3JV-25531-26626

3 vaccinations 9 coded responses 27 check-ins 9 free-text entries 0 call cases

Sex: Female
Age at first dose: 26-30
ZIP prefix: 799 / TX
Registered: 2021-01-11

Relationship: Self
Race: White
Ethnicity: Hispanic or Latino

Registered dependents

32Q-33574-33930 Child or adolescent in my care · Male · 2021-11-22

Timeline Vaccinations Free text MedDRA terms

Timeline

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

2021-01-10
Dose 1 — Moderna
2021-01-11
Registered in v-safe
2021-01-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-01-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-17
Health check-in — day 7, dose 1
Feeling: Good · Site: Redness, Swelling · None

Adult check-in
2021-01-24
Survey response — day 14, dose 1
MedDRA: Erythema, Limb discomfort, Peripheral swelling, Skin warm — Feeling: Good

Free text: On day 7 I had dine size swelling and redness to left upper arm. Day 8-11 had large swelling, redness, tight, warm to touch area. Day 12-13 swelling vegan to decrease until gone.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-31
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-07
Dose 2 — Moderna
2021-02-07
Survey response — day 0, dose 2
MedDRA: Feeling abnormal — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Free text: Brain fog

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-08
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 · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-02-09
Survey response — days 1–6 daily, dose 2
MedDRA: Cough, Respiratory tract congestion — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Fatigue or tiredness

Free text: Yesterday i had slight chest congestion and a dry cough; today that feeling is gone

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-10
Survey response — days 1–6 daily, dose 2
MedDRA: Chest discomfort, Cough, Hypoaesthesia oral, Paraesthesia oral — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fatigue or tiredness

Free text: Last night I felt pressure on my chest and when inhaling it made me cough. I also felt a tingling numbness to my tongue when layind down.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-14
Survey response — day 7, dose 2
MedDRA: Chest discomfort, Cough — Feeling: Fair

Free text: Cough, chest tightness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-22
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-28
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-03-08
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-16
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-21
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-09
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-08-08
Survey response — 6 months, dose 2
MedDRA: Chills, Headache, Oropharyngeal pain, Pyrexia, Respiratory tract congestion — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Sick with headache, fever, chills, congestion, sore throat

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-11-19
Dose 3 — Moderna
2021-11-22
Survey response — days 1–6 daily, dose 3
MedDRA: Oropharyngeal pain — Feeling: Fair · Headache, Fatigue or tiredness

Free text: Sore throat

MedDRA releases: 2024-11 · check-in free text available
2021-11-23
Survey response — days 1–6 daily, dose 3
MedDRA: Rhinorrhoea — Feeling: Poor · Headache, Fatigue or tiredness

Free text: Runny nose

MedDRA releases: 2024-11 · check-in free text available
2021-12-03
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-12-29
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-31
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-02-20
Survey response — 3 months, dose 3
MedDRA: Malaise, Menstruation delayed, Migraine, Respiratory tract congestion — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: I was sick for about 2 weeks with migraines and congestion. Never had a fever and used an at home rapid test which was negative. My period is also late this month but pregnancy test was negative.

MedDRA releases: 2024-11 · check-in free text available
2022-05-20
Health check-in — 6 months, dose 3
Feeling: Fair

Adult check-in
2022-11-19
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-10	Moderna
2	2021-02-07	Moderna
3	2021-11-19	Moderna	No

Free text

Release 2 — day 14, dose 1

2021-01-24

Symptoms: On day 7 I had dine size swelling and redness to left upper arm. Day 8-11 had large swelling, redness, tight, warm to touch area. Day 12-13 swelling vegan to decrease until gone.

Release 3 — day 0, dose 2

2021-02-07

Systemic reaction (other): Brain fog

Release 3 — days 1–6 daily, dose 2

2021-02-09

Systemic reaction (other): Yesterday i had slight chest congestion and a dry cough; today that feeling is gone

Release 4 — days 1–6 daily, dose 2

2021-02-10

Systemic reaction (other): Last night I felt pressure on my chest and when inhaling it made me cough. I also felt a tingling numbness to my tongue when layind down.

Release 4 — day 7, dose 2

2021-02-14

Systemic reaction (other): Cough, chest tightness

Release 9 — 6 months, dose 2

2021-08-08

Symptoms: Sick with headache, fever, chills, congestion, sore throat

Release 10 — days 1–6 daily, dose 3

2021-11-22

Systemic reaction (other): Sore throat

2021-11-23

Systemic reaction (other): Runny nose

Release 11 — 3 months, dose 3

2022-02-20

Symptoms: I was sick for about 2 weeks with migraines and congestion. Never had a fever and used an at home rapid test which was negative. My period is also late this month but pregnancy test was negative.

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	Chills	✓	·	✓
SD	Erythema	✓	✓	✓
SD	Headache	✓	·	✓
SD	Limb discomfort	✓	✓	✓
SD	Malaise	·	·	✓
SD	Menstruation delayed	·	·	✓
SD	Migraine	·	·	✓
SD	Oropharyngeal pain	✓	·	✓
SD	Peripheral swelling	✓	✓	✓
SD	Pyrexia	✓	·	✓
SD	Respiratory tract congestion	✓	·	✓
SD	Skin warm	✓	✓	✓
SRO	Chest discomfort	✓	✓	✓
SRO	Cough	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Hypoaesthesia oral	✓	✓	✓
SRO	Oropharyngeal pain	·	·	✓
SRO	Paraesthesia oral	✓	✓	✓
SRO	Respiratory tract congestion	✓	✓	✓
SRO	Rhinorrhoea	·	·	✓

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