YLV-12777-53322

4 vaccinations 8 coded responses 29 check-ins 8 free-text entries 0 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 210 / MD
Registered: 2021-01-13

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

2021-01-12
Dose 1 — Moderna
2021-01-13
Registered in v-safe
2021-01-14
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-01-15
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-01-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-20
Health check-in — day 7, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-01-26
Survey response — day 14, dose 1
MedDRA: Eye swelling — Feeling: Fair

Free text: Woke up this morning with fluid retention: face & hands very puffy-difficult to put on ring and eyes swollen almost shut. It cleared up within 20-30 minutes.

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

Adult check-in
2021-02-10
Dose 2 — Moderna
2021-02-11
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-02-12
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-02-13
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-14
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Itching · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-17
Health check-in — day 7, dose 2
Feeling: Good · Joint pains, Fatigue or tiredness

Adult check-in
2021-02-24
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-03-03
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-12
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-03-17
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-03-24
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-05-14
Survey response — 3 months, dose 2
MedDRA: Depressed mood, Grief reaction, Poor quality sleep — Feeling: Good · Be unable to work, Be unable to do your normal daily activities

Free text: Depressed mood due to death in family-not due to COVID-19 vaccine. Poor sleep. Again, due to grief, I believe, not due to vaccine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-11
Survey response — 6 months, dose 2
MedDRA: Diarrhoea, Headache, Oropharyngeal pain — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Sore throat, headache, diarrhea

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-10-13
Dose 3 — Moderna
2022-02-13
Survey response — 12 months, dose 2
MedDRA: Abdominal pain, Pain, SARS-CoV-2 test negative — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Abdominal pain and body aches. Negative home COVID test. Symptoms are resolving.

MedDRA releases: 2024-11 · check-in free text available
2022-04-27
Dose 4 — Pfizer-BioNTech
2022-04-29
Survey response — days 1–6 daily, dose 4
MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain, Swelling, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Swollen lymph node under arm where I got the shot

MedDRA releases: 2024-11 · check-in free text available
2022-04-30
Survey response — days 1–6 daily, dose 4
MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain, Itching

Free text: Lymph node swelling under right arm which is arm where I got shot

MedDRA releases: 2024-11 · check-in free text available
2022-05-01
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Itching · Muscle or body aches

Adult check-in
2022-05-12
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-05-20
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-06-08
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-07-29
Survey response — 3 months, dose 4
MedDRA: Ear pain, Oropharyngeal pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Ear ache and sore throat

MedDRA releases: 2024-11 · check-in free text available
2022-10-26
Survey response — 6 months, dose 4
MedDRA: Cough — Feeling: Fair · Be unable to do your normal daily activities

Free text: Cough

MedDRA releases: 2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-12	Moderna
2	2021-02-10	Moderna
3	2021-10-13	Moderna	No
4	2022-04-27	Pfizer-BioNTech	No

Free text

Release 2 — day 14, dose 1

2021-01-26

Symptoms: Woke up this morning with fluid retention: face & hands very puffy-difficult to put on ring and eyes swollen almost shut. It cleared up within 20-30 minutes.

Release 8 — 3 months, dose 2

2021-05-14

Symptoms: Depressed mood due to death in family-not due to COVID-19 vaccine. Poor sleep. Again, due to grief, I believe, not due to vaccine.

Release 9 — 6 months, dose 2

2021-08-11

Symptoms: Sore throat, headache, diarrhea

Release 11 — 12 months, dose 2

2022-02-13

Symptoms: Abdominal pain and body aches. Negative home COVID test. Symptoms are resolving.

Release 11 — days 1–6 daily, dose 4

2022-04-29

Systemic reaction (other): Swollen lymph node under arm where I got the shot

2022-04-30

Systemic reaction (other): Lymph node swelling under right arm which is arm where I got shot

Release 12 — 3 months, dose 4

2022-07-29

Symptoms: Ear ache and sore throat

Release 12 — 6 months, dose 4

2022-10-26

Symptoms: Cough

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	Abdominal pain	·	·	✓
SD	Cough	·	·	✓
SD	Depressed mood	✓	✓	✓
SD	Diarrhoea	✓	·	✓
SD	Ear pain	·	·	✓
SD	Eye swelling	✓	✓	✓
SD	Grief reaction	✓	✓	✓
SD	Headache	✓	·	✓
SD	Oropharyngeal pain	✓	·	✓
SD	Pain	·	·	✓
SD	Poor quality sleep	✓	✓	✓
SD	SARS-CoV-2 test negative	·	·	✓
SRO	Lymphadenopathy	·	·	✓

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