5CB-46911-32201

5 vaccinations 8 coded responses 68 check-ins 8 free-text entries 1 call case

Sex: Female
Age at first dose: 61-65
ZIP prefix: 992 / WA
Registered: 2021-01-30

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

2021-01-30
Registered in v-safe
2021-01-30
Dose 1 — Moderna
2021-01-30
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-01-31
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-01
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-02
Survey response — days 1–6 daily, dose 1
MedDRA: Hot flush — Feeling: Good

Free text: I had slight symptoms that felt like hot flashes -not a big deal (Mild)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-03
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-04
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-05
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-06
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-13
Survey response — day 14, dose 1
MedDRA: Axillary pain, Lymphadenopathy — Feeling: Good

Free text: I had soreness in upper back underarm. Like my lymph glands back there were swollen. It radiated to the spot where I had the shot. I thought it was a little weird. I wasnt going to report it but my nurse friend said I should let you know. No fever

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-20
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-26
Dose 2 — Moderna
2021-02-26
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-02-27
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: My glands are swollen.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-28
Survey response — days 1–6 daily, dose 2
MedDRA: Lymph node pain — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Free text: Lymph nodes are quite sore.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-01
Survey response — days 1–6 daily, dose 2
MedDRA: Lymph node pain — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Fatigue or tiredness

Free text: My lymph nodes are very tender and sore on the side of the injection.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Swelling, Itching · None

Adult check-in
2021-03-03
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Swelling, Itching · None

Adult check-in
2021-03-04
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness, Itching · None

Adult check-in
2021-03-05
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-12
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-19
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-26
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-02
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-09
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-28
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-27
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-13
Dose 3 — Moderna
2021-11-13
Health check-in — day 0, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-11-14
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-11-15
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-11-16
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-17
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-11-18
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-19
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-20
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-11-27
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-12-04
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-12-11
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-18
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-25
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-02-12
Survey response — 3 months, dose 3
MedDRA: Cough, Nasopharyngitis, Pyrexia — Feeling: Good · Be unable to do your normal daily activities

Free text: A cold with a cough and slight fever.

MedDRA releases: 2024-11 · check-in free text available
2022-05-13
Dose 4 — Moderna
2022-05-13
Health check-in — day 0, dose 4
Feeling: Good · None

Adult check-in
2022-05-14
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · 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
2022-05-15
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-05-16
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-05-17
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Fatigue or tiredness

Adult check-in
2022-05-18
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Redness, Itching · None

Adult check-in
2022-05-19
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Itching · None

Adult check-in
2022-05-20
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-05-27
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-06-03
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-06-10
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-06-17
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-06-24
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-08-12
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-09-24
Dose 5 — Pfizer-BioNTech
Co-administered: Flu
2022-09-24
Health check-in — day 0, dose 5
Feeling: Good · None

Adult check-in
2022-09-25
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-09-26
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Site: Redness · Fever · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-09-27
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Site: Redness, Itching · None

Adult check-in
2022-09-28
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Site: Redness, Swelling, Itching · None

Adult check-in
2022-09-29
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Site: Redness, Itching · None

Adult check-in
2022-09-30
Health check-in — days 1–6 daily, dose 5
Feeling: Good · None

Adult check-in
2022-10-01
Health check-in — day 7, dose 5
Feeling: Good · None

Adult check-in
2022-10-08
Health check-in — day 14, dose 5
Feeling: Good

Adult check-in
2022-10-16
Health check-in — day 21, dose 5
Feeling: Good

Adult check-in
2022-10-22
Health check-in — day 28, dose 5
Feeling: Good

Adult check-in
2022-10-29
Survey response — day 35, dose 5
MedDRA: Cough, Ear discomfort, Headache, Malaise, Pain, Pyrexia, Respiratory syncytial virus infection, Respiratory tract congestion — Feeling: Poor · Be unable to do your normal daily activities

Free text: I think I have RSV and that's the only thing I'm not vaccinated against. Fever, coughing, body aches, headache very stuffy and now my ear is clogged. Just so sick I haven't been this sick for years.

MedDRA releases: 2024-11 · check-in free text available
2022-11-05
Survey response — day 42, dose 5
MedDRA: Respiratory tract congestion, Sinus congestion, Tympanic membrane perforation — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Ruptured eardrum . Chest and sinus congestion.

MedDRA releases: 2024-11 · check-in free text available
2022-11-05
Report sent to call center — day 42, dose 5
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-11-07
Call 1 — Left Voicemail
2022-11-08
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-12-24
Health check-in — 3 months, dose 5
Feeling: Good

Adult check-in
2023-03-25
Health check-in — 6 months, dose 5
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-30	Moderna
2	2021-02-26	Moderna
3	2021-11-13	Moderna	No
4	2022-05-13	Moderna	No
5	2022-09-24	Pfizer-BioNTech	Flu

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 3 — days 1–6 daily, dose 1

2021-02-02

Systemic reaction (other): I had slight symptoms that felt like hot flashes -not a big deal (Mild)

Release 4 — day 14, dose 1

2021-02-13

Symptoms: I had soreness in upper back underarm. Like my lymph glands back there were swollen. It radiated to the spot where I had the shot. I thought it was a little weird. I wasnt going to report it but my nurse friend said I should let you know. No fever

Release 4 — days 1–6 daily, dose 2

2021-02-27

Systemic reaction (other): My glands are swollen.

2021-02-28

Systemic reaction (other): Lymph nodes are quite sore.

2021-03-01

Systemic reaction (other): My lymph nodes are very tender and sore on the side of the injection.

Release 11 — 3 months, dose 3

2022-02-12

Symptoms: A cold with a cough and slight fever.

Release 12 — day 35, dose 5

2022-10-29

Symptoms: I think I have RSV and that's the only thing I'm not vaccinated against. Fever, coughing, body aches, headache very stuffy and now my ear is clogged. Just so sick I haven't been this sick for years.

Release 12 — day 42, dose 5

2022-11-05

Symptoms: Ruptured eardrum . Chest and sinus congestion.

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	Axillary pain	✓	✓	✓
SD	Cough	·	·	✓
SD	Ear discomfort	·	·	✓
SD	Headache	·	·	✓
SD	Lymphadenopathy	✓	✓	✓
SD	Malaise	·	·	✓
SD	Nasopharyngitis	·	·	✓
SD	Pain	·	·	✓
SD	Pyrexia	·	·	✓
SD	Respiratory syncytial virus infection	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	Sinus congestion	·	·	✓
SD	Tympanic membrane perforation	·	·	✓
SRO	Hot flush	✓	✓	✓
SRO	Lymph node pain	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓

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