6GN-12522-18877

5 vaccinations 5 coded responses 37 check-ins 5 free-text entries 0 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 787 / TX
Registered: 2021-01-21

Relationship: Self
Race: Multiracial
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

2021-01-21
Registered in v-safe
2021-01-21
Dose 1 — Moderna
2021-01-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling · Chills, Fatigue or tiredness

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

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

Adult check-in
2021-01-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-26
Survey response — days 1–6 daily, dose 1
MedDRA: Axillary pain, Lymphadenopathy — Feeling: Fair · Muscle or body aches

Free text: Slight swelling and mild pain in armpit area of arm that received first dose vaccine injection.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-27
Survey response — days 1–6 daily, dose 1
MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Good

Free text: Axillary lymph node area under left arm (injection arm) has slightly increased in swelling and mild pain.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-28
Survey response — day 7, dose 1
MedDRA: Axillary pain, Lymphadenopathy — Feeling: Good · Site: Itching

Free text: Still experiencing swelling and mild pain in axillary lymph nodes under left arm (injection was in left arm

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

Adult check-in
2021-02-11
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-19
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-02-25
Dose 2 — Moderna
2021-02-25
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-02-26
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-27
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Swelling · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-28
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Swelling · None

Adult check-in
2021-03-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Swelling · None

Adult check-in
2021-03-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-03
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness, Itching · None

Adult check-in
2021-03-04
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-11
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-20
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-25
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-08
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-08-26
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-18
Dose 3 — Moderna
2021-10-26
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-11-01
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-08
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2021-11-15
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-22
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-11-29
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-17
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-04-01
Dose 4 — Moderna
2022-04-15
Health check-in — day 14, dose 4
Feeling: Fair

Adult check-in
2022-04-22
Survey response — day 21, dose 4
MedDRA: COVID-19, Exposure to SARS-CoV-2, SARS-CoV-2 test negative, SARS-CoV-2 test positive — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Exposed to COVID - Omicron on 4-9-2022. Symptoms appeared but tested negative on 4-13-2022. Tested positive for COVID on 4-15-2022. Finally tested negative for COVID on 4-22-2022.

MedDRA releases: 2024-11 · check-in free text available
2022-04-29
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-05-06
Survey response — day 35, dose 4
MedDRA: Fatigue, Pain, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities

Free text: Post-Omicron, I have been affected by whole body aches and fatigue.

MedDRA releases: 2024-11 · check-in free text available
2022-05-13
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-07-01
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-09-16
Dose 5 — Moderna
Co-administered: Flu
2023-04-01
Health check-in — 12 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-21	Moderna
2	2021-02-25	Moderna
3	2021-10-18	Moderna	No
4	2022-04-01	Moderna	No
5	2022-09-16	Moderna	Flu

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-26

Systemic reaction (other): Slight swelling and mild pain in armpit area of arm that received first dose vaccine injection.

2021-01-27

Systemic reaction (other): Axillary lymph node area under left arm (injection arm) has slightly increased in swelling and mild pain.

Release 3 — day 7, dose 1

2021-01-28

Systemic reaction (other): Still experiencing swelling and mild pain in axillary lymph nodes under left arm (injection was in left arm

Release 11 — day 21, dose 4

2022-04-22

Symptoms: Exposed to COVID - Omicron on 4-9-2022. Symptoms appeared but tested negative on 4-13-2022. Tested positive for COVID on 4-15-2022. Finally tested negative for COVID on 4-22-2022.

Release 11 — day 35, dose 4

2022-05-06

Symptoms: Post-Omicron, I have been affected by whole body aches and fatigue.

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	COVID-19	·	·	✓
SD	Exposure to SARS-CoV-2	·	·	✓
SD	Fatigue	·	·	✓
SD	Pain	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	SARS-CoV-2 test positive	·	·	✓
SRO	Axillary pain	✓	✓	✓
SRO	Lymph node pain	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓

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