4MH-33587-41575

3 vaccinations 9 coded responses 22 check-ins 9 free-text entries 0 call cases

Sex: Female
Age at first dose: 26-30
ZIP prefix: 967 / HI
Registered: 2021-03-17

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

2021-03-17
Registered in v-safe
2021-03-17
Dose 1 — Moderna
2021-03-17
Health check-in — day 0, dose 1
Feeling: Fair · Site: Itching · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work

Adult check-in
2021-03-18
Survey response — days 1–6 daily, dose 1
MedDRA: Feeling of body temperature change — Feeling: Fair · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work

Free text: Changing temperatures - hot and cold switching back and forth

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-20
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness · Be unable to work

Adult check-in
2021-03-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-22
Survey response — days 1–6 daily, dose 1
MedDRA: Mood swings — Feeling: Fair

Free text: Big mood swings

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-24
Survey response — day 7, dose 1
MedDRA: Cough — Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Free text: Coughing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-31
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-04-07
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-04-14
Dose 2 — Moderna
2021-04-14
Survey response — day 0, dose 2
MedDRA: Fatigue — Feeling: Poor · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: The fatigue is like a full body fatigue, like Im being weighed down

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
Survey response — days 1–6 daily, dose 2
MedDRA: Feeling abnormal — Feeling: Poor · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to work, Be unable to do your normal daily activities

Free text: Feels like I got hit by a train

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
Survey response — days 1–6 daily, dose 2
MedDRA: Adverse reaction — Feeling: Good · Site: Pain

Free text: Feel immediately better today. Feels very abrupt compare to how I felt yesterday.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness · None

Adult check-in
2021-04-20
Survey response — days 1–6 daily, dose 2
MedDRA: Back pain — Feeling: Good

Free text: Lower back pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-23
Health check-in — day 7, dose 2
Feeling: Fair · Fever · Fatigue or tiredness

Adult check-in
2021-04-30
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-05-07
Survey response — day 21, dose 2
MedDRA: Abdominal pain upper, Diarrhoea, Eye pain, Food poisoning, Headache, Migraine, Nausea, Oesophageal pain, Pre-existing disease, Vomiting — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: Not sure if related to vaccine - had possible bad case of food poisoning - started with a really bad migraine - painful to keep eyes open and then nausea. Vomited on and off for 6 hours. Mild headache and sore stomach and esophagus for next 2 days.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-21
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-05-26
Survey response — day 42, dose 2
MedDRA: Fatigue, Weight increased — Feeling: Fair · Be unable to do your normal daily activities

Free text: Very very tired. Weight gain.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-10-13
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-02-05
Dose 3 — Moderna
2022-05-09
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-17	Moderna
2	2021-04-14	Moderna
3	2022-02-05	Moderna	No

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-18

Systemic reaction (other): Changing temperatures - hot and cold switching back and forth

Release 6 — days 1–6 daily, dose 1

2021-03-22

Systemic reaction (other): Big mood swings

Release 6 — day 7, dose 1

2021-03-24

Systemic reaction (other): Coughing

Release 7 — day 0, dose 2

2021-04-14

Systemic reaction (other): The fatigue is like a full body fatigue, like Im being weighed down

Release 7 — days 1–6 daily, dose 2

2021-04-15

Systemic reaction (other): Feels like I got hit by a train

2021-04-16

Systemic reaction (other): Feel immediately better today. Feels very abrupt compare to how I felt yesterday.

2021-04-20

Systemic reaction (other): Lower back pain

Release 8 — day 21, dose 2

2021-05-07

Symptoms: Not sure if related to vaccine - had possible bad case of food poisoning - started with a really bad migraine - painful to keep eyes open and then nausea. Vomited on and off for 6 hours. Mild headache and sore stomach and esophagus for next 2 days. cut off by CDC

Release 8 — day 42, dose 2

2021-05-26

Symptoms: Very very tired. Weight gain.

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	Abdominal pain upper	✓	✓	✓
SD	Diarrhoea	✓	✓	✓
SD	Eye pain	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Food poisoning	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Migraine	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Oesophageal pain	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Vomiting	✓	✓	✓
SD	Weight increased	✓	✓	✓
SRO	Adverse reaction	✓	✓	✓
SRO	Back pain	✓	✓	✓
SRO	Cough	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Feeling of body temperature change	✓	✓	✓
SRO	Mood swings	✓	✓	✓

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