ZYS-13483-38285

3 vaccinations 10 coded responses 40 check-ins 10 free-text entries 1 call case

Sex: Female
Age at first dose: 36-40
ZIP prefix: 112 / NY
Registered: 2021-01-09

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

Timeline

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

2021-01-09
Registered in v-safe
2021-01-09
Dose 1 — Moderna
2021-01-09
Health check-in — day 0, dose 1
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-01-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-12
Survey response — days 1–6 daily, dose 1
MedDRA: Pain in extremity — Feeling: Good · Site: Pain

Free text: Soreness in my underarm on the side I got the vaccine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-14
Survey response — days 1–6 daily, dose 1
MedDRA: Axillary pain — Feeling: Good

Free text: Soreness in my armpit on the side I got my vaccine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-15
Survey response — days 1–6 daily, dose 1
MedDRA: Axillary pain — Feeling: Good

Free text: The armpit on the arm I got the injection is very sore but no swollen gland as far as I can tell

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-17
Survey response — day 7, dose 1
MedDRA: Axillary pain — Feeling: Good

Free text: Pain in armpit on side where I got the vaccine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-23
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-30
Survey response — day 21, dose 1
MedDRA: Headache — Feeling: Fair

Free text: Headache for the past 2-3 days

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-06
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-02-07
Dose 2 — Moderna
2021-02-07
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Muscle or body aches

Adult check-in
2021-02-08
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-02-09
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work

Adult check-in
2021-02-10
Survey response — days 1–6 daily, dose 2
MedDRA: Axillary pain, Vaccine positive rechallenge — Feeling: Fair · Site: Pain, Redness · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Soreness in the armpit on the side I got the injection (same occurred w dose 1 as well)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-11
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness · None

Adult check-in
2021-02-12
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Itching · Headache

Adult check-in
2021-02-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-14
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-02-21
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-28
Survey response — day 21, dose 2
MedDRA: Headache, Respiratory tract congestion — Feeling: Fair

Free text: Headache, some congestion

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-07
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-03-14
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-21
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-09
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-08
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-12-02
Dose 3 — Moderna
2021-12-04
Survey response — days 1–6 daily, dose 3
MedDRA: Lymphadenopathy — Feeling: Fair · Site: Swelling · Muscle or body aches, Fatigue or tiredness

Free text: Swollen underarm gland

MedDRA releases: 2024-11 · check-in free text available
2021-12-05
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness

Adult check-in
2021-12-06
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Swelling · None

Adult check-in
2021-12-07
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Swelling · None

Adult check-in
2021-12-08
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-12-09
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-12-16
Survey response — day 14, dose 3
MedDRA: Paranasal sinus discomfort, Sinus congestion — Feeling: Poor

Free text: Sinus pressure and congestion

MedDRA releases: 2024-11 · check-in free text available
2021-12-23
Health check-in — day 21, dose 3
Feeling: Good

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

Adult check-in
2022-01-06
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-01-13
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-03-05
Health check-in — 3 months, dose 3
Feeling: Fair

Adult check-in
2022-06-02
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-12-02
Survey response — 12 months, dose 3
MedDRA: COVID-19, Urinary tract infection — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Recurrent UTI COVID in Aug 2022

MedDRA releases: 2024-11 · check-in free text available
2022-12-02
Report sent to call center — 12 months, dose 3
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-12-05
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-09	Moderna
2	2021-02-07	Moderna
3	2021-12-02	Moderna	No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-12

Systemic reaction (other): Soreness in my underarm on the side I got the vaccine

2021-01-14

Systemic reaction (other): Soreness in my armpit on the side I got my vaccine

Release 2 — days 1–6 daily, dose 1

2021-01-15

Systemic reaction (other): The armpit on the arm I got the injection is very sore but no swollen gland as far as I can tell

Release 2 — day 7, dose 1

2021-01-17

Systemic reaction (other): Pain in armpit on side where I got the vaccine

Release 3 — day 21, dose 1

2021-01-30

Symptoms: Headache for the past 2-3 days

Release 4 — days 1–6 daily, dose 2

2021-02-10

Systemic reaction (other): Soreness in the armpit on the side I got the injection (same occurred w dose 1 as well)

Release 4 — day 21, dose 2

2021-02-28

Symptoms: Headache, some congestion

Release 10 — days 1–6 daily, dose 3

2021-12-04

Systemic reaction (other): Swollen underarm gland

Release 10 — day 14, dose 3

2021-12-16

Symptoms: Sinus pressure and congestion

Release 12 — 12 months, dose 3

2022-12-02

Symptoms: Recurrent UTI COVID in Aug 2022

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	COVID-19	·	·	✓
SD	Headache	✓	✓	✓
SD	Paranasal sinus discomfort	·	·	✓
SD	Respiratory tract congestion	✓	✓	✓
SD	Sinus congestion	·	·	✓
SD	Urinary tract infection	·	·	✓
SRO	Axillary pain	✓	✓	✓
SRO	Lymphadenopathy	·	·	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Vaccine positive rechallenge	·	·	✓

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