Z7J-19914-20395

3 vaccinations 9 coded responses 34 check-ins 9 free-text entries 0 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 480 / MI
Registered: 2021-03-06

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

2021-03-06
Registered in v-safe
2021-03-06
Dose 1 — Moderna
2021-03-06
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · Diarrhea

Adult check-in
2021-03-07
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache

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

Adult check-in
2021-03-09
Survey response — days 1–6 daily, dose 1
MedDRA: Upper-airway cough syndrome — Feeling: Good

Free text: First two days post-immunization I had excessive mucus/drainage in my throat and chest.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-10
Survey response — days 1–6 daily, dose 1
MedDRA: Lymphadenopathy — Feeling: Good

Free text: Swollen, tender lymph glands in my neck

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-13
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-20
Survey response — day 14, dose 1
MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Good

Free text: Lymph node along my collar bone is enlarged/swollen and tender

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-27
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-03
Dose 2 — Moderna
2021-04-10
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-17
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-24
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-01
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-08
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-15
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-03
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-02
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-31
Dose 3 — Moderna
2021-10-31
Health check-in — day 0, dose 3
Feeling: Good · Site: Pain, Swelling, Itching · None

Adult check-in
2021-11-01
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-02
Survey response — days 1–6 daily, dose 3
MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Fair · Site: Pain, Redness, Swelling · Headache

Free text: Swollen lymph nodes in my armpit and clavicle that are tender

MedDRA releases: 2024-11 · check-in free text available
2021-11-03
Survey response — days 1–6 daily, dose 3
MedDRA: Lymphadenopathy — Feeling: Good · Site: Swelling

Free text: Swollen lymph nodes in armpit and clavicle

MedDRA releases: 2024-11 · check-in free text available
2021-11-04
Survey response — days 1–6 daily, dose 3
MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Good · Site: Itching

Free text: Tender, swollen glands in armpit and clavicle

MedDRA releases: 2024-11 · check-in free text available
2021-11-05
Survey response — days 1–6 daily, dose 3
MedDRA: Lymphadenopathy — Feeling: Good

Free text: Swollen lymph nodes in clavicle and armpit

MedDRA releases: 2024-11 · check-in free text available
2021-11-06
Survey response — days 1–6 daily, dose 3
MedDRA: Lymphadenopathy — Feeling: Good

Free text: Swollen lymph nodes in armpit and clavicle

MedDRA releases: 2024-11 · check-in free text available
2021-11-07
Survey response — day 7, dose 3
MedDRA: Lymphadenopathy — Feeling: Good

Free text: Continued swollen lymph nodes in armpit and clavicle

MedDRA releases: 2024-11 · check-in free text available
2021-11-14
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-21
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-28
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-05
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-12
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-30
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-05-01
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-10-31
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-06	Moderna
2	2021-04-03	Moderna
3	2021-10-31	Moderna	No

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-09

Systemic reaction (other): First two days post-immunization I had excessive mucus/drainage in my throat and chest.

2021-03-10

Systemic reaction (other): Swollen, tender lymph glands in my neck

Release 6 — day 14, dose 1

2021-03-20

Symptoms: Lymph node along my collar bone is enlarged/swollen and tender

Release 10 — days 1–6 daily, dose 3

2021-11-02

Systemic reaction (other): Swollen lymph nodes in my armpit and clavicle that are tender

2021-11-03

Systemic reaction (other): Swollen lymph nodes in armpit and clavicle

2021-11-04

Systemic reaction (other): Tender, swollen glands in armpit and clavicle

2021-11-05

Systemic reaction (other): Swollen lymph nodes in clavicle and armpit

2021-11-06

Systemic reaction (other): Swollen lymph nodes in armpit and clavicle

Release 10 — day 7, dose 3

2021-11-07

Systemic reaction (other): Continued swollen lymph nodes in armpit and clavicle

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	Lymph node pain	✓	✓	✓
SD	Lymphadenopathy	✓	✓	✓
SRO	Lymph node pain	·	·	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Upper-airway cough syndrome	✓	✓	✓

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