5VK-27279-12876

3 vaccinations 7 coded responses 26 check-ins 7 free-text entries 0 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 971 / OR
Registered: 2021-02-20

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

2021-02-19
Dose 1 — Moderna
2021-02-20
Registered in v-safe
2021-02-20
Survey response — days 1–6 daily, dose 1
MedDRA: Chest discomfort, Musculoskeletal discomfort — Feeling: Fair · Site: Pain, Redness · Joint pains, Fatigue or tiredness

Free text: Chest and back soreness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-21
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-22
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-02-23
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Joint pains, Muscle or body aches, Diarrhea

Adult check-in
2021-02-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Joint pains

Adult check-in
2021-02-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Abdominal pain

Adult check-in
2021-02-26
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-05
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-12
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-19
Dose 2 — Moderna
2021-03-19
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-03-20
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-03-21
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-03-22
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain, Redness, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site

Free text: Swollen lymph nodes in my armpit and neck on the left side ( same side as injection)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-23
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy, Rash — Feeling: Fair · Site: Pain · Headache, Rash, not including the immediate area around the injection site

Free text: Swollen lymph nodes in my armpit and neck on the left side (injection side) I have rash on the right side of my neck but it does not bother me at all

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-24
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Good

Free text: Swollen lymph nodes in my armpit and neck on the left side where I also had the injection

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-25
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Good

Free text: Swollen lymph nodes in my armpit and neck on the left side which is the same side as the injection

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
Survey response — day 7, dose 2
MedDRA: Lymphadenopathy — Feeling: Good

Free text: Swollen lymph node in left side of neck my injection was on my left side

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-09
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-16
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-23
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-30
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-18
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-17
Survey response — 6 months, dose 2
MedDRA: Muscle spasms — Feeling: Fair · Be unable to do your normal daily activities

Free text: Muscle spasm in my back

MedDRA releases: 2024-11 · check-in free text available
2022-01-21
Dose 3 — Moderna
2022-04-26
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-07-23
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-19	Moderna
2	2021-03-19	Moderna
3	2022-01-21	Moderna	No

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-20

Systemic reaction (other): Chest and back soreness

Release 6 — days 1–6 daily, dose 2

2021-03-22

Systemic reaction (other): Swollen lymph nodes in my armpit and neck on the left side ( same side as injection)

2021-03-23

Systemic reaction (other): Swollen lymph nodes in my armpit and neck on the left side (injection side) I have rash on the right side of my neck but it does not bother me at all

2021-03-24

Systemic reaction (other): Swollen lymph nodes in my armpit and neck on the left side where I also had the injection

2021-03-25

Systemic reaction (other): Swollen lymph nodes in my armpit and neck on the left side which is the same side as the injection

Release 6 — day 7, dose 2

2021-03-26

Systemic reaction (other): Swollen lymph node in left side of neck my injection was on my left side

Release 9 — 6 months, dose 2

2021-09-17

Symptoms: Muscle spasm in my back

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	Muscle spasms	·	·	✓
SRO	Chest discomfort	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Musculoskeletal discomfort	✓	✓	✓
SRO	Rash	✓	✓	✓

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