3F8-18061-95101

2 vaccinations 9 coded responses 11 check-ins 9 free-text entries 0 call cases

Sex: Female
Age at first dose: 31-35
ZIP prefix: 541 / WI
Registered: 2022-01-15

Relationship: Self
Race: Other
Ethnicity: 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

2021-12-17
Dose 1 — Moderna
2022-01-14
Dose 2 — Moderna
2022-01-15
Registered in v-safe
2022-01-15
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Diarrhea, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Adult check-in
2022-01-16
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Diarrhea, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Adult check-in
2022-01-17
Survey response — days 1–6 daily, dose 2
MedDRA: Menstruation delayed — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Diarrhea, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to work or attend school

Free text: My menstrual cycle is delayed.

MedDRA releases: 2024-11 · check-in free text available
2022-01-19
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy, Menstruation delayed — Feeling: Fair · Site: Pain, Swelling, Itching · Headache, Joint pains, Fatigue or tiredness, Abdominal pain, Rash, not including the immediate area around the injection site

Free text: Delayed menstrual cycle, swelling in glands underarm.

MedDRA releases: 2024-11 · check-in free text available
2022-01-20
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy, Menstruation delayed, Sneezing, Tachycardia — Feeling: Fair · Site: Pain, Itching · Headache, Joint pains, Fatigue or tiredness, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: Tachycardia, menstrual cycle delayed, glands underarm sweelling, sneezing

MedDRA releases: 2024-11 · check-in free text available
2022-01-21
Survey response — day 7, dose 2
MedDRA: Back pain, Dyspnoea, Menstruation delayed, Neck pain — Feeling: Fair · Site: Itching · Headache, Joint pains, Muscle or body aches, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: Menstrual cycle delayed, shortness of breath, neck and entire back pain.

MedDRA releases: 2024-11 · check-in free text available
2022-01-29
Survey response — day 14, dose 2
MedDRA: Chest pain, Headache, Lymphadenitis, Pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Inflamtion in the glands located in my armpits. Chest pain (starts in the right side and radiates in the left side), headaches.

MedDRA releases: 2024-11 · check-in free text available
2022-02-05
Survey response — day 21, dose 2
MedDRA: Chest pain, Headache — Feeling: Fair · Be unable to do your normal daily activities

Free text: Headache and pain in my chest.

MedDRA releases: 2024-11 · check-in free text available
2022-02-12
Survey response — day 28, dose 2
MedDRA: Anxiety, Chest pain, Headache, Tremor — Feeling: Fair · Be unable to do your normal daily activities

Free text: Headache, anxiety, pain in my chest, right hand tremors.

MedDRA releases: 2024-11 · check-in free text available
2022-02-20
Survey response — day 35, dose 2
MedDRA: Axillary pain, Chest pain, Headache — Feeling: Fair · Be unable to do your normal daily activities

Free text: Pain in my underarms and pain in my chest. Headaches.

MedDRA releases: 2024-11 · check-in free text available
2022-02-28
Survey response — day 42, dose 2
MedDRA: Anxiety, Chest pain, Headache, Lymphadenopathy, Swelling — Feeling: Fair · Be unable to do your normal daily activities

Free text: Axillary glands are swollen, chest hurts and is swollen, anxiety, headaches...

MedDRA releases: 2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-12-17	Moderna	No
2	2022-01-14	Moderna	No

Free text

Release 10 — days 1–6 daily, dose 2

2022-01-17

Systemic reaction (other): My menstrual cycle is delayed.

2022-01-19

Systemic reaction (other): Delayed menstrual cycle, swelling in glands underarm.

2022-01-20

Systemic reaction (other): Tachycardia, menstrual cycle delayed, glands underarm sweelling, sneezing

Release 11 — day 7, dose 2

2022-01-21

Systemic reaction (other): Menstrual cycle delayed, shortness of breath, neck and entire back pain.

Release 11 — day 14, dose 2

2022-01-29

Symptoms: Inflamtion in the glands located in my armpits. Chest pain (starts in the right side and radiates in the left side), headaches.

Release 11 — day 21, dose 2

2022-02-05

Symptoms: Headache and pain in my chest.

Release 11 — day 28, dose 2

2022-02-12

Symptoms: Headache, anxiety, pain in my chest, right hand tremors.

Release 11 — day 35, dose 2

2022-02-20

Symptoms: Pain in my underarms and pain in my chest. Headaches.

Release 11 — day 42, dose 2

2022-02-28

Symptoms: Axillary glands are swollen, chest hurts and is swollen, anxiety, headaches...

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	Anxiety	·	·	✓
SD	Axillary pain	·	·	✓
SD	Chest pain	·	·	✓
SD	Headache	·	·	✓
SD	Lymphadenitis	·	·	✓
SD	Lymphadenopathy	·	·	✓
SD	Pain	·	·	✓
SD	Swelling	·	·	✓
SD	Tremor	·	·	✓
SRO	Back pain	·	·	✓
SRO	Dyspnoea	·	·	✓
SRO	Lymphadenopathy	·	·	✓
SRO	Menstruation delayed	·	·	✓
SRO	Neck pain	·	·	✓
SRO	Sneezing	·	·	✓
SRO	Tachycardia	·	·	✓

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