3Q7-16217-59596

4 vaccinations 15 coded responses 52 check-ins 15 free-text entries 0 call cases

Sex: Female
Age at first dose: 21-25
ZIP prefix: 559 / MN
Registered: 2021-03-21

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

2021-03-21
Registered in v-safe
2021-03-21
Dose 1 — Moderna
2021-03-21
Health check-in — day 0, dose 1
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-03-22
Survey response — days 1–6 daily, dose 1
MedDRA: Decreased appetite, Paraesthesia, Restlessness — Feeling: Good · Site: Pain · Fatigue or tiredness

Free text: Mild restlessness, mild arm tingling, very low appetite

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-23
Survey response — days 1–6 daily, dose 1
MedDRA: Thirst — Feeling: Good · Site: Pain · Fatigue or tiredness

Free text: Moderately thirsty (abnormal)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-28
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-04
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-04-11
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-18
Dose 2 — Moderna
2021-04-19
Survey response — days 1–6 daily, dose 2
MedDRA: Decreased appetite, Head discomfort, Injection site warmth, Lymphadenopathy, Neck pain, Pain, Paraesthesia — Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Pressure in head, neck aches, swollen lymph nodes in armpit and neck, low appetite, mild tingling throughout body, injection site temperature is higher than rest of body

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-20
Survey response — days 1–6 daily, dose 2
MedDRA: Axillary pain, Lymph node pain, Lymphadenopathy — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Swollen and moderately painful armpit lymph nodes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
Survey response — days 1–6 daily, dose 2
MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Fair · Site: Pain · Headache · Be unable to work

Free text: Moderately painful and debilitating swollen lymph nodes in arm pit

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-23
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Good · Fatigue or tiredness

Free text: Swollen lymph nodes in arm pit

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-24
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain · Fatigue or tiredness

Free text: Mildly swollen lymph nodes in arm pit

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-25
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-05-02
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-09
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-16
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-23
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-30
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-18
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-17
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-17
Dose 3 — Moderna
2021-11-17
Survey response — day 0, dose 3
MedDRA: Decreased appetite — Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness

Free text: Low appetite

MedDRA releases: 2024-11 · check-in free text available
2021-11-18
Survey response — days 1–6 daily, dose 3
MedDRA: Decreased appetite, Pallor — Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Pallor, very low appetite

MedDRA releases: 2024-11 · check-in free text available
2021-11-19
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school

Adult check-in
2021-11-20
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-11-21
Survey response — days 1–6 daily, dose 3
MedDRA: Lymphadenopathy, Vertigo — Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Vertigo, swollen lymph node in arm pit

MedDRA releases: 2024-11 · check-in free text available
2021-11-22
Survey response — days 1–6 daily, dose 3
MedDRA: Brain fog, Lymphadenopathy, Memory impairment, Vertigo — Feeling: Fair · Headache, Fatigue or tiredness

Free text: Swollen lymph node in armpit on injection side, Brain fog - forgetfulness, mild vertigovertigo

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

Free text: Vertigo/dizziness, mild swollen lymph node in arm pit

MedDRA releases: 2024-11 · check-in free text available
2021-11-24
Survey response — day 7, dose 3
MedDRA: Brain fog, Lymphadenopathy, Memory impairment — Feeling: Good · Headache

Free text: Mild lymph node swelling in armpit of injection arm, Forgetfulness - brain fog

MedDRA releases: 2024-11 · check-in free text available
2021-12-01
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-12-08
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-12-15
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-22
Health check-in — day 35, dose 3
Feeling: Good

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

Adult check-in
2022-02-17
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-05-20
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-11-18
Dose 4 — Moderna
2022-11-18
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in
2022-11-18
Health check-in — day 0, dose 4
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2022-11-20
Survey response — days 1–6 daily, dose 4
MedDRA: Chills, Dizziness — Feeling: Poor · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Mild shivering, moderate dizziness

MedDRA releases: 2024-11 · check-in free text available
2022-11-21
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2022-11-22
Survey response — days 1–6 daily, dose 4
MedDRA: Dizziness, Unevaluable event — Feeling: Good · Site: Pain, Itching · Headache, Joint pains, Fatigue or tiredness, Nausea

Free text: Mild dizziness, more difficult to hydrate

MedDRA releases: 2024-11 · check-in free text available
2022-11-23
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-11-25
Health check-in — day 7, dose 4
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2022-12-02
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-12-10
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-12-16
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-12-23
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2023-01-01
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2023-02-17
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2023-05-23
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-21	Moderna
2	2021-04-18	Moderna
3	2021-11-17	Moderna	No
4	2022-11-18	Moderna	No

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-22

Systemic reaction (other): Mild restlessness, mild arm tingling, very low appetite

2021-03-23

Systemic reaction (other): Moderately thirsty (abnormal)

Release 7 — days 1–6 daily, dose 2

2021-04-19

Systemic reaction (other): Pressure in head, neck aches, swollen lymph nodes in armpit and neck, low appetite, mild tingling throughout body, injection site temperature is higher than rest of body

2021-04-20

Systemic reaction (other): Swollen and moderately painful armpit lymph nodes

2021-04-21

Systemic reaction (other): Moderately painful and debilitating swollen lymph nodes in arm pit

2021-04-23

Systemic reaction (other): Swollen lymph nodes in arm pit

2021-04-24

Systemic reaction (other): Mildly swollen lymph nodes in arm pit

Release 10 — day 0, dose 3

2021-11-17

Systemic reaction (other): Low appetite

Release 10 — days 1–6 daily, dose 3

2021-11-18

Systemic reaction (other): Pallor, very low appetite

2021-11-21

Systemic reaction (other): Vertigo, swollen lymph node in arm pit

2021-11-22

Systemic reaction (other): Swollen lymph node in armpit on injection side, Brain fog - forgetfulness, mild vertigovertigo

2021-11-23

Systemic reaction (other): Vertigo/dizziness, mild swollen lymph node in arm pit

Release 10 — day 7, dose 3

2021-11-24

Systemic reaction (other): Mild lymph node swelling in armpit of injection arm, Forgetfulness - brain fog

Release 12 — days 1–6 daily, dose 4

2022-11-20

Systemic reaction (other): Mild shivering, moderate dizziness

2022-11-22

Systemic reaction (other): Mild dizziness, more difficult to hydrate

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
SRO	Axillary pain	✓	✓	○
SRO	Brain fog	·	·	✓
SRO	Chills	·	·	✓
SRO	Decreased appetite	✓	✓	✓
SRO	Dizziness	·	·	✓
SRO	Head discomfort	✓	✓	✓
SRO	Injection site warmth	✓	✓	✓
SRO	Lymph node pain	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Memory impairment	·	·	✓
SRO	Neck pain	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pallor	·	·	✓
SRO	Paraesthesia	✓	✓	✓
SRO	Restlessness	✓	✓	✓
SRO	Thirst	✓	✓	✓
SRO	Unevaluable event	·	·	✓
SRO	Vertigo	·	·	✓

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