ZXS-17551-68844

3 vaccinations 3 coded responses 36 check-ins 3 free-text entries 0 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 129 / NY
Registered: 2021-03-16

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

2021-03-14
Dose 1 — Moderna
2021-03-16
Registered in v-safe
2021-03-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-17
Survey response — days 1–6 daily, dose 1
MedDRA: Bone pain, Loss of personal independence in daily activities, Pain in extremity, Tenderness — Feeling: Good

Free text: I just wanted to say that I got the shot on the 14th at 2:30 or so and that evening and especially the next day my arm into my collar bone was extremely sore and tender. I couldnt put a coat on, had trouble pulling up my pants even, or pulling the car door shut. That was the largest side effect I have had.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-20
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache, Muscle or body aches

Adult check-in
2021-03-21
Health check-in — day 7, dose 1
Feeling: Good · Muscle or body aches

Adult check-in
2021-03-28
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-10
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-11
Dose 2 — Moderna
2021-04-11
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Headache, Muscle or body aches

Adult check-in
2021-04-12
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-04-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-04-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Itching · None

Adult check-in
2021-04-15
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea

Adult check-in
2021-04-16
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea

Adult check-in
2021-04-17
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-18
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-25
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-05-02
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-10
Survey response — day 28, dose 2
MedDRA: Headache, Migraine, Nausea — Feeling: Fair · Be unable to do your normal daily activities

Free text: Migraine/headache with a bit of nausea lasting almost 24 hours

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-16
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-10-12
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-01-04
Dose 3 — Moderna
2022-01-05
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Itching · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2022-01-06
Survey response — days 1–6 daily, dose 3
MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Free text: Under arm Lymph node sore and swollen

MedDRA releases: 2024-11 · check-in free text available
2022-01-07
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-01-08
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-01-09
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2022-01-10
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-01-11
Health check-in — day 7, dose 3
Feeling: Good · Muscle or body aches

Adult check-in
2022-01-18
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-01-28
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-02-01
Health check-in — day 28, dose 3
Feeling: Fair

Adult check-in
2022-02-08
Health check-in — day 35, dose 3
Feeling: Fair

Adult check-in
2022-02-15
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2022-04-11
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-07-05
Health check-in — 6 months, dose 3
Feeling: Fair

Adult check-in
2023-01-06
Health check-in — 12 months, dose 3
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-14	Moderna
2	2021-04-11	Moderna
3	2022-01-04	Moderna	No

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-17

Systemic reaction (other): I just wanted to say that I got the shot on the 14th at 2:30 or so and that evening and especially the next day my arm into my collar bone was extremely sore and tender. I couldnt put a coat on, had trouble pulling up my pants even, or pulling the car door shut. That was the largest side effect I have had.

Release 8 — day 28, dose 2

2021-05-10

Symptoms: Migraine/headache with a bit of nausea lasting almost 24 hours

Release 10 — days 1–6 daily, dose 3

2022-01-06

Systemic reaction (other): Under arm Lymph node sore and swollen

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	Headache	✓	✓	✓
SD	Migraine	✓	✓	✓
SD	Nausea	✓	✓	✓
SRO	Bone pain	✓	✓	✓
SRO	Loss of personal independence in daily activities	✓	✓	✓
SRO	Lymph node pain	·	·	✓
SRO	Lymphadenopathy	·	·	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Tenderness	✓	✓	✓

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