39L-14748-12350

3 vaccinations 10 coded responses 37 check-ins 10 free-text entries 0 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 928 / CA
Registered: 2021-04-13

Relationship: Self
Race: Other
Ethnicity: Hispanic or Latino

Registered dependents

JMZ-13167-52041 Child or adolescent in my care · Male · 2022-01-01

Timeline Vaccinations Free text MedDRA terms

Timeline

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

2021-04-13
Registered in v-safe
2021-04-13
Dose 1 — Moderna
2021-04-13
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · Headache, Muscle or body aches

Adult check-in
2021-04-14
Survey response — days 1–6 daily, dose 1
MedDRA: Back pain, Neck pain, Pain in extremity — Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Very sore in arm, neck and upper back

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-16
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-04-17
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-04-19
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-20
Health check-in — day 7, dose 1
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-04-27
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-05-04
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-05-11
Dose 2 — Moderna
2021-05-11
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2021-05-12
Survey response — days 1–6 daily, dose 2
MedDRA: Bone pain, Oropharyngeal pain — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to work, Be unable to do your normal daily activities

Free text: Pain in bones (thoracic & lumbar spine, pelvis, legs and arms), sore throat)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-13
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-05-14
Survey response — days 1–6 daily, dose 2
MedDRA: Diarrhoea, Palpitations — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Nausea

Free text: Loose stool, slight heart palpitations

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-15
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-05-16
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Joint pains, Fatigue or tiredness

Adult check-in
2021-05-17
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-05-18
Health check-in — day 7, dose 2
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-05-25
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-06-01
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-06-08
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-15
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-22
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-08-10
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-11-09
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2021-12-29
Dose 3 — Moderna
2022-01-01
Survey response — days 1–6 daily, dose 3
MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Very swollen lymph nodes around bottom of neck and clavicle bone area

MedDRA releases: 2024-11 · check-in free text available
2022-01-02
Survey response — days 1–6 daily, dose 3
MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Very swollen lymph nodes around neck and clavicle bone area

MedDRA releases: 2024-11 · check-in free text available
2022-01-03
Survey response — days 1–6 daily, dose 3
MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain · Headache

Free text: Swollen lymph nodes around lower neck and clavicle bone area

MedDRA releases: 2024-11 · check-in free text available
2022-01-04
Survey response — days 1–6 daily, dose 3
MedDRA: Lymphadenopathy — Feeling: Fair · Site: Swelling · Headache

Free text: Swollen lymph nodes around lower neck and clavicle bone

MedDRA releases: 2024-11 · check-in free text available
2022-01-05
Survey response — day 7, dose 3
MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain · Headache

Free text: Swollen lymph nodes on left side of neck

MedDRA releases: 2024-11 · check-in free text available
2022-01-12
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-01-21
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-01-26
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-02-02
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-02-09
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-03-30
Survey response — 3 months, dose 3
MedDRA: Cough, Influenza like illness, Pyrexia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Flu like symptoms: fever, cough

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

Adult check-in
2022-12-29
Survey response — 12 months, dose 3
MedDRA: Influenza like illness — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Flu like symptoms

MedDRA releases: 2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-13	Moderna
2	2021-05-11	Moderna
3	2021-12-29	Moderna	No

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-14

Systemic reaction (other): Very sore in arm, neck and upper back

Release 8 — days 1–6 daily, dose 2

2021-05-12

Systemic reaction (other): Pain in bones (thoracic & lumbar spine, pelvis, legs and arms), sore throat)

2021-05-14

Systemic reaction (other): Loose stool, slight heart palpitations

Release 10 — days 1–6 daily, dose 3

2022-01-01

Systemic reaction (other): Very swollen lymph nodes around bottom of neck and clavicle bone area

2022-01-02

Systemic reaction (other): Very swollen lymph nodes around neck and clavicle bone area

2022-01-03

Systemic reaction (other): Swollen lymph nodes around lower neck and clavicle bone area

2022-01-04

Systemic reaction (other): Swollen lymph nodes around lower neck and clavicle bone

Release 10 — day 7, dose 3

2022-01-05

Systemic reaction (other): Swollen lymph nodes on left side of neck

Release 11 — 3 months, dose 3

2022-03-30

Symptoms: Flu like symptoms: fever, cough

Release 12 — 12 months, dose 3

2022-12-29

Symptoms: Flu like symptoms

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	Cough	·	·	✓
SD	Influenza like illness	·	·	✓
SD	Pyrexia	·	·	✓
SRO	Back pain	✓	✓	✓
SRO	Bone pain	✓	✓	✓
SRO	Diarrhoea	✓	✓	✓
SRO	Lymphadenopathy	·	·	✓
SRO	Neck pain	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Palpitations	✓	✓	✓

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