4LH-27391-95397

2 vaccinations 7 coded responses 25 check-ins 7 free-text entries 0 call cases

Sex: Female
Age at first dose: 26-30
ZIP prefix: 981 / WA
Registered: 2021-01-16

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

2021-01-16
Registered in v-safe
2021-01-16
Dose 1 — Moderna
2021-01-16
Survey response — day 0, dose 1
MedDRA: Flushing, Myalgia, Pain in extremity — Feeling: Fair · Site: Pain · Fever · Muscle or body aches

Free text: Warm face, upper arm very tender to the touch, muscle aches described below are in the upper arm only

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-17
Survey response — days 1–6 daily, dose 1
MedDRA: Abdominal pain, Abdominal pain upper, Chills, Dizziness — Feeling: Fair · Site: Pain · Chills, Fatigue or tiredness, Abdominal pain

Free text: Stuff like the abdominal pain (cramping) happened at night on day 1, most things like chills and stomach cramps resolved by today but I feel light-headed

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-18
Survey response — days 1–6 daily, dose 1
MedDRA: Asthenopia, Diarrhoea, Dizziness — Feeling: Fair · Site: Pain · Fatigue or tiredness, Diarrhea, Abdominal pain

Free text: A little light headed, almost a headache but more like the feeling of eye-strain but its mild. Honestly I dont know for sure if the diarrhea is just something I ate, I just seem more prone to stomach cramps and diarrhea than I would usually be even with food that Im more sensitive to

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-19
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-01-21
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · None

Adult check-in
2021-01-22
Survey response — days 1–6 daily, dose 1
MedDRA: Fatigue — Feeling: Fair · Fatigue or tiredness

Free text: Im tired but it might just be a busy week, not sure if its actually related to the vaccine or not

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-25
Health check-in — day 7, dose 1
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-01-30
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-02-06
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-02-13
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-02-15
Dose 2 — Moderna
2021-02-15
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-02-16
Survey response — days 1–6 daily, dose 2
MedDRA: Chills, Pyrexia — Feeling: Poor · Site: Pain, Redness · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: The worst of the chills and feverishness hit last night

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-18
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Fair · Site: Pain, Redness, Itching · Chills, Headache, Muscle or body aches, Fatigue or tiredness

Free text: A bit light headed

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-19
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-20
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-21
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-22
Health check-in — day 7, dose 2
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-01
Survey response — day 14, dose 2
MedDRA: Lymphadenopathy — Feeling: Fair

Free text: Feels like my lymph nodes are slightly swollen. Might need to just drink more water because woke up that way

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-08
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-03-15
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-03-22
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-03-29
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-05-17
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-08-16
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2022-02-17
Health check-in — 12 months, dose 2
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-16	Moderna
2	2021-02-15	Moderna

Free text

Release 2 — day 0, dose 1

2021-01-16

Systemic reaction (other): Warm face, upper arm very tender to the touch, muscle aches described below are in the upper arm only

Release 2 — days 1–6 daily, dose 1

2021-01-17

Systemic reaction (other): Stuff like the abdominal pain (cramping) happened at night on day 1, most things like chills and stomach cramps resolved by today but I feel light-headed

2021-01-18

Systemic reaction (other): A little light headed, almost a headache but more like the feeling of eye-strain but its mild. Honestly I dont know for sure if the diarrhea is just something I ate, I just seem more prone to stomach cramps and diarrhea than I would usually be even with food that Im more sensitive to

2021-01-22

Systemic reaction (other): Im tired but it might just be a busy week, not sure if its actually related to the vaccine or not

Release 4 — days 1–6 daily, dose 2

2021-02-16

Systemic reaction (other): The worst of the chills and feverishness hit last night

2021-02-18

Systemic reaction (other): A bit light headed

Release 4 — day 14, dose 2

2021-03-01

Symptoms: Feels like my lymph nodes are slightly swollen. Might need to just drink more water because woke up that way

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	Lymphadenopathy	✓	✓	✓
SRO	Abdominal pain	✓	✓	✓
SRO	Abdominal pain upper	✓	✓	✓
SRO	Asthenopia	✓	✓	✓
SRO	Chills	✓	✓	✓
SRO	Diarrhoea	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Flushing	✓	✓	✓
SRO	Myalgia	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Pyrexia	✓	✓	✓

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