ZML-16783-69759

5 vaccinations 13 coded responses 54 check-ins 11 free-text entries 0 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 618 / IL
Registered: 2021-03-13

Relationship: Self
Race: Asian
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

2021-02-11
Dose 1 — Moderna
2021-03-12
Dose 2 — Moderna
2021-03-13
Registered in v-safe
2021-03-13
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-03-14
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness

Adult check-in
2021-03-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-18
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-19
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-26
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-02
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-11
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-16
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-24
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-11
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-08-20
Dose 3 — Moderna
2021-08-20
Health check-in — day 0, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-08-21
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-08-22
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-08-23
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Fatigue or tiredness, Rash, not including the immediate area around the injection site

Adult check-in
2021-08-25
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness

Adult check-in
2021-08-26
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-08-27
Health check-in — day 7, dose 3
Feeling: Fair · Fatigue or tiredness · Be unable to work or attend school

Adult check-in
2021-09-03
Survey response — day 14, dose 3
MedDRA: Cough, Headache, Nasopharyngitis, Oropharyngeal pain, Rhinorrhoea, SARS-CoV-2 test negative — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: I caught a cold and had covid-like symptoms: runny nose, cough, sore throat, headache.Tested negative for covid19 three times in the last 10 days so it wasn't covid.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-09-10
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2021-09-19
Health check-in — day 28, dose 3
Feeling: Fair

Adult check-in
2021-09-25
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-10-02
Survey response — day 42, dose 3
MedDRA: Arthralgia, Pre-existing disease — Feeling: Fair

Free text: More joint soreness despite taking the immunosuppressant to reduce rheumatoid arthritis symptoms

MedDRA releases: 2024-11 · check-in free text available
2021-11-19
Health check-in — 3 months, dose 3
Feeling: Fair

Adult check-in
2022-01-29
Dose 4 — Moderna
2022-01-29
Health check-in — day 0, dose 4
Feeling: Good · Site: Pain · None

Adult check-in
2022-01-30
Health check-in — days 1–6 daily, dose 4
Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-01-31
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Fatigue or tiredness

Adult check-in
2022-02-01
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-02-02
Survey response — days 1–6 daily, dose 4
MedDRA: Axillary pain — Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Pain under the arm near injection site

MedDRA releases: 2024-11 · check-in free text available
2022-02-03
Survey response — days 1–6 daily, dose 4
MedDRA: Axillary pain — Feeling: Good · Fatigue or tiredness

Free text: Soreness underneath the arms

MedDRA releases: 2024-11 · check-in free text available
2022-02-04
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Fatigue or tiredness

Adult check-in
2022-02-05
Health check-in — day 7, dose 4
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-02-12
Survey response — day 14, dose 4
MedDRA: Abdominal pain upper — Feeling: Fair

Free text: Upper right side of my abdomen hurts more often than usual.

MedDRA releases: 2024-11 · check-in free text available
2022-02-21
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-02-27
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-03-07
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-03-12
Survey response — day 42, dose 4
MedDRA: Pre-existing disease, Rheumatoid arthritis — Feeling: Fair

Free text: I have rheumatoid arthritis and I seem to have more frequent flare-ups. I'm currently having a flare-up.

MedDRA releases: 2024-11 · check-in free text available
2022-04-30
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-08-01
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in
2022-10-03
Dose 5 — Moderna
2022-10-03
Health check-in — day 0, dose 5
Feeling: Fair · Site: Pain, Swelling · None

Adult check-in
2022-10-04
Health check-in — days 1–6 daily, dose 5
Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2022-10-05
Survey response — days 1–6 daily, dose 5
MedDRA: Axillary pain — Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Sore under the armpit

MedDRA releases: 2024-11 · check-in free text available
2022-10-07
Survey response — days 1–6 daily, dose 5
MedDRA: Axillary pain — Feeling: Fair · Site: Pain · Muscle or body aches

Free text: Soreness underneath the armpit closest to the injection site

MedDRA releases: 2024-11 · check-in free text available
2022-10-09
Survey response — days 1–6 daily, dose 5
MedDRA: Axillary pain — Feeling: Good

Free text: Soreness underneath the armpit area

MedDRA releases: 2024-11 · check-in free text available
2022-10-12
Survey response — day 7, dose 5
MedDRA: Axillary pain — Feeling: Good

Free text: Soreness underneath my left armpit close to injection site

MedDRA releases: 2024-11 · check-in free text available
2022-10-17
Health check-in — day 14, dose 5
Feeling: Good

Adult check-in
2022-10-24
Health check-in — day 21, dose 5
Feeling: Fair

Adult check-in
2022-10-31
Health check-in — day 28, dose 5
Feeling: Good

Adult check-in
2022-11-08
Survey response — day 35, dose 5
MedDRA: Rash — Feeling: Fair

Free text: Rashes

MedDRA releases: 2024-11 · check-in free text available
2022-11-16
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2023-01-03
Survey response — 3 months, dose 5
MedDRA: Arthralgia, Back pain — Feeling: Fair

MedDRA releases: 2024-11
2023-04-05
Survey response — 6 months, dose 5
MedDRA: Lymphadenopathy — Feeling: Fair

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-11	Moderna
2	2021-03-12	Moderna
3	2021-08-20	Moderna	No
4	2022-01-29	Moderna	No
5	2022-10-03	Moderna	No

Free text

Release 9 — day 14, dose 3

2021-09-03

Symptoms: I caught a cold and had covid-like symptoms: runny nose, cough, sore throat, headache.Tested negative for covid19 three times in the last 10 days so it wasn't covid.

Release 9 — day 42, dose 3

2021-10-02

Symptoms: More joint soreness despite taking the immunosuppressant to reduce rheumatoid arthritis symptoms

Release 11 — days 1–6 daily, dose 4

2022-02-02

Systemic reaction (other): Pain under the arm near injection site

2022-02-03

Systemic reaction (other): Soreness underneath the arms

Release 11 — day 14, dose 4

2022-02-12

Symptoms: Upper right side of my abdomen hurts more often than usual.

Release 11 — day 42, dose 4

2022-03-12

Symptoms: I have rheumatoid arthritis and I seem to have more frequent flare-ups. I'm currently having a flare-up.

Release 12 — days 1–6 daily, dose 5

2022-10-05

Systemic reaction (other): Sore under the armpit

2022-10-07

Systemic reaction (other): Soreness underneath the armpit closest to the injection site

2022-10-09

Systemic reaction (other): Soreness underneath the armpit area

Release 12 — day 7, dose 5

2022-10-12

Systemic reaction (other): Soreness underneath my left armpit close to injection site

Release 12 — day 35, dose 5

2022-11-08

Symptoms: Rashes

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 pain upper	·	·	✓
SD	Arthralgia	·	·	✓
SD	Back pain	·	·	✓
SD	Cough	✓	·	✓
SD	Headache	✓	·	✓
SD	Lymphadenopathy	·	·	✓
SD	Nasopharyngitis	✓	·	✓
SD	Oropharyngeal pain	✓	·	✓
SD	Pre-existing disease	·	·	✓
SD	Rash	·	·	✓
SD	Rheumatoid arthritis	·	·	✓
SD	Rhinorrhoea	✓	·	✓
SD	SARS-CoV-2 test negative	✓	·	✓
SRO	Axillary pain	·	·	✓

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