3CN-22425-14364

4 vaccinations 14 coded responses 41 check-ins 14 free-text entries 0 call cases

Sex: Female
Age at first dose: 31-35
ZIP prefix: 981 / WA
Registered: 2021-03-19

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

2021-03-19
Registered in v-safe
2021-03-19
Dose 1 — Moderna
2021-03-19
Health check-in — day 0, dose 1
Feeling: Fair · Site: Pain · None

Adult check-in
2021-03-20
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Chills, Fatigue or tiredness, Abdominal pain

Adult check-in
2021-03-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-03-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-03-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-24
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain

Adult check-in
2021-03-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Diarrhea

Adult check-in
2021-03-26
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-02
Survey response — day 14, dose 1
MedDRA: Urticaria — Feeling: Fair

Free text: Large hot, red, itchy, welts appears on my upper arm where I got the vaccine on day 10 after vaccination. They have continued growing despite antihistamines but are localized.

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

Adult check-in
2021-04-16
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-04-18
Dose 2 — Moderna
2021-04-19
Survey response — days 1–6 daily, dose 2
MedDRA: Heart rate increased — 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: High heart rate. Normally 55 to 88 resting. Up to 130 resting, 160 when standing.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-20
Survey response — days 1–6 daily, dose 2
MedDRA: Abdominal pain upper, Heart rate increased — Feeling: Fair · 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: High heart rate and pelvic cramping like a period, but I had a hysterectomy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
Survey response — days 1–6 daily, dose 2
MedDRA: Heart rate increased — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: High heart rate

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Survey response — days 1–6 daily, dose 2
MedDRA: Palpitations — Feeling: Fair · Site: Redness, Swelling, Itching · Headache, Fatigue or tiredness

Free text: Racing heart

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-23
Survey response — days 1–6 daily, dose 2
MedDRA: Anaphylactic reaction, Office visit — Feeling: Poor · Site: Redness, Itching · Headache, Fatigue or tiredness, Nausea, Diarrhea, Rash, not including the immediate area around the injection site

Free text: Doctor diagnosed Moderate anaphylaxis but stable at home without hospitalization

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-24
Survey response — days 1–6 daily, dose 2
MedDRA: Anaphylactic reaction — Feeling: Poor · Site: Redness, Itching · Headache, Fatigue or tiredness, Nausea

Free text: Ongoing moderate anaphylaxis symptoms

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-25
Health check-in — day 7, dose 2
Feeling: Fair · Site: Itching · Fatigue or tiredness, Nausea

Adult check-in
2021-05-02
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-05-09
Survey response — day 21, dose 2
MedDRA: Contusion, Hypothyroidism — Feeling: Fair

Free text: Diagnosed with hypothyroidism. Unexplained bruises on my face and ear

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-16
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-05-23
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-30
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-18
Survey response — 3 months, dose 2
MedDRA: Heart rate decreased — Feeling: Good · Be unable to do your normal daily activities

Free text: Heart rate issues continued and worsened

MedDRA releases: 2024-11 · check-in free text available
2021-10-17
Survey response — 6 months, dose 2
MedDRA: Dry skin, Fatigue, Glucose tolerance impaired, Palpitations, Raynaud's phenomenon — Feeling: Fair

Free text: Prediabetes Raynaud's Still testing for causes of fatigue, dry skin, palpitations, etc but no obvious cause so far

MedDRA releases: 2024-11 · check-in free text available
2021-12-20
Dose 3 — Pfizer-BioNTech
2022-04-18
Survey response — 12 months, dose 2
MedDRA: Adverse reaction, Condition aggravated, Pre-existing disease — Feeling: Good

Free text: Thyroid nodules which are growing. Also general health issues since vaccine but likely not caused by vaccine

MedDRA releases: 2024-11 · check-in free text available
2022-06-20
Health check-in — 6 months, dose 3
Feeling: Fair

Adult check-in
2022-10-05
Dose 4 — Pfizer-BioNTech
2022-10-06
Survey response — days 1–6 daily, dose 4
MedDRA: Heart rate increased — Feeling: Poor · Site: Pain, Redness, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: High heart rate over 100 in bed and 135 standing

MedDRA releases: 2024-11 · check-in free text available
2022-10-07
Survey response — days 1–6 daily, dose 4
MedDRA: Heart rate increased — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: High heart rate. 112 resting, 137 walking slowly

MedDRA releases: 2024-11 · check-in free text available
2022-10-08
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-10-09
Survey response — days 1–6 daily, dose 4
MedDRA: Constipation, Diarrhoea — Feeling: Fair · Site: Pain · Diarrhea

Free text: Four days of constipation ending in diarrhea

MedDRA releases: 2024-11 · check-in free text available
2022-10-10
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-10-11
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2022-10-12
Health check-in — day 7, dose 4
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2022-10-19
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-10-26
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-11-02
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-11-11
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-11-16
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2023-01-04
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2023-04-05
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-19	Moderna
2	2021-04-18	Moderna
3	2021-12-20	Pfizer-BioNTech	No
4	2022-10-05	Pfizer-BioNTech	No

Free text

Release 6 — day 14, dose 1

2021-04-02

Symptoms: Large hot, red, itchy, welts appears on my upper arm where I got the vaccine on day 10 after vaccination. They have continued growing despite antihistamines but are localized.

Release 7 — days 1–6 daily, dose 2

2021-04-19

Systemic reaction (other): High heart rate. Normally 55 to 88 resting. Up to 130 resting, 160 when standing.

2021-04-20

Systemic reaction (other): High heart rate and pelvic cramping like a period, but I had a hysterectomy

2021-04-21

Systemic reaction (other): High heart rate

2021-04-22

Systemic reaction (other): Racing heart

2021-04-23

Systemic reaction (other): Doctor diagnosed Moderate anaphylaxis but stable at home without hospitalization

2021-04-24

Systemic reaction (other): Ongoing moderate anaphylaxis symptoms

Release 8 — day 21, dose 2

2021-05-09

Symptoms: Diagnosed with hypothyroidism. Unexplained bruises on my face and ear

Release 9 — 3 months, dose 2

2021-07-18

Symptoms: Heart rate issues continued and worsened

Release 10 — 6 months, dose 2

2021-10-17

Symptoms: Prediabetes Raynaud's Still testing for causes of fatigue, dry skin, palpitations, etc but no obvious cause so far

Release 11 — 12 months, dose 2

2022-04-18

Symptoms: Thyroid nodules which are growing. Also general health issues since vaccine but likely not caused by vaccine

Release 12 — days 1–6 daily, dose 4

2022-10-06

Systemic reaction (other): High heart rate over 100 in bed and 135 standing

2022-10-07

Systemic reaction (other): High heart rate. 112 resting, 137 walking slowly

2022-10-09

Systemic reaction (other): Four days of constipation ending in diarrhea

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	Adverse reaction	·	·	✓
SD	Condition aggravated	·	·	✓
SD	Contusion	✓	✓	✓
SD	Dry skin	·	·	✓
SD	Fatigue	·	·	✓
SD	Glucose tolerance impaired	·	·	✓
SD	Heart rate decreased	·	·	✓
SD	Hypothyroidism	✓	✓	✓
SD	Palpitations	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Raynaud's phenomenon	·	·	✓
SD	Urticaria	✓	✓	✓
SRO	Abdominal pain upper	✓	✓	✓
SRO	Anaphylactic reaction	✓	✓	✓
SRO	Constipation	·	·	✓
SRO	Diarrhoea	·	·	✓
SRO	Heart rate increased	✓	✓	✓
SRO	Office visit	·	·	✓
SRO	Palpitations	✓	✓	✓

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