5XM-26529-69187

4 vaccinations 16 coded responses 43 check-ins 14 free-text entries 1 call case

Sex: Female
Age at first dose: 26-30
ZIP prefix: 017 / MA
Registered: 2021-02-26

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

2021-02-26
Registered in v-safe
2021-02-26
Dose 1 — Moderna
2021-02-27
Health check-in — days 1–6 daily, dose 1
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
2021-02-28
Survey response — days 1–6 daily, dose 1
MedDRA: Back pain, Dizziness — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Dizziness and back pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-02
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-04
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-05
Health check-in — day 7, dose 1
Feeling: Fair · Site: Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-03-12
Survey response — day 14, dose 1
MedDRA: Injection site pain — Feeling: Good

Free text: Muscle pain on arm of vaccine injection

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-19
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-26
Dose 2 — Moderna
2021-03-27
Survey response — days 1–6 daily, dose 2
MedDRA: Back pain, Neck pain — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Diarrhea · Be unable to work, Be unable to do your normal daily activities

Free text: Neck pain, back pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-29
Survey response — days 1–6 daily, dose 2
MedDRA: Back pain, Neck pain — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Severe neck and back pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-31
Survey response — days 1–6 daily, dose 2
MedDRA: Back pain, Neck pain — Feeling: Fair · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to work, Be unable to do your normal daily activities

Free text: Neck and back pain

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

Adult check-in
2021-04-16
Survey response — day 21, dose 2
MedDRA: Heart rate increased, Palpitations — Feeling: Good

Free text: Increased heart rate and racing heart

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-25
Survey response — day 28, dose 2
MedDRA: Chest pain, Musculoskeletal stiffness, Neck pain — Feeling: Good

Free text: neck pain and stuff nexk started after vaccine. I've also had chest pain .

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-30
Survey response — day 35, dose 2
MedDRA: Lymphadenopathy, Neck pain — Feeling: Good

Free text: Neck pain/soreness on the side of neck to base of skull that started with vaccine side effects. I think it may have been caused by swollen lymph nodes from the vaccine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-07
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-26
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-25
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-12-07
Dose 3 — Moderna
2021-12-08
Survey response — days 1–6 daily, dose 3
MedDRA: Lymphadenopathy — Feeling: Poor · Site: Pain, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Very swollen lymph nodes (neck, armpits and groin)

MedDRA releases: 2024-11 · check-in free text available
2021-12-09
Survey response — days 1–6 daily, dose 3
MedDRA: Lymphadenopathy — Feeling: Poor · Site: Pain, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Very swollen lymph nodes in neck, armpits and groin

MedDRA releases: 2024-11 · check-in free text available
2021-12-10
Survey response — days 1–6 daily, dose 3
MedDRA: Lymphadenopathy — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Very swollen lymph nodes in neck, armpits and groin

MedDRA releases: 2024-11 · check-in free text available
2021-12-11
Survey response — days 1–6 daily, dose 3
MedDRA: Lymphadenopathy — Feeling: Poor · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Swollen lymph nodes in neck, armpits and groin

MedDRA releases: 2024-11 · check-in free text available
2021-12-12
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-12-13
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-12-16
Health check-in — day 7, dose 3
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-12-21
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-12-29
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-01-07
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-01-13
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-01-20
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-03-08
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-06-08
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-12-09
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in
2022-12-26
Dose 4 — Moderna
2022-12-27
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-12-29
Survey response — days 1–6 daily, dose 4
MedDRA: Cough, Lymphadenopathy — 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: Cough, swollen lymph nodes, swollen glands

MedDRA releases: 2024-11 · check-in free text available
2022-12-30
Survey response — days 1–6 daily, dose 4
MedDRA: Cough, Lymphadenopathy, Oropharyngeal pain, Secretion discharge — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Swollen lymph nodes, swollen glands, cough, sore throat, mucus

MedDRA releases: 2024-11 · check-in free text available
2023-01-01
Survey response — days 1–6 daily, dose 4
MedDRA: Cough, Lymphadenopathy — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

MedDRA releases: 2024-11
2023-01-04
Health check-in — day 7, dose 4
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2023-01-09
Health check-in — day 14, dose 4
Feeling: Fair

Adult check-in
2023-01-18
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2023-01-23
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2023-01-31
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2023-02-08
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2023-03-27
Survey response — 3 months, dose 4
MedDRA: Chest discomfort, Chest pain, Confusional state, Dyspnoea, Emergency care, Fatigue, Loss of consciousness, Nausea, Supraventricular tachycardia — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, Hospitalization

MedDRA releases: 2024-11
2023-03-27
Report sent to call center — 3 months, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Emergency room or emergency department visit · Hospitalization · 1 call case(s)
2023-03-28
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-26	Moderna
2	2021-03-26	Moderna
3	2021-12-07	Moderna	No
4	2022-12-26	Moderna	No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-28

Systemic reaction (other): Dizziness and back pain

Release 5 — day 14, dose 1

2021-03-12

Symptoms: Muscle pain on arm of vaccine injection

Release 6 — days 1–6 daily, dose 2

2021-03-27

Systemic reaction (other): Neck pain, back pain

2021-03-29

Systemic reaction (other): Severe neck and back pain

2021-03-31

Systemic reaction (other): Neck and back pain

Release 7 — day 21, dose 2

2021-04-16

Symptoms: Increased heart rate and racing heart

Release 7 — day 28, dose 2

2021-04-25

Symptoms: neck pain and stuff nexk started after vaccine. I've also had chest pain .

Release 8 — day 35, dose 2

2021-04-30

Symptoms: Neck pain/soreness on the side of neck to base of skull that started with vaccine side effects. I think it may have been caused by swollen lymph nodes from the vaccine.

Release 10 — days 1–6 daily, dose 3

2021-12-08

Systemic reaction (other): Very swollen lymph nodes (neck, armpits and groin)

2021-12-09

Systemic reaction (other): Very swollen lymph nodes in neck, armpits and groin

2021-12-10

Systemic reaction (other): Very swollen lymph nodes in neck, armpits and groin

2021-12-11

Systemic reaction (other): Swollen lymph nodes in neck, armpits and groin

Release 12 — days 1–6 daily, dose 4

2022-12-29

Systemic reaction (other): Cough, swollen lymph nodes, swollen glands

2022-12-30

Systemic reaction (other): Swollen lymph nodes, swollen glands, cough, sore throat, mucus

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
HCVO	Emergency care	·	·	✓
SD	Chest discomfort	·	·	✓
SD	Chest pain	✓	✓	✓
SD	Confusional state	·	·	✓
SD	Dyspnoea	·	·	✓
SD	Emergency care	·	·	✓
SD	Fatigue	·	·	✓
SD	Heart rate increased	✓	✓	✓
SD	Injection site pain	✓	✓	✓
SD	Loss of consciousness	·	·	✓
SD	Lymphadenopathy	✓	✓	✓
SD	Musculoskeletal stiffness	✓	✓	✓
SD	Nausea	·	·	✓
SD	Neck pain	✓	✓	✓
SD	Palpitations	✓	✓	✓
SD	Supraventricular tachycardia	·	·	✓
SRO	Back pain	✓	✓	✓
SRO	Cough	·	·	✓
SRO	Dizziness	✓	✓	✓
SRO	Lymphadenopathy	·	·	✓
SRO	Neck pain	✓	✓	✓
SRO	Oropharyngeal pain	·	·	✓
SRO	Secretion discharge	·	·	✓

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