YGV-14018-44392

3 vaccinations 6 coded responses 32 check-ins 6 free-text entries 0 call cases

Sex: Female
Age at first dose: 26-30
ZIP prefix: 456 / OH
Registered: 2021-01-16

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

2021-01-07
Dose 1 — Moderna
2021-01-16
Registered in v-safe
2021-01-16
Health check-in — day 7, dose 1
Feeling: Good · Site: Pain, Redness, Swelling, Itching · None

Adult check-in
2021-01-22
Survey response — day 14, dose 1
MedDRA: Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth — Feeling: Good

Free text: Progressively worsening injection site reaction starting 1 week after vaccination and clearing up 1 week after onset. Reminiscent of an Arthus- type reaction. Swollen, red, hot, itchy, approx. 4 inch circle.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-28
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-04
Dose 2 — Moderna
2021-02-06
Survey response — days 1–6 daily, dose 2
MedDRA: Chills, Headache, Pain, Pyrexia — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Rash, not including the immediate area around the injection site

Free text: The night/day after vaccination, I did experience severe chills, fever, severe headache, body aches. Majority of symptoms gone today.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-07
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Itching · Headache, Fatigue or tiredness

Adult check-in
2021-02-08
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia, Muscle spasms — Feeling: Good · Site: Pain, Redness, Itching · Headache

Free text: Pain and cramping in the shoulder joint

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-09
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Itching · Headache, Rash, not including the immediate area around the injection site

Adult check-in
2021-02-10
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Itching · Headache

Adult check-in
2021-02-11
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-02-18
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-25
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-04
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-11
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-18
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-08
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-05
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-05
Dose 3 — Moderna
2021-11-05
Health check-in — day 0, dose 3
Feeling: Good · Site: Pain, Redness, Itching · Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-11-06
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain · 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
2021-11-07
Survey response — days 1–6 daily, dose 3
MedDRA: Axillary pain, Cold sweat, Lymph node pain — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain

Free text: Pain in underarm/lymph node area, cold sweats

MedDRA releases: 2024-11 · check-in free text available
2021-11-08
Survey response — days 1–6 daily, dose 3
MedDRA: Lymph node pain, Oropharyngeal pain — Feeling: Fair · Site: Pain, Redness · Joint pains, Muscle or body aches

Free text: Lymph node pain in underarm, neck, chest; sore throat

MedDRA releases: 2024-11 · check-in free text available
2021-11-09
Survey response — days 1–6 daily, dose 3
MedDRA: Axillary pain, Neck pain — Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Joint pains

Free text: Neck pain, underarm pain

MedDRA releases: 2024-11 · check-in free text available
2021-11-10
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Redness · None

Adult check-in
2021-11-11
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Redness, Itching · Headache

Adult check-in
2021-11-14
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-11-19
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-26
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-12-05
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-10
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-17
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-02-04
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-05-06
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-11-07
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-07	Moderna
2	2021-02-04	Moderna
3	2021-11-05	Moderna	No

Free text

Release 2 — day 14, dose 1

2021-01-22

Symptoms: Progressively worsening injection site reaction starting 1 week after vaccination and clearing up 1 week after onset. Reminiscent of an Arthus- type reaction. Swollen, red, hot, itchy, approx. 4 inch circle.

Release 3 — days 1–6 daily, dose 2

2021-02-06

Systemic reaction (other): The night/day after vaccination, I did experience severe chills, fever, severe headache, body aches. Majority of symptoms gone today.

2021-02-08

Systemic reaction (other): Pain and cramping in the shoulder joint

Release 10 — days 1–6 daily, dose 3

2021-11-07

Systemic reaction (other): Pain in underarm/lymph node area, cold sweats

2021-11-08

Systemic reaction (other): Lymph node pain in underarm, neck, chest; sore throat

2021-11-09

Systemic reaction (other): Neck pain, underarm pain

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	Injection site erythema	✓	✓	✓
SD	Injection site pruritus	✓	✓	✓
SD	Injection site swelling	✓	✓	✓
SD	Injection site warmth	✓	✓	✓
SRO	Arthralgia	✓	✓	✓
SRO	Axillary pain	·	·	✓
SRO	Chills	✓	✓	✓
SRO	Cold sweat	·	·	✓
SRO	Headache	✓	✓	✓
SRO	Lymph node pain	·	·	✓
SRO	Muscle spasms	✓	✓	✓
SRO	Neck pain	·	·	✓
SRO	Oropharyngeal pain	·	·	✓
SRO	Pain	✓	✓	✓
SRO	Pyrexia	✓	✓	✓

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