4UC-20245-58507

3 vaccinations 11 coded responses 37 check-ins 10 free-text entries 2 call cases

Sex: Female
Age at first dose: 26-30
ZIP prefix: 631 / MO
Registered: 2021-03-02

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-03-02
Registered in v-safe
2021-03-02
Dose 1 — Moderna
2021-03-02
Health check-in — day 0, dose 1
Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-03-03
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-03-05
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Redness, Swelling, Itching · None

Adult check-in
2021-03-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Redness, Swelling, Itching · Headache

Adult check-in
2021-03-07
Survey response — days 1–6 daily, dose 1
MedDRA: No adverse event — Feeling: Good · Site: Pain, Redness, Swelling

Free text: No

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-08
Survey response — days 1–6 daily, dose 1
MedDRA: Diarrhoea — Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Nausea, Diarrhea

Free text: Diarrhea is probably unrelated - Im on keto

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-09
Survey response — day 7, dose 1
MedDRA: Diarrhoea, Headache, Somnolence — Feeling: Good · Site: Pain, Swelling, Itching · Headache, Fatigue or tiredness, Diarrhea

Free text: My headache, sleepiness and diarrhea is unrelated to the vaccine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-16
Survey response — day 14, dose 1
MedDRA: Erythema, Peripheral swelling, Pruritus, Rash macular, Skin warm — Feeling: Good

Free text: On day 7 post-shot, my arm flared back up and got very hot, red, swollen and itchy. This lasted about 2 days and has since slowly faded back to normal. My arm is still a little red and splotchy but its very faint. Minor itching occasionally.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-23
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-30
Dose 2 — Moderna
2021-03-30
Survey response — day 0, dose 2
MedDRA: Diarrhoea, Nervousness — Feeling: Fair · Site: Pain, Redness · Nausea, Diarrhea

Free text: Diarrhea may not be related. Probably just from being nervous

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-31
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-04-01
Survey response — days 1–6 daily, dose 2
MedDRA: Abdominal pain, Medical counselling — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Headache, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Systemic reaction (other): Abdominal pain may be unrelated to the vaccine. · Healthcare visit (other): Talked to my doctor about my abdominal pain. I am pretty sure its unrelated to the vaccine though.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-01
Report sent to call center — days 1–6 daily, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-02
Survey response — days 1–6 daily, dose 2
MedDRA: Abdominal pain — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Free text: I dont think the abdominal pain is related to the vaccine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-03
Survey response — days 1–6 daily, dose 2
MedDRA: Abdominal pain, Fatigue — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: Abdominal pain is not related to the vaccine. I think tiredness is unrelated as well

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

Adult check-in
2021-04-06
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-13
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-20
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-27
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-05
Health check-in — day 35, dose 2
Feeling: Poor

Adult check-in
2021-05-11
Health check-in — day 42, dose 2
Feeling: Poor

Adult check-in
2021-06-10
Call 1 — Left Voicemail
2021-06-29
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-28
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-01-03
Dose 3 — Moderna
Co-administered: Flu
2022-01-03
Health check-in — day 0, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2022-01-04
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain · Headache, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2022-01-05
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2022-01-06
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness, Abdominal pain

Adult check-in
2022-01-08
Survey response — days 1–6 daily, dose 3
MedDRA: Injection site pain, Injection site pruritus — Feeling: Fair · Site: Pain, Itching · Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Free text: The symptoms besides slight pain and itchiness at the injection site are all unrelated to the Covid shot.

MedDRA releases: 2024-11 · check-in free text available
2022-01-10
Health check-in — day 7, dose 3
Feeling: Good · Fatigue or tiredness

Adult check-in
2022-01-17
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-01-25
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-01-31
Survey response — day 28, dose 3
MedDRA: Abdominal pain upper, Fatigue, Headache, Irritable bowel syndrome, Nausea — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Stomach pain. Nausea. Headache. Fatigue. But I think it's related to my IBS · Healthcare visit (other): Haven't set appt yet but plan to call to talk about my IBS

MedDRA releases: 2024-11 · check-in free text available
2022-01-31
Report sent to call center — day 28, dose 3
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

1 call case(s)
2022-02-01
Call 1 — Could Not Reach Participant
2022-02-04
Call 2 — Could Not Reach Participant
2022-02-08
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-02-14
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-04-04
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-07-05
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2023-01-04
Survey response — 12 months, dose 3
MedDRA: Fatigue, Migraine, Poor quality sleep — Feeling: Fair · Be unable to do your normal daily activities

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-02	Moderna
2	2021-03-30	Moderna
3	2022-01-03	Moderna	Flu

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-07

Systemic reaction (other): No

2021-03-08

Systemic reaction (other): Diarrhea is probably unrelated - Im on keto

Release 5 — day 7, dose 1

2021-03-09

Systemic reaction (other): My headache, sleepiness and diarrhea is unrelated to the vaccine.

Release 5 — day 14, dose 1

2021-03-16

Symptoms: On day 7 post-shot, my arm flared back up and got very hot, red, swollen and itchy. This lasted about 2 days and has since slowly faded back to normal. My arm is still a little red and splotchy but its very faint. Minor itching occasionally.

Release 6 — day 0, dose 2

2021-03-30

Systemic reaction (other): Diarrhea may not be related. Probably just from being nervous

Release 6 — days 1–6 daily, dose 2

2021-04-01

Systemic reaction (other): Abdominal pain may be unrelated to the vaccine.

Healthcare visit (other): Talked to my doctor about my abdominal pain. I am pretty sure its unrelated to the vaccine though.

2021-04-02

Systemic reaction (other): I dont think the abdominal pain is related to the vaccine

2021-04-03

Systemic reaction (other): Abdominal pain is not related to the vaccine. I think tiredness is unrelated as well

Release 10 — days 1–6 daily, dose 3

2022-01-08

Systemic reaction (other): The symptoms besides slight pain and itchiness at the injection site are all unrelated to the Covid shot.

Release 11 — day 28, dose 3

2022-01-31

Symptoms: Stomach pain. Nausea. Headache. Fatigue. But I think it's related to my IBS

Healthcare visit (other): Haven't set appt yet but plan to call to talk about my IBS

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
HCVO	Abdominal pain	✓	✓	✓
HCVO	Irritable bowel syndrome	·	·	✓
HCVO	Medical counselling	✓	✓	✓
SD	Abdominal pain upper	·	·	✓
SD	Erythema	✓	✓	✓
SD	Fatigue	·	·	✓
SD	Headache	·	·	✓
SD	Irritable bowel syndrome	·	·	✓
SD	Migraine	·	·	✓
SD	Nausea	·	·	✓
SD	Peripheral swelling	✓	✓	✓
SD	Poor quality sleep	·	·	✓
SD	Pruritus	✓	✓	✓
SD	Rash macular	✓	✓	✓
SD	Skin warm	✓	✓	✓
SRO	Abdominal pain	✓	✓	✓
SRO	Diarrhoea	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Injection site pain	·	·	✓
SRO	Injection site pruritus	·	·	✓
SRO	Nervousness	✓	✓	✓
SRO	No adverse event	✓	✓	✓
SRO	Somnolence	✓	✓	✓

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