5BP-29626-46545

3 vaccinations 6 coded responses 24 check-ins 6 free-text entries 1 call case

Sex: Female
Age at first dose: 46-50
ZIP prefix: 549 / WI
Registered: 2021-01-04

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Timeline

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

2021-01-04
Registered in v-safe
2021-01-04
Dose 1 — Moderna
2021-01-04
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-06
Survey response — days 1–6 daily, dose 1
MedDRA: Adverse reaction — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to work, Be unable to do your normal daily activities

Free text: Please note all of this was from yesterday, 1/5/21 but I couldn't log in yesterday on this to report them... Today I feel fine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-06
Report sent to call center — days 1–6 daily, dose 1
Be unable to work · Be unable to do your normal daily activities

1 call case(s)
2021-01-07
Survey response — days 1–6 daily, dose 1
MedDRA: Feeling abnormal — Feeling: Good · Fever · Fatigue or tiredness

Free text: Mild brain fog but could be completely unrelated

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-01-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-11
Survey response — day 7, dose 1
MedDRA: Feeling abnormal — Feeling: Good · Headache

Free text: A bit of a brain fog

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-18
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-25
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-01
Dose 2 — Moderna
2021-02-01
Survey response — day 0, dose 2
MedDRA: Axillary pain, Breast mass, Paraesthesia — Feeling: Fair · Site: Pain · Fever · Muscle or body aches

Free text: Pain to axilla and breast lymph node area on side I got the vaccine, and some tingling in the fingers on that side's hand

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-02
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-02-03
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness

Adult check-in
2021-02-04
Survey response — days 1–6 daily, dose 2
MedDRA: Disturbance in attention, Feeling abnormal — Feeling: Fair · Fever · Chills, Headache, Fatigue or tiredness

Free text: Mental fog, difficulty concentrating

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-05
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-07
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fever · Headache, Fatigue or tiredness

Adult check-in
2021-02-08
Health check-in — day 7, dose 2
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-02-15
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-02-22
Health check-in — day 21, dose 2
Feeling: Good

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

Adult check-in
2021-03-08
Survey response — day 35, dose 2
MedDRA: Breast tenderness, Lymph node pain — Feeling: Fair

Free text: Off and on after vaccine #2 I've had tenderness in my axilla and breast on the side of my shot. It comes and goes though (and is present today) which is why I haven't thought to mention it before.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-16
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-03
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-03
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-01-07
Dose 3 — Moderna
2022-07-11
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-04	Moderna
2	2021-02-01	Moderna
3	2022-01-07	Moderna	No

Call center

1 call center case

1 priority 2/3 (triaged and no follow up)

See the call center timeline

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-06

Systemic reaction (other): Please note all of this was from yesterday, 1/5/21 but I couldn't log in yesterday on this to report them... Today I feel fine.

2021-01-07

Systemic reaction (other): Mild brain fog but could be completely unrelated

Release 1 — day 7, dose 1

2021-01-11

Systemic reaction (other): A bit of a brain fog

Release 3 — day 0, dose 2

2021-02-01

Systemic reaction (other): Pain to axilla and breast lymph node area on side I got the vaccine, and some tingling in the fingers on that side's hand

Release 3 — days 1–6 daily, dose 2

2021-02-04

Systemic reaction (other): Mental fog, difficulty concentrating

Release 5 — day 35, dose 2

2021-03-08

Symptoms: Off and on after vaccine #2 I've had tenderness in my axilla and breast on the side of my shot. It comes and goes though (and is present today) which is why I haven't thought to mention it before.

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 tenderness	✓	✓	✓
SD	Lymph node pain	✓	✓	✓
SRO	Adverse reaction	✓	✓	✓
SRO	Axillary pain	✓	✓	✓
SRO	Breast mass	✓	✓	✓
SRO	Disturbance in attention	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Paraesthesia	✓	✓	✓
SRO	Unevaluable event	○	○	○

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