YQ3-11864-54074

4 vaccinations 11 coded responses 20 check-ins 11 free-text entries 0 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 629 / IL
Registered: 2021-02-21

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

2021-02-12
Dose 1 — Moderna
2021-02-21
Registered in v-safe
2021-02-21
Survey response — day 7, dose 1
MedDRA: Chills, Dry skin, Skin tightness, Skin warm, Swelling, Tremor — Feeling: Fair · Site: Redness, Swelling · Chills, Muscle or body aches

Free text: After 8 days, site became hot, swelled to about the size of an orange, skin was tight & rough. Chills & shaking began.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-26
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-03-05
Survey response — day 21, dose 1
MedDRA: Fatigue, Headache, Lymphadenopathy — Feeling: Poor

Free text: Swollen lymph nodes, fatigue, headache.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-12
Dose 2 — Moderna
2021-03-12
Survey response — day 28, dose 1
MedDRA: Fatigue, Lymphadenopathy, Myalgia, Oropharyngeal pain — Feeling: Good · Be unable to do your normal daily activities

Free text: Sore throat, swollen lymph nodes, generalized fatigue, muscle aches.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-13
Survey response — days 1–6 daily, dose 2
MedDRA: Chest pain, Eye pain, Fatigue, Headache, Musculoskeletal stiffness, Pain, Pain of skin, Painful respiration — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · 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

Free text: Chest hurts, ache everywhere. Stiff neck. Skin is tender to touch. Hurts to take a deep breath. Eyes hurt. Head to pounding from back to front. Extreme fatigue.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-14
Survey response — days 1–6 daily, dose 2
MedDRA: Peripheral swelling — Feeling: Good · Site: Redness, Swelling · Fever · Fatigue or tiredness, Rash, not including the immediate area around the injection site

Free text: Swelling on injected arm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-15
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site bruising, Injection site rash — Feeling: Good · Site: Redness, Swelling · Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: Large dark bruise has appeared at exact injection site and rash has extended around arm between shoulder and elbow.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-16
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Redness, Swelling · Fatigue or tiredness, Nausea, Vomiting, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-03-17
Survey response — days 1–6 daily, dose 2
MedDRA: Hot flush — Feeling: Poor · Site: Redness, Swelling · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities

Free text: Hot flashes but not a consistent fever.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-18
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness · Fatigue or tiredness

Adult check-in
2021-03-19
Survey response — day 7, dose 2
MedDRA: Unevaluable event — Feeling: Good

Free text: Last time I experienced the "8 day Covid Arm". Not sure if that will happen or not yet.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-09-11
Survey response — 6 months, dose 2
MedDRA: Lymphadenopathy, Staphylococcal infection — Feeling: Good · Be unable to do your normal daily activities

Free text: Staph infection covering both arms and persistently enlarged submandibular lymph nodes.

MedDRA releases: 2024-11 · check-in free text available
2021-12-04
Dose 3 — Moderna
2022-03-12
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-05-20
Dose 4 — Moderna
2022-05-22
Survey response — days 1–6 daily, dose 4
MedDRA: Influenza like illness, Pain in extremity — Feeling: Poor · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Very Very sore arm & flu-like symptoms

MedDRA releases: 2024-11 · check-in free text available
2022-05-23
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-05-24
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-05-26
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Headache

Adult check-in
2022-05-27
Survey response — day 7, dose 4
MedDRA: Oropharyngeal pain — Feeling: Good

Free text: Sore throat

MedDRA releases: 2024-11 · check-in free text available
2022-08-21
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-12	Moderna
2	2021-03-12	Moderna
3	2021-12-04	Moderna	No
4	2022-05-20	Moderna	No

Free text

Release 4 — day 7, dose 1

2021-02-21

Systemic reaction (other): After 8 days, site became hot, swelled to about the size of an orange, skin was tight & rough. Chills & shaking began.

Release 5 — day 21, dose 1

2021-03-05

Symptoms: Swollen lymph nodes, fatigue, headache.

Release 5 — day 28, dose 1

2021-03-12

Symptoms: Sore throat, swollen lymph nodes, generalized fatigue, muscle aches.

Release 5 — days 1–6 daily, dose 2

2021-03-13

Systemic reaction (other): Chest hurts, ache everywhere. Stiff neck. Skin is tender to touch. Hurts to take a deep breath. Eyes hurt. Head to pounding from back to front. Extreme fatigue.

2021-03-14

Systemic reaction (other): Swelling on injected arm

2021-03-15

Systemic reaction (other): Large dark bruise has appeared at exact injection site and rash has extended around arm between shoulder and elbow.

2021-03-17

Systemic reaction (other): Hot flashes but not a consistent fever.

Release 6 — day 7, dose 2

2021-03-19

Systemic reaction (other): Last time I experienced the "8 day Covid Arm". Not sure if that will happen or not yet.

Release 9 — 6 months, dose 2

2021-09-11

Symptoms: Staph infection covering both arms and persistently enlarged submandibular lymph nodes.

Release 11 — days 1–6 daily, dose 4

2022-05-22

Systemic reaction (other): Very Very sore arm & flu-like symptoms

Release 11 — day 7, dose 4

2022-05-27

Systemic reaction (other): Sore throat

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	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Lymphadenopathy	✓	✓	✓
SD	Myalgia	✓	✓	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Staphylococcal infection	·	·	✓
SRO	Chest pain	✓	✓	✓
SRO	Chills	✓	✓	✓
SRO	Dry skin	✓	✓	✓
SRO	Eye pain	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Hot flush	✓	✓	✓
SRO	Influenza like illness	·	·	✓
SRO	Injection site bruising	✓	✓	✓
SRO	Injection site rash	✓	✓	✓
SRO	Musculoskeletal stiffness	✓	✓	✓
SRO	Oropharyngeal pain	·	·	✓
SRO	Pain	✓	✓	✓
SRO	Pain in extremity	·	·	✓
SRO	Pain of skin	✓	✓	✓
SRO	Painful respiration	✓	✓	✓
SRO	Peripheral swelling	✓	✓	✓
SRO	Skin tightness	✓	✓	✓
SRO	Skin warm	✓	✓	✓
SRO	Swelling	✓	✓	✓
SRO	Tremor	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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