Y7L-12643-72682

3 vaccinations 12 coded responses 31 check-ins 12 free-text entries 0 call cases

Sex: Female
Age at first dose: 31-35
ZIP prefix: 013 / MA
Registered: 2020-12-28

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

2020-12-28
Registered in v-safe
2020-12-28
Dose 1 — Moderna
2020-12-28
Health check-in — day 0, dose 1
Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness, Nausea

Adult check-in
2020-12-29
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2020-12-30
Survey response — days 1–6 daily, dose 1
MedDRA: Migraine, Nausea — Feeling: Good · Site: Pain · Headache, Fatigue or tiredness, Nausea

Free text: had migraine and nausea very late last night but was bad

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-31
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness, Nausea

Adult check-in
2021-01-01
Survey response — days 1–6 daily, dose 1
MedDRA: Ehlers-Danlos syndrome, Fatigue, Fibromyalgia, Pre-existing disease — Feeling: Good · Fatigue or tiredness, Nausea

Free text: I have EDS and fibromyalgia so I'm always fatigued...

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-04
Survey response — day 7, dose 1
MedDRA: Lymph node pain, Lymphadenopathy, Pain in extremity — Feeling: Good

Free text: left arm feels achy sometimes, swollen axillary lymph node achy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-12
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-25
Dose 2 — Moderna
2021-01-25
Survey response — day 0, dose 2
MedDRA: Product administered at inappropriate site — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Nausea

Free text: people injecting me keep injecting way too high even after I specifically say not to

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-26
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-01-27
Survey response — days 1–6 daily, dose 2
MedDRA: Pain of skin — Feeling: Fair · Site: Pain, Swelling · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: tender skin

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-29
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-30
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-10
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-17
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-24
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-03-01
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-03-08
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-04-28
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-07-26
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-28
Dose 3 — Moderna
2021-10-28
Survey response — day 0, dose 3
MedDRA: Hypoaesthesia, Paraesthesia, Product administered at inappropriate site — Feeling: Poor · Site: Pain, Redness · Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: I swear people dont know how to inject a deltoid, its been almost in my bursa all 3 times, had numbness and tingling in my fingers still 2 hrs later

MedDRA releases: 2024-11 · check-in free text available
2021-10-29
Survey response — days 1–6 daily, dose 3
MedDRA: Arthralgia — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Shoulder hurts..

MedDRA releases: 2024-11 · check-in free text available
2021-10-30
Survey response — days 1–6 daily, dose 3
MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Multiple swollen painful axillary lymph nodes

MedDRA releases: 2024-11 · check-in free text available
2021-10-31
Survey response — days 1–6 daily, dose 3
MedDRA: Lymph node pain — Feeling: Fair · Site: Pain, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Lymph nodes hurt

MedDRA releases: 2024-11 · check-in free text available
2021-11-02
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-04
Survey response — day 7, dose 3
MedDRA: Unevaluable event — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Mostly baseline

MedDRA releases: 2024-11 · check-in free text available
2021-11-13
Health check-in — day 14, dose 3
Feeling: Fair

Adult check-in
2021-11-19
Survey response — day 21, dose 3
MedDRA: Oropharyngeal pain — Feeling: Poor

Free text: I have a sore throat

MedDRA releases: 2024-11 · check-in free text available
2021-11-25
Survey response — day 28, dose 3
MedDRA: Upper respiratory tract infection — Feeling: Fair · Be unable to do your normal daily activities

Free text: Had a URI

MedDRA releases: 2024-11 · check-in free text available
2021-12-03
Health check-in — day 35, dose 3
Feeling: Fair

Adult check-in
2021-12-11
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-28	Moderna
2	2021-01-25	Moderna
3	2021-10-28	Moderna	No

Free text

Release 1 — days 1–6 daily, dose 1

2020-12-30

Systemic reaction (other): had migraine and nausea very late last night but was bad

2021-01-01

Systemic reaction (other): I have EDS and fibromyalgia so I'm always fatigued...

Release 1 — day 7, dose 1

2021-01-04

Systemic reaction (other): left arm feels achy sometimes, swollen axillary lymph node achy

Release 2 — day 0, dose 2

2021-01-25

Systemic reaction (other): people injecting me keep injecting way too high even after I specifically say not to

Release 2 — days 1–6 daily, dose 2

2021-01-27

Systemic reaction (other): tender skin

Release 10 — day 0, dose 3

2021-10-28

Systemic reaction (other): I swear people dont know how to inject a deltoid, its been almost in my bursa all 3 times, had numbness and tingling in my fingers still 2 hrs later

Release 10 — days 1–6 daily, dose 3

2021-10-29

Systemic reaction (other): Shoulder hurts..

2021-10-30

Systemic reaction (other): Multiple swollen painful axillary lymph nodes

2021-10-31

Systemic reaction (other): Lymph nodes hurt

Release 10 — day 7, dose 3

2021-11-04

Systemic reaction (other): Mostly baseline

Release 10 — day 21, dose 3

2021-11-19

Symptoms: I have a sore throat

Release 10 — day 28, dose 3

2021-11-25

Symptoms: Had a URI

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	Oropharyngeal pain	·	·	✓
SD	Upper respiratory tract infection	·	·	✓
SRO	Arthralgia	·	·	✓
SRO	Ehlers-Danlos syndrome	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Fibromyalgia	✓	✓	✓
SRO	Hypoaesthesia	·	·	✓
SRO	Lymph node pain	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Migraine	✓	✓	✓
SRO	Nausea	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Pain of skin	✓	✓	✓
SRO	Paraesthesia	·	·	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Product administered at inappropriate site	✓	✓	✓
SRO	Unevaluable event	·	·	✓

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