YKA-19371-61266

3 vaccinations 5 coded responses 27 check-ins 5 free-text entries 0 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 806 / CO
Registered: 2021-03-26

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

2021-03-06
Dose 1 — Moderna
2021-03-26
Registered in v-safe
2021-03-26
Survey response — day 14, dose 1
MedDRA: Injection site pain, Injection site pruritus, Injection site warmth — Feeling: Good

Free text: Covid arm. Started 1 week after vaccination. Low level pain and extreme itchiness. Started out as a 3x3 area, grew to 5x8, upper arm, about 1 inch below injection site. Hot to the touch. Went away after 5 full days of the 5x8 size, 13 days total

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-27
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-03
Dose 2 — Moderna
2021-04-03
Survey response — day 0, dose 2
MedDRA: Cough, Rhinorrhoea — Feeling: Good · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Slightly runny nose and small cough, nothing serious

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

Free text: Pain in lower back and kidney area

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-05
Survey response — days 1–6 daily, dose 2
MedDRA: Heart rate increased — Feeling: Fair · Site: Pain · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Rapid heart rate

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-06
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-07
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Joint pains, Muscle or body aches

Adult check-in
2021-04-08
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Joint pains, Fatigue or tiredness

Adult check-in
2021-04-09
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-10
Health check-in — day 7, dose 2
Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-17
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-24
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-01
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-08
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-15
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-03
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-02
Survey response — 6 months, dose 2
MedDRA: Nightmare — Feeling: Good

Free text: Not sure if its related, but since getting the vaccine I have regularly had extreme, vivid nightmares. Horrible nightmares. This was not a thing with me pre-vaccine. A couple of friends have told me theyve experienced the same, others have not.

MedDRA releases: 2024-11 · check-in free text available
2021-10-23
Dose 3 — Moderna
Co-administered: Flu
2021-10-27
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-10-28
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Itching · Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea

Adult check-in
2021-10-29
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-10-30
Health check-in — day 7, dose 3
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-11-06
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-13
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-20
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
2021-12-04
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-22
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-06	Moderna
2	2021-04-03	Moderna
3	2021-10-23	Moderna	Flu

Free text

Release 6 — day 14, dose 1

2021-03-26

Symptoms: Covid arm. Started 1 week after vaccination. Low level pain and extreme itchiness. Started out as a 3x3 area, grew to 5x8, upper arm, about 1 inch below injection site. Hot to the touch. Went away after 5 full days of the 5x8 size, 13 days total

Release 6 — day 0, dose 2

2021-04-03

Systemic reaction (other): Slightly runny nose and small cough, nothing serious

Release 6 — days 1–6 daily, dose 2

2021-04-04

Systemic reaction (other): Pain in lower back and kidney area

2021-04-05

Systemic reaction (other): Rapid heart rate

Release 9 — 6 months, dose 2

2021-10-02

Symptoms: Not sure if its related, but since getting the vaccine I have regularly had extreme, vivid nightmares. Horrible nightmares. This was not a thing with me pre-vaccine. A couple of friends have told me theyve experienced the same, others have not.

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 pain	✓	✓	✓
SD	Injection site pruritus	✓	✓	✓
SD	Injection site warmth	✓	✓	✓
SD	Nightmare	·	·	✓
SRO	Back pain	✓	✓	✓
SRO	Cough	✓	✓	✓
SRO	Heart rate increased	✓	✓	✓
SRO	Renal pain	✓	✓	✓
SRO	Rhinorrhoea	✓	✓	✓

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