693-74510-87407

3 vaccinations 8 coded responses 36 check-ins 8 free-text entries 0 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 235 / VA
Registered: 2021-01-26

Relationship: Self
Race: Asian
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

2021-01-25
Dose 1 — Moderna
2021-01-26
Registered in v-safe
2021-01-26
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Itching · Headache, Joint pains, Muscle or body aches

Adult check-in
2021-01-27
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches

Adult check-in
2021-01-28
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Joint pains, Muscle or body aches

Adult check-in
2021-01-29
Survey response — days 1–6 daily, dose 1
MedDRA: Axillary pain — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Abdominal pain

Free text: Pain underneath armpit(might be glands) of injection arm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-30
Survey response — days 1–6 daily, dose 1
MedDRA: Axillary pain, Pain — Feeling: Fair · Joint pains, Muscle or body aches, Abdominal pain

Free text: Pain underneath armpit of injection arm(gland area) especially when raising arm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-31
Survey response — days 1–6 daily, dose 1
MedDRA: Axillary pain, Pain — Feeling: Fair · Joint pains, Muscle or body aches, Abdominal pain

Free text: Underneath armpit area of injection arm painful on stretching arm or raising arm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-01
Survey response — day 7, dose 1
MedDRA: Pain in extremity — Feeling: Fair · Site: Itching · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Under arm & inner muscle pain of injection arm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-08
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-15
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-22
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-02-24
Dose 2 — Moderna
2021-02-25
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-02-27
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain

Adult check-in
2021-02-28
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain

Adult check-in
2021-03-01
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain

Adult check-in
2021-03-02
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-03
Survey response — day 7, dose 2
MedDRA: Dizziness — Feeling: Good · Site: Itching · Muscle or body aches

Free text: Lightheaded/dizzy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-11
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-03-17
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-24
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-31
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-04-07
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-26
Survey response — 3 months, dose 2
MedDRA: Arthralgia, Pain — Feeling: Fair

Free text: Shoulder pain on certain movements(Not the injection arm)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-25
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2021-10-24
Dose 3 — Moderna
2021-10-27
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-10-28
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-10-29
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-10-30
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Redness, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-10-31
Health check-in — day 7, dose 3
Feeling: Fair · Site: Redness, Swelling, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-07
Health check-in — day 14, dose 3
Feeling: Fair

Adult check-in
2021-11-14
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-21
Health check-in — day 28, dose 3
Feeling: Fair

Adult check-in
2021-11-28
Survey response — day 35, dose 3
MedDRA: Cough, Nasopharyngitis, Sinus congestion, Sneezing, Throat irritation — Feeling: Fair

Free text: Cold symptoms. Scratchy throat, slight coughing, sneezing, sinus congestion. No fever

MedDRA releases: 2024-11 · check-in free text available
2021-12-05
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2022-01-25
Health check-in — 3 months, dose 3
Feeling: Fair

Adult check-in
2022-04-27
Health check-in — 6 months, dose 3
Feeling: Fair

Adult check-in
2022-10-24
Survey response — 12 months, dose 3
MedDRA: Arthritis, Joint swelling — Feeling: Fair

Free text: Swelling/Arthritis in knee

MedDRA releases: 2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-25	Moderna
2	2021-02-24	Moderna
3	2021-10-24	Moderna	No

Free text

Release 3 — days 1–6 daily, dose 1

2021-01-29

Systemic reaction (other): Pain underneath armpit(might be glands) of injection arm

2021-01-30

Systemic reaction (other): Pain underneath armpit of injection arm(gland area) especially when raising arm

2021-01-31

Systemic reaction (other): Underneath armpit area of injection arm painful on stretching arm or raising arm

Release 3 — day 7, dose 1

2021-02-01

Systemic reaction (other): Under arm & inner muscle pain of injection arm

Release 5 — day 7, dose 2

2021-03-03

Systemic reaction (other): Lightheaded/dizzy

Release 8 — 3 months, dose 2

2021-05-26

Symptoms: Shoulder pain on certain movements(Not the injection arm)

Release 10 — day 35, dose 3

2021-11-28

Symptoms: Cold symptoms. Scratchy throat, slight coughing, sneezing, sinus congestion. No fever

Release 12 — 12 months, dose 3

2022-10-24

Symptoms: Swelling/Arthritis in knee

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	Arthralgia	✓	✓	✓
SD	Arthritis	·	·	✓
SD	Cough	·	·	✓
SD	Joint swelling	·	·	✓
SD	Nasopharyngitis	·	·	✓
SD	Pain	✓	✓	✓
SD	Sinus congestion	·	·	✓
SD	Sneezing	·	·	✓
SD	Throat irritation	·	·	✓
SRO	Axillary pain	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓

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