6AM-10467-20494

4 vaccinations 8 coded responses 52 check-ins 8 free-text entries 0 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 532 / WI
Registered: 2021-03-05

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

2021-03-04
Dose 1 — Moderna
2021-03-05
Registered in v-safe
2021-03-05
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-03-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Nausea

Adult check-in
2021-03-07
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Nausea

Adult check-in
2021-03-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-09
Survey response — days 1–6 daily, dose 1
MedDRA: Axillary pain, Fatigue, Injection site pain — Feeling: Good

Free text: Soreness/tenderness in the armpit of the arm where I received the injection.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-10
Survey response — days 1–6 daily, dose 1
MedDRA: Axillary pain, Oedema peripheral — Feeling: Good

Free text: Soreness and swelling in the armpit under the arm in which I received the injection.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-11
Survey response — day 7, dose 1
MedDRA: Oedema peripheral, Tenderness — Feeling: Good

Free text: Tenderness and swelling in the armpit under the arm in which I received the injection.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-18
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-25
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-01
Dose 2 — Moderna
2021-04-01
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-04-02
Survey response — days 1–6 daily, dose 2
MedDRA: Decreased appetite — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: Loss of appetite

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-03
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · 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
2021-04-04
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Swelling, Itching · Fatigue or tiredness, Nausea

Adult check-in
2021-04-05
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling, Itching · Headache, Fatigue or tiredness, Nausea

Adult check-in
2021-04-06
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Swelling, Itching · None

Adult check-in
2021-04-07
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Itching · None

Adult check-in
2021-04-08
Health check-in — day 7, dose 2
Feeling: Good · Site: Itching · None

Adult check-in
2021-04-15
Survey response — day 14, dose 2
MedDRA: Injection site pruritus — Feeling: Good

Free text: My arm has been itchy at the vaccination site. It has been mild-moderate and persistent. Mostly just an annoyance, but I thought Id mention it since it is ongoing 2 weeks out.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-29
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-06
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-13
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-01
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-30
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-16
Dose 3 — Moderna
2021-11-17
Survey response — days 1–6 daily, dose 3
MedDRA: Aura, Dizziness, Hyperhidrosis, Vision blurred, Visual impairment — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Light-headed; almost passed out repeatedly; blurry vision; light spots/auras; sweating

MedDRA releases: 2024-11 · check-in free text available
2021-11-18
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-11-19
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-11-20
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Fatigue or tiredness, Nausea

Adult check-in
2021-11-21
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Fatigue or tiredness, Nausea

Adult check-in
2021-11-22
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Fatigue or tiredness, Nausea

Adult check-in
2021-11-23
Health check-in — day 7, dose 3
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-11-30
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-12-07
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-12-14
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-21
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-28
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-02-15
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-05-17
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-09-30
Dose 4 — Moderna
2022-10-01
Survey response — days 1–6 daily, dose 4
MedDRA: Dry throat — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Dry throat

MedDRA releases: 2024-11 · check-in free text available
2022-10-02
Health check-in — days 1–6 daily, dose 4
Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2022-10-03
Survey response — days 1–6 daily, dose 4
MedDRA: Axillary pain, Hyperhidrosis, Oedema peripheral — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Muscle or body aches, Fatigue or tiredness, Nausea

Free text: Excess of sweating without fever; swelling and soreness in armpit on injection side.

MedDRA releases: 2024-11 · check-in free text available
2022-10-04
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Redness, Swelling, Itching · Fatigue or tiredness

Adult check-in
2022-10-05
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain, Redness, Swelling, Itching · Headache

Adult check-in
2022-10-06
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Redness, Swelling, Itching · None

Adult check-in
2022-10-07
Health check-in — day 7, dose 4
Feeling: Good · Site: Redness, Swelling, Itching · None

Adult check-in
2022-10-14
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-10-21
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-10-28
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-11-04
Health check-in — day 35, dose 4
Feeling: Fair

Adult check-in
2022-11-11
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-12-30
Health check-in — 3 months, dose 4
Feeling: Poor

Adult check-in
2023-03-31
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-04	Moderna
2	2021-04-01	Moderna
3	2021-11-16	Moderna	No
4	2022-09-30	Moderna	No

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-09

Systemic reaction (other): Soreness/tenderness in the armpit of the arm where I received the injection.

2021-03-10

Systemic reaction (other): Soreness and swelling in the armpit under the arm in which I received the injection.

Release 5 — day 7, dose 1

2021-03-11

Systemic reaction (other): Tenderness and swelling in the armpit under the arm in which I received the injection.

Release 6 — days 1–6 daily, dose 2

2021-04-02

Systemic reaction (other): Loss of appetite

Release 7 — day 14, dose 2

2021-04-15

Symptoms: My arm has been itchy at the vaccination site. It has been mild-moderate and persistent. Mostly just an annoyance, but I thought Id mention it since it is ongoing 2 weeks out.

Release 10 — days 1–6 daily, dose 3

2021-11-17

Systemic reaction (other): Light-headed; almost passed out repeatedly; blurry vision; light spots/auras; sweating

Release 12 — days 1–6 daily, dose 4

2022-10-01

Systemic reaction (other): Dry throat

2022-10-03

Systemic reaction (other): Excess of sweating without fever; swelling and soreness in armpit on injection side.

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	Injection site pruritus	✓	✓	✓
SRO	Aura	·	·	✓
SRO	Axillary pain	✓	✓	✓
SRO	Decreased appetite	✓	✓	✓
SRO	Dizziness	·	·	✓
SRO	Dry throat	·	·	✓
SRO	Fatigue	✓	✓	✓
SRO	Hyperhidrosis	·	·	✓
SRO	Injection site pain	✓	✓	✓
SRO	Oedema peripheral	✓	✓	✓
SRO	Tenderness	✓	✓	✓
SRO	Vision blurred	·	·	✓
SRO	Visual impairment	·	·	✓

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