W3B-55582-36973

4 vaccinations 8 coded responses 46 check-ins 7 free-text entries 0 call cases

Sex: Female
Age at first dose: 31-35
ZIP prefix: 600 / IL
Registered: 2021-03-14

Relationship: Self
Race: White
Ethnicity: 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

2021-03-14
Registered in v-safe
2021-03-14
Dose 1 — Moderna
2021-03-14
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-03-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness, Nausea

Adult check-in
2021-03-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · 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: Lymphadenopathy — Feeling: Good

Free text: Swollen lymph node in armpit of arm that received the injection

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-19
Survey response — days 1–6 daily, dose 1
MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Good

Free text: Lymph node in armpit of injection arm is still swollen and sore

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-20
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-03-21
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-28
Health check-in — day 14, dose 1
Feeling: Good

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

Adult check-in
2021-04-11
Dose 2 — Moderna
2021-04-11
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-12
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Dyspnoea exertional — Feeling: Poor · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Dizziness and slight shortness of breath when climbing stairs, etc

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-13
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Chills, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-15
Survey response — days 1–6 daily, dose 2
MedDRA: Insomnia — Feeling: Good

Free text: Insomnia/trouble sleeping since getting 2nd dose

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-18
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-25
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
2021-05-09
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
2021-05-24
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
2021-11-01
Dose 3 — Moderna
Co-administered: Flu
2021-11-01
Health check-in — day 0, dose 3
Feeling: Fair · Site: Pain · Muscle or body aches

Adult check-in
2021-11-02
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-11-03
Survey response — days 1–6 daily, dose 3
MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain

Free text: Lymph node swelling in armpit of injection

MedDRA releases: 2024-11 · check-in free text available
2021-11-04
Survey response — days 1–6 daily, dose 3
MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Good

Free text: Lymph node in armpit on injection site side is still swollen and painful

MedDRA releases: 2024-11 · check-in free text available
2021-11-05
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-06
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-07
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-08
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-11-15
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-24
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-29
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-06
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-13
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-31
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-05-02
Survey response — 6 months, dose 3
MedDRA: Pregnancy — Feeling: Good

Free text: I'm pregnant.

MedDRA releases: 2024-11 · check-in free text available
2022-10-03
Dose 4 — Moderna
2022-11-01
Health check-in — 12 months, dose 3
Feeling: Fair

Adult check-in
2022-11-01
Health check-in — day 28, dose 4
Feeling: Fair

Adult check-in
2022-11-07
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-11-14
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2023-01-02
Survey response — 3 months, dose 4
MedDRA: Gastroenteritis viral, Respiratory syncytial virus infection — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

MedDRA releases: 2024-11
2023-04-03
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-14	Moderna
2	2021-04-11	Moderna
3	2021-11-01	Moderna	Flu
4	2022-10-03	Moderna	No

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-18

Systemic reaction (other): Swollen lymph node in armpit of arm that received the injection

2021-03-19

Systemic reaction (other): Lymph node in armpit of injection arm is still swollen and sore

Release 7 — days 1–6 daily, dose 2

2021-04-12

Systemic reaction (other): Dizziness and slight shortness of breath when climbing stairs, etc

2021-04-15

Systemic reaction (other): Insomnia/trouble sleeping since getting 2nd dose

Release 10 — days 1–6 daily, dose 3

2021-11-03

Systemic reaction (other): Lymph node swelling in armpit of injection

2021-11-04

Systemic reaction (other): Lymph node in armpit on injection site side is still swollen and painful

Release 11 — 6 months, dose 3

2022-05-02

Symptoms: I'm pregnant.

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	Gastroenteritis viral	·	·	✓
SD	Pregnancy	·	·	✓
SD	Respiratory syncytial virus infection	·	·	✓
SRO	Dizziness	✓	✓	✓
SRO	Dyspnoea	○	○	○
SRO	Dyspnoea exertional	✓	✓	✓
SRO	Insomnia	✓	✓	✓
SRO	Lymph node pain	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓

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