5EU-26519-60192

4 vaccinations 10 coded responses 54 check-ins 10 free-text entries 0 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 347 / FL
Registered: 2021-03-24

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

2021-03-24
Registered in v-safe
2021-03-24
Dose 1 — Moderna
2021-03-24
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-03-25
Survey response — days 1–6 daily, dose 1
MedDRA: Eye swelling, Peripheral swelling, Swelling, Swelling face — Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness

Free text: Had swelling from my arm up into my clavicle area neck jaw face and eye.....much better now.....think it may have been related to sleeping on the injection site side.....gravity is not our friend......no fever no problem breathing or swallowing....I think Im fine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
Survey response — days 1–6 daily, dose 1
MedDRA: Insomnia — Feeling: Good · Site: Pain, Swelling

Free text: Unable to sleep the past 2 nights after vaccination....feel fine not tired at all!!!!!

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-27
Survey response — days 1–6 daily, dose 1
MedDRA: Insomnia — Feeling: Good · Site: Swelling

Free text: Continued insomnia

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-28
Survey response — days 1–6 daily, dose 1
MedDRA: Insomnia — Feeling: Good

Free text: Insomnia better......waking up around 5 times last night but able to fall back to sleep

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-29
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache, Nausea

Adult check-in
2021-03-30
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-31
Health check-in — day 7, dose 1
Feeling: Good · Headache

Adult check-in
2021-04-07
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-14
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-21
Dose 2 — Moderna
2021-04-21
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-04-22
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site swelling, Lymphadenopathy, Swelling, Swelling face — Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness

Free text: Swelling from injection site up into my clavicle area neck and face

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-23
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Swelling · Fever · Fatigue or tiredness, Nausea

Adult check-in
2021-04-24
Survey response — days 1–6 daily, dose 2
MedDRA: Blister, Rash — Feeling: Good · Site: Pain, Swelling · Rash, not including the immediate area around the injection site

Free text: Rash on abdomen with blisters and rash on palms of hands

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-25
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness

Adult check-in
2021-04-26
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness, Rash, not including the immediate area around the injection site

Adult check-in
2021-04-27
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness

Adult check-in
2021-04-28
Health check-in — day 7, dose 2
Feeling: Good · Site: Pain · Rash, not including the immediate area around the injection site

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

Adult check-in
2021-05-12
Survey response — day 21, dose 2
MedDRA: Rash — Feeling: Good

Free text: Just the rash on my hands and stomach....its not bad but its there

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-19
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-26
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-02
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-21
Survey response — 3 months, dose 2
MedDRA: Pleuritic pain, Rash — Feeling: Good

Free text: Weird rash on hands and slight pleuritic chest pain over the past couple of weeks

MedDRA releases: 2024-11 · check-in free text available
2021-10-20
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-22
Dose 3 — Moderna
2021-11-22
Survey response — day 0, dose 3
MedDRA: Respiratory tract congestion — Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea

Free text: Congestion

MedDRA releases: 2024-11 · check-in free text available
2021-11-23
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Swelling · Fever · Headache, Fatigue or tiredness, Diarrhea

Adult check-in
2021-11-24
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Swelling · Nausea

Adult check-in
2021-11-25
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Swelling · None

Adult check-in
2021-11-26
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-11-27
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Fatigue or tiredness, Rash, not including the immediate area around the injection site

Adult check-in
2021-11-28
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Rash, not including the immediate area around the injection site

Adult check-in
2021-11-29
Health check-in — day 7, dose 3
Feeling: Good · Rash, not including the immediate area around the injection site

Adult check-in
2021-12-08
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-12-13
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-12-20
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-27
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-01-03
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2022-02-21
Survey response — 3 months, dose 3
MedDRA: Cough, Nasal congestion — Feeling: Good

Free text: Nasal congestion cough

MedDRA releases: 2024-11 · check-in free text available
2022-05-23
Dose 4 — Moderna
2022-05-23
Health check-in — day 0, dose 4
Feeling: Good · None

Adult check-in
2022-05-24
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness

Adult check-in
2022-05-25
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain, Swelling · None

Adult check-in
2022-05-27
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain, Swelling · None

Adult check-in
2022-05-28
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · None

Adult check-in
2022-05-29
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · None

Adult check-in
2022-05-30
Health check-in — day 7, dose 4
Feeling: Good · Site: Pain · None

Adult check-in
2022-06-06
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-06-13
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-06-20
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-06-27
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-07-04
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-08-22
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-11-21
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in
2023-05-23
Health check-in — 12 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-24	Moderna
2	2021-04-21	Moderna
3	2021-11-22	Moderna	No
4	2022-05-23	Moderna	No

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-25

Systemic reaction (other): Had swelling from my arm up into my clavicle area neck jaw face and eye.....much better now.....think it may have been related to sleeping on the injection site side.....gravity is not our friend......no fever no problem breathing or swallowing....I think Im fine

2021-03-26

Systemic reaction (other): Unable to sleep the past 2 nights after vaccination....feel fine not tired at all!!!!!

2021-03-27

Systemic reaction (other): Continued insomnia

2021-03-28

Systemic reaction (other): Insomnia better......waking up around 5 times last night but able to fall back to sleep

Release 7 — days 1–6 daily, dose 2

2021-04-22

Systemic reaction (other): Swelling from injection site up into my clavicle area neck and face

2021-04-24

Systemic reaction (other): Rash on abdomen with blisters and rash on palms of hands

Release 8 — day 21, dose 2

2021-05-12

Symptoms: Just the rash on my hands and stomach....its not bad but its there

Release 9 — 3 months, dose 2

2021-07-21

Symptoms: Weird rash on hands and slight pleuritic chest pain over the past couple of weeks

Release 10 — day 0, dose 3

2021-11-22

Systemic reaction (other): Congestion

Release 11 — 3 months, dose 3

2022-02-21

Symptoms: Nasal congestion cough

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	Cough	·	·	✓
SD	Nasal congestion	·	·	✓
SD	Pleuritic pain	·	·	✓
SD	Rash	✓	✓	✓
SRO	Blister	✓	✓	✓
SRO	Eye swelling	✓	✓	✓
SRO	Injection site swelling	✓	✓	✓
SRO	Insomnia	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	○
SRO	Peripheral swelling	✓	✓	✓
SRO	Rash	✓	✓	✓
SRO	Respiratory tract congestion	·	·	✓
SRO	Swelling	✓	✓	✓
SRO	Swelling face	✓	✓	✓

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