3JA-22042-24047

2 vaccinations 10 coded responses 25 check-ins 10 free-text entries 0 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 481 / MI
Registered: 2021-01-23

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

2021-01-23
Registered in v-safe
2021-01-23
Dose 1 — Moderna
2021-01-23
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain, Redness, Swelling · None

Adult check-in
2021-01-24
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site bruising, Injection site pain, Injection site swelling, Myalgia — Feeling: Good · Site: Pain, Redness, Swelling · Muscle or body aches

Free text: Injection site bruised and swollen. Very tender to the touch. Muscle aches.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-25
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site pain — Feeling: Good · Site: Pain, Redness, Swelling · Muscle or body aches

Free text: Injection site and arm muscle continue to be sore

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Redness, Swelling · None

Adult check-in
2021-01-27
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site bruising — Feeling: Good · Site: Swelling

Free text: Injection site bruising

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-28
Survey response — days 1–6 daily, dose 1
MedDRA: Contusion — Feeling: Good · Site: Swelling

Free text: Bruise is still vibrant and size of half dollar

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-29
Survey response — days 1–6 daily, dose 1
MedDRA: Contusion — Feeling: Good

Free text: Still dark bruising

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-30
Survey response — day 7, dose 1
MedDRA: Contusion — Feeling: Good

Free text: Bruise still there

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-06
Survey response — day 14, dose 1
MedDRA: Headache, Nausea — Feeling: Good

Free text: Headaches started after and increased throughout the week. Severe at times. Unlike any other Ive had. Made me sick to stomach at times.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-13
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-20
Dose 2 — Moderna
2021-02-20
Health check-in — day 0, dose 2
Feeling: Good · Muscle or body aches

Adult check-in
2021-02-21
Survey response — days 1–6 daily, dose 2
MedDRA: Palpitations — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea

Free text: Heart palpitations

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-22
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Muscle or body aches, Nausea

Adult check-in
2021-02-23
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2021-02-24
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-26
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-27
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-06
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-13
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-20
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-27
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-03
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-22
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-21
Survey response — 6 months, dose 2
MedDRA: Headache, Nasal discomfort, Throat irritation — Feeling: Fair

Free text: Scratchy throat and nose; headache

MedDRA releases: 2021-09,2024-11 · check-in free text available
2022-02-20
Survey response — 12 months, dose 2
MedDRA: Dizziness — Feeling: Good

Free text: Dizziness

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-23	Moderna
2	2021-02-20	Moderna

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-24

Systemic reaction (other): Injection site bruised and swollen. Very tender to the touch. Muscle aches.

2021-01-25

Systemic reaction (other): Injection site and arm muscle continue to be sore

2021-01-27

Systemic reaction (other): Injection site bruising

2021-01-28

Systemic reaction (other): Bruise is still vibrant and size of half dollar

Release 3 — days 1–6 daily, dose 1

2021-01-29

Systemic reaction (other): Still dark bruising

Release 3 — day 7, dose 1

2021-01-30

Systemic reaction (other): Bruise still there

Release 3 — day 14, dose 1

2021-02-06

Symptoms: Headaches started after and increased throughout the week. Severe at times. Unlike any other Ive had. Made me sick to stomach at times.

Release 4 — days 1–6 daily, dose 2

2021-02-21

Systemic reaction (other): Heart palpitations

Release 9 — 6 months, dose 2

2021-08-21

Symptoms: Scratchy throat and nose; headache

Release 11 — 12 months, dose 2

2022-02-20

Symptoms: Dizziness

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	Dizziness	·	·	✓
SD	Headache	✓	✓	✓
SD	Nasal discomfort	✓	·	✓
SD	Nausea	✓	✓	✓
SD	Throat irritation	✓	·	✓
SRO	Contusion	✓	✓	✓
SRO	Injection site bruising	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Injection site swelling	✓	✓	✓
SRO	Myalgia	✓	✓	✓
SRO	Palpitations	✓	✓	✓

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