57L-16589-28557

3 vaccinations 7 coded responses 39 check-ins 7 free-text entries 0 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 853 / AZ
Registered: 2021-03-19

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

2021-03-19
Registered in v-safe
2021-03-19
Dose 1 — Moderna
2021-03-19
Health check-in — day 0, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-20
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fever · Fatigue or tiredness

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 — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-25
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Fatigue or tiredness, Diarrhea

Adult check-in
2021-03-26
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-02
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-09
Survey response — day 21, dose 1
MedDRA: Diarrhoea, Pyrexia, Vomiting — Feeling: Fair · Be unable to do your normal daily activities

Free text: Diarrahea, throwing up, and low grade fever on the evening of 4/3/21. Loose stools off and on this week.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
Dose 2 — Moderna
2021-04-16
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · Fever · Fatigue or tiredness

Adult check-in
2021-04-17
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-19
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness · None

Adult check-in
2021-04-20
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness, Itching · None

Adult check-in
2021-04-21
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-22
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-23
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-30
Survey response — day 14, dose 2
MedDRA: Chills, Diarrhoea, Fatigue, Nausea — Feeling: Fair · Be unable to do your normal daily activities

Free text: Nausea, diarrhea, chills, tiredness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-07
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-14
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-21
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-28
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-16
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
2021-12-14
Dose 3 — Moderna
2021-12-15
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-12-16
Survey response — days 1–6 daily, dose 3
MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Lymph nodes in my neck, armpits, and breast are swollen and painful on the side I got jobbed.

MedDRA releases: 2024-11 · check-in free text available
2021-12-17
Survey response — days 1–6 daily, dose 3
MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Fair · Site: Pain, Swelling, Itching · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Swollen and pain in my lymph nodes in my armpit, neck and breast on the side of my body where I received the booster injection

MedDRA releases: 2024-11 · check-in free text available
2021-12-18
Survey response — days 1–6 daily, dose 3
MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Fair · Site: Pain, Itching · Fatigue or tiredness

Free text: Swollen and painful lymph nodes in my neck, armpit and breast on the side of injection

MedDRA releases: 2024-11 · check-in free text available
2021-12-19
Survey response — days 1–6 daily, dose 3
MedDRA: Lymphadenopathy — Feeling: Good

Free text: Lymph nodes slightly swollen in neck, armpit on side of injection site

MedDRA releases: 2024-11 · check-in free text available
2021-12-20
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-12-21
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-12-28
Survey response — day 14, dose 3
MedDRA: Abdominal discomfort, Diarrhoea — Feeling: Fair

Free text: Upset stomach, diarrhea

MedDRA releases: 2024-11 · check-in free text available
2022-01-04
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-01-11
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-01-18
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-01-25
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-03-15
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-06-14
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-12-14
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-19	Moderna
2	2021-04-16	Moderna
3	2021-12-14	Moderna	No

Free text

Release 7 — day 21, dose 1

2021-04-09

Symptoms: Diarrahea, throwing up, and low grade fever on the evening of 4/3/21. Loose stools off and on this week.

Release 8 — day 14, dose 2

2021-04-30

Symptoms: Nausea, diarrhea, chills, tiredness

Release 10 — days 1–6 daily, dose 3

2021-12-16

Systemic reaction (other): Lymph nodes in my neck, armpits, and breast are swollen and painful on the side I got jobbed.

2021-12-17

Systemic reaction (other): Swollen and pain in my lymph nodes in my armpit, neck and breast on the side of my body where I received the booster injection

2021-12-18

Systemic reaction (other): Swollen and painful lymph nodes in my neck, armpit and breast on the side of injection

2021-12-19

Systemic reaction (other): Lymph nodes slightly swollen in neck, armpit on side of injection site

Release 10 — day 14, dose 3

2021-12-28

Symptoms: Upset stomach, diarrhea

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 discomfort	·	·	✓
SD	Chills	✓	✓	✓
SD	Diarrhoea	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Pyrexia	✓	✓	✓
SD	Vomiting	✓	✓	✓
SRO	Lymph node pain	·	·	✓
SRO	Lymphadenopathy	·	·	✓

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