48H-14574-79536

3 vaccinations 14 coded responses 30 check-ins 14 free-text entries 0 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 145 / NY
Registered: 2021-05-01

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

2021-04-23
Dose 1 — Moderna
2021-05-01
Registered in v-safe
2021-05-01
Survey response — day 7, dose 1
MedDRA: Eye pain — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Fatigue or tiredness, Nausea

Free text: Stinging in eyes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-09
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-05-16
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-05-21
Dose 2 — Moderna
2021-05-23
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-05-24
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Chills, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Adult check-in
2021-05-25
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Diarrhea, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Adult check-in
2021-05-26
Survey response — days 1–6 daily, dose 2
MedDRA: Vulvovaginal pruritus — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fatigue or tiredness, Rash, not including the immediate area around the injection site

Free text: Moderate Vaginal Itch

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-27
Survey response — days 1–6 daily, dose 2
MedDRA: Vulvovaginal pruritus — Feeling: Fair · Site: Redness, Swelling, Itching · Fatigue or tiredness, Rash, not including the immediate area around the injection site

Free text: Mild Vaginal Itching

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-28
Survey response — day 7, dose 2
MedDRA: Pruritus, Vulvovaginal pruritus — Feeling: Poor · Site: Redness, Itching · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: Mild Vaginal Itching

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-04
Survey response — day 14, dose 2
MedDRA: Decreased appetite, Diarrhoea, Fatigue — Feeling: Poor · Be unable to do your normal daily activities

Free text: Diarrhea, extreme fatigue, lack of appetite

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-11
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-06-19
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-25
Survey response — day 35, dose 2
MedDRA: Headache, Respiratory tract congestion, Sinus congestion — Feeling: Fair · Be unable to do your normal daily activities

Free text: Sinus congestion, chest congestion, headache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-04
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-08-20
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-11-21
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-01-03
Dose 3 — Moderna
2022-01-04
Survey response — days 1–6 daily, dose 3
MedDRA: Decreased appetite — Feeling: Poor · Site: Pain, Redness · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site

Free text: Lack of appetite

MedDRA releases: 2024-11 · check-in free text available
2022-01-06
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2022-01-07
Survey response — days 1–6 daily, dose 3
MedDRA: Cough — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Free text: Cough

MedDRA releases: 2024-11 · check-in free text available
2022-01-08
Survey response — days 1–6 daily, dose 3
MedDRA: Nasal congestion, Oropharyngeal pain — Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Sore throat, nasal congestion

MedDRA releases: 2024-11 · check-in free text available
2022-01-09
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Swelling · Chills, Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-01-10
Survey response — day 7, dose 3
MedDRA: Nasal congestion, Oropharyngeal pain — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Sore throat, nasal congestion

MedDRA releases: 2024-11 · check-in free text available
2022-01-17
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-01-24
Survey response — day 21, dose 3
MedDRA: Fatigue — Feeling: Fair · Be unable to do your normal daily activities

Free text: Fatigue

MedDRA releases: 2024-11 · check-in free text available
2022-01-31
Health check-in — day 28, dose 3
Feeling: Fair

Adult check-in
2022-02-07
Survey response — day 35, dose 3
MedDRA: Fatigue — Feeling: Fair · Be unable to do your normal daily activities

Free text: Fatigue

MedDRA releases: 2024-11 · check-in free text available
2022-02-14
Survey response — day 42, dose 3
MedDRA: Body temperature increased, Chills, Fatigue, Influenza like illness, Oropharyngeal pain, Pain, Respiratory tract congestion — Feeling: Poor · Be unable to do your normal daily activities

Free text: I have flu like symptoms and a low grade fever (100.0). Sore throat, congestion, fatigue, body aches, and chills.

MedDRA releases: 2024-11 · check-in free text available
2022-04-05
Health check-in — 3 months, dose 3
Feeling: Fair

Adult check-in
2022-07-04
Survey response — 6 months, dose 3
MedDRA: Pre-existing disease — Feeling: Good

Free text: Only annual seasonal allergy symptoms (May-Oct usually). Thought I should note it though.

MedDRA releases: 2024-11 · check-in free text available
2023-01-09
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-23	Moderna
2	2021-05-21	Moderna
3	2022-01-03	Moderna	No

Free text

Release 8 — day 7, dose 1

2021-05-01

Systemic reaction (other): Stinging in eyes

Release 8 — days 1–6 daily, dose 2

2021-05-26

Systemic reaction (other): Moderate Vaginal Itch

2021-05-27

Systemic reaction (other): Mild Vaginal Itching

Release 8 — day 7, dose 2

2021-05-28

Systemic reaction (other): Mild Vaginal Itching

Release 8 — day 14, dose 2

2021-06-04

Symptoms: Diarrhea, extreme fatigue, lack of appetite

Release 9 — day 35, dose 2

2021-06-25

Symptoms: Sinus congestion, chest congestion, headache

Release 10 — days 1–6 daily, dose 3

2022-01-04

Systemic reaction (other): Lack of appetite

2022-01-07

Systemic reaction (other): Cough

2022-01-08

Systemic reaction (other): Sore throat, nasal congestion

Release 10 — day 7, dose 3

2022-01-10

Systemic reaction (other): Sore throat, nasal congestion

Release 11 — day 21, dose 3

2022-01-24

Symptoms: Fatigue

Release 11 — day 35, dose 3

2022-02-07

Symptoms: Fatigue

Release 11 — day 42, dose 3

2022-02-14

Symptoms: I have flu like symptoms and a low grade fever (100.0). Sore throat, congestion, fatigue, body aches, and chills.

Release 12 — 6 months, dose 3

2022-07-04

Symptoms: Only annual seasonal allergy symptoms (May-Oct usually). Thought I should note it though.

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	Body temperature increased	·	·	✓
SD	Chills	·	·	✓
SD	Decreased appetite	✓	✓	✓
SD	Diarrhoea	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Influenza like illness	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pain	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Respiratory tract congestion	✓	✓	✓
SD	Sinus congestion	✓	✓	✓
SRO	Cough	·	·	✓
SRO	Decreased appetite	·	·	✓
SRO	Eye pain	✓	✓	✓
SRO	Nasal congestion	·	·	✓
SRO	Oropharyngeal pain	·	·	✓
SRO	Pruritus	✓	✓	✓
SRO	Vulvovaginal pruritus	✓	✓	✓

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