2HQ-17026-55628

2 vaccinations 7 coded responses 21 check-ins 7 free-text entries 0 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 757 / TX
Registered: 2021-04-05

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

2021-04-05
Registered in v-safe
2021-04-05
Dose 1 — Moderna
2021-04-05
Health check-in — day 0, dose 1
Feeling: Fair · Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-06
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Redness · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea

Adult check-in
2021-04-07
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Redness, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Redness · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-04-12
Survey response — day 7, dose 1
MedDRA: Eye discharge, Hypersensitivity, Rhinorrhoea — Feeling: Fair · Site: Pain · Muscle or body aches

Free text: Been getting progressively worse allergy symptoms the last few days. (Goopy eyes mostly and some nose). I dont normally have allergies and even when I do my eyes dont do like this.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-19
Survey response — day 14, dose 1
MedDRA: Erythema, Fatigue, Feeling hot, Pain, Swelling — Feeling: Fair · Be unable to do your normal daily activities

Free text: Arm will have a red spot. The red spot will go away but then come back. Has happened several times. Its back and bigger than before. This time Its 3inch diameter, sore, hot and swollen. Im also extremely achy and tired today.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-26
Survey response — day 21, dose 1
MedDRA: Arthralgia, Injection site pain, Pain in extremity — Feeling: Good

Free text: The other night I had pain around the injection sight that when I moved hurt from my arm mussel down to my elbow and into my arm.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-03
Survey response — day 28, dose 1
MedDRA: Injection site pain, Pain in extremity — Feeling: Good

Free text: Mild pain in injection sight and arm.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-07
Dose 2 — Moderna
2021-05-10
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work

Adult check-in
2021-05-11
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-05-12
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-05-13
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-05-14
Health check-in — day 7, dose 2
Feeling: Poor · Site: Pain, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-05-21
Survey response — day 14, dose 2
MedDRA: Arthralgia, Diarrhoea, Fatigue — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: Bad reoccurring diarrhea. Started shortly after my last checkin. Continued reoccurring fatigue and joint pain.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-29
Survey response — day 21, dose 2
MedDRA: Diarrhoea, Headache, Injection site pain, Pain — Feeling: Good

Free text: Occasional pain where the shot was given. Occasional diarrhea. Occasional aches and pain. Reoccurring headache this week.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-05
Survey response — day 28, dose 2
MedDRA: Injection site pain, Myalgia — Feeling: Good

Free text: Mild pain a few times in arm at injection sight and surrounding muscle

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-11
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-20
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-08-06
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-11-05
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-05	Moderna
2	2021-05-07	Moderna

Free text

Release 7 — day 7, dose 1

2021-04-12

Systemic reaction (other): Been getting progressively worse allergy symptoms the last few days. (Goopy eyes mostly and some nose). I dont normally have allergies and even when I do my eyes dont do like this.

Release 7 — day 14, dose 1

2021-04-19

Symptoms: Arm will have a red spot. The red spot will go away but then come back. Has happened several times. Its back and bigger than before. This time Its 3inch diameter, sore, hot and swollen. Im also extremely achy and tired today.

Release 8 — day 21, dose 1

2021-04-26

Symptoms: The other night I had pain around the injection sight that when I moved hurt from my arm mussel down to my elbow and into my arm.

Release 8 — day 28, dose 1

2021-05-03

Symptoms: Mild pain in injection sight and arm.

Release 8 — day 14, dose 2

2021-05-21

Symptoms: Bad reoccurring diarrhea. Started shortly after my last checkin. Continued reoccurring fatigue and joint pain.

Release 8 — day 21, dose 2

2021-05-29

Symptoms: Occasional pain where the shot was given. Occasional diarrhea. Occasional aches and pain. Reoccurring headache this week.

Release 8 — day 28, dose 2

2021-06-05

Symptoms: Mild pain a few times in arm at injection sight and surrounding muscle

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	Arthralgia	✓	✓	✓
SD	Diarrhoea	✓	✓	✓
SD	Erythema	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Feeling hot	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Injection site pain	✓	✓	✓
SD	Myalgia	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SD	Swelling	✓	✓	✓
SRO	Eye discharge	✓	✓	✓
SRO	Hypersensitivity	✓	✓	✓
SRO	Rhinorrhoea	✓	✓	✓

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