5RP-29508-74330

2 vaccinations 14 coded responses 24 check-ins 14 free-text entries 1 call case

Sex: Female
Age at first dose: 41-45
ZIP prefix: 363 / AL
Registered: 2021-08-22

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

2021-08-20
Dose 1 — Moderna
2021-08-22
Registered in v-safe
2021-08-22
Survey response — days 1–6 daily, dose 1
MedDRA: Lymphadenopathy — Feeling: Poor · Site: Pain, Redness, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Free text: Swollen lymph node same side as injection site

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-23
Survey response — days 1–6 daily, dose 1
MedDRA: Gingival swelling, Lymph node pain, Lymphadenopathy, Pain in jaw — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Lymph node on same side as injection site continues to be swollen and tender. Left lower jaw pain with gum swelling

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-24
Survey response — days 1–6 daily, dose 1
MedDRA: Chills, Fatigue, Headache, Lymphadenopathy, Myalgia, Pain, Pyrexia, Tenderness — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: Lymph node swelling and tenderness on same side as injection site. ***within 24 hours after injection, severe headache, chills, body and muscle aches, fatigue and fever 100.8

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-25
Survey response — days 1–6 daily, dose 1
MedDRA: Cough, Lymph node pain, Lymphadenopathy, Swelling face — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Lymph node on same side as injection site swollen and tender. Cough, bottom jaw gum line on same side as injection site swollen

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-26
Survey response — days 1–6 daily, dose 1
MedDRA: Cough, Lymph node pain, Lymphadenopathy — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Lymph node swelling and tenderness same side as injection site, cough

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-27
Survey response — day 7, dose 1
MedDRA: Lymphadenopathy — Feeling: Poor · Site: Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Lymph node still swollen

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-09-03
Survey response — day 14, dose 1
MedDRA: Cough, Dyspnoea — 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: Shortness of breath and cough

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-09-03
Report sent to call center — day 14, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-09-09
Call 1 — Left Voicemail
2021-09-12
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-09-17
Health check-in — day 28, dose 1
Feeling: Fair

Adult check-in
2021-09-22
Dose 2 — Moderna
2021-09-22
Health check-in — day 0, dose 2
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
2021-09-23
Survey response — days 1–6 daily, dose 2
MedDRA: Neck pain — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Neck pain

MedDRA releases: 2024-11 · check-in free text available
2021-09-24
Survey response — days 1–6 daily, dose 2
MedDRA: Neck pain, Photophobia — Feeling: Fair · Site: Pain, Redness · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Neck pain, light sensitivity

MedDRA releases: 2024-11 · check-in free text available
2021-09-25
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Neck pain — Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Neck pain, dizziness

MedDRA releases: 2024-11 · check-in free text available
2021-09-26
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Neck pain — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Dizziness, neck pain

MedDRA releases: 2024-11 · check-in free text available
2021-09-28
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-09-29
Health check-in — day 7, dose 2
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-10-06
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-10-13
Survey response — day 21, dose 2
MedDRA: Fatigue, Pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Fatigue, body aches

MedDRA releases: 2024-11 · check-in free text available
2021-10-20
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-10-27
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-11-03
Survey response — day 42, dose 2
MedDRA: Fatigue — Feeling: Fair · Be unable to do your normal daily activities

Free text: Fatigue

MedDRA releases: 2024-11 · check-in free text available
2021-12-22
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2022-03-23
Survey response — 6 months, dose 2
MedDRA: Chillblains — Feeling: Fair · Be unable to do your normal daily activities

Free text: Chilblain's disorder

MedDRA releases: 2024-11 · check-in free text available
2022-09-22
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-08-20	Moderna	No
2	2021-09-22	Moderna	No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 9 — days 1–6 daily, dose 1

2021-08-22

Systemic reaction (other): Swollen lymph node same side as injection site

2021-08-23

Systemic reaction (other): Lymph node on same side as injection site continues to be swollen and tender. Left lower jaw pain with gum swelling

2021-08-24

Systemic reaction (other): Lymph node swelling and tenderness on same side as injection site. ***within 24 hours after injection, severe headache, chills, body and muscle aches, fatigue and fever 100.8

2021-08-25

Systemic reaction (other): Lymph node on same side as injection site swollen and tender. Cough, bottom jaw gum line on same side as injection site swollen

2021-08-26

Systemic reaction (other): Lymph node swelling and tenderness same side as injection site, cough

Release 9 — day 7, dose 1

2021-08-27

Systemic reaction (other): Lymph node still swollen

Release 9 — day 14, dose 1

2021-09-03

Symptoms: Shortness of breath and cough

Release 9 — days 1–6 daily, dose 2

2021-09-23

Systemic reaction (other): Neck pain

2021-09-24

Systemic reaction (other): Neck pain, light sensitivity

2021-09-25

Systemic reaction (other): Neck pain, dizziness

2021-09-26

Systemic reaction (other): Dizziness, neck pain

Release 10 — day 21, dose 2

2021-10-13

Symptoms: Fatigue, body aches

Release 10 — day 42, dose 2

2021-11-03

Symptoms: Fatigue

Release 11 — 6 months, dose 2

2022-03-23

Symptoms: Chilblain's disorder

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	Chillblains	·	·	✓
SD	Cough	✓	·	✓
SD	Dyspnoea	✓	·	✓
SD	Fatigue	·	·	✓
SD	Pain	·	·	✓
SRO	Chills	✓	·	✓
SRO	Cough	✓	·	✓
SRO	Dizziness	·	·	✓
SRO	Fatigue	✓	·	✓
SRO	Gingival swelling	✓	·	✓
SRO	Headache	✓	·	✓
SRO	Lymph node pain	✓	·	✓
SRO	Lymphadenopathy	✓	·	✓
SRO	Myalgia	✓	·	✓
SRO	Neck pain	·	·	✓
SRO	Pain	✓	·	✓
SRO	Pain in jaw	✓	·	✓
SRO	Photophobia	·	·	✓
SRO	Pyrexia	✓	·	✓
SRO	Swelling face	✓	·	✓
SRO	Tenderness	✓	·	✓

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