ZH2-15135-19981

3 vaccinations 8 coded responses 29 check-ins 8 free-text entries 0 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 787 / TX
Registered: 2021-05-06

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Registered dependents

C63-16701-04032 Child or adolescent in my care · Male · 2021-11-12

Timeline Vaccinations Free text MedDRA terms

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-04-08
Dose 1 — Moderna
2021-05-06
Registered in v-safe
2021-05-06
Dose 2 — Moderna
2021-05-06
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-05-07
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Paraesthesia — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Mild lightheadedness, mild tingling in arm/hand/fingers from same arm injected

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-08
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Mild lightheadedness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-09
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fever · Headache

Adult check-in
2021-05-10
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-05-11
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Fair · Site: Pain · Fatigue or tiredness, Nausea

Free text: Mild Lightheadedness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-12
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-05-13
Health check-in — day 7, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-05-20
Survey response — day 14, dose 2
MedDRA: Depression, Fatigue — Feeling: Good · Be unable to do your normal daily activities

Free text: Increased despression (mild) and tired often

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-27
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-06-03
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-10
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-17
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-08-05
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-11-04
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-12-31
Dose 3 — Moderna
2021-12-31
Health check-in — day 0, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2022-01-01
Survey response — days 1–6 daily, dose 3
MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Swollen lymph nodes under arm on same side of shot

MedDRA releases: 2024-11 · check-in free text available
2022-01-02
Survey response — days 1–6 daily, dose 3
MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Lymph nodes swollen below jaw, near clavicle, near breast, under arm, in elbow, groin, and behind knee

MedDRA releases: 2024-11 · check-in free text available
2022-01-04
Survey response — days 1–6 daily, dose 3
MedDRA: Breast swelling, Joint swelling, Oedema peripheral, Swelling face — Feeling: Good · Site: Pain

Free text: Mild swelling in left armpit, under jaw, breast, and behind knee

MedDRA releases: 2024-11 · check-in free text available
2022-01-05
Survey response — days 1–6 daily, dose 3
MedDRA: Breast swelling, Joint swelling, Oedema peripheral, Swelling face — Feeling: Good

Free text: Still a little mild swelling in left armpit, breast, under jaw, and behind knee

MedDRA releases: 2024-11 · check-in free text available
2022-01-07
Health check-in — day 7, dose 3
Feeling: Good · Fatigue or tiredness

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

Adult check-in
2022-01-21
Health check-in — day 21, dose 3
Feeling: Good

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

Adult check-in
2022-02-05
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-02-11
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-04-01
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-07-01
Health check-in — 6 months, dose 3
Feeling: Good

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

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-08	Moderna
2	2021-05-06	Moderna
3	2021-12-31	Moderna	No

Free text

Release 8 — days 1–6 daily, dose 2

2021-05-07

Systemic reaction (other): Mild lightheadedness, mild tingling in arm/hand/fingers from same arm injected

2021-05-08

Systemic reaction (other): Mild lightheadedness

2021-05-11

Systemic reaction (other): Mild Lightheadedness

Release 8 — day 14, dose 2

2021-05-20

Symptoms: Increased despression (mild) and tired often

Release 10 — days 1–6 daily, dose 3

2022-01-01

Systemic reaction (other): Swollen lymph nodes under arm on same side of shot

2022-01-02

Systemic reaction (other): Lymph nodes swollen below jaw, near clavicle, near breast, under arm, in elbow, groin, and behind knee

2022-01-04

Systemic reaction (other): Mild swelling in left armpit, under jaw, breast, and behind knee

2022-01-05

Systemic reaction (other): Still a little mild swelling in left armpit, breast, under jaw, and behind knee

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	Depression	✓	✓	✓
SD	Fatigue	✓	✓	✓
SRO	Breast swelling	·	·	✓
SRO	Dizziness	✓	✓	✓
SRO	Joint swelling	·	·	✓
SRO	Lymphadenopathy	·	·	✓
SRO	Oedema peripheral	·	·	✓
SRO	Paraesthesia	✓	✓	✓
SRO	Swelling face	·	·	✓

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