FHX-31219-62662

4 vaccinations 18 coded responses 44 check-ins 18 free-text entries 0 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 222 / VA
Registered: 2021-04-19

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Registered dependents

5P9-29773-32949 Child or adolescent in my care · Female · 2021-11-06

G9H-58401-80513 Child or adolescent in my care · Male · 2021-11-06

FNZ-29888-92246 Child or adolescent in my care · Male · 2021-11-06

RW9-20788-68407 Child or adolescent in my care · · 2022-09-11

Timeline Vaccinations Free text MedDRA terms

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-03-21
Dose 1 — Moderna
2021-04-19
Registered in v-safe
2021-04-19
Dose 2 — Moderna
2021-04-19
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain, Swelling · None

Adult check-in
2021-04-20
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-21
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness

Free text: Swollen armpit lymph nodes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain

Free text: Swollen Lymph Nodes (armpit)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-23
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Good

Free text: Swollen Lymph Nodes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-24
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Good

Free text: Swollen Lymph Nodes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-25
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Good

Free text: Swollen Lymph Nodes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-26
Survey response — day 7, dose 2
MedDRA: Lymphadenopathy — Feeling: Good

Free text: Swollen Lymph Nodes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-03
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-10
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-17
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-24
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-31
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-19
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-18
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-22
Dose 3 — Moderna
2021-10-23
Survey response — days 1–6 daily, dose 3
MedDRA: Asthenia, Decreased appetite — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Weakness, reduced appetite

MedDRA releases: 2024-11 · check-in free text available
2021-10-24
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Headache, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-10-25
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-10-26
Survey response — days 1–6 daily, dose 3
MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: Swollen lymph nodes

MedDRA releases: 2024-11 · check-in free text available
2021-10-27
Survey response — days 1–6 daily, dose 3
MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain, Itching · Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: Swollen lymph nodes

MedDRA releases: 2024-11 · check-in free text available
2021-10-28
Survey response — days 1–6 daily, dose 3
MedDRA: Lymphadenopathy — Feeling: Good · Site: Itching

Free text: Swollen Lymph Nodes

MedDRA releases: 2024-11 · check-in free text available
2021-10-29
Survey response — day 7, dose 3
MedDRA: Lymphadenopathy — Feeling: Good

Free text: Swollen Lymph Nodes

MedDRA releases: 2024-11 · check-in free text available
2021-11-05
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-12
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-21
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-27
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-06
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-23
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-04-24
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-09-02
Dose 4 — Moderna
2022-09-02
Health check-in — day 0, dose 4
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-09-03
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-09-04
Survey response — days 1–6 daily, dose 4
MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain · Fatigue or tiredness

Free text: Swollen lymph nodes, left armpit

MedDRA releases: 2024-11 · check-in free text available
2022-09-05
Survey response — days 1–6 daily, dose 4
MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Swollen left lymph node

MedDRA releases: 2024-11 · check-in free text available
2022-09-06
Survey response — days 1–6 daily, dose 4
MedDRA: Lymphadenopathy — Feeling: Good

Free text: Very swollen lymph nodes, left armpit

MedDRA releases: 2024-11 · check-in free text available
2022-09-07
Survey response — days 1–6 daily, dose 4
MedDRA: Lymphadenopathy — Feeling: Good

Free text: Swollen Lymph nodes, left armpit

MedDRA releases: 2024-11 · check-in free text available
2022-09-08
Survey response — days 1–6 daily, dose 4
MedDRA: Lymphadenopathy — Feeling: Good

Free text: Swollen Lymph nodes, left armpit

MedDRA releases: 2024-11 · check-in free text available
2022-09-09
Survey response — day 7, dose 4
MedDRA: Lymphadenopathy — Feeling: Good

Free text: Swollen Lymph nodes left armpit

MedDRA releases: 2024-11 · check-in free text available
2022-09-17
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-09-25
Health check-in — day 21, dose 4
Feeling: Fair

Adult check-in
2022-10-03
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-10-07
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-10-14
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-12-04
Survey response — 3 months, dose 4
MedDRA: Asthma, Nasopharyngitis, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities

Free text: I caught a garden variety cold (not COVID) that triggered my asthma.

MedDRA releases: 2024-11 · check-in free text available
2023-03-05
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-21	Moderna
2	2021-04-19	Moderna
3	2021-10-22	Moderna	No
4	2022-09-02	Moderna	No

Free text

Release 7 — days 1–6 daily, dose 2

2021-04-21

Systemic reaction (other): Swollen armpit lymph nodes

2021-04-22

Systemic reaction (other): Swollen Lymph Nodes (armpit)

2021-04-23

Systemic reaction (other): Swollen Lymph Nodes

2021-04-24

Systemic reaction (other): Swollen Lymph Nodes

2021-04-25

Systemic reaction (other): Swollen Lymph Nodes

Release 8 — day 7, dose 2

2021-04-26

Systemic reaction (other): Swollen Lymph Nodes

Release 10 — days 1–6 daily, dose 3

2021-10-23

Systemic reaction (other): Weakness, reduced appetite

2021-10-26

Systemic reaction (other): Swollen lymph nodes

2021-10-27

Systemic reaction (other): Swollen lymph nodes

2021-10-28

Systemic reaction (other): Swollen Lymph Nodes

Release 10 — day 7, dose 3

2021-10-29

Systemic reaction (other): Swollen Lymph Nodes

Release 12 — days 1–6 daily, dose 4

2022-09-04

Systemic reaction (other): Swollen lymph nodes, left armpit

2022-09-05

Systemic reaction (other): Swollen left lymph node

2022-09-06

Systemic reaction (other): Very swollen lymph nodes, left armpit

2022-09-07

Systemic reaction (other): Swollen Lymph nodes, left armpit

2022-09-08

Systemic reaction (other): Swollen Lymph nodes, left armpit

Release 12 — day 7, dose 4

2022-09-09

Systemic reaction (other): Swollen Lymph nodes left armpit

Release 12 — 3 months, dose 4

2022-12-04

Symptoms: I caught a garden variety cold (not COVID) that triggered my asthma.

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	Asthma	·	·	✓
SD	Nasopharyngitis	·	·	✓
SD	Pre-existing disease	·	·	✓
SRO	Asthenia	·	·	✓
SRO	Decreased appetite	·	·	✓
SRO	Lymphadenopathy	✓	✓	✓

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