4J4-23706-70614

3 vaccinations 18 coded responses 40 check-ins 18 free-text entries 0 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 441 / OH
Registered: 2021-04-09

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

2021-04-09
Registered in v-safe
2021-04-09
Dose 1 — Moderna
2021-04-09
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-04-10
Survey response — days 1–6 daily, dose 1
MedDRA: Insomnia — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Insomnia last night

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

Adult check-in
2021-04-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-15
Survey response — days 1–6 daily, dose 1
MedDRA: Wheezing — Feeling: Good

Free text: A little wheezy in the chest this morning, which is unusual

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-23
Survey response — day 14, dose 1
MedDRA: Fatigue, Migraine — Feeling: Fair

Free text: Greater fatigue and migraines

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-30
Survey response — day 21, dose 1
MedDRA: Migraine — Feeling: Fair · Be unable to do your normal daily activities

Free text: Migraines, but most likely weather related

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-07
Dose 2 — Moderna
2021-05-07
Survey response — day 0, dose 2
MedDRA: Irritability, Thirst — Feeling: Good · Site: Pain, Swelling, Itching

Free text: Irritable and thirsty

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-08
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Poor · Site: Pain, Redness, Swelling · 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: Dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-09
Survey response — days 1–6 daily, dose 2
MedDRA: Musculoskeletal stiffness — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Muscle stiffness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-10
Survey response — days 1–6 daily, dose 2
MedDRA: Thirst — Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: Very thirsty

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-11
Survey response — days 1–6 daily, dose 2
MedDRA: Dyspnoea — Feeling: Good · Site: Redness, Swelling · Be unable to do your normal daily activities

Free text: Shortness of breath

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-12
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness, Swelling · Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-05-13
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Fair · Site: Redness, Swelling · Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-14
Health check-in — day 7, dose 2
Feeling: Good · Site: Redness, Swelling · Fatigue or tiredness

Adult check-in
2021-05-21
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-28
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-06-04
Survey response — day 28, dose 2
MedDRA: Oropharyngeal pain — Feeling: Good

Free text: Sore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-11
Survey response — day 35, dose 2
MedDRA: Dizziness, Fatigue — Feeling: Good

Free text: Fatigue, dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-19
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-08-07
Survey response — 3 months, dose 2
MedDRA: Nausea — Feeling: Good

Free text: Some nausea

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-11-05
Survey response — 6 months, dose 2
MedDRA: Discomfort, Headache — Feeling: Good

Free text: Increased headache discomfort

MedDRA releases: 2024-11 · check-in free text available
2021-12-18
Dose 3 — Moderna
2021-12-18
Health check-in — day 0, dose 3
Feeling: Fair · Site: Pain · Fatigue or tiredness, Nausea

Adult check-in
2021-12-19
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-12-20
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-12-21
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-12-22
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Swelling · Chills, Joint pains

Adult check-in
2021-12-23
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Headache

Adult check-in
2021-12-24
Survey response — days 1–6 daily, dose 3
MedDRA: Cognitive disorder — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness, Nausea

Free text: Decreased cognitive ability

MedDRA releases: 2024-11 · check-in free text available
2021-12-25
Survey response — day 7, dose 3
MedDRA: Migraine — Feeling: Good · Site: Pain, Swelling · Nausea

Free text: Migraines

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

Adult check-in
2022-01-10
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-01-15
Health check-in — day 28, dose 3
Feeling: Fair

Adult check-in
2022-01-22
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-01-29
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-03-19
Survey response — 3 months, dose 3
MedDRA: Immediate post-injection reaction, Peripheral swelling, Peripheral vascular disorder, Reaction to previous exposure to any vaccine — Feeling: Good

Free text: Swelling returned to the arm that received the 3rd shot (2nd booster), enough to affect circulation. Same type and place of swelling as right after the injection, but more problematic

MedDRA releases: 2024-11 · check-in free text available
2022-06-18
Survey response — 6 months, dose 3
MedDRA: Migraine — Feeling: Good · Be unable to do your normal daily activities

Free text: Weeks of intense migraine

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-09	Moderna
2	2021-05-07	Moderna
3	2021-12-18	Moderna	No

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-10

Systemic reaction (other): Insomnia last night

2021-04-15

Systemic reaction (other): A little wheezy in the chest this morning, which is unusual

Release 7 — day 14, dose 1

2021-04-23

Symptoms: Greater fatigue and migraines

Release 8 — day 21, dose 1

2021-04-30

Symptoms: Migraines, but most likely weather related

Release 8 — day 0, dose 2

2021-05-07

Systemic reaction (other): Irritable and thirsty

Release 8 — days 1–6 daily, dose 2

2021-05-08

Systemic reaction (other): Dizziness

2021-05-09

Systemic reaction (other): Muscle stiffness

2021-05-10

Systemic reaction (other): Very thirsty

2021-05-11

Systemic reaction (other): Shortness of breath

2021-05-13

Systemic reaction (other): Dizziness

Release 8 — day 28, dose 2

2021-06-04

Symptoms: Sore throat

Release 9 — day 35, dose 2

2021-06-11

Symptoms: Fatigue, dizziness

Release 9 — 3 months, dose 2

2021-08-07

Symptoms: Some nausea

Release 10 — 6 months, dose 2

2021-11-05

Symptoms: Increased headache discomfort

Release 10 — days 1–6 daily, dose 3

2021-12-24

Systemic reaction (other): Decreased cognitive ability

Release 10 — day 7, dose 3

2021-12-25

Systemic reaction (other): Migraines

Release 11 — 3 months, dose 3

2022-03-19

Symptoms: Swelling returned to the arm that received the 3rd shot (2nd booster), enough to affect circulation. Same type and place of swelling as right after the injection, but more problematic

Release 12 — 6 months, dose 3

2022-06-18

Symptoms: Weeks of intense migraine

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	Discomfort	·	·	✓
SD	Dizziness	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Headache	·	·	✓
SD	Immediate post-injection reaction	·	·	✓
SD	Migraine	✓	✓	✓
SD	Nausea	✓	·	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Peripheral swelling	·	·	✓
SD	Peripheral vascular disorder	·	·	✓
SD	Reaction to previous exposure to any vaccine	·	·	✓
SRO	Cognitive disorder	·	·	✓
SRO	Dizziness	✓	✓	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Insomnia	✓	✓	✓
SRO	Irritability	✓	✓	✓
SRO	Migraine	·	·	✓
SRO	Musculoskeletal stiffness	✓	✓	✓
SRO	Thirst	✓	✓	✓
SRO	Wheezing	✓	✓	✓

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