3SP-13012-21306

5 vaccinations 7 coded responses 35 check-ins 7 free-text entries 0 call cases

Sex: Female
Age at first dose: 31-35
ZIP prefix: 836 / ID
Registered: 2021-03-23

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

2021-03-23
Registered in v-safe
2021-03-23
Dose 1 — Moderna
2021-03-23
Health check-in — day 0, dose 1
Feeling: Good · Site: Swelling · None

Adult check-in
2021-03-24
Survey response — days 1–6 daily, dose 1
MedDRA: Intermenstrual bleeding — Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache

Free text: Started my period, I am on the pill and never have break thru bleeding. I have 2 1/2 weeks before Im supposed to start.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-25
Survey response — days 1–6 daily, dose 1
MedDRA: Intermenstrual bleeding — Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness

Free text: Still have my period, on the pill, never have breakthrough bleeding, but started yesterday. Not supposed to start for a while. It is Slowing down though

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Redness, Itching · Headache

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 — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-29
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-30
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-06
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-04-15
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-04-20
Dose 2 — Moderna
2021-04-20
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Fever · Muscle or body aches

Adult check-in
2021-04-21
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

Adult check-in
2021-04-22
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

Adult check-in
2021-04-23
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Joint pains, Muscle or body aches

Adult check-in
2021-04-24
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Diarrhea

Adult check-in
2021-04-25
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches

Adult check-in
2021-04-26
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling · Muscle or body aches, Diarrhea

Adult check-in
2021-04-27
Health check-in — day 7, dose 2
Feeling: Good · Site: Pain, Itching · None

Adult check-in
2021-05-04
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-05-11
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-05-18
Survey response — day 28, dose 2
MedDRA: Menstruation irregular — Feeling: Fair

Free text: Again I started my period! I have 2 months before I am supposed to start, and have not had it for 2 weeks

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-25
Survey response — day 35, dose 2
MedDRA: Muscle spasms — Feeling: Fair

Free text: Extreme menstrual cramps. I am still on the pill and have several weeks before I am supposed to actually start

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-03
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-07-22
Survey response — 3 months, dose 2
MedDRA: Cough, Fatigue, Insomnia, Nasal congestion — Feeling: Poor

Free text: Stuffy nose, cough, cant sleep. Tired

MedDRA releases: 2024-11 · check-in free text available
2021-10-19
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2021-10-30
Dose 3 — Moderna
2022-04-22
Survey response — 12 months, dose 2
MedDRA: Influenza, Pharyngitis streptococcal, SARS-CoV-2 test negative — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Either flu or strep throat. Three Covid tests were all negative

MedDRA releases: 2024-11 · check-in free text available
2022-08-24
Dose 4 — Moderna
2022-10-25
Dose 5 — Moderna
2022-10-27
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Joint pains, Nausea, Diarrhea

Adult check-in
2022-10-28
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea

Adult check-in
2022-10-30
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Site: Pain, Redness, Swelling · Joint pains, Muscle or body aches

Adult check-in
2022-10-31
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-11-01
Health check-in — day 7, dose 5
Feeling: Fair · Site: Swelling · Fever · Chills, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-11-08
Health check-in — day 14, dose 5
Feeling: Good

Adult check-in
2022-11-22
Health check-in — day 28, dose 5
Feeling: Good

Adult check-in
2022-11-29
Survey response — day 35, dose 5
MedDRA: Chills, Fatigue, Nasal congestion, Oropharyngeal pain, Pyrexia — Feeling: Poor · Be unable to do your normal daily activities

Free text: Fever, chills, sore throat, stuffy nose , tired

MedDRA releases: 2024-11 · check-in free text available
2023-01-26
Health check-in — 3 months, dose 5
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-23	Moderna
2	2021-04-20	Moderna
3	2021-10-30	Moderna	No
4	2022-08-24	Moderna	No
5	2022-10-25	Moderna	No

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-24

Systemic reaction (other): Started my period, I am on the pill and never have break thru bleeding. I have 2 1/2 weeks before Im supposed to start.

2021-03-25

Systemic reaction (other): Still have my period, on the pill, never have breakthrough bleeding, but started yesterday. Not supposed to start for a while. It is Slowing down though

Release 8 — day 28, dose 2

2021-05-18

Symptoms: Again I started my period! I have 2 months before I am supposed to start, and have not had it for 2 weeks

Release 8 — day 35, dose 2

2021-05-25

Symptoms: Extreme menstrual cramps. I am still on the pill and have several weeks before I am supposed to actually start

Release 9 — 3 months, dose 2

2021-07-22

Symptoms: Stuffy nose, cough, cant sleep. Tired

Release 11 — 12 months, dose 2

2022-04-22

Symptoms: Either flu or strep throat. Three Covid tests were all negative

Release 12 — day 35, dose 5

2022-11-29

Symptoms: Fever, chills, sore throat, stuffy nose , tired

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	Cough	·	·	✓
SD	Fatigue	·	·	✓
SD	Influenza	·	·	✓
SD	Insomnia	·	·	✓
SD	Menstruation irregular	✓	✓	✓
SD	Muscle spasms	✓	✓	✓
SD	Nasal congestion	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pharyngitis streptococcal	·	·	✓
SD	Pyrexia	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SRO	Intermenstrual bleeding	✓	✓	✓

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