2SB-27656-54440

3 vaccinations 17 coded responses 35 check-ins 17 free-text entries 0 call cases

Sex: Female
Age at first dose: 26-30
ZIP prefix: 891 / NV
Registered: 2021-05-18

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

2021-05-18
Registered in v-safe
2021-05-18
Dose 1 — Moderna
2021-05-18
Health check-in — day 0, dose 1
Feeling: Fair · Muscle or body aches, Nausea, Abdominal pain

Adult check-in
2021-05-19
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Redness · Fatigue or tiredness

Adult check-in
2021-05-20
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Redness, Swelling · Fatigue or tiredness

Adult check-in
2021-05-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness

Adult check-in
2021-05-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Redness, Swelling · Muscle or body aches

Adult check-in
2021-05-23
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Swelling · Muscle or body aches

Adult check-in
2021-05-24
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-05-25
Health check-in — day 7, dose 1
Feeling: Fair · Site: Redness · Muscle or body aches, Rash, not including the immediate area around the injection site

Adult check-in
2021-06-01
Survey response — day 14, dose 1
MedDRA: Dyspepsia, Fatigue, Pain, Pre-existing disease, Rash — Feeling: Fair

Free text: Worsening indigestion, on-and-off fatigue, on-and-off body pain, rash

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-08
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-06-15
Survey response — day 28, dose 1
MedDRA: Abdominal pain upper, Dyspepsia, Flatulence — Feeling: Fair · Be unable to do your normal daily activities

Free text: Increasing indigestion, stomach pain, gas.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-22
Health check-in — day 35, dose 1
Feeling: Good

Adult check-in
2021-06-25
Dose 2 — Moderna
2021-06-25
Survey response — day 0, dose 2
MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain, Redness, Swelling · Muscle or body aches

Free text: Lymph Swelling

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-26
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-06-27
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: Lymph Swelling

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-28
Survey response — days 1–6 daily, dose 2
MedDRA: Decreased appetite, Insomnia, Lymphadenopathy — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: Lymph swelling, lack of appetite, insomnia

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-29
Survey response — days 1–6 daily, dose 2
MedDRA: Flatulence, Insomnia, Lethargy, Lymphadenopathy, Skin odour abnormal, Tinnitus — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: Lethargy, insomnia, ear ringing, lymph swelling, body odor, gas

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-30
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Redness, Itching · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-07-01
Survey response — days 1–6 daily, dose 2
MedDRA: Blepharospasm, Insomnia, Tinnitus — Feeling: Poor · Site: Pain, Redness, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Ringing in the ears, eye twitching, insomnia

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-02
Survey response — day 7, dose 2
MedDRA: Insomnia — Feeling: Good · Site: Redness, Itching · Headache, Fatigue or tiredness, Nausea

Free text: Insomnia

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-09
Survey response — day 14, dose 2
MedDRA: Abdominal pain upper, Arthralgia, Decreased appetite, Fatigue, Myalgia, Nausea — Feeling: Fair · Be unable to do your normal daily activities

Free text: Joint pain in the neck, fingers and toes, muscle pain, exhaustion, loss of appetite, stomach pain, nausea

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-16
Survey response — day 21, dose 2
MedDRA: Arthralgia, Dyspepsia, Fatigue, Tinnitus — Feeling: Fair

Free text: Continued fatigue, indigestion, joint pain, tinnitus,

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-23
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-12-24
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2021-12-31
Dose 3 — Pfizer-BioNTech
2022-01-01
Survey response — days 1–6 daily, dose 3
MedDRA: Decreased appetite, Dyspnoea, Photophobia — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: shortness of breath, lack of appetite, sensitivity to light

MedDRA releases: 2024-11 · check-in free text available
2022-01-02
Survey response — days 1–6 daily, dose 3
MedDRA: Breast pain, Dyspnoea, Hyperacusis, Lymphadenopathy, Musculoskeletal stiffness, Photophobia — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Muscle stiffness, swollen lymph nodes, light sensitivity, sound sensitivity, breast pain, shortness of breath

MedDRA releases: 2024-11 · check-in free text available
2022-01-03
Survey response — days 1–6 daily, dose 3
MedDRA: Dyspnoea, Photophobia — Feeling: Poor · Site: Pain, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: shortness of breath, light sensitivity,

MedDRA releases: 2024-11 · check-in free text available
2022-01-04
Survey response — days 1–6 daily, dose 3
MedDRA: Dyspnoea, Lymphadenopathy, Musculoskeletal stiffness, Photophobia — Feeling: Poor · Site: Pain, Redness, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: shortness of breath, light sensitivity, muscle stiffness, lymph swelling

MedDRA releases: 2024-11 · check-in free text available
2022-01-05
Survey response — days 1–6 daily, dose 3
MedDRA: Urticaria — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: HIVES

MedDRA releases: 2024-11 · check-in free text available
2022-01-06
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2022-01-07
Health check-in — day 7, dose 3
Feeling: Poor · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2022-01-14
Survey response — day 14, dose 3
MedDRA: Abdominal discomfort, Arthralgia, Headache, Intermenstrual bleeding, Myalgia, Rash — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Rashes, joint and muscle pain, upset stomach, headaches, menstrual spotting,

MedDRA releases: 2024-11 · check-in free text available
2022-01-23
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2022-02-06
Survey response — day 35, dose 3
MedDRA: Asthma, Unevaluable event — Feeling: Fair · Be unable to do your normal daily activities

Free text: asthma symptoms, menstrual bleeding

MedDRA releases: 2024-11 · check-in free text available
2022-07-01
Health check-in — 6 months, dose 3
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-05-18	Moderna
2	2021-06-25	Moderna	No
3	2021-12-31	Pfizer-BioNTech	No

Free text

Release 8 — day 14, dose 1

2021-06-01

Symptoms: Worsening indigestion, on-and-off fatigue, on-and-off body pain, rash

Release 9 — day 28, dose 1

2021-06-15

Symptoms: Increasing indigestion, stomach pain, gas.

Release 9 — day 0, dose 2

2021-06-25

Systemic reaction (other): Lymph Swelling

Release 9 — days 1–6 daily, dose 2

2021-06-27

Systemic reaction (other): Lymph Swelling

2021-06-28

Systemic reaction (other): Lymph swelling, lack of appetite, insomnia

2021-06-29

Systemic reaction (other): Lethargy, insomnia, ear ringing, lymph swelling, body odor, gas

2021-07-01

Systemic reaction (other): Ringing in the ears, eye twitching, insomnia

Release 9 — day 7, dose 2

2021-07-02

Systemic reaction (other): Insomnia

Release 9 — day 14, dose 2

2021-07-09

Symptoms: Joint pain in the neck, fingers and toes, muscle pain, exhaustion, loss of appetite, stomach pain, nausea

Release 9 — day 21, dose 2

2021-07-16

Symptoms: Continued fatigue, indigestion, joint pain, tinnitus,

Release 10 — days 1–6 daily, dose 3

2022-01-01

Systemic reaction (other): shortness of breath, lack of appetite, sensitivity to light

2022-01-02

Systemic reaction (other): Muscle stiffness, swollen lymph nodes, light sensitivity, sound sensitivity, breast pain, shortness of breath

2022-01-03

Systemic reaction (other): shortness of breath, light sensitivity,

2022-01-04

Systemic reaction (other): shortness of breath, light sensitivity, muscle stiffness, lymph swelling

2022-01-05

Systemic reaction (other): HIVES

Release 10 — day 14, dose 3

2022-01-14

Symptoms: Rashes, joint and muscle pain, upset stomach, headaches, menstrual spotting,

Release 11 — day 35, dose 3

2022-02-06

Symptoms: asthma symptoms, menstrual bleeding

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 discomfort	·	·	✓
SD	Abdominal pain upper	✓	✓	✓
SD	Arthralgia	✓	✓	✓
SD	Asthma	·	·	✓
SD	Decreased appetite	✓	✓	✓
SD	Dyspepsia	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Flatulence	✓	✓	✓
SD	Headache	·	·	✓
SD	Intermenstrual bleeding	·	·	✓
SD	Myalgia	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Rash	✓	✓	✓
SD	Tinnitus	✓	·	✓
SD	Unevaluable event	·	·	✓
SRO	Blepharospasm	✓	✓	✓
SRO	Breast pain	·	·	✓
SRO	Decreased appetite	✓	✓	✓
SRO	Dyspnoea	·	·	✓
SRO	Flatulence	✓	✓	✓
SRO	Hyperacusis	·	·	✓
SRO	Insomnia	✓	✓	✓
SRO	Lethargy	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Musculoskeletal stiffness	·	·	✓
SRO	Photophobia	·	·	✓
SRO	Skin odour abnormal	✓	✓	✓
SRO	Tinnitus	✓	✓	✓
SRO	Urticaria	·	·	✓

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