39V-45014-47970

4 vaccinations 5 coded responses 32 check-ins 5 free-text entries 0 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 479 / IN
Registered: 2021-03-10

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

2021-03-10
Registered in v-safe
2021-03-10
Dose 1 — Moderna
2021-03-10
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2021-03-11
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Nausea, Abdominal pain

Adult check-in
2021-03-13
Survey response — days 1–6 daily, dose 1
MedDRA: Medical counselling, Rectal haemorrhage, Vaginal haemorrhage — Feeling: Fair · Site: Pain · Diarrhea

Free text: Vaginal and rectal bleeding on the evening of 03/12. Some mild spotting today, but much better. Contacted OB/Gyn by phone. Maybe related to ill fitting pessary (vaginal) and food issues/pepto-bismal/antacids (rectal). Although concerning, I feel fine & have an ob-gyn appt on 03/16.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-14
Survey response — days 1–6 daily, dose 1
MedDRA: Rectal discharge, Rectal haemorrhage, Vaginal haemorrhage — Feeling: Good

Free text: Bleeding has stopped in vaginal area. Very ight spotting and small amount of clear fluid in rectal area.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-15
Survey response — days 1–6 daily, dose 1
MedDRA: Vaginal haemorrhage — Feeling: Good

Free text: Vaginal bleeding (spotting)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-17
Health check-in — day 7, dose 1
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-03-24
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-31
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-07
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-04-13
Dose 2 — Moderna
2021-04-14
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling · Joint pains, Muscle or body aches

Adult check-in
2021-04-16
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling · None

Adult check-in
2021-04-18
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-21
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-27
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-04
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-11
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-18
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-25
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-13
Survey response — 3 months, dose 2
MedDRA: Nasopharyngitis, Sinusitis — Feeling: Good

Free text: Cold/sinus infection

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-10-12
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-12
Dose 3 — Moderna
2022-04-11
Dose 4 — Moderna
2022-04-14
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-05-01
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-05-02
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-05-09
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-05-16
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-05-23
Survey response — day 42, dose 4
MedDRA: Ear pain, Nasopharyngitis, Oropharyngeal pain, SARS-CoV-2 test negative — Feeling: Good

Free text: All mild - sore throat, ear ache, cold symptoms. Lasted about 3 days - took 2 covid rapid tests - not positive for covid.

MedDRA releases: 2024-11 · check-in free text available
2022-07-11
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-10-16
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-10	Moderna
2	2021-04-13	Moderna
3	2021-11-12	Moderna	No
4	2022-04-11	Moderna	No

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-13

Systemic reaction (other): Vaginal and rectal bleeding on the evening of 03/12. Some mild spotting today, but much better. Contacted OB/Gyn by phone. Maybe related to ill fitting pessary (vaginal) and food issues/pepto-bismal/antacids (rectal). Although concerning, I feel fine & have an ob-gyn appt on 03/16.

2021-03-14

Systemic reaction (other): Bleeding has stopped in vaginal area. Very ight spotting and small amount of clear fluid in rectal area.

2021-03-15

Systemic reaction (other): Vaginal bleeding (spotting)

Release 9 — 3 months, dose 2

2021-07-13

Symptoms: Cold/sinus infection

Release 11 — day 42, dose 4

2022-05-23

Symptoms: All mild - sore throat, ear ache, cold symptoms. Lasted about 3 days - took 2 covid rapid tests - not positive for covid.

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	Ear pain	·	·	✓
SD	Nasopharyngitis	✓	✓	✓
SD	Oropharyngeal pain	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	Sinusitis	✓	✓	✓
SRO	Medical counselling	✓	✓	✓
SRO	Rectal discharge	✓	✓	✓
SRO	Rectal haemorrhage	✓	✓	✓
SRO	Vaginal haemorrhage	✓	✓	✓

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