6U4-78412-83683

4 vaccinations 7 coded responses 35 check-ins 7 free-text entries 0 call cases

Sex: —
Age at first dose: 41-45
ZIP prefix: 970 / OR
Registered: 2021-01-02

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

2021-01-02
Registered in v-safe
2021-01-02
Dose 1 — Moderna
2021-01-02
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-01-03
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2021-01-04
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-05
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-01-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-09
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-16
Survey response — day 14, dose 1
MedDRA: Injection site pruritus, Injection site swelling, Injection site warmth — Feeling: Good

Free text: Day 11 pencil eraser size welt at injection. Hot & itchy. Less swelling next day, still itchy. Progressively better over week.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-23
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-01-30
Dose 2 — Moderna
2021-01-30
Survey response — day 0, dose 2
MedDRA: Fatigue, Hysterectomy — Feeling: Good · Fatigue or tiredness

Free text: I am current day 5 post op from a total hysterectomy so hard to determine fatigue from vaccine vs surgery

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-31
Survey response — days 1–6 daily, dose 2
MedDRA: Pre-existing disease — Feeling: Fair · Site: Pain, Itching · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: I am day 6 post op for a hysterectomy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-01
Survey response — days 1–6 daily, dose 2
MedDRA: Fatigue — Feeling: Good · Site: Pain · Fatigue or tiredness

Free text: I believe fatigue is due to being 1 week post hysterectomy and not vaccine related entirely

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

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

Adult check-in
2021-02-04
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-05
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-06
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-02-13
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-20
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-27
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-06
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-13
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-03
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-11-05
Dose 3 — Moderna
2022-01-30
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-05-08
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-10-01
Dose 4 — Moderna
2022-10-02
Survey response — days 1–6 daily, dose 4
MedDRA: Hyperhidrosis — Feeling: Poor · Site: Pain, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Sweating

MedDRA releases: 2024-11 · check-in free text available
2022-10-03
Health check-in — days 1–6 daily, dose 4
Feeling: Poor · Site: Pain, Swelling, Itching · Headache, Joint pains, Fatigue or tiredness, Nausea, Abdominal pain

Adult check-in
2022-10-04
Survey response — days 1–6 daily, dose 4
MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain, Swelling, Itching · Fatigue or tiredness

Free text: Swollen lymph nodes in armpit & clavicle

MedDRA releases: 2024-11 · check-in free text available
2022-10-05
Survey response — days 1–6 daily, dose 4
MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness

Free text: Swollen lymph nodes neck & armpit

MedDRA releases: 2024-11 · check-in free text available
2022-10-06
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Itching · Fatigue or tiredness

Adult check-in
2022-10-08
Health check-in — day 7, dose 4
Feeling: Good · Site: Itching · Fatigue or tiredness

Adult check-in
2022-10-15
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-10-22
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-11-06
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-11-12
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-02	Moderna
2	2021-01-30	Moderna
3	2021-11-05	Moderna	No
4	2022-10-01	Moderna	No

Free text

Release 2 — day 14, dose 1

2021-01-16

Symptoms: Day 11 pencil eraser size welt at injection. Hot & itchy. Less swelling next day, still itchy. Progressively better over week.

Release 3 — day 0, dose 2

2021-01-30

Systemic reaction (other): I am current day 5 post op from a total hysterectomy so hard to determine fatigue from vaccine vs surgery

Release 3 — days 1–6 daily, dose 2

2021-01-31

Systemic reaction (other): I am day 6 post op for a hysterectomy

2021-02-01

Systemic reaction (other): I believe fatigue is due to being 1 week post hysterectomy and not vaccine related entirely

Release 12 — days 1–6 daily, dose 4

2022-10-02

Systemic reaction (other): Sweating

2022-10-04

Systemic reaction (other): Swollen lymph nodes in armpit & clavicle

2022-10-05

Systemic reaction (other): Swollen lymph nodes neck & armpit

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	✓	✓	✓
SD	Injection site swelling	✓	✓	✓
SD	Injection site warmth	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Hyperhidrosis	·	·	✓
SRO	Hysterectomy	✓	✓	✓
SRO	Lymphadenopathy	·	·	✓
SRO	Pre-existing disease	✓	✓	✓

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