29S-26641-98925

3 vaccinations 9 coded responses 36 check-ins 9 free-text entries 0 call cases

Sex: —
Age at first dose: 31-35
ZIP prefix: 627 / IL
Registered: 2021-03-03

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

2021-03-02
Dose 1 — Moderna
2021-03-03
Registered in v-safe
2021-03-03
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site bruising — Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to work

Free text: Injection site is bruised.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-04
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-03-05
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Chills, Fatigue or tiredness

Adult check-in
2021-03-06
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site bruising — Feeling: Good

Free text: Large bruise at injection site is all!

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-07
Survey response — days 1–6 daily, dose 1
MedDRA: Contusion — Feeling: Good

Free text: Bruised arm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-09
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-16
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-23
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-30
Dose 2 — Moderna
2021-03-30
Health check-in — day 0, dose 2
Feeling: Good · Site: Swelling · None

Adult check-in
2021-03-31
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-03
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

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

Adult check-in
2021-04-05
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-08
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-13
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-20
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-27
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-04
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-11
Survey response — day 42, dose 2
MedDRA: Discharge, Nasopharyngitis — Feeling: Fair

Free text: I came down with a cold that lasted only about 3 days. But I am still having a lot of sinus drainage to my throat. I assume its unrelated to my vaccine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-29
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-09-28
Survey response — 6 months, dose 2
MedDRA: Pregnancy — Feeling: Good

Free text: Im now pregnant!

MedDRA releases: 2024-11 · check-in free text available
2021-12-07
Dose 3 — Moderna
2021-12-07
Survey response — day 0, dose 3
MedDRA: Pregnancy — Feeling: Good

Free text: I am 28 weeks pregnant!

MedDRA releases: 2024-11 · check-in free text available
2021-12-08
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness

Adult check-in
2021-12-09
Survey response — days 1–6 daily, dose 3
MedDRA: Pregnancy — Feeling: Good · Site: Pain

Free text: Currently 28 weeks pregnant!

MedDRA releases: 2024-11 · check-in free text available
2021-12-11
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Vomiting

Adult check-in
2021-12-16
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-12-21
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-12-30
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-01-04
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-01-11
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-01-18
Survey response — day 42, dose 3
MedDRA: COVID-19 — Feeling: Fair · Be unable to work or attend school

Free text: Came down with covid.

MedDRA releases: 2024-11 · check-in free text available
2022-03-08
Survey response — 3 months, dose 3
MedDRA: Delivery — Feeling: Good

Free text: Child birth

MedDRA releases: 2024-11 · check-in free text available
2022-06-07
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-02	Moderna
2	2021-03-30	Moderna
3	2021-12-07	Moderna	No

Free text

Release 4 — days 1–6 daily, dose 1

2021-03-03

Systemic reaction (other): Injection site is bruised.

Release 5 — days 1–6 daily, dose 1

2021-03-06

Systemic reaction (other): Large bruise at injection site is all!

2021-03-07

Systemic reaction (other): Bruised arm

Release 8 — day 42, dose 2

2021-05-11

Symptoms: I came down with a cold that lasted only about 3 days. But I am still having a lot of sinus drainage to my throat. I assume its unrelated to my vaccine.

Release 9 — 6 months, dose 2

2021-09-28

Symptoms: Im now pregnant!

Release 10 — day 0, dose 3

2021-12-07

Systemic reaction (other): I am 28 weeks pregnant!

Release 10 — days 1–6 daily, dose 3

2021-12-09

Systemic reaction (other): Currently 28 weeks pregnant!

Release 10 — day 42, dose 3

2022-01-18

Symptoms: Came down with covid.

Release 11 — 3 months, dose 3

2022-03-08

Symptoms: Child birth

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	Delivery	·	·	✓
SD	Discharge	✓	✓	✓
SD	Nasopharyngitis	✓	✓	✓
SD	Pregnancy	·	·	✓
SRO	Contusion	✓	✓	✓
SRO	Injection site bruising	✓	✓	✓
SRO	Pregnancy	·	·	✓

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