HBR-78470-45620

4 vaccinations 8 coded responses 36 check-ins 6 free-text entries 0 call cases

Sex: Female
Age at first dose: 26-30
ZIP prefix: 524 / IA
Registered: 2021-03-12

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

2021-03-12
Registered in v-safe
2021-03-12
Dose 1 — Moderna
2021-03-12
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain, Swelling · None

Adult check-in
2021-03-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Redness, Swelling · None

Adult check-in
2021-03-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling · None

Adult check-in
2021-03-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-18
Survey response — days 1–6 daily, dose 1
MedDRA: Oedema peripheral — Feeling: Good

Free text: Axillary swelling on injection arm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-19
Survey response — day 7, dose 1
MedDRA: Axillary pain, Oedema peripheral — Feeling: Good

Free text: Mild pain and edema in axilla of injection arm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
Survey response — day 14, dose 1
MedDRA: Fatigue, Hair disorder, Nausea, Pain, Rash — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: Nausea, fatigue, body aches, hair follicles on head hurting. Rash on right shin/ankle.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-09
Dose 2 — Moderna
2021-04-09
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-04-10
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness

Free text: Light headedness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-11
Survey response — days 1–6 daily, dose 2
MedDRA: Galactostasis, Injection site pain, Oedema peripheral — Feeling: Good · Site: Pain, Redness, Swelling

Free text: Moderate axillary edema and pain on injection arm. Clogged breast duct on injection side.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-13
Survey response — days 1–6 daily, dose 2
MedDRA: Axillary pain, Oedema peripheral — Feeling: Good · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Moderate axillary edema and mild axillary pain on injection arm.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Swelling · Muscle or body aches

Adult check-in
2021-04-16
Health check-in — day 7, dose 2
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-04-23
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-02
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-07
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-16
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-21
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-11
Health check-in — 3 months, dose 2
Feeling: Good

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

Adult check-in
2022-01-13
Dose 3 — Moderna
2022-04-09
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2023-01-13
Dose 4 — Pfizer-BioNTech
2023-01-15
Survey response — days 1–6 daily, dose 4
MedDRA: Oedema peripheral — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

MedDRA releases: 2024-11
2023-01-16
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2023-01-17
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2023-01-18
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Fatigue or tiredness

Adult check-in
2023-01-19
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2023-01-20
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2023-01-27
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2023-02-03
Survey response — day 21, dose 4
MedDRA: Uterine contractions during pregnancy — Feeling: Fair · Be unable to work or attend school

MedDRA releases: 2024-11
2023-02-10
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2023-02-17
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2023-02-24
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2023-04-14
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-12	Moderna
2	2021-04-09	Moderna
3	2022-01-13	Moderna	No
4	2023-01-13	Pfizer-BioNTech	No

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-18

Systemic reaction (other): Axillary swelling on injection arm

Release 5 — day 7, dose 1

2021-03-19

Systemic reaction (other): Mild pain and edema in axilla of injection arm

Release 6 — day 14, dose 1

2021-03-26

Symptoms: Nausea, fatigue, body aches, hair follicles on head hurting. Rash on right shin/ankle.

Release 7 — days 1–6 daily, dose 2

2021-04-10

Systemic reaction (other): Light headedness

2021-04-11

Systemic reaction (other): Moderate axillary edema and pain on injection arm. Clogged breast duct on injection side.

2021-04-13

Systemic reaction (other): Moderate axillary edema and mild axillary pain on injection arm.

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	Fatigue	✓	✓	✓
SD	Hair disorder	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Rash	✓	✓	✓
SD	Uterine contractions during pregnancy	·	·	✓
SRO	Axillary pain	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Galactostasis	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Oedema peripheral	✓	✓	✓

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