65V-99512-87428

3 vaccinations 8 coded responses 24 check-ins 8 free-text entries 2 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 068 / CT
Registered: 2021-01-21

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Registered dependents

4AC-15907-24473 Child or adolescent in my care · Male · 2022-07-04

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-01-20
Dose 1 — Moderna
2021-01-21
Registered in v-safe
2021-01-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-27
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-03
Survey response — day 14, dose 1
MedDRA: Ear pain, Fatigue, Office visit, Pyrexia, SARS-CoV-2 test, Sinus pain — Feeling: Good · 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: Symptoms: 1/29 I had a low grade fever/chills (99+) at night. I woke up 1/30 feeling the same and tired. I went for a COVID test. Later on 1/30 I got sinus pain and ear pain and fever jumped to 101+ through Sunday. Temp stay at 99 through Mon. Covid negative. · Healthcare visit (other): COVID test, urgent care that was useless

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-03
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)
2021-02-10
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-17
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-02-23
Dose 2 — Moderna
2021-02-24
Survey response — days 1–6 daily, dose 2
MedDRA: Back pain, Myalgia, Pain in extremity — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness

Free text: Like a dull leg ache. Also the muscle aches are lower back pain.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-25
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy, Pain — Feeling: Good · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness

Free text: Lymph nodes under arm of injection site seem to be swollen causing soreness not terrible pain, more just uncomfortable and a nuisance.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-26
Survey response — days 1–6 daily, dose 2
MedDRA: Back pain, Lymph node pain — Feeling: Good · Site: Pain · Muscle or body aches

Free text: Still lymph node soreness under arm where injected. Aches are back aches. Mid to lower.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-27
Survey response — days 1–6 daily, dose 2
MedDRA: Lymph node pain, Oedema peripheral — Feeling: Good

Free text: Lymph node pain, swelling under arm of injected arm.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-28
Survey response — days 1–6 daily, dose 2
MedDRA: Lymph node pain — Feeling: Good · Be unable to do your normal daily activities

Free text: Lymph node pain/discomfort under arm area of injected arm.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-01
Survey response — days 1–6 daily, dose 2
MedDRA: Lymph node pain — Feeling: Fair · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Lymph node pain under arm of injected arm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-02
Survey response — day 7, dose 2
MedDRA: Axillary mass, Axillary pain, Lymph node pain, Lymphadenopathy — Feeling: Fair · Fever · Chills · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Continued pain under the arm/lymphnode area of injected arm. · Healthcare visit (other): I went to have my lympnode areas checked under my arm and breast area due to raised feeling lumps and moderate pain underarm.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-02
Report sent to call center — day 7, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-09
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-16
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-23
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-30
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-06
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-27
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-06-24
Call 1 — Left Voicemail
2021-11-18
Dose 3 — Moderna
2022-02-25
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-11-20
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-20	Moderna
2	2021-02-23	Moderna
3	2021-11-18	Moderna	No

Call center

2 call center cases

2 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 3 — day 14, dose 1

2021-02-03

Symptoms: 1/29 I had a low grade fever/chills (99+) at night. I woke up 1/30 feeling the same and tired. I went for a COVID test. Later on 1/30 I got sinus pain and ear pain and fever jumped to 101+ through Sunday. Temp stay at 99 through Mon. Covid negative. cut off by CDC

Healthcare visit (other): COVID test, urgent care that was useless

Release 4 — days 1–6 daily, dose 2

2021-02-24

Systemic reaction (other): Like a dull leg ache. Also the muscle aches are lower back pain.

2021-02-25

Systemic reaction (other): Lymph nodes under arm of injection site seem to be swollen causing soreness not terrible pain, more just uncomfortable and a nuisance.

2021-02-26

Systemic reaction (other): Still lymph node soreness under arm where injected. Aches are back aches. Mid to lower.

2021-02-27

Systemic reaction (other): Lymph node pain, swelling under arm of injected arm.

2021-02-28

Systemic reaction (other): Lymph node pain/discomfort under arm area of injected arm.

2021-03-01

Systemic reaction (other): Lymph node pain under arm of injected arm

Release 4 — day 7, dose 2

2021-03-02

Systemic reaction (other): Continued pain under the arm/lymphnode area of injected arm.

Healthcare visit (other): I went to have my lympnode areas checked under my arm and breast area due to raised feeling lumps and moderate pain underarm.

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	Axillary mass	✓	✓	✓
HCVO	Axillary pain	✓	✓	✓
HCVO	Lymphadenopathy	✓	✓	✓
HCVO	Office visit	✓	✓	✓
HCVO	SARS-CoV-2 test	✓	✓	✓
SD	Ear pain	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Pyrexia	✓	✓	✓
SD	SARS-CoV-2 test	✓	✓	✓
SD	Sinus pain	✓	✓	✓
SRO	Axillary pain	✓	✓	✓
SRO	Back pain	✓	✓	✓
SRO	Lymph node pain	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Myalgia	✓	✓	✓
SRO	Oedema peripheral	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓

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