58E-20223-20742

3 vaccinations 8 coded responses 26 check-ins 8 free-text entries 0 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 494 / MI
Registered: 2021-01-26

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

2021-01-18
Dose 1 — Moderna
2021-01-26
Registered in v-safe
2021-01-26
Survey response — day 7, dose 1
MedDRA: Axillary pain, Oedema peripheral — Feeling: Good · Site: Redness, Swelling, Itching

Free text: Swelling & pain in armpit of injected arm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-03
Survey response — day 14, dose 1
MedDRA: Pruritus — Feeling: Good

Free text: Very itchy all over body. Not sure if it is vaccine related or some other issue (dry weather/allergies?).

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-10
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-15
Dose 2 — Moderna
2021-02-16
Survey response — days 1–6 daily, dose 2
MedDRA: Abdominal discomfort, Faeces hard — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Upset stomach but solid stools; not nauseous tho either

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness · None

Adult check-in
2021-02-20
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Itching · None

Adult check-in
2021-02-21
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-22
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-03
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-15
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-24
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-29
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-17
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-28
Dose 3 — Moderna
2021-10-28
Survey response — day 0, dose 3
MedDRA: Decreased appetite — Feeling: Poor · Site: Pain · Fever · Chills, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Loss of appetite

MedDRA releases: 2024-11 · check-in free text available
2021-10-29
Survey response — days 1–6 daily, dose 3
MedDRA: Decreased appetite, Lymphadenopathy — Feeling: Poor · Site: Pain · Fever · Chills, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Swollen Lymph Node in Armpit & Loss of Appetite

MedDRA releases: 2024-11 · check-in free text available
2021-10-30
Survey response — days 1–6 daily, dose 3
MedDRA: Lymph node pain, Lymphadenopathy, Respiratory tract congestion — Feeling: Fair · Site: Pain · Fatigue or tiredness

Free text: Congested & swollen/painful lymph node in armpit

MedDRA releases: 2024-11 · check-in free text available
2021-10-31
Survey response — days 1–6 daily, dose 3
MedDRA: Discharge, Lymphadenopathy, Oropharyngeal pain, Respiratory tract congestion — Feeling: Fair · Site: Pain

Free text: Congested: sore throat due to drainage. Lymph node swelling in armpit is starting to improve!

MedDRA releases: 2024-11 · check-in free text available
2021-11-01
Survey response — days 1–6 daily, dose 3
MedDRA: Lymphadenopathy, Mobility decreased, Pain in extremity — Feeling: Good · Site: Pain

Free text: Swollen lymph node in armpit has gone down; more mobility in arm & not as painful! Yay!

MedDRA releases: 2024-11 · check-in free text available
2021-11-03
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-06
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-11-13
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-20
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-12-09
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-28
Health check-in — 3 months, dose 3
Feeling: Fair

Adult check-in
2022-04-29
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-10-30
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-18	Moderna
2	2021-02-15	Moderna
3	2021-10-28	Moderna	No

Free text

Release 2 — day 7, dose 1

2021-01-26

Systemic reaction (other): Swelling & pain in armpit of injected arm

Release 3 — day 14, dose 1

2021-02-03

Symptoms: Very itchy all over body. Not sure if it is vaccine related or some other issue (dry weather/allergies?).

Release 4 — days 1–6 daily, dose 2

2021-02-16

Systemic reaction (other): Upset stomach but solid stools; not nauseous tho either

Release 10 — day 0, dose 3

2021-10-28

Systemic reaction (other): Loss of appetite

Release 10 — days 1–6 daily, dose 3

2021-10-29

Systemic reaction (other): Swollen Lymph Node in Armpit & Loss of Appetite

2021-10-30

Systemic reaction (other): Congested & swollen/painful lymph node in armpit

2021-10-31

Systemic reaction (other): Congested: sore throat due to drainage. Lymph node swelling in armpit is starting to improve!

2021-11-01

Systemic reaction (other): Swollen lymph node in armpit has gone down; more mobility in arm & not as painful! Yay!

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	Pruritus	✓	✓	✓
SRO	Abdominal discomfort	✓	✓	✓
SRO	Axillary pain	✓	✓	✓
SRO	Decreased appetite	·	·	✓
SRO	Discharge	·	·	✓
SRO	Faeces hard	✓	✓	✓
SRO	Lymph node pain	·	·	✓
SRO	Lymphadenopathy	·	·	✓
SRO	Mobility decreased	·	·	✓
SRO	Oedema peripheral	✓	✓	✓
SRO	Oropharyngeal pain	·	·	✓
SRO	Pain in extremity	·	·	✓
SRO	Respiratory tract congestion	·	·	✓

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