3EY-16004-30488

3 vaccinations 13 coded responses 41 check-ins 13 free-text entries 1 call case

Sex: Female
Age at first dose: 26-30
ZIP prefix: 907 / CA
Registered: 2021-03-13

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-03-13
Registered in v-safe
2021-03-13
Dose 1 — Moderna
2021-03-13
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-03-14
Survey response — days 1–6 daily, dose 1
MedDRA: Sleep disorder — Feeling: Good · Site: Pain · Fatigue or tiredness

Free text: Did not sleep great b/c could not lie on left side b/c sore arm

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: Oropharyngeal pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Mild sore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-16
Survey response — days 1–6 daily, dose 1
MedDRA: Nasopharyngitis, Oropharyngeal pain, Respiratory tract congestion, Rhinorrhoea — Feeling: Poor · Headache, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Headcold: congestion, runny nose, sore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-17
Survey response — days 1–6 daily, dose 1
MedDRA: Lymphadenopathy, Nasopharyngitis, Respiratory tract congestion, Rhinorrhoea — Feeling: Poor · Fever · Headache, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Headcold: congestion, runny nose, swollen lymph nodes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-18
Survey response — days 1–6 daily, dose 1
MedDRA: Cough, Respiratory tract congestion — Feeling: Poor · Headache, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Cough, some congestion

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-19
Survey response — days 1–6 daily, dose 1
MedDRA: Cough, Oropharyngeal pain, Productive cough, SARS-CoV-2 test negative — Feeling: Fair · Fatigue or tiredness · Be unable to work

Free text: Cough, sore throat, phlegm. (Covid test from 3/15 came back negative.)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-20
Survey response — day 7, dose 1
MedDRA: Respiratory tract congestion — Feeling: Fair · Fatigue or tiredness

Free text: Mild congestion (recovering from cold)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-27
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-03
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-10
Dose 2 — Moderna
2021-04-10
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-04-11
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-12
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-17
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-24
Survey response — day 14, dose 2
MedDRA: Injection site pain, Myalgia, Pain in extremity — Feeling: Good

Free text: Mildly sore arm on 4/21/21 only. Not sure whether it was vaccine-related, but it was the same muscle and felt the same.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-01
Survey response — day 21, dose 2
MedDRA: Fatigue, Oropharyngeal pain, Respiratory tract congestion, SARS-CoV-2 test negative — Feeling: Fair

Free text: Mild sore throat & mild fatigue since 4/29, very mild congestion today. Took a rapid covid test yesterday (4/30) and tested negative.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-08
Survey response — day 28, dose 2
MedDRA: Nasopharyngitis — Feeling: Good

Free text: Had a mild cold from 5/6 to 5/11. Not covid. Better now.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-15
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-22
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-10
Survey response — 3 months, dose 2
MedDRA: Menstruation delayed — Feeling: Good

Free text: Period was 10 days late last month. (It's almost always consistent within 2-3 days.)

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

Adult check-in
2021-12-11
Dose 3 — Moderna
2021-12-11
Health check-in — day 0, dose 3
Feeling: Good · None

Adult check-in
2021-12-12
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-12-13
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-12-14
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-12-15
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-12-16
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-12-17
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-12-18
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-12-25
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-01-01
Survey response — day 21, dose 3
MedDRA: Nasopharyngitis, SARS-CoV-2 test negative — Feeling: Good · Be unable to do your normal daily activities

Free text: I had a head cold from 12/25 to 12/29. I tested negative for covid.

MedDRA releases: 2024-11 · check-in free text available
2022-01-08
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-01-15
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-01-22
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-03-12
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-06-11
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-12-11
Survey response — 12 months, dose 3
MedDRA: Anaemia, Unevaluable event, Uterine leiomyoma — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: Symptoms: Uterine fibroids causing anemia. I have probably had them for a while, but I was diagnosed this past summer. · Healthcare visit (other): Upcoming surgery

MedDRA releases: 2024-11 · check-in free text available
2022-12-11
Report sent to call center — 12 months, dose 3
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-12-12
Call 1 — Left Voicemail

Vaccinations

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

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-14

Systemic reaction (other): Did not sleep great b/c could not lie on left side b/c sore arm

2021-03-15

Systemic reaction (other): Mild sore throat

2021-03-16

Systemic reaction (other): Headcold: congestion, runny nose, sore throat

2021-03-17

Systemic reaction (other): Headcold: congestion, runny nose, swollen lymph nodes

2021-03-18

Systemic reaction (other): Cough, some congestion

2021-03-19

Systemic reaction (other): Cough, sore throat, phlegm. (Covid test from 3/15 came back negative.)

Release 6 — day 7, dose 1

2021-03-20

Systemic reaction (other): Mild congestion (recovering from cold)

Release 7 — day 14, dose 2

2021-04-24

Symptoms: Mildly sore arm on 4/21/21 only. Not sure whether it was vaccine-related, but it was the same muscle and felt the same.

Release 8 — day 21, dose 2

2021-05-01

Symptoms: Mild sore throat & mild fatigue since 4/29, very mild congestion today. Took a rapid covid test yesterday (4/30) and tested negative.

Release 8 — day 28, dose 2

2021-05-08

Symptoms: Had a mild cold from 5/6 to 5/11. Not covid. Better now.

Release 9 — 3 months, dose 2

2021-07-10

Symptoms: Period was 10 days late last month. (It's almost always consistent within 2-3 days.)

Release 10 — day 21, dose 3

2022-01-01

Symptoms: I had a head cold from 12/25 to 12/29. I tested negative for covid.

Release 12 — 12 months, dose 3

2022-12-11

Symptoms: Uterine fibroids causing anemia. I have probably had them for a while, but I was diagnosed this past summer.

Healthcare visit (other): Upcoming surgery

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
HCVO	Unevaluable event	·	·	✓
SD	Anaemia	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Injection site pain	·	·	✓
SD	Menstruation delayed	✓	✓	✓
SD	Myalgia	✓	✓	○
SD	Nasopharyngitis	✓	✓	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Pain in extremity	✓	✓	○
SD	Respiratory tract congestion	✓	✓	✓
SD	SARS-CoV-2 test negative	✓	✓	✓
SD	Uterine leiomyoma	·	·	✓
SRO	Cough	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Nasopharyngitis	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Productive cough	✓	✓	✓
SRO	Respiratory tract congestion	✓	✓	✓
SRO	Rhinorrhoea	✓	✓	✓
SRO	SARS-CoV-2 test negative	✓	✓	✓
SRO	Sleep disorder	✓	✓	✓

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