3DL-52395-15276

3 vaccinations 10 coded responses 40 check-ins 10 free-text entries 0 call cases

Sex: Female
Age at first dose: 21-25
ZIP prefix: 992 / WA
Registered: 2021-03-26

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

2021-03-26
Registered in v-safe
2021-03-26
Dose 1 — Moderna
2021-03-26
Health check-in — day 0, dose 1
Feeling: Fair · Site: Pain, Swelling, Itching · Headache, Muscle or body aches, Nausea

Adult check-in
2021-03-27
Survey response — days 1–6 daily, dose 1
MedDRA: Peripheral swelling, Swelling, Swelling face — Feeling: Poor · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain

Free text: When I woke up my whole body felt swollen. I could visibly see my face puffy. My arm and leg (on injection side) felt like this after getting the shot yesterday, but by the time I woke up it was my whole body. It mostly went away within 24 hours of getting the shot.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-28
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain

Adult check-in
2021-03-29
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · Nausea, Abdominal pain

Adult check-in
2021-03-30
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Abdominal pain

Adult check-in
2021-03-31
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-02
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-09
Survey response — day 14, dose 1
MedDRA: Arthralgia — Feeling: Good

Free text: My shoulder started hurting again on about day 8 for about 3 days

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-23
Dose 2 — Moderna
2021-04-23
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain

Adult check-in
2021-04-24
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Dizziness postural — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: Lightheaded and dizzy when standing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-25
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Poor · Site: Pain, Swelling · Muscle or body aches, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: Light headed and dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-26
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Poor · Site: Pain · Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: Dizzy, lightheaded

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-27
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Fair · Site: Pain · Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Free text: Dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-28
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Good · Fatigue or tiredness

Free text: Dizzy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-29
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-30
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-05-09
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-16
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-21
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-28
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-04
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-23
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-22
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-12-23
Dose 3 — Pfizer-BioNTech
2021-12-23
Health check-in — day 0, dose 3
Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness, Abdominal pain

Adult check-in
2021-12-24
Survey response — days 1–6 daily, dose 3
MedDRA: Blindness transient, Syncope, Tinnitus — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school

Free text: Ear ringing, vision going black, fainting

MedDRA releases: 2024-11 · check-in free text available
2021-12-25
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-12-26
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Muscle or body aches

Adult check-in
2021-12-27
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-12-28
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-12-29
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-12-30
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2022-01-06
Survey response — day 14, dose 3
MedDRA: Fatigue — Feeling: Poor · Be unable to do your normal daily activities

Free text: Fatigue

MedDRA releases: 2024-11 · check-in free text available
2022-01-13
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-01-20
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-01-27
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-02-03
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-03-24
Survey response — 3 months, dose 3
MedDRA: Anosmia, Dizziness, Fatigue — Feeling: Good · Be unable to do your normal daily activities

Free text: Dizziness, fatigue, loss of smell

MedDRA releases: 2024-11 · check-in free text available
2022-06-23
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-12-23
Health check-in — 12 months, dose 3
Feeling: Poor

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-26	Moderna
2	2021-04-23	Moderna
3	2021-12-23	Pfizer-BioNTech	No

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-27

Systemic reaction (other): When I woke up my whole body felt swollen. I could visibly see my face puffy. My arm and leg (on injection side) felt like this after getting the shot yesterday, but by the time I woke up it was my whole body. It mostly went away within 24 hours of getting the shot.

Release 7 — day 14, dose 1

2021-04-09

Symptoms: My shoulder started hurting again on about day 8 for about 3 days

Release 7 — days 1–6 daily, dose 2

2021-04-24

Systemic reaction (other): Lightheaded and dizzy when standing

2021-04-25

Systemic reaction (other): Light headed and dizziness

Release 8 — days 1–6 daily, dose 2

2021-04-26

Systemic reaction (other): Dizzy, lightheaded

2021-04-27

Systemic reaction (other): Dizziness

2021-04-28

Systemic reaction (other): Dizzy

Release 10 — days 1–6 daily, dose 3

2021-12-24

Systemic reaction (other): Ear ringing, vision going black, fainting

Release 10 — day 14, dose 3

2022-01-06

Symptoms: Fatigue

Release 11 — 3 months, dose 3

2022-03-24

Symptoms: Dizziness, fatigue, loss of smell

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	Anosmia	·	·	✓
SD	Arthralgia	✓	✓	✓
SD	Dizziness	·	·	✓
SD	Fatigue	·	·	✓
SRO	Blindness transient	·	·	✓
SRO	Dizziness	✓	✓	✓
SRO	Dizziness postural	✓	✓	✓
SRO	Peripheral swelling	✓	✓	✓
SRO	Swelling	✓	✓	✓
SRO	Swelling face	✓	✓	✓
SRO	Syncope	·	·	✓
SRO	Tinnitus	·	·	✓

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