5PJ-20917-29637

3 vaccinations 8 coded responses 32 check-ins 7 free-text entries 0 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 342 / FL
Registered: 2021-03-06

Relationship: Self
Race: White
Ethnicity: 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

2021-03-05
Dose 1 — Moderna
2021-03-06
Registered in v-safe
2021-03-06
Survey response — days 1–6 daily, dose 1
MedDRA: No adverse event — Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness

Free text: No

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-07
Survey response — days 1–6 daily, dose 1
MedDRA: Dry mouth, Thirst — Feeling: Good · Site: Pain

Free text: Desde el primer dia, boca seca y mucha sed. Lo mÃ¡s bien.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-03-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-11
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site pain, Pain — Feeling: Good · Site: Pain

Free text: Dolor y ardor en el brazo de la aplicaciÃ³n, prÃ³ximo del codo , cuando levanto el brazo.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-12
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-19
Survey response — day 14, dose 1
MedDRA: Burning sensation — Feeling: Good

Free text: Solamente que El ardor en el brazo cerca del codo continÃºa.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
Survey response — day 21, dose 1
MedDRA: Vaccination site pain — Feeling: Good

Free text: A veces durante el dÃa me quema el brazo que me pusieron la vacuna. Si relajo el brazo, mejora.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-04-06
Dose 2 — Moderna
2021-04-06
Health check-in — day 0, dose 2
Feeling: Good · Headache

Adult check-in
2021-04-07
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Joint pains

Adult check-in
2021-04-08
Survey response — days 1–6 daily, dose 2
MedDRA: Somnolence, Thirst — Feeling: Good · Site: Pain

MedDRA releases: 2021-09,2023-04,2024-11
2021-04-09
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Joint pains

Adult check-in
2021-04-10
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-04-11
Survey response — days 1–6 daily, dose 2
MedDRA: Burning sensation — Feeling: Good · Site: Pain

Free text: El brazo donde recebi la primera dose, sigue ardiendo cerca del codo.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-12
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-13
Survey response — day 7, dose 2
MedDRA: Injection site pain, Pain — Feeling: Good · Site: Pain

Free text: El ardor en el brazo donde tomÃ© la 1Âª dose continÃºa, principalmente cuando hago esfuerzos con el.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-20
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-27
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-04
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-11
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-18
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-06
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-05
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-30
Dose 3 — Moderna
2021-11-01
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Swelling · None

Adult check-in
2021-11-02
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Swelling · None

Adult check-in
2021-11-03
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Swelling · None

Adult check-in
2021-11-04
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-11-05
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · 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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-05	Moderna
2	2021-04-06	Moderna
3	2021-10-30	Moderna	No

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-06

Systemic reaction (other): No

2021-03-07

Systemic reaction (other): Desde el primer dia, boca seca y mucha sed. Lo mÃ¡s bien.

2021-03-11

Systemic reaction (other): Dolor y ardor en el brazo de la aplicaciÃ³n, prÃ³ximo del codo , cuando levanto el brazo.

Release 5 — day 14, dose 1

2021-03-19

Symptoms: Solamente que El ardor en el brazo cerca del codo continÃºa.

Release 6 — day 21, dose 1

2021-03-26

Symptoms: A veces durante el dÃa me quema el brazo que me pusieron la vacuna. Si relajo el brazo, mejora.

Release 7 — days 1–6 daily, dose 2

2021-04-11

Systemic reaction (other): El brazo donde recebi la primera dose, sigue ardiendo cerca del codo.

Release 7 — day 7, dose 2

2021-04-13

Systemic reaction (other): El ardor en el brazo donde tomÃ© la 1Âª dose continÃºa, principalmente cuando hago esfuerzos con el.

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	Burning sensation	✓	✓	✓
SD	Vaccination site pain	✓	✓	✓
SRO	Burning sensation	✓	✓	✓
SRO	Dry mouth	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	No adverse event	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Somnolence	✓	✓	✓
SRO	Thirst	✓	✓	✓

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