47U-12124-22813

2 vaccinations 10 coded responses 26 check-ins 10 free-text entries 3 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 836 / ID
Registered: 2021-01-22

Relationship: Self
Race: Multiracial
Ethnicity: Not Hispanic or Latino

Timeline

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

2021-01-22
Registered in v-safe
2021-01-22
Dose 1 — Moderna
2021-01-22
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain, Itching · Fatigue or tiredness

Adult check-in
2021-01-23
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site mass, Injection site pain — Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Hard, painful, lump below injection site

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-24
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site induration — Feeling: Fair · Site: Pain, Swelling, Itching · Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Free text: Hard lump beneath injection site still there but much smaller

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-25
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-01-26
Survey response — days 1–6 daily, dose 1
MedDRA: Rhinorrhoea — Feeling: Fair · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities

Free text: Runny nose x 3 days

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-27
Survey response — days 1–6 daily, dose 1
MedDRA: Rhinorrhoea — Feeling: Poor · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Runny nose

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-28
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-01-29
Health check-in — day 7, dose 1
Feeling: Good · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-02-05
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-13
Survey response — day 21, dose 1
MedDRA: Asthma, Pre-existing disease, Rhinorrhoea — Feeling: Fair

Free text: Runny nose started after vacc won't improve and triggering asthma

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-16
Dose 2 — Moderna
2021-02-16
Survey response — day 0, dose 2
MedDRA: Rhinorrhoea — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Nausea

Free text: Runny nose

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-17
Survey response — days 1–6 daily, dose 2
MedDRA: Abdominal pain upper, Bone pain, Medical counselling, No adverse event, Rhinorrhoea — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Abdominal pain · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Runny nose, stomach cramps, bone pain · Healthcare visit (other): Work for a clinic, boss told me what to do when sending me home

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-17
Report sent to call center — days 1–6 daily, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-18
Survey response — days 1–6 daily, dose 2
MedDRA: Bone pain, Dizziness, Dysphagia, Neuralgia, Syncope — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Bone pain, nerve pain, hard to swallow x 2 days, dizzy/syncope

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-19
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work

Adult check-in
2021-02-20
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-21
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Joint pains, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-02-22
Survey response — days 1–6 daily, dose 2
MedDRA: Electric shock sensation, Headache, Medical counselling — Feeling: Fair · Headache, Fatigue or tiredness, Nausea · Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Head feels electrified x 1 wk · Healthcare visit (other): I work for a clinic and asked boss about headache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-22
Report sent to call center — days 1–6 daily, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-23
Health check-in — day 7, dose 2
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-03-02
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-09
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-16
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-03-23
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-31
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-05-18
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-06
Call 1 — Could Not Reach Participant
2021-08-11
Call 2 — Could Not Reach Participant
2021-08-17
Survey response — 6 months, dose 2
MedDRA: Anxiety, Depression, Menstrual disorder, Menstruation irregular, Panic attack — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: Significant increase in panic, anxiety and depression over past few months-unsure if vaccine related. Monthly periods after receiving covid vaccine are no longer normal or predictable as they were before.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-17
Report sent to call center — 6 months, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

1 call case(s)
2021-08-19
Call 1 — Could Not Reach Participant
2021-08-24
Call 2 — Could Not Reach Participant
2022-02-16
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-22	Moderna
2	2021-02-16	Moderna

Call center

3 call center cases

3 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-23

Systemic reaction (other): Hard, painful, lump below injection site

2021-01-24

Systemic reaction (other): Hard lump beneath injection site still there but much smaller

2021-01-26

Systemic reaction (other): Runny nose x 3 days

2021-01-27

Systemic reaction (other): Runny nose

Release 4 — day 21, dose 1

2021-02-13

Symptoms: Runny nose started after vacc won't improve and triggering asthma

Release 4 — day 0, dose 2

2021-02-16

Systemic reaction (other): Runny nose

Release 4 — days 1–6 daily, dose 2

2021-02-17

Systemic reaction (other): Runny nose, stomach cramps, bone pain

Healthcare visit (other): Work for a clinic, boss told me what to do when sending me home

2021-02-18

Systemic reaction (other): Bone pain, nerve pain, hard to swallow x 2 days, dizzy/syncope

2021-02-22

Systemic reaction (other): Head feels electrified x 1 wk

Healthcare visit (other): I work for a clinic and asked boss about headache

Release 9 — 6 months, dose 2

2021-08-17

Symptoms: Significant increase in panic, anxiety and depression over past few months-unsure if vaccine related. Monthly periods after receiving covid vaccine are no longer normal or predictable as they were before.

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
HCVO	Headache	✓	✓	✓
HCVO	Medical counselling	✓	✓	✓
HCVO	No adverse event	✓	✓	○
SD	Anxiety	✓	·	✓
SD	Asthma	✓	✓	✓
SD	Depression	✓	·	✓
SD	Menstrual disorder	✓	·	✓
SD	Menstruation irregular	✓	·	✓
SD	Panic attack	✓	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Rhinorrhoea	✓	✓	✓
SRO	Abdominal pain upper	✓	✓	✓
SRO	Bone pain	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Dysphagia	✓	✓	✓
SRO	Electric shock sensation	✓	✓	✓
SRO	Injection site induration	✓	✓	✓
SRO	Injection site mass	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Neuralgia	✓	✓	✓
SRO	Rhinorrhoea	✓	✓	✓
SRO	Syncope	✓	✓	✓

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