3AP-19193-01756

3 vaccinations 7 coded responses 24 check-ins 7 free-text entries 0 call cases

Sex: Female
Age at first dose: 26-30
ZIP prefix: 967 / HI
Registered: 2021-02-03

Relationship: Self
Race: Asian
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

2021-01-28
Dose 1 — Moderna
2021-02-03
Registered in v-safe
2021-02-03
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-02-04
Health check-in — day 7, dose 1
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Nausea · Be unable to work

Adult check-in
2021-02-11
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-23
Survey response — day 21, dose 1
MedDRA: Amenorrhoea, Anxiety, Dizziness, Fatigue, Lymph node palpable, Lymphadenopathy, Menstruation irregular, Musculoskeletal stiffness, Myalgia, Pain in extremity, Pyrexia, Tension headache — Feeling: Fair · Be unable to work

Free text: Off and on fevers, dizziness, tension headache for 2 weeks, muscle aches/stiffness, slight arm pain, swollen lymph nodes after vaccine slightly palpable, missed period but not pregnant (abstinent and on bc pills), anxiety attacks, fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-28
Dose 2 — Moderna
2021-03-01
Survey response — days 1–6 daily, dose 2
MedDRA: Decreased appetite — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: Loss of appetite

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-03
Survey response — days 1–6 daily, dose 2
MedDRA: Muscle spasms — Feeling: Poor · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting · Be unable to work, Be unable to do your normal daily activities

Free text: Muscle spasms, loss of appetite

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-04
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Diarrhea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-03-07
Health check-in — day 7, dose 2
Feeling: Fair · Site: Swelling · Joint pains, Muscle or body aches

Adult check-in
2021-03-14
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-23
Survey response — day 21, dose 2
MedDRA: Arthralgia, Musculoskeletal stiffness, Myalgia, Pyrexia, SARS-CoV-2 test negative — Feeling: Fair · Be unable to work

Free text: Muscle/joint pain and stiffness. Intermittent fevers 99.1-100.9F. Negative PCR COVID test

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-28
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-06
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-11
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-08-31
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-03-03
Survey response — 12 months, dose 2
MedDRA: SARS-CoV-2 antibody test positive — Feeling: Good

Free text: Low level of Covid nucleocapsid antibody detected in lab blood test indicating previous infection

MedDRA releases: 2024-11 · check-in free text available
2022-05-16
Dose 3 — Moderna
2022-05-21
Survey response — days 1–6 daily, dose 3
MedDRA: Unevaluable event — Feeling: Poor · Site: Pain, Swelling · Fever · 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

Free text: Period started while still taking active birth control pills

MedDRA releases: 2024-11 · check-in free text available
2022-05-22
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Joint pains, Muscle or body aches

Adult check-in
2022-05-23
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2022-06-06
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-06-13
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-06-20
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-06-28
Survey response — day 42, dose 3
MedDRA: Heavy menstrual bleeding — Feeling: Good

Free text: Period became heavier after booster and the first two doses of Moderna.

MedDRA releases: 2024-11 · check-in free text available
2022-08-18
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-11-15
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-28	Moderna
2	2021-02-28	Moderna
3	2022-05-16	Moderna	No

Free text

Release 4 — day 21, dose 1

2021-02-23

Symptoms: Off and on fevers, dizziness, tension headache for 2 weeks, muscle aches/stiffness, slight arm pain, swollen lymph nodes after vaccine slightly palpable, missed period but not pregnant (abstinent and on bc pills), anxiety attacks, fatigue

Release 4 — days 1–6 daily, dose 2

2021-03-01

Systemic reaction (other): Loss of appetite

Release 5 — days 1–6 daily, dose 2

2021-03-03

Systemic reaction (other): Muscle spasms, loss of appetite

Release 6 — day 21, dose 2

2021-03-23

Symptoms: Muscle/joint pain and stiffness. Intermittent fevers 99.1-100.9F. Negative PCR COVID test

Release 11 — 12 months, dose 2

2022-03-03

Symptoms: Low level of Covid nucleocapsid antibody detected in lab blood test indicating previous infection

Release 11 — days 1–6 daily, dose 3

2022-05-21

Systemic reaction (other): Period started while still taking active birth control pills

Release 12 — day 42, dose 3

2022-06-28

Symptoms: Period became heavier after booster and the first two doses of Moderna.

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	Amenorrhoea	·	·	✓
SD	Anxiety	·	·	✓
SD	Arthralgia	✓	✓	✓
SD	Dizziness	✓	✓	✓
SD	Fatigue	·	·	✓
SD	Heavy menstrual bleeding	·	·	✓
SD	Lymph node palpable	·	·	✓
SD	Lymphadenopathy	✓	✓	✓
SD	Menstruation irregular	✓	✓	○
SD	Musculoskeletal stiffness	✓	✓	✓
SD	Myalgia	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SD	Pyrexia	✓	✓	✓
SD	SARS-CoV-2 antibody test positive	·	·	✓
SD	SARS-CoV-2 test negative	✓	✓	✓
SD	Tension headache	✓	✓	✓
SRO	Decreased appetite	✓	✓	✓
SRO	Muscle spasms	✓	✓	✓
SRO	Unevaluable event	·	·	✓

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