YYY-19522-86131

3 vaccinations 8 coded responses 40 check-ins 8 free-text entries 0 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 207 / MD
Registered: 2021-04-28

Relationship: Self
Race: Multiracial
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

2021-04-27
Dose 1 — Moderna
2021-04-28
Registered in v-safe
2021-04-28
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Muscle or body aches

Adult check-in
2021-04-29
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-30
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-05-01
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-05-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-05-03
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-05-04
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-05-11
Survey response — day 14, dose 1
MedDRA: Dizziness — Feeling: Good

Free text: I had a dizzy spell one day. It was brief.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-19
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-05-25
Dose 2 — Moderna
2021-05-25
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-05-26
Survey response — days 1–6 daily, dose 2
MedDRA: Bone pain, Pain — Feeling: Poor · Site: Pain, Swelling, Itching · Fever · Chills, Headache, Joint pains, Nausea, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activities

Free text: Shooting pains in the bones of my arms and legs

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-27
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Joint pains, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-05-28
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · Rash, not including the immediate area around the injection site

Adult check-in
2021-05-29
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-05-30
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-05-31
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-06-01
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-06-08
Survey response — day 14, dose 2
MedDRA: Abdominal discomfort — Feeling: Good

Free text: Gastrointestinal distress

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-15
Survey response — day 21, dose 2
MedDRA: Chills, Dyspnoea, Ear pruritus, Impaired work ability, Pain, Rhinorrhoea, Throat irritation — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Scratchy throat, sniffles, VERY mild aches and chills, itchy inner ears. Hard to breathe at work, had to leave 2hr early yesterday, asthma inhaler was not doing any good.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-22
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-29
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-07-06
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-08-24
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-11-25
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-01-14
Dose 3 — Moderna
2022-01-14
Health check-in — day 0, dose 3
Feeling: Poor · Site: Pain, Redness, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2022-01-15
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2022-01-16
Survey response — days 1–6 daily, dose 3
MedDRA: Lymphadenopathy — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Diarrhea · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Lymph nodes under arm are swollen

MedDRA releases: 2024-11 · check-in free text available
2022-01-17
Survey response — days 1–6 daily, dose 3
MedDRA: Lymph node pain, Lymphadenopathy, Pruritus — Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Pain/swelling in the lymph nodes underarm on the shot arm and itching on the non shot inner forearm

MedDRA releases: 2024-11 · check-in free text available
2022-01-18
Survey response — days 1–6 daily, dose 3
MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain, Swelling · Joint pains, Fatigue or tiredness

Free text: Lymph nodes swollen on the injection side underarm

MedDRA releases: 2024-11 · check-in free text available
2022-01-19
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-01-20
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Joint pains, Fatigue or tiredness

Adult check-in
2022-01-21
Health check-in — day 7, dose 3
Feeling: Fair · Fatigue or tiredness, Rash, not including the immediate area around the injection site

Adult check-in
2022-01-28
Health check-in — day 14, dose 3
Feeling: Fair

Adult check-in
2022-02-04
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2022-02-11
Survey response — day 28, dose 3
MedDRA: Depression, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities

Free text: My depression has gotten way worse

MedDRA releases: 2024-11 · check-in free text available
2022-02-18
Health check-in — day 35, dose 3
Feeling: Fair

Adult check-in
2022-02-25
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2022-04-15
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-07-15
Health check-in — 6 months, dose 3
Feeling: Fair

Adult check-in
2023-01-16
Health check-in — 12 months, dose 3
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-27	Moderna
2	2021-05-25	Moderna
3	2022-01-14	Moderna	No

Free text

Release 8 — day 14, dose 1

2021-05-11

Symptoms: I had a dizzy spell one day. It was brief.

Release 8 — days 1–6 daily, dose 2

2021-05-26

Systemic reaction (other): Shooting pains in the bones of my arms and legs

Release 8 — day 14, dose 2

2021-06-08

Symptoms: Gastrointestinal distress

Release 9 — day 21, dose 2

2021-06-15

Symptoms: Scratchy throat, sniffles, VERY mild aches and chills, itchy inner ears. Hard to breathe at work, had to leave 2hr early yesterday, asthma inhaler was not doing any good.

Release 10 — days 1–6 daily, dose 3

2022-01-16

Systemic reaction (other): Lymph nodes under arm are swollen

2022-01-17

Systemic reaction (other): Pain/swelling in the lymph nodes underarm on the shot arm and itching on the non shot inner forearm

2022-01-18

Systemic reaction (other): Lymph nodes swollen on the injection side underarm

Release 11 — day 28, dose 3

2022-02-11

Symptoms: My depression has gotten way worse

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 discomfort	✓	✓	✓
SD	Chills	✓	✓	✓
SD	Depression	·	·	✓
SD	Dizziness	✓	✓	✓
SD	Dyspnoea	✓	✓	✓
SD	Ear pruritus	✓	✓	✓
SD	Impaired work ability	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Pre-existing disease	·	·	✓
SD	Rhinorrhoea	✓	✓	✓
SD	Throat irritation	✓	✓	✓
SRO	Bone pain	✓	✓	✓
SRO	Lymph node pain	·	·	✓
SRO	Lymphadenopathy	·	·	✓
SRO	Pain	✓	✓	✓
SRO	Pruritus	·	·	✓

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