6LJ-15440-98900

2 vaccinations 9 coded responses 17 check-ins 9 free-text entries 1 call case

Sex: Female
Age at first dose: 36-40
ZIP prefix: 957 / CA
Registered: 2021-01-01

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

2020-12-26
Dose 1 — Moderna
2021-01-01
Registered in v-safe
2021-01-01
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness, Dyspnoea, Heart rate increased, Lymph node pain, Lymphadenopathy — Feeling: Fair · Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities

Free text: Axillary lynphadenopathy on ipsilateral side of injections. Tender lymph nodes. Feeling of getting winded easily, also elevated heart rate and dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-01
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-02
Survey response — day 7, dose 1
MedDRA: Axillary pain — Feeling: Good · Fatigue or tiredness, Nausea

Free text: I still have mild axillary pain on the ipsilateral side of the injection

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-09
Survey response — day 14, dose 1
MedDRA: Axillary pain, Breast tenderness, Lymph node pain — Feeling: Good

Free text: I'm still having axillary pain on ipsilateral side. Some LN tenderness and tenderness in my left breast (same side).

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-16
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-01-21
Dose 2 — Moderna
2021-01-22
Survey response — days 1–6 daily, dose 2
MedDRA: Unevaluable event — Feeling: Poor · Site: Pain, Swelling · 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: Armpit pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-23
Survey response — days 1–6 daily, dose 2
MedDRA: Axillary pain, Lymphadenopathy — Feeling: Good · Site: Pain, Redness, Swelling, Itching · Joint pains, Muscle or body aches, Abdominal pain

Free text: Armpit pain and swelling

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-24
Survey response — days 1–6 daily, dose 2
MedDRA: Night sweats — Feeling: Good · Site: Pain, Redness, Swelling, Itching

Free text: Night sweats

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-26
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-01-27
Survey response — days 1–6 daily, dose 2
MedDRA: Axillary pain, Night sweats — Feeling: Good · Site: Pain · Fatigue or tiredness, Abdominal pain

Free text: Still having night sweats on the lower half of my body and axillary pain on the ipsilateral side where injection took place

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-29
Survey response — day 7, dose 2
MedDRA: Axillary pain — Feeling: Good

Free text: I still have armpit discomfort that radiates into my breast.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-04
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-11
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-18
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-02-27
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-04
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-22
Survey response — 6 months, dose 2
MedDRA: Pityriasis rosea — Feeling: Good

Free text: I developed pityriasis rosea that has now resolved

MedDRA releases: 2024-11 · check-in free text available
2022-01-23
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-26	Moderna
2	2021-01-21	Moderna

Call center

1 call center case

1 priority 2/3 (triaged and no follow up)

See the call center timeline

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-01

Systemic reaction (other): Axillary lynphadenopathy on ipsilateral side of injections. Tender lymph nodes. Feeling of getting winded easily, also elevated heart rate and dizziness

Release 1 — day 7, dose 1

2021-01-02

Systemic reaction (other): I still have mild axillary pain on the ipsilateral side of the injection

Release 1 — day 14, dose 1

2021-01-09

Symptoms: I'm still having axillary pain on ipsilateral side. Some LN tenderness and tenderness in my left breast (same side).

Release 2 — days 1–6 daily, dose 2

2021-01-22

Systemic reaction (other): Armpit pain

2021-01-23

Systemic reaction (other): Armpit pain and swelling

2021-01-24

Systemic reaction (other): Night sweats

2021-01-27

Systemic reaction (other): Still having night sweats on the lower half of my body and axillary pain on the ipsilateral side where injection took place

Release 3 — day 7, dose 2

2021-01-29

Systemic reaction (other): I still have armpit discomfort that radiates into my breast.

Release 9 — 6 months, dose 2

2021-07-22

Symptoms: I developed pityriasis rosea that has now resolved

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	Axillary pain	✓	✓	✓
SD	Breast tenderness	✓	✓	✓
SD	Lymph node pain	✓	✓	✓
SD	Pityriasis rosea	·	·	✓
SRO	Axillary pain	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Heart rate increased	✓	✓	✓
SRO	Lymph node pain	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Night sweats	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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