2WY-15683-72774

5 vaccinations 6 coded responses 56 check-ins 6 free-text entries 0 call cases

Sex: Female
Age at first dose: 26-30
ZIP prefix: 941 / CA
Registered: 2021-02-07

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

Registered dependents

USJ-21495-90421 Child or adolescent in my care · Female · 2022-12-13

Timeline Vaccinations Free text MedDRA terms

Timeline

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

2021-02-06
Dose 1 — Moderna
2021-02-07
Registered in v-safe
2021-02-07
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-02-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-13
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-20
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-27
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-06
Dose 2 — Moderna
2021-03-06
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-03-07
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-03-08
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-03-11
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-12
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache

Adult check-in
2021-03-13
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-20
Survey response — day 14, dose 2
MedDRA: Migraine — Feeling: Good · Be unable to work, Be unable to do your normal daily activities

Free text: Migraine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-29
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-03
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-10
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-17
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-05
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-23
Dose 3 — Moderna
2021-08-23
Health check-in — day 0, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-08-24
Survey response — days 1–6 daily, dose 3
MedDRA: Back pain — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work or attend school

Free text: Back pain

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-26
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-08-27
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-08-28
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Headache

Adult check-in
2021-09-01
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-09-08
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-09-13
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-09-20
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-09-27
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-10-04
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2021-11-22
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-02-21
Survey response — 6 months, dose 3
MedDRA: Pregnancy — Feeling: Good

Free text: Not sure if I mentioned this last time but I'm 24 weeks pregnant now.

MedDRA releases: 2024-11 · check-in free text available
2022-04-24
Dose 4 — Moderna
2022-04-24
Health check-in — day 0, dose 4
Feeling: Good · Site: Pain · None

Adult check-in
2022-04-25
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school

Adult check-in
2022-04-27
Survey response — days 1–6 daily, dose 4
MedDRA: Paraesthesia — Feeling: Good

Free text: Injection arm tingly when I lay down

MedDRA releases: 2024-11 · check-in free text available
2022-04-28
Survey response — days 1–6 daily, dose 4
MedDRA: Paraesthesia — Feeling: Good

Free text: Tingling of injection arm when I sleep

MedDRA releases: 2024-11 · check-in free text available
2022-04-29
Survey response — days 1–6 daily, dose 4
MedDRA: Paraesthesia, Pregnancy — Feeling: Good

Free text: Tingling in arms at night, but this could also be due to pregnancy

MedDRA releases: 2024-11 · check-in free text available
2022-04-30
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-05-01
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-05-08
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-05-15
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-05-22
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-05-29
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-06-05
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-07-24
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-10-25
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in
2022-10-28
Dose 5 — Moderna
Co-administered: Flu
2022-10-28
Health check-in — day 0, dose 5
Feeling: Good · None

Adult check-in
2022-10-29
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Site: Pain, Itching · Headache, Fatigue or tiredness

Adult check-in
2022-10-30
Health check-in — days 1–6 daily, dose 5
Feeling: Good · None

Adult check-in
2022-11-06
Health check-in — day 7, dose 5
Feeling: Good · None

Adult check-in
2022-11-13
Health check-in — day 14, dose 5
Feeling: Good

Adult check-in
2022-11-25
Health check-in — day 28, dose 5
Feeling: Good

Adult check-in
2022-12-09
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2023-01-29
Health check-in — 3 months, dose 5
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-06	Moderna
2	2021-03-06	Moderna
3	2021-08-23	Moderna	No
4	2022-04-24	Moderna	No
5	2022-10-28	Moderna	Flu

Free text

Release 6 — day 14, dose 2

2021-03-20

Symptoms: Migraine

Release 9 — days 1–6 daily, dose 3

2021-08-24

Systemic reaction (other): Back pain

Release 11 — 6 months, dose 3

2022-02-21

Symptoms: Not sure if I mentioned this last time but I'm 24 weeks pregnant now.

Release 11 — days 1–6 daily, dose 4

2022-04-27

Systemic reaction (other): Injection arm tingly when I lay down

2022-04-28

Systemic reaction (other): Tingling of injection arm when I sleep

2022-04-29

Systemic reaction (other): Tingling in arms at night, but this could also be due to pregnancy

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	Migraine	✓	✓	✓
SD	Pregnancy	·	·	✓
SRO	Back pain	✓	·	✓
SRO	Paraesthesia	·	·	✓
SRO	Pregnancy	·	·	✓

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