4QS-15797-11743

4 vaccinations 7 coded responses 33 check-ins 7 free-text entries 0 call cases

Sex: Female
Age at first dose: 26-30
ZIP prefix: 545 / WI
Registered: 2021-03-10

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

2021-03-03
Dose 1 — Moderna
2021-03-10
Registered in v-safe
2021-03-10
Health check-in — day 7, dose 1
Feeling: Fair · Fatigue or tiredness · Be unable to work

Adult check-in
2021-03-20
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-24
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-31
Dose 2 — Moderna
2021-03-31
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-01
Survey response — days 1–6 daily, dose 2
MedDRA: Dyspnoea — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, 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
2021-04-02
Survey response — days 1–6 daily, dose 2
MedDRA: Cough, Dyspnoea — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Cough, Shortness of breath

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-03
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-04
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-07
Health check-in — day 7, dose 2
Feeling: Fair · Site: Itching · Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-16
Survey response — day 14, dose 2
MedDRA: Abdominal pain upper, Diarrhoea, Fatigue — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: Exhaustion, diarrhea, stomach pains

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

Adult check-in
2021-05-02
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-05
Survey response — day 35, dose 2
MedDRA: Abdominal pain upper — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: I have stomach pains right now.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-12
Survey response — day 42, dose 2
MedDRA: Abdominal pain upper, Pre-existing disease, Presyncope — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: Stomach pains and instances of my vasovagal effect kicking in for no reason.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-01
Survey response — 3 months, dose 2
MedDRA: Urticaria — Feeling: Poor · Be unable to do your normal daily activities

Free text: Unexplainable hives on my ears that have now moved to my face and neck.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-10-01
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-12
Dose 3 — Moderna
2021-11-14
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Itching · Fever · Chills, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-11-15
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-11-16
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-11-17
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Itching · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-11-18
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-11-22
Health check-in — day 7, dose 3
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-11-28
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-12-03
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-12-10
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-17
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-24
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2022-05-15
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-10-11
Dose 4 — Moderna
2022-11-01
Survey response — day 21, dose 4
MedDRA: Gastroenteritis viral, Headache, Mobility decreased, Rash — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: I have been getting rashes more often. I also get headaches almost daily. I did get a really bad case of the stomach flu that had me laid up for a week.

MedDRA releases: 2024-11 · check-in free text available
2022-11-08
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-11-15
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-11-25
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2023-01-12
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-03	Moderna
2	2021-03-31	Moderna
3	2021-11-12	Moderna	No
4	2022-10-11	Moderna	No

Free text

Release 6 — days 1–6 daily, dose 2

2021-04-01

Systemic reaction (other): Shortness of breath

2021-04-02

Systemic reaction (other): Cough, Shortness of breath

Release 7 — day 14, dose 2

2021-04-16

Symptoms: Exhaustion, diarrhea, stomach pains

Release 8 — day 35, dose 2

2021-05-05

Symptoms: I have stomach pains right now.

Release 8 — day 42, dose 2

2021-05-12

Symptoms: Stomach pains and instances of my vasovagal effect kicking in for no reason.

Release 9 — 3 months, dose 2

2021-07-01

Symptoms: Unexplainable hives on my ears that have now moved to my face and neck.

Release 12 — day 21, dose 4

2022-11-01

Symptoms: I have been getting rashes more often. I also get headaches almost daily. I did get a really bad case of the stomach flu that had me laid up for a week.

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	Fatigue	✓	✓	✓
SD	Gastroenteritis viral	·	·	✓
SD	Headache	·	·	✓
SD	Mobility decreased	·	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Presyncope	✓	✓	✓
SD	Rash	·	·	✓
SD	Urticaria	✓	✓	✓
SRO	Cough	✓	✓	✓
SRO	Dyspnoea	✓	✓	✓

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