Adult check-in
2021-04-19
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-26
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-03
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-10
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-17
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-24
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-12
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-11
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-01-04
Call 1 — Left Voicemail
2022-01-14
Dose 3 — Moderna
2022-01-16
Survey response — days 1–6 daily, dose 3
MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: Significant lymph node swelling (almost size of an egg)

MedDRA releases: 2024-11 · check-in free text available
2022-01-17
Survey response — days 1–6 daily, dose 3
MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain, Redness, Swelling · Rash, not including the immediate area around the injection site

Free text: Swollen lymph node in left armpit (same arm as vaccine)

MedDRA releases: 2024-11 · check-in free text available
2022-01-19
Survey response — days 1–6 daily, dose 3
MedDRA: Lymphadenopathy, Rash — Feeling: Good · Site: Redness, Swelling · Rash, not including the immediate area around the injection site

Free text: Rash is improving, swollen lymph nodes in left armpit also improving (Day 6)

MedDRA releases: 2024-11 · check-in free text available
2022-01-20
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Redness, Swelling · Rash, not including the immediate area around the injection site

Adult check-in
2022-01-28
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-02-04
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-02-11
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-02-18
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-02-27
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-04-15
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-07-15
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2023-01-16
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-15	Moderna
2	2021-04-12	Moderna
3	2022-01-14	Moderna	No

Call center

2 call center cases

2 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-17

Systemic reaction (other): Neck Stiffness

Release 6 — days 1–6 daily, dose 1

2021-03-21

Systemic reaction (other): Mild chest pain and pain in my left arm. Not at the exact injection site

Release 6 — day 7, dose 1

2021-03-22

Systemic reaction (other): Slight chest pain. Pain in armpit that radiates down arm and on upper chest below collar board. Veins on left side appear prominent. Small amount of Hives below injection site. Area is a bit painful.

Release 6 — day 14, dose 1

2021-03-29

Symptoms: I got a larger rash, 6x3.5 inches, had swelling in my upper arm and muscle pain throughout my left arm. It lasted 5 days and didnt start until 7 days post dose 1.

Release 10 — days 1–6 daily, dose 3

2022-01-16

Systemic reaction (other): Significant lymph node swelling (almost size of an egg)

2022-01-17

Systemic reaction (other): Swollen lymph node in left armpit (same arm as vaccine)

2022-01-19

Systemic reaction (other): Rash is improving, swollen lymph nodes in left armpit also improving (Day 6)

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	Injection site pain	✓	✓	✓
SD	Injection site rash	✓	✓	✓
SD	Injection site swelling	✓	✓	✓
SRO	Axillary pain	✓	✓	✓
SRO	Chest pain	✓	✓	✓
SRO	Lymphadenopathy	·	·	✓
SRO	Musculoskeletal stiffness	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Rash	·	·	✓
SRO	Urticaria	✓	✓	✓

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