6ZK-89200-84061

3 vaccinations 8 coded responses 37 check-ins 8 free-text entries 0 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 921 / CA
Registered: 2021-03-23

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

2021-03-23
Registered in v-safe
2021-03-23
Dose 1 — Moderna
2021-03-23
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-24
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-03-25
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-03-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-29
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-30
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-06
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-13
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-20
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-04-27
Dose 2 — Moderna
2021-04-27
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-04-28
Survey response — days 1–6 daily, dose 2
MedDRA: Pyrexia — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness

Free text: Fever

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-29
Survey response — days 1–6 daily, dose 2
MedDRA: Dry mouth — Feeling: Fair · Headache, Fatigue or tiredness

Free text: Dry mouth

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-30
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-05-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-05-03
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-04
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-05-11
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-18
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-25
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-01
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-08
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-27
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-26
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-26
Dose 3 — Pfizer-BioNTech
2021-11-30
Survey response — days 1–6 daily, dose 3
MedDRA: Lymphadenopathy — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Swollen lymph node in armpit (injection arm)

MedDRA releases: 2024-11 · check-in free text available
2021-12-01
Survey response — days 1–6 daily, dose 3
MedDRA: Lymphadenopathy — Feeling: Fair · Fatigue or tiredness

Free text: Swollen lymph node in armpit on injection arm

MedDRA releases: 2024-11 · check-in free text available
2021-12-02
Survey response — days 1–6 daily, dose 3
MedDRA: Lymphadenopathy — Feeling: Fair · Fatigue or tiredness

Free text: Swollen lymph node in my armpit on injection side

MedDRA releases: 2024-11 · check-in free text available
2021-12-03
Survey response — day 7, dose 3
MedDRA: Lymphadenopathy — Feeling: Good

Free text: Swollen lymph node in armpit on injection side

MedDRA releases: 2024-11 · check-in free text available
2021-12-10
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-12-17
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-12-24
Survey response — day 28, dose 3
MedDRA: Nasal congestion, Paranasal sinus discomfort, Sneezing — Feeling: Poor

Free text: Sinus pressure, nasal congestion, sneezing

MedDRA releases: 2024-11 · check-in free text available
2021-12-31
Health check-in — day 35, dose 3
Feeling: Fair

Adult check-in
2022-01-07
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-02-25
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-05-27
Survey response — 6 months, dose 3
MedDRA: Pregnancy — Feeling: Fair

Free text: Pregnancy

MedDRA releases: 2024-11 · check-in free text available
2022-11-28
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-23	Moderna
2	2021-04-27	Moderna
3	2021-11-26	Pfizer-BioNTech	No

Free text

Release 8 — days 1–6 daily, dose 2

2021-04-28

Systemic reaction (other): Fever

2021-04-29

Systemic reaction (other): Dry mouth

Release 10 — days 1–6 daily, dose 3

2021-11-30

Systemic reaction (other): Swollen lymph node in armpit (injection arm)

2021-12-01

Systemic reaction (other): Swollen lymph node in armpit on injection arm

2021-12-02

Systemic reaction (other): Swollen lymph node in my armpit on injection side

Release 10 — day 7, dose 3

2021-12-03

Systemic reaction (other): Swollen lymph node in armpit on injection side

Release 10 — day 28, dose 3

2021-12-24

Symptoms: Sinus pressure, nasal congestion, sneezing

Release 11 — 6 months, dose 3

2022-05-27

Symptoms: Pregnancy

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	Nasal congestion	·	·	✓
SD	Paranasal sinus discomfort	·	·	✓
SD	Pregnancy	·	·	✓
SD	Sneezing	·	·	✓
SRO	Dry mouth	✓	✓	✓
SRO	Lymphadenopathy	·	·	✓
SRO	Pyrexia	✓	✓	✓

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