4FU-39036-81238

2 vaccinations 11 coded responses 22 check-ins 11 free-text entries 0 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 791 / TX
Registered: 2021-03-15

Relationship: Self
Race: White
Ethnicity: 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

2021-03-15
Registered in v-safe
2021-03-15
Dose 1 — Moderna
2021-03-15
Health check-in — day 0, dose 1
Feeling: Poor · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work

Adult check-in
2021-03-16
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-03-17
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-18
Survey response — days 1–6 daily, dose 1
MedDRA: Peripheral swelling — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work

Free text: A little bump in my right hand since I got the vaccine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-19
Survey response — days 1–6 daily, dose 1
MedDRA: Peripheral swelling — Feeling: Fair · Joint pains, Fatigue or tiredness · Be unable to work

Free text: A bump in my right hand

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-20
Survey response — days 1–6 daily, dose 1
MedDRA: Renal pain — Feeling: Poor · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: Pain in the kidney area

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-21
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-03-22
Health check-in — day 7, dose 1
Feeling: Poor · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-03-31
Survey response — day 14, dose 1
MedDRA: Influenza like illness, Vomiting — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: I had severe vomiting last Wednesday March 24th and flu symptoms like still going on

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-05
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-14
Health check-in — day 28, dose 1
Feeling: Fair

Adult check-in
2021-04-19
Health check-in — day 35, dose 1
Feeling: Fair

Adult check-in
2021-04-23
Dose 2 — Moderna
2021-04-26
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-27
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-28
Survey response — days 1–6 daily, dose 2
MedDRA: Influenza like illness — Feeling: Fair · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Flu like symptoms

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-29
Survey response — days 1–6 daily, dose 2
MedDRA: Influenza like illness — Feeling: Fair · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Flu like symptoms

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-30
Survey response — day 7, dose 2
MedDRA: Asthenia, Influenza — Feeling: Poor · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work

Free text: Severe flu symptoms weakness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-08
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-05-16
Survey response — day 21, dose 2
MedDRA: Influenza like illness, Nasopharyngitis — Feeling: Poor · Be unable to work

Free text: Severe cold and flu symptoms

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-23
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-30
Survey response — day 35, dose 2
MedDRA: Hypersensitivity, Influenza, Malaise, Nasopharyngitis, Pre-existing disease — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities

Free text: I feel sick like I have a cold/flu that doesnt go away and it gets worse on some days and my allergies are worse than before

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-25
Survey response — 3 months, dose 2
MedDRA: Peripheral swelling — Feeling: Poor · Be unable to do your normal daily activities

Free text: My feet get swollen

MedDRA releases: 2021-09,2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-15	Moderna
2	2021-04-23	Moderna

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-17

Systemic reaction (other): Dizziness

2021-03-18

Systemic reaction (other): A little bump in my right hand since I got the vaccine

2021-03-19

Systemic reaction (other): A bump in my right hand

Release 6 — days 1–6 daily, dose 1

2021-03-20

Systemic reaction (other): Pain in the kidney area

Release 6 — day 14, dose 1

2021-03-31

Symptoms: I had severe vomiting last Wednesday March 24th and flu symptoms like still going on

Release 8 — days 1–6 daily, dose 2

2021-04-28

Systemic reaction (other): Flu like symptoms

2021-04-29

Systemic reaction (other): Flu like symptoms

Release 8 — day 7, dose 2

2021-04-30

Systemic reaction (other): Severe flu symptoms weakness

Release 8 — day 21, dose 2

2021-05-16

Symptoms: Severe cold and flu symptoms

Release 8 — day 35, dose 2

2021-05-30

Symptoms: I feel sick like I have a cold/flu that doesnt go away and it gets worse on some days and my allergies are worse than before

Release 9 — 3 months, dose 2

2021-07-25

Symptoms: My feet get swollen

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	Hypersensitivity	·	·	✓
SD	Influenza	✓	✓	✓
SD	Influenza like illness	✓	✓	✓
SD	Malaise	✓	✓	✓
SD	Nasopharyngitis	✓	✓	✓
SD	Peripheral swelling	✓	·	✓
SD	Pre-existing disease	·	·	✓
SD	Vomiting	✓	✓	✓
SRO	Asthenia	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Influenza	✓	✓	✓
SRO	Influenza like illness	✓	✓	✓
SRO	Peripheral swelling	✓	✓	✓
SRO	Renal pain	✓	✓	✓

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