5JN-18668-25617

2 vaccinations 10 coded responses 19 check-ins 10 free-text entries 0 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 034 / NH
Registered: 2021-04-10

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

2021-04-09
Dose 1 — Moderna
2021-04-10
Registered in v-safe
2021-04-10
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-16
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-23
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-30
Survey response — day 21, dose 1
MedDRA: Chills, Dizziness — Feeling: Fair

Free text: Chill and lightheadedness.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-07
Dose 2 — Moderna
2021-05-07
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · None · Be unable to do your normal daily activities

Adult check-in
2021-05-08
Survey response — days 1–6 daily, dose 2
MedDRA: Abnormal dreams, Brain fog, Dizziness — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Dizziness, foggy feeling, vivid dreams

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-09
Survey response — days 1–6 daily, dose 2
MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Poor · Site: Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Very sore and swollen lymph nodes under arm and near clavicle on the same side I got my injection.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-10
Survey response — days 1–6 daily, dose 2
MedDRA: Abnormal dreams, Arthralgia, Dizziness, Injection site bruising, Lymph node pain, Lymphadenopathy — Feeling: Poor · Site: Pain, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: Very swollen and sore lymph nodes under arm and above clavicle on side of injection. Light-headed feeling. Bruise at injection site. Sore shoulder. Crazy dreams.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-11
Survey response — days 1–6 daily, dose 2
MedDRA: Dyspepsia, Lymphadenopathy — Feeling: Fair · Site: Pain, Redness, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: Swollen lymph nodes under arm and at clavicle, heartburn

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-12
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: Swollen lymph node at clavicle.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-13
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Free text: Swollen lymph node near clavicle! Finally going down though!

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-16
Survey response — day 7, dose 2
MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain, Swelling · Be unable to do your normal daily activities

Free text: Swollen lymph nodes near clavicle on side of shot

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-21
Survey response — day 14, dose 2
MedDRA: Oedema peripheral — Feeling: Good

Free text: Edema in feet and hands

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-28
Survey response — day 21, dose 2
MedDRA: Peripheral swelling — Feeling: Fair · Be unable to do your normal daily activities

Free text: Swollen feet

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-09	Moderna
2	2021-05-07	Moderna

Free text

Release 8 — day 21, dose 1

2021-04-30

Symptoms: Chill and lightheadedness.

Release 8 — days 1–6 daily, dose 2

2021-05-08

Systemic reaction (other): Dizziness, foggy feeling, vivid dreams

2021-05-09

Systemic reaction (other): Very sore and swollen lymph nodes under arm and near clavicle on the same side I got my injection.

2021-05-10

Systemic reaction (other): Very swollen and sore lymph nodes under arm and above clavicle on side of injection. Light-headed feeling. Bruise at injection site. Sore shoulder. Crazy dreams.

2021-05-11

Systemic reaction (other): Swollen lymph nodes under arm and at clavicle, heartburn

2021-05-12

Systemic reaction (other): Swollen lymph node at clavicle.

2021-05-13

Systemic reaction (other): Swollen lymph node near clavicle! Finally going down though!

Release 8 — day 7, dose 2

2021-05-16

Systemic reaction (other): Swollen lymph nodes near clavicle on side of shot

Release 8 — day 14, dose 2

2021-05-21

Symptoms: Edema in feet and hands

Release 8 — day 21, dose 2

2021-05-28

Symptoms: Swollen feet

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	Chills	✓	✓	✓
SD	Dizziness	✓	✓	✓
SD	Oedema peripheral	✓	✓	✓
SD	Peripheral swelling	✓	✓	✓
SRO	Abnormal dreams	✓	✓	✓
SRO	Arthralgia	✓	✓	✓
SRO	Brain fog	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Dyspepsia	✓	✓	✓
SRO	Injection site bruising	✓	✓	✓
SRO	Lymph node pain	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓

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