4AX-30294-26078

2 vaccinations 6 coded responses 24 check-ins 6 free-text entries 0 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 503 / IA
Registered: 2020-12-29

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

2020-12-28
Dose 1 — Moderna
2020-12-29
Registered in v-safe
2020-12-29
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2020-12-31
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

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

Adult check-in
2021-01-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-03
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-04
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-11
Survey response — day 14, dose 1
MedDRA: Dyspnoea exertional, Fatigue, Self-medication, Vaccination site induration, Vaccination site pain, Vaccination site pruritus, Vaccination site warmth — Feeling: Good

Free text: On about day 8 after the vaccination the site developed a quarter size hard spot. It was hot and very itchy and sore. Used Benadryl cream.Better two days later. At the same time I felt extra fatigue and shortness of breath when I walked. Better now.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-18
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-01-25
Dose 2 — Moderna
2021-01-25
Survey response — day 0, dose 2
MedDRA: Abdominal discomfort — Feeling: Fair · Abdominal pain · Be unable to do your normal daily activities

Free text: I have been having mild stomach discomfort for a few days. I think it is an unrelated bug. Was worse a few days ago. Another family member has it.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-26
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness, Swelling · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-01-27
Survey response — days 1–6 daily, dose 2
MedDRA: Adverse reaction, Self-medication — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Fatigue or tiredness

Free text: I am taking Tylenol around the clock since yesterday. Symptoms would be worse without it.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-28
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fatigue or tiredness

Adult check-in
2021-01-29
Survey response — days 1–6 daily, dose 2
MedDRA: Diarrhoea, Gastrointestinal pain — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Headache, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Last nigh experienced sudden severe cramping of bowels and liquid stools. Once with pain and the more diarrhea without pain.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-30
Survey response — days 1–6 daily, dose 2
MedDRA: Abdominal distension, Diarrhoea — Feeling: Poor · Site: Itching · Headache, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Free text: Stomach doesnt want much food in it. Uncomfortable whether eat or not. Diarrhea is not frequent. Very loose when I go.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-31
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-02-01
Survey response — day 7, dose 2
MedDRA: Diarrhoea — Feeling: Good · Abdominal pain

Free text: I took Imodium for loose stools so could go to work.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-08
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-15
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-22
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-01
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-08
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-04-26
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-07-26
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-01-25
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-28	Moderna
2	2021-01-25	Moderna

Free text

Release 1 — day 14, dose 1

2021-01-11

Symptoms: On about day 8 after the vaccination the site developed a quarter size hard spot. It was hot and very itchy and sore. Used Benadryl cream.Better two days later. At the same time I felt extra fatigue and shortness of breath when I walked. Better now. cut off by CDC

Release 2 — day 0, dose 2

2021-01-25

Systemic reaction (other): I have been having mild stomach discomfort for a few days. I think it is an unrelated bug. Was worse a few days ago. Another family member has it.

Release 2 — days 1–6 daily, dose 2

2021-01-27

Systemic reaction (other): I am taking Tylenol around the clock since yesterday. Symptoms would be worse without it.

Release 3 — days 1–6 daily, dose 2

2021-01-29

Systemic reaction (other): Last nigh experienced sudden severe cramping of bowels and liquid stools. Once with pain and the more diarrhea without pain.

2021-01-30

Systemic reaction (other): Stomach doesnt want much food in it. Uncomfortable whether eat or not. Diarrhea is not frequent. Very loose when I go.

Release 3 — day 7, dose 2

2021-02-01

Systemic reaction (other): I took Imodium for loose stools so could go to work.

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	Dyspnoea	○	○	○
SD	Dyspnoea exertional	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Injection site induration	○	○	○
SD	Injection site pain	○	○	○
SD	Injection site pruritus	○	○	○
SD	Self-medication	✓	✓	✓
SD	Vaccination site induration	✓	✓	✓
SD	Vaccination site pain	✓	✓	✓
SD	Vaccination site pruritus	✓	✓	✓
SD	Vaccination site warmth	✓	✓	✓
SRO	Abdominal discomfort	✓	✓	✓
SRO	Abdominal distension	✓	✓	✓
SRO	Adverse reaction	✓	✓	✓
SRO	Diarrhoea	✓	✓	✓
SRO	Gastrointestinal pain	✓	✓	✓
SRO	Self-medication	✓	✓	✓

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