4CG-30559-62021

3 vaccinations 8 coded responses 36 check-ins 8 free-text entries 0 call cases

Sex: Female
Age at first dose: 21-25
ZIP prefix: 730 / OK
Registered: 2021-05-13

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

2021-05-13
Registered in v-safe
2021-05-13
Dose 1 — Moderna
2021-05-13
Health check-in — day 0, dose 1
Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-05-14
Survey response — days 1–6 daily, dose 1
MedDRA: Feeling hot, Mobility decreased — Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Cant really lift my arm I got the shot in. Extremely hot, probably from fever (my apartment is set on 65 with all the fans on)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-05-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-05-17
Survey response — days 1–6 daily, dose 1
MedDRA: Hyperhidrosis, Pyrexia — Feeling: Good · Rash, not including the immediate area around the injection site

Free text: Not sure if rash or my body effected by all the sweating from previous fever

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-18
Survey response — days 1–6 daily, dose 1
MedDRA: Adverse reaction — Feeling: Good · Rash, not including the immediate area around the injection site

Free text: Same as previous day

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-20
Health check-in — day 7, dose 1
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-05-29
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-06-03
Survey response — day 21, dose 1
MedDRA: Night sweats, Oropharyngeal pain, Pyrexia, Sinusitis — Feeling: Fair

Free text: I had night sweats and a fever. My throat became really sore. I went to the doctor and was told its a sinus infection.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-11
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-06-14
Dose 2 — Moderna
2021-06-15
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, Nausea, Vomiting, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-06-17
Survey response — days 1–6 daily, dose 2
MedDRA: Constipation — Feeling: Fair · Chills, Headache, Fatigue or tiredness, Nausea

Free text: Constipation

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-18
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Fatigue or tiredness, Nausea

Adult check-in
2021-06-19
Survey response — days 1–6 daily, dose 2
MedDRA: Constipation — Feeling: Good · Fatigue or tiredness, Nausea

Free text: Constipation

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-20
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness, Nausea

Adult check-in
2021-06-21
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-06-28
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-07-05
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-07-14
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-07-19
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-07-28
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-09-13
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-12-13
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2021-12-16
Dose 3 — Moderna
2021-12-16
Health check-in — day 0, dose 3
Feeling: Fair · Site: Pain · Chills, Headache

Adult check-in
2021-12-18
Survey response — days 1–6 daily, dose 3
MedDRA: Hyperhidrosis — Feeling: Fair · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea

Free text: Sweating when the house temp in low

MedDRA releases: 2024-11 · check-in free text available
2021-12-19
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting

Adult check-in
2021-12-20
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-12-21
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-12-25
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-12-30
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-01-08
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2022-01-13
Health check-in — day 28, dose 3
Feeling: Fair

Adult check-in
2022-01-20
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-01-27
Survey response — day 42, dose 3
MedDRA: Malaise — Feeling: Good · Be unable to work or attend school

Free text: I was sick for a 48 hour period

MedDRA releases: 2024-11 · check-in free text available
2022-03-17
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-12-16
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-05-13	Moderna
2	2021-06-14	Moderna
3	2021-12-16	Moderna	No

Free text

Release 8 — days 1–6 daily, dose 1

2021-05-14

Systemic reaction (other): Cant really lift my arm I got the shot in. Extremely hot, probably from fever (my apartment is set on 65 with all the fans on)

2021-05-17

Systemic reaction (other): Not sure if rash or my body effected by all the sweating from previous fever

2021-05-18

Systemic reaction (other): Same as previous day

Release 8 — day 21, dose 1

2021-06-03

Symptoms: I had night sweats and a fever. My throat became really sore. I went to the doctor and was told its a sinus infection.

Release 9 — days 1–6 daily, dose 2

2021-06-17

Systemic reaction (other): Constipation

2021-06-19

Systemic reaction (other): Constipation

Release 10 — days 1–6 daily, dose 3

2021-12-18

Systemic reaction (other): Sweating when the house temp in low

Release 11 — day 42, dose 3

2022-01-27

Symptoms: I was sick for a 48 hour period

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	Malaise	·	·	✓
SD	Night sweats	✓	✓	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Pyrexia	✓	✓	✓
SD	Sinusitis	✓	✓	✓
SRO	Adverse reaction	✓	✓	✓
SRO	Constipation	✓	✓	✓
SRO	Feeling hot	✓	✓	✓
SRO	Hyperhidrosis	✓	✓	✓
SRO	Mobility decreased	✓	✓	✓
SRO	Pyrexia	✓	✓	✓

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