YRS-15916-17367

2 vaccinations 8 coded responses 21 check-ins 8 free-text entries 0 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 296 / SC
Registered: 2021-03-04

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

2021-03-03
Dose 1 — Moderna
2021-03-04
Registered in v-safe
2021-03-05
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling, Itching · Headache, Nausea

Adult check-in
2021-03-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-10
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-17
Survey response — day 14, dose 1
MedDRA: Dizziness, Fatigue, Lymphadenopathy, Nausea — Feeling: Good · Be unable to do your normal daily activities

Free text: Swollen lymph nodes above collar bone on same side of body as injection and short term queasiness, tiredness, and lightheadedness in the afternoon.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-24
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-31
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-04-01
Dose 2 — Moderna
2021-04-02
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Dysgeusia — Feeling: Poor · Site: Pain, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: Metallic taste in mouth, Dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-03
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia, Back pain, Breast swelling, Immunisation reaction, Injection site rash, Lymphadenopathy, Myalgia, Neck pain — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: COVID Arm" rash just below injection site, swollen glands in armpit, swollen breast on injection side, muscle and joint pain specifically in back and neck.

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: Breast swelling, Immunisation reaction, Lymphadenopathy — Feeling: Good · Site: Pain, Redness, Swelling, Itching · Joint pains, Muscle or body aches

Free text: COVID Arm" rash just below injection site, swelling of glands under arm, swelling of breast on side of injection

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: Breast swelling, Injection site rash, Submaxillary gland enlargement — Feeling: Good · Site: Pain, Redness, Swelling, Itching · Joint pains, Muscle or body aches

Free text: COVID Arm" rash just below injection site, swelling of glands in armpit, and swelling of breast on injection side

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-06
Survey response — days 1–6 daily, dose 2
MedDRA: Oedema peripheral — Feeling: Fair · Site: Redness, Swelling, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Swelling in armpit on injection side

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-07
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Good · Site: Redness · Joint pains, Muscle or body aches

Free text: Minor swelling of glands in armpit

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Survey response — day 7, dose 2
MedDRA: Injection site bruising, Lymphadenopathy — Feeling: Good · Joint pains, Muscle or body aches

Free text: Light bruise below injection site, swelling of glands in armpit

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-22
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-29
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-06
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-13
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-01
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-03	Moderna
2	2021-04-01	Moderna

Free text

Release 5 — day 14, dose 1

2021-03-17

Symptoms: Swollen lymph nodes above collar bone on same side of body as injection and short term queasiness, tiredness, and lightheadedness in the afternoon.

Release 6 — days 1–6 daily, dose 2

2021-04-02

Systemic reaction (other): Metallic taste in mouth, Dizziness

2021-04-03

Systemic reaction (other): COVID Arm" rash just below injection site, swollen glands in armpit, swollen breast on injection side, muscle and joint pain specifically in back and neck.

2021-04-04

Systemic reaction (other): COVID Arm" rash just below injection site, swelling of glands under arm, swelling of breast on side of injection

2021-04-05

Systemic reaction (other): COVID Arm" rash just below injection site, swelling of glands in armpit, and swelling of breast on injection side

Release 7 — days 1–6 daily, dose 2

2021-04-06

Systemic reaction (other): Swelling in armpit on injection side

2021-04-07

Systemic reaction (other): Minor swelling of glands in armpit

Release 7 — day 7, dose 2

2021-04-08

Systemic reaction (other): Light bruise below injection site, swelling of glands in armpit

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	Dizziness	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Lymphadenopathy	✓	✓	✓
SD	Nausea	✓	✓	✓
SRO	Arthralgia	✓	✓	✓
SRO	Back pain	✓	✓	✓
SRO	Breast swelling	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Dysgeusia	✓	✓	✓
SRO	Immunisation reaction	✓	✓	✓
SRO	Injection site bruising	✓	✓	✓
SRO	Injection site rash	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Myalgia	✓	✓	✓
SRO	Neck pain	✓	✓	✓
SRO	Oedema peripheral	✓	✓	✓
SRO	Submaxillary gland enlargement	✓	✓	✓

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