Z32-69899-61234

5 vaccinations 6 coded responses 43 check-ins 6 free-text entries 0 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 210 / MD
Registered: 2021-03-31

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

2021-03-31
Registered in v-safe
2021-04-01
Dose 1 — Moderna
2021-04-01
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-04-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling, Itching · Fatigue or tiredness

Adult check-in
2021-04-03
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Redness, Swelling, Itching · None

Adult check-in
2021-04-04
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Swelling · None

Adult check-in
2021-04-05
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Swelling · None

Adult check-in
2021-04-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-08
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-15
Survey response — day 14, dose 1
MedDRA: Erythema, Immunisation reaction, Rash pruritic, Self-medication, Swelling — Feeling: Good

Free text: Covid arm began on day 8ish - swelling; redness; itchy rash about the size of a baseball; looks much better today after taking an antihistamine for the past 5 days

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-29
Dose 2 — Moderna
2021-04-29
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-04-30
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-05-01
Survey response — days 1–6 daily, dose 2
MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Fair · Site: Pain, Itching · Fever · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Moderate underarm lymph node swelling and pain on injection side of body

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-02
Survey response — days 1–6 daily, dose 2
MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Good · Site: Pain, Redness, Swelling · Fever · Muscle or body aches

Free text: Mild underarm lymph node swelling and tenderness on side of injection

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-03
Survey response — days 1–6 daily, dose 2
MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Good · Site: Pain, Swelling · Fever · Headache, Fatigue or tiredness

Free text: Very minor underarm lymph node swelling and tenderness on side of injection

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-09
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-05-13
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-22
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-27
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-03
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-10
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-29
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-28
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-12-03
Dose 3 — Moderna
Co-administered: Flu
2022-04-29
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-06-15
Dose 4 — Pfizer-BioNTech
Co-administered: Shingles
2022-06-15
Health check-in — day 0, dose 4
Feeling: Good · None

Adult check-in
2022-06-16
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Swelling · Fever · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-06-17
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Itching · Fever · Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2022-06-18
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2022-06-19
Survey response — days 1–6 daily, dose 4
MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain

Free text: Swollen lymph nodes on side of injection

MedDRA releases: 2024-11 · check-in free text available
2022-06-20
Survey response — days 1–6 daily, dose 4
MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Good · Site: Pain

Free text: Lymph node swelling, pain

MedDRA releases: 2024-11 · check-in free text available
2022-06-21
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-06-22
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-06-29
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-07-06
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-07-13
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-07-20
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-07-27
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-09-14
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-10-25
Dose 5 — Pfizer-BioNTech
Co-administered: Flu
2022-11-21
Health check-in — day 21, dose 5
Feeling: Good

Adult check-in
2022-11-22
Health check-in — day 28, dose 5
Feeling: Good

Adult check-in
2022-11-29
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2022-12-06
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2023-01-24
Health check-in — 3 months, dose 5
Feeling: Good

Adult check-in
2023-04-25
Health check-in — 6 months, dose 5
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-01	Moderna
2	2021-04-29	Moderna
3	2021-12-03	Moderna	Flu
4	2022-06-15	Pfizer-BioNTech	Shingles
5	2022-10-25	Pfizer-BioNTech	Flu

Free text

Release 7 — day 14, dose 1

2021-04-15

Symptoms: Covid arm began on day 8ish - swelling; redness; itchy rash about the size of a baseball; looks much better today after taking an antihistamine for the past 5 days

Release 8 — days 1–6 daily, dose 2

2021-05-01

Systemic reaction (other): Moderate underarm lymph node swelling and pain on injection side of body

2021-05-02

Systemic reaction (other): Mild underarm lymph node swelling and tenderness on side of injection

2021-05-03

Systemic reaction (other): Very minor underarm lymph node swelling and tenderness on side of injection

Release 12 — days 1–6 daily, dose 4

2022-06-19

Systemic reaction (other): Swollen lymph nodes on side of injection

2022-06-20

Systemic reaction (other): Lymph node swelling, pain

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	Erythema	✓	✓	✓
SD	Immunisation reaction	✓	✓	✓
SD	Rash pruritic	✓	✓	✓
SD	Self-medication	✓	✓	✓
SD	Swelling	✓	✓	✓
SRO	Lymph node pain	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓

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