3E8-26837-54762

2 vaccinations 9 coded responses 18 check-ins 9 free-text entries 0 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 397 / MS
Registered: 2021-01-21

Relationship: Self
Race: Black or African American
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

2021-01-13
Dose 1 — Moderna
2021-01-21
Registered in v-safe
2021-01-21
Survey response — day 7, dose 1
MedDRA: Fatigue — Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness

Free text: A little tiredness in upper torso when exercising possibly caused by not exercising regularly.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-27
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-04
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-10
Dose 2 — Moderna
2021-02-10
Survey response — day 0, dose 2
MedDRA: Injection site haemorrhage, Injection site swelling — Feeling: Good · Site: Pain, Redness

Free text: Upon removing the injection needle,my injection site bleed and immediate swelling appeared.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-11
Survey response — days 1–6 daily, dose 2
MedDRA: Chills, Headache, Nausea — Feeling: Good · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Nausea · Be unable to do your normal daily activities

Free text: Headache, nausea, chills

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-12
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-02-13
Survey response — days 1–6 daily, dose 2
MedDRA: Hypersomnia — Feeling: Good · Site: Pain, Redness, Swelling · Nausea

Free text: I sleep more, I took motrin 2 days, but discontinued motrin 2day.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-14
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site discolouration, Injection site swelling, Nausea — Feeling: Good · Site: Pain, Redness · Nausea

Free text: Had slight nausea today. Injection site has darkened a little, with slight swelling.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness · None

Adult check-in
2021-02-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-17
Survey response — day 7, dose 2
MedDRA: Immunisation reaction, Injection site erythema — Feeling: Good · Site: Redness

Free text: Actually, your "redness" slection I chose has turned dark. I've received many IM vacinations due to my career field and has never had adverse reactions as with this covid 19 moderna vaccination.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-24
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-03
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-10
Survey response — day 28, dose 2
MedDRA: Chest pain, Nausea — Feeling: Good

Free text: Spark like pain inchest, just feeling sort of different lije strange nausea when eating.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-17
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-25
Survey response — day 42, dose 2
MedDRA: Decreased appetite, Feeling abnormal, Headache — Feeling: Good

Free text: Fogginess, less appetite, occasional pain in spots my head.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-12
Survey response — 3 months, dose 2
MedDRA: Brain fog — Feeling: Good

Free text: Foggy brains..Cant detech whether it's due to moderna covid19 though. vaccinations I'm just giving notable changes.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-11
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-13	Moderna
2	2021-02-10	Moderna

Free text

Release 2 — day 7, dose 1

2021-01-21

Systemic reaction (other): A little tiredness in upper torso when exercising possibly caused by not exercising regularly.

Release 4 — day 0, dose 2

2021-02-10

Systemic reaction (other): Upon removing the injection needle,my injection site bleed and immediate swelling appeared.

Release 4 — days 1–6 daily, dose 2

2021-02-11

Systemic reaction (other): Headache, nausea, chills

2021-02-13

Systemic reaction (other): I sleep more, I took motrin 2 days, but discontinued motrin 2day.

2021-02-14

Systemic reaction (other): Had slight nausea today. Injection site has darkened a little, with slight swelling.

Release 4 — day 7, dose 2

2021-02-17

Systemic reaction (other): Actually, your "redness" slection I chose has turned dark. I've received many IM vacinations due to my career field and has never had adverse reactions as with this covid 19 moderna vaccination.

Release 5 — day 28, dose 2

2021-03-10

Symptoms: Spark like pain inchest, just feeling sort of different lije strange nausea when eating.

Release 6 — day 42, dose 2

2021-03-25

Symptoms: Fogginess, less appetite, occasional pain in spots my head.

Release 8 — 3 months, dose 2

2021-05-12

Symptoms: Foggy brains..Cant detech whether it's due to moderna covid19 though. vaccinations I'm just giving notable changes.

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	Brain fog	✓	✓	✓
SD	Chest pain	✓	✓	✓
SD	Decreased appetite	✓	✓	✓
SD	Feeling abnormal	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Nausea	✓	✓	✓
SRO	Chills	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Hypersomnia	✓	✓	✓
SRO	Immunisation reaction	✓	✓	✓
SRO	Injection site discolouration	✓	✓	✓
SRO	Injection site erythema	✓	✓	✓
SRO	Injection site haemorrhage	✓	✓	✓
SRO	Injection site swelling	✓	✓	✓
SRO	Nausea	✓	✓	✓

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